Evidence map›Paper›PMID 30675029›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2019

Next-generation sequencing of 32 genes associated with hereditary aortopathies and related disorders of connective tissue in a cohort of 199 patients.

Sina Renner, Helke Schüler, Malik Alawi, Verena Kolbe, Meike Rybczynski, Rixa Woitschach, Sara Sheikhzadeh, Veronika C Stark, Jakob Olfe, Elke Roser and 21 more

Registry-linked trialOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04751058 (Genetic Profile in Patients With Aortic Syndrome), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.3field-weighted citation impact, top 6% 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.

NCT04751058 completednot on this mapstarted 2021, after this paper: background citation

Genetic Profile in Patients With Aortic Syndrome

TypeobservationalSponsorHospitales Universitarios Virgen del RocíoRan2021 to 2022Enrolled73ConditionsGene Abnormality, Acute Aortic SyndromeArmsgenetic analysis
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Case Report:Frontiers in genetics · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Hereditary Thoracic Aortic Diseases.Diagnostics (Basel, Switzerland) · 2024
    Review
  12. Novel variant alters splicing ofFrontiers in genetics · 2024
    Article
  13. Review
  14. Article
  15. Article
  16. Genetic Diagnostics in Routine Osteological Assessment of Adult Low Bone Mass Disorders.The Journal of clinical endocrinology and metabolism · 2022
    Article
  17. Article
  18. Identification of NovelFrontiers in genetics · 2022
    Article
  19. Article
  20. NovelInternational journal of molecular sciences · 2021
    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

31 authors at 7 institutions in 1 country.

Sina RennerInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Helke SchülerCentre of Cardiology and Cardiovascular Surgery, University Heart Center, Hamburg, Germany.
Malik AlawiBioinformatics Core, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Verena KolbeInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Meike RybczynskiCentre of Cardiology and Cardiovascular Surgery, University Heart Center, Hamburg, Germany.
Rixa WoitschachInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Sara SheikhzadehCentre of Cardiology and Cardiovascular Surgery, University Heart Center, Hamburg, Germany.
Veronika C StarkPediatric Cardiology Clinic, University Heart Center, Hamburg, Germany.
Jakob OlfePediatric Cardiology Clinic, University Heart Center, Hamburg, Germany.
Elke RoserKlinik für Herz- und Gefäßkrankheiten, Klinikum Stuttgart-Katharinenhospital, Stuttgart, Germany.
Friederike Sophia SeggewiesDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Adrian MahlmannUniversity Centre for Vascular Medicine and Department of Medicine III-Section Angiology, University Hospital Carl Gustav Carus, Technische Universität, Dresden, Germany.
Maja HempelInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Melanie J HartmannInstitute of Human Genetics, University of Ulm, Ulm, Germany.
Mathias HillebrandCentre of Cardiology and Cardiovascular Surgery, University Heart Center, Hamburg, Germany.
Dagmar WieczorekInstitute of Human Genetics, Medical Faculty, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
Alexander Erich VolkInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Katja KlothInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Margarete Koch-HogrebeChildren's Hospital Datteln, University Witten/Herdecke, Datteln, Germany.
Rami Abou JamraInstitute of Human Genetics, University of Leipzig Hospitals and Clinics, Leipzig, Germany.
Diana MitterInstitute of Human Genetics, University of Leipzig Hospitals and Clinics, Leipzig, Germany.
Janine AltmüllerCologne Center for Genomics, Center for Molecular Medicine Cologne (CMMC), University of Cologne, Cologne, Germany.
Alexandra Wey-FabriziusInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Christine PetersenInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Isabella RauInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Guntram BorckInstitute of Human Genetics, University of Ulm, Ulm, Germany.
Christian KubischInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Thomas S MirPediatric Cardiology Clinic, University Heart Center, Hamburg, Germany.
Yskert von KodolitschCentre of Cardiology and Cardiovascular Surgery, University Heart Center, Hamburg, Germany.
Kerstin KutscheInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Georg RosenbergerInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. rosenberger@uke.de.ORCID http://orcid.org/0000-0003-3625-3109
Universität Hamburg · DEUniversität Ulm · DEUniversity Hospital Leipzig · DEHeinrich Heine University Düsseldorf · DEKatharinenhospital · DEUniversity Hospital Carl Gustav Carus · DEUniversity of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHeritable factors play an important etiologic role in connective tissue disorders (CTD) with vascular involvement, and a genetic diagnosis is getting increasingly important for gene-tailored, personalized patient management.

methodsWe analyzed 32 disease-associated genes by using targeted next-generation sequencing and exome sequencing in a clinically relevant cohort of 199 individuals. We classified and refined sequence variants according to their likelihood for pathogenicity.

resultsWe identified 1 pathogenic variant (PV; in FBN1 or SMAD3) in 15 patients (7.5%) and ≥1 likely pathogenic variant (LPV; in COL3A1, FBN1, FBN2, LOX, MYH11, SMAD3, TGFBR1, or TGFBR2) in 19 individuals (9.6%), together resulting in 17.1% diagnostic yield. Thirteen PV/LPV were novel. Of PV/LPV-negative patients 47 (23.6%) showed ≥1 variant of uncertain significance (VUS). Twenty-five patients had concomitant variants. In-depth evaluation of reported/calculated variant classes resulted in reclassification of 19.8% of variants.

conclusionVariant classification and refinement are essential for shaping mutational spectra of disease genes, thereby improving clinical sensitivity. Obligate stringent multigene analysis is a powerful tool for identifying genetic causes of clinically related CTDs. Nonetheless, the relatively high rate of PV/LPV/VUS-negative patients underscores the existence of yet unknown disease loci and/or oligogenic/polygenic inheritance.

Indexed as

High-Throughput Nucleotide SequencingAdultAortaBiomarkersCohort StudiesConnective TissueConnective Tissue DiseasesFemaleGenetic TestingHumansMaleMarfan SyndromeBiomarkersaortopathyconnective tissue disorderMarfan syndromenext-generation sequencingTAAD

Identifiers

PMID30675029
OpenAlexW2911285384

What OpenQuestion holds

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Registered trials

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.