Evidence map›Paper›PMID 31227283›Full record

ArticleThe Journal of pediatrics2019

Damaging Variants in Proangiogenic Genes Impair Growth in Fetuses with Cardiac Defects.

Mark W Russell, Julie S Moldenhauer, Jack Rychik, Nancy B Burnham, Erin Zullo, Samuel I Parry, Rebecca A Simmons, Michal A Elovitz, Susan C Nicolson, Rebecca L Linn and 5 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
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  8. Fetal Brain Development in Congenital Heart Disease.The Canadian journal of cardiology · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

Mark W RussellDivision of Pediatric Cardiology, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI. Electronic address: mruss@med.umich.edu.
Julie S MoldenhauerCenter for Fetal Diagnosis and Therapy, The Children's Hospital of Philadelphia, Philadelphia, PA.
Jack RychikDivision of Pediatric Cardiology, The Children's Hospital of Philadelphia, Philadelphia, PA.
Nancy B BurnhamDivision of Cardiothoracic Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA.
Erin ZulloDivision of Cardiothoracic Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA.
Samuel I ParryDivision of Maternal Fetal Medicine, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, PA.
Rebecca A SimmonsDivision of Neonatology, The Children's Hospital of Philadelphia, Philadelphia, PA.
Michal A ElovitzDivision of Maternal Fetal Medicine, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, PA.
Susan C NicolsonDivision of Cardiothoracic Anesthesiology, The Children's Hospital of Philadelphia, Philadelphia, PA.
Rebecca L LinnDivision of Anatomic Pathology, The Children's Hospital of Philadelphia, Philadelphia, PA.
Mark P JohnsonCenter for Fetal Diagnosis and Therapy, The Children's Hospital of Philadelphia, Philadelphia, PA.
Sunkyung YuDivision of Pediatric Cardiology, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI.
Matthew G SampsonDivision of Pediatric Nephrology, Department of Pediatrics, and Center for Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, MI.
Hakon HakonarsonThe Center for Applied Genomics, The Children's Hospital of Philadelphia and the Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
J William GaynorDivision of Cardiothoracic Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA.
Children's Hospital of Philadelphia · USUniversity of Michigan–Ann Arbor · USUniversity of Pennsylvania · US

Funding

Institutional Clinical and Translational Science AwardUL1TR000003 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$38.9M
NCATS NIH HHS UL1 TR000003
6 · The paper itself

Abstract

objectiveTo determine the impact of damaging genetic variation in proangiogenic pathways on placental function, complications of pregnancy, fetal growth, and clinical outcomes in pregnancies with fetal congenital heart defect. STUDY

designFamilies delivering a baby with a congenital heart defect requiring surgical repair in infancy were recruited. The placenta and neonate were weighed and measured. Hemodynamic variables were recorded from a third trimester (36.4 ± 1.7 weeks) fetal echocardiogram. Exome sequencing was performed on the probands (N = 133) and consented parents (114 parent-child trios, and 15 parent-child duos) and the GeneVetter analysis tool used to identify damaging coding sequence variants in 163 genes associated with the positive regulation of angiogenesis (PRA) (GO:0045766).

resultsIn total, 117 damaging variants were identified in PRA genes in 133 congenital heart defect probands with 73 subjects having at least 1 variant. Presence of a damaging PRA variant was associated with increased umbilical artery pulsatility index (mean 1.11 with variant vs 1.00 without; P = .01). The presence of a damaging PRA variant was also associated with lower neonatal length and head circumference for age z score at birth (mean -0.44 and -0.47 with variant vs 0.23 and -0.05 without; P = .01 and .04, respectively). During median 3.1 years (IQR 2.0-4.1 years) of follow-up, deaths occurred in 2 of 60 (3.3%) subjects with no PRA variant and in 9 of 73 (12.3%) subjects with 1 or more PRA variants (P = .06).

conclusionsDamaging variants in proangiogenic genes may impact placental function and are associated with impaired fetal growth in pregnancies involving a fetus with congenital heart defect.

Indexed as

Angiogenic ProteinsCase-Control StudiesFemaleFetal DevelopmentGenetic VariationHeart Defects, CongenitalHumansInfant, NewbornMalePregnancyPregnancy ComplicationsAngiogenic Proteinsangiogenesiscongenital heart diseasefetusgenetic modifiersplacenta

Identifiers

PMID31227283
PMCPMC6765419
OpenAlexW2951797031

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.