Evidence map›Paper›PMID 30582441›Full record

ArticleCirculation research2019

Whole Exome Sequencing Reveals the Major Genetic Contributors to Nonsyndromic Tetralogy of Fallot.

Donna J Page, Matthieu J Miossec, Simon G Williams, Richard M Monaghan, Elisavet Fotiou, Heather J Cordell, Louise Sutcliffe, Ana Topf, Mathieu Bourgey, Guillaume Bourque and 24 more

Open access · bronzeAbstract read
In one paragraph

Article in Circulation research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 121 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 4 pooled it
8.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

121 citing papers in PubMed, 4 syntheses or guidelines pooled it, 193 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Germline variants in HEY2 functional domains lead to congenital heart defects and thoracic aortic aneurysms.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Journal of cardiovascular development and disease · 2026
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  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
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  15. Modelling Tetralogy of Fallot: insights and limitations of animal models.Frontiers in cell and developmental biology · 2026
    Review
  16. Identification of a NovelDiagnostics (Basel, Switzerland) · 2025
    Article
  17. Circulating Cardiovascular Proteomic Associations With Genetics and Disease.Circulation. Genomic and precision medicine · 2025
    Article
  18. Article
  19. Article
  20. Review

61 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors at 11 institutions in 6 countries.

Donna J PageFrom the Division of Cardiovascular Sciences, School of Medical Sciences, Faculty of Biology, Medicine, and Health, Manchester Academic Health Science Centre, University of Manchester, United Kingdom (D.J.P., S.G.W., R.M.M., E.F., B.D.K.).
Matthieu J MiossecInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom (M.J.M., H.J.C., L.S., A.T., M.S.-K.).
Simon G WilliamsFrom the Division of Cardiovascular Sciences, School of Medical Sciences, Faculty of Biology, Medicine, and Health, Manchester Academic Health Science Centre, University of Manchester, United Kingdom (D.J.P., S.G.W., R.M.M., E.F., B.D.K.).
Richard M MonaghanFrom the Division of Cardiovascular Sciences, School of Medical Sciences, Faculty of Biology, Medicine, and Health, Manchester Academic Health Science Centre, University of Manchester, United Kingdom (D.J.P., S.G.W., R.M.M., E.F., B.D.K.).
Elisavet FotiouFrom the Division of Cardiovascular Sciences, School of Medical Sciences, Faculty of Biology, Medicine, and Health, Manchester Academic Health Science Centre, University of Manchester, United Kingdom (D.J.P., S.G.W., R.M.M., E.F., B.D.K.).
Heather J CordellInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom (M.J.M., H.J.C., L.S., A.T., M.S.-K.).
Louise Sutcliffe
Ana TopfInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom (M.J.M., H.J.C., L.S., A.T., M.S.-K.).
Mathieu BourgeyCanadian Centre for Computational Genomics, Montréal, QC, Canada (M.B.).
Guillaume BourqueMcGill Genome Center, Montréal, QC, Canada (M.B., G.B., R.E., G.M.L.).
Robert EveleighMcGill Genome Center, Montréal, QC, Canada (M.B., G.B., R.E., G.M.L.).
Sally L DunwoodieChain Reaction Program in Congenital Heart Disease Research, Victor Chang Cardiac Research Institute, Sydney, NSW, Australia (S.L.D.).
David S WinlawSchool of Child and Adolescent Health, Sydney Medical School, University of Sydney (D.S.W.).
Shoumo BhattacharyaRDM Cardiovascular Medicine, Wellcome Centre for Human Genetics, University of Oxford (D.S.W., S.B.).
Jeroen BreckpotCenter for Human Genetics, Catholic University Leuven, Belgium (S.B., J.B., K.D.).
Koenraad DevriendtCenter for Human Genetics, Catholic University Leuven, Belgium (S.B., J.B., K.D.).
Marc GewilligPediatric and Congenital Cardiology, UZ Leuven (J.B., M.G.).
J David BrookSchool of Life Sciences, University of Nottingham, Queen's Medical Centre (J.D.B., K.J.S.).
Kerry J SetchfieldSchool of Life Sciences, University of Nottingham, Queen's Medical Centre (J.D.B., K.J.S.).
Frances A Bu'LockCongenital and Paediatric Cardiology, East Midlands Congenital Heart Centre and University of Leicester, Glenfield Hospital (F.A.B.).
John O'SullivanAdult Congenital and Paediatric Cardiac Unit, Freeman Hospital, Newcastle upon Tyne (J.O.).
Graham StuartUniversity Hospitals Bristol NHS Foundation Trust, Bristol (G.S.).
Connie R BezzinaHeart Center, Department of Clinical and Experimental Cardiology (C.R.B.), Academic Medical Center, Amsterdam, the Netherlands.
Barbara J M MulderDepartment of Medical Biology (B.J.M.M.), Academic Medical Center, Amsterdam, the Netherlands.
Alex V PostmaDepartment of Clinical Genetics (A.V.P.), Academic Medical Center, Amsterdam, the Netherlands.
James R BenthamDepartment of Paediatric Cardiology, Yorkshire Heart Centre, Leeds (J.R.B.).
Martin BaronDivision of Molecular and Cellular Function, School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester (M.B.).
Sanjeev S BhaskarManchester Centre for Genomic Medicine, Saint Mary's Hospital, Oxford, Manchester (S.S.B., G.C.B.).
Graeme C BlackManchester Centre for Genomic Medicine, Saint Mary's Hospital, Oxford, Manchester (S.S.B., G.C.B.).
William G NewmanDivision of Evolution and Genomic Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Oxford (W.G.N.); and Division of Evolution and Genomic Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, UK.
Kathryn E Hentges
G Mark LathropMcGill Genome Center, Montréal, QC, Canada (M.B., G.B., R.E., G.M.L.).
Mauro Santibanez-KorefInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom (M.J.M., H.J.C., L.S., A.T., M.S.-K.).
Bernard D KeavneyFrom the Division of Cardiovascular Sciences, School of Medical Sciences, Faculty of Biology, Medicine, and Health, Manchester Academic Health Science Centre, University of Manchester, United Kingdom (D.J.P., S.G.W., R.M.M., E.F., B.D.K.).
Manchester Metropolitan University · GBUniversity of Manchester · GBMcGill Genome Centre · CAVictor Chang Cardiac Research Institute · AUAcademic Medical Center · NLFreeman Hospital · GBNewcastle University · GBSt Mary's Hospital · GBUniversidad Andrés Bello · CLUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity of Leicester · GB

Funding

British Heart Foundation CH/09/003/26631British Heart Foundation CH/13/2/30154British Heart Foundation FS/11/63/28944British Heart Foundation FS/14/51/30879British Heart Foundation RG/10/17/28553British Heart Foundation RG/13/10/30376British Heart Foundation RG/15/12/31616
6 · The paper itself

Abstract

rationaleFamilial recurrence studies provide strong evidence for a genetic component to the predisposition to sporadic, nonsyndromic Tetralogy of Fallot (TOF), the most common cyanotic congenital heart disease phenotype. Rare genetic variants have been identified as important contributors to the risk of congenital heart disease, but relatively small numbers of TOF cases have been studied to date.

objectiveWe used whole exome sequencing to assess the prevalence of unique, deleterious variants in the largest cohort of nonsyndromic TOF patients reported to date. METHODS AND

resultsEight hundred twenty-nine TOF patients underwent whole exome sequencing. The presence of unique, deleterious variants was determined; defined by their absence in the Genome Aggregation Database and a scaled combined annotation-dependent depletion score of ≥20. The clustering of variants in 2 genes, NOTCH1 and FLT4, surpassed thresholds for genome-wide significance (assigned as P<5×10

conclusionsThe NOTCH1 locus is the most frequent site of genetic variants predisposing to nonsyndromic TOF, followed by FLT4. Together, variants in these genes are found in almost 7% of TOF patients.

Indexed as

ExomeMutation RateAutoantigensCalcium-Binding ProteinsCell Cycle ProteinsHomeodomain ProteinsHumansLoss of Function MutationMutation, MissenseNuclear ProteinsReceptor, Notch1Tetralogy of FallotTrans-ActivatorsTranscription FactorsVascular Endothelial Growth Factor Receptor-3AutoantigensCalcium-Binding ProteinsCAMTA2 protein, humanCell Cycle ProteinsDLX6 protein, humanFLT4 protein, humanHomeodomain ProteinsNuclear ProteinsPCM1 protein, humanReceptor, Notch1Trans-ActivatorsTranscription FactorsVascular Endothelial Growth Factor Receptor-3ZFPM1 protein, humangenesgenetic variationheart diseasesTetralogy of Fallotwhole exome sequencing

Identifiers

PMID30582441
PMCPMC6377791
OpenAlexW2903172740

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.