Evidence map›Paper›PMID 30665423›Full record

ArticleBMC medical genomics2019

The added value of WES reanalysis in the field of genetic diagnosis: lessons learned from 200 exomes in the Lebanese population.

Nadine Jalkh, Sandra Corbani, Zahraa Haidar, Nadine Hamdan, Elias Farah, Joelle Abou Ghoch, Rouba Ghosn, Nabiha Salem, Ali Fawaz, Claudia Djambas Khayat and 14 more

Abstract read
In one paragraph

Article in BMC medical genomics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
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

25 citing papers in PubMed.

  1. Article
  2. Article
  3. Genetic Variants Linked to Dyslexia Co-Morbid ADHD: A Case Study of a Pakistani Outpatient.Journal of population therapeutics and clinical pharmacology = Journal de la therapeutique des populations et de la pharmacologie clinique · 2024
    Article
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  8. Article
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  13. Artificial Intelligence-Assisted Serial Analysis of Clinical Cancer Genomics Data Identifies Changing Treatment Recommendations and Therapeutic Targets.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Clinical Exome Reanalysis: Current Practice and Beyond.Molecular diagnosis & therapy · 2021
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors.

Nadine JalkhUnité de Génétique Médicale, Faculté de Médecine, Campus De l'innovation et du sport, Université Saint-Joseph, rue de Damas, Beirut, Lebanon.
Sandra CorbaniUnité de Génétique Médicale, Faculté de Médecine, Campus De l'innovation et du sport, Université Saint-Joseph, rue de Damas, Beirut, Lebanon.
Zahraa HaidarUnité de Génétique Médicale, Faculté de Médecine, Campus De l'innovation et du sport, Université Saint-Joseph, rue de Damas, Beirut, Lebanon.
Nadine HamdanUnité de Génétique Médicale, Faculté de Médecine, Campus De l'innovation et du sport, Université Saint-Joseph, rue de Damas, Beirut, Lebanon.
Elias FarahService de technologie de l'information, Saint Joseph University, Beirut, Lebanon.
Joelle Abou GhochUnité de Génétique Médicale, Faculté de Médecine, Campus De l'innovation et du sport, Université Saint-Joseph, rue de Damas, Beirut, Lebanon.
Rouba GhosnUnité de Génétique Médicale, Faculté de Médecine, Campus De l'innovation et du sport, Université Saint-Joseph, rue de Damas, Beirut, Lebanon.
Nabiha SalemUnité de Génétique Médicale, Faculté de Médecine, Campus De l'innovation et du sport, Université Saint-Joseph, rue de Damas, Beirut, Lebanon.
Ali FawazNeuropediatrics Department, Lebanese University, Beirut, Lebanon.
Claudia Djambas KhayatDivision of Pediatrics, Hotel Dieu de France Hospital, Beirut, Lebanon.
Mariam RajabDepartment of Pediatrics, Makassed General Hospital, Beirut, Lebanon.
Chebl MouraniDivision of Pediatrics, Hotel Dieu de France Hospital, Beirut, Lebanon.
Adib MoukarzelDivision of Pediatrics, Hotel Dieu de France Hospital, Beirut, Lebanon.
Simon RassiDepartment of Otolaryngology-Head and Neck Surgery, Hotel Dieu de France Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.
Bernard GerbakaDivision of Pediatrics, Hotel Dieu de France Hospital, Beirut, Lebanon.
Hicham MansourPediatric Neurometabolic Unit, Saint George University Medical Center, Beyrouth, Lebanon.
Malek BaassiriDepartment of Oncology, Hammoud Hospital University Medical Center, Saida, Lebanon.
Rawane DagherDepartment of Pediatrics, Notre Dame De Secours University Hospital, Byblos, Lebanon.
David BreichDepartment of Pediatrics, Chtoura Hospital, Chtoura, Lebanon.
André MégarbanéUnité de Génétique Médicale, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.
Jean Pierre DesvignesAix Marseille Univ, Inserm, MMG, U 1251, Marseille, France.
Valérie DelagueAix Marseille Univ, Inserm, MMG, U 1251, Marseille, France.
Cybel MehawejUnité de Génétique Médicale, Faculté de Médecine, Campus De l'innovation et du sport, Université Saint-Joseph, rue de Damas, Beirut, Lebanon.
Eliane ChoueryUnité de Génétique Médicale, Faculté de Médecine, Campus De l'innovation et du sport, Université Saint-Joseph, rue de Damas, Beirut, Lebanon. eliane.chouery@usj.edu.lb.ORCID 0000-0002-6257-6609

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe past few decades have witnessed a tremendous development in the field of genetics. The implementation of next generation sequencing (NGS) technologies revolutionized the field of molecular biology and made the genetic information accessible at a large scale. However, connecting a rare genetic variation to a complex phenotype remains challenging. Indeed, identifying the cause of a genetic disease requires a multidisciplinary approach, starting with the establishment of a clear phenotype with a detailed family history and ending, in some cases, with functional assays that are crucial for the validation of the pathogenicity of a mutation.

methodsTwo hundred Lebanese patients, presenting a wide spectrum of genetic disorders (neurodevelopmental, neuromuscular or metabolic disorders, etc.), sporadic or inherited, dominant or recessive, were referred, over the last three and a half years, to the Medical Genetics Unit (UGM) of Saint Joseph University (USJ). In order to identify the genetic basis of these diseases, Whole Exome Sequencing (WES), followed by a targeted analysis, was performed for each case. In order to improve the genetic diagnostic yield, WES data, generated during the first 2 years of this study, were reanalyzed for all patients who were left undiagnosed at the genetic level. Reanalysis was based on updated bioinformatics tools and novel gene discoveries.

resultsOur initial analysis allowed us to identify the specific genetic mutation causing the disease in 49.5% of the cases, in line with other international studies. Repeated WES analysis enabled us to increase the diagnostics yield to 56%.

conclusionThe present article reports the detailed results of both analysis and pinpoints the contribution of WES data reanalysis to an efficient genetic diagnosis. Lessons learned from WES reanalysis and interpretation are also shared.

Indexed as

Exome SequencingMolecular Diagnostic TechniquesExomeGenetic Diseases, InbornHigh-Throughput Nucleotide SequencingHumansLebanonExomeGenetic diagnosticsGenetic heterogeneityHigh throughput sequencingLebanonMutationsNGS

Identifiers

PMID30665423
PMCPMC6341681

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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.