Evidence map›Paper›PMID 31273341›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2020

Incidence of mosaicism in 1055 de novo NF2 cases: much higher than previous estimates with high utility of next-generation sequencing.

D Gareth Evans, Claire L Hartley, Philip T Smith, Andrew T King, Naomi L Bowers, Simon Tobi, Andrew J Wallace, Mary Perry, Raji Anup, Simon K W Lloyd and 20 more

Open access · bronzeAbstract read
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In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
7.0field-weighted citation impact, top 2% 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

44 citing papers in PubMed, 100 citations in OpenAlex.

  1. Article
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  5. [BMJ open · 2026
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  10. Article
  11. Clinical and Genetic Overview of Neurofibromatosis Type 2 (NF2).Journal of Korean Neurosurgical Society · 2025
    Article
  12. Article
  13. Update on Cancer and Central Nervous System Tumor Surveillance in Pediatric NF2-, SMARCB1-, and LZTR1-Related Schwannomatosis.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  14. Review
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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

30 authors at 8 institutions in 1 country.

D Gareth EvansNW Genomic Laboratory hub, Manchester Centre for Genomic Medicine, St Mary's Hospital, Division of Evolution and Genomic Science, University of Manchester, Manchester, UK. gareth.evans@mft.nhs.uk.
Claire L HartleyNW Genomic Laboratory hub, Manchester Centre for Genomic Medicine, St Mary's Hospital, Division of Evolution and Genomic Science, University of Manchester, Manchester, UK.
Philip T SmithNW Genomic Laboratory hub, Manchester Centre for Genomic Medicine, St Mary's Hospital, Division of Evolution and Genomic Science, University of Manchester, Manchester, UK.
Andrew T KingDepartment of Neurosurgery, Manchester Centre for Clinical Neurosciences, Salford Royal Foundation Trust, Manchester, UK.
Naomi L BowersNW Genomic Laboratory hub, Manchester Centre for Genomic Medicine, St Mary's Hospital, Division of Evolution and Genomic Science, University of Manchester, Manchester, UK.
Simon TobiNW Genomic Laboratory hub, Manchester Centre for Genomic Medicine, St Mary's Hospital, Division of Evolution and Genomic Science, University of Manchester, Manchester, UK.
Andrew J WallaceNW Genomic Laboratory hub, Manchester Centre for Genomic Medicine, St Mary's Hospital, Division of Evolution and Genomic Science, University of Manchester, Manchester, UK.
Mary PerryNW Genomic Laboratory hub, Manchester Centre for Genomic Medicine, St Mary's Hospital, Division of Evolution and Genomic Science, University of Manchester, Manchester, UK.
Raji AnupNW Genomic Laboratory hub, Manchester Centre for Genomic Medicine, St Mary's Hospital, Division of Evolution and Genomic Science, University of Manchester, Manchester, UK.
Simon K W LloydDepartment of Otolaryngology, Manchester Royal Infirmary, University of Manchester, Manchester, UK.
Scott A RutherfordDepartment of Neurosurgery, Manchester Centre for Clinical Neurosciences, Salford Royal Foundation Trust, Manchester, UK.ORCID http://orcid.org/0000-0002-6749-2295
Charlotte Hammerbeck-WardDepartment of Neurosurgery, Manchester Centre for Clinical Neurosciences, Salford Royal Foundation Trust, Manchester, UK.
Omar N PathmanabanDepartment of Neurosurgery, Manchester Centre for Clinical Neurosciences, Salford Royal Foundation Trust, Manchester, UK.
Emma StapletonDepartment of Otolaryngology, Manchester Royal Infirmary, University of Manchester, Manchester, UK.
Simon R FreemanDepartment of Otolaryngology, Manchester Royal Infirmary, University of Manchester, Manchester, UK.ORCID http://orcid.org/0000-0002-6430-2206
Mark KellettDepartment of Neurology, Manchester Centre for Clinical Neurosciences, Salford Royal Foundation Trust, Manchester, UK.
Dorothy HallidayOxford Centre for Genomic Medicine, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Oxford, UK.
Allyson ParryNeurosciences, Oxford University Hospitals NHS Trust, Oxford, UK.
Juliette J GairDepartment of Otolaryngology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID http://orcid.org/0000-0002-6344-371X
Patrick AxonDepartment of Otolaryngology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Roger LaittDepartment of Neuroradiology, Manchester Centre for Clinical Neurosciences, Salford Royal Foundation Trust, Manchester, UK.
Owen ThomasDepartment of Neuroradiology, Manchester Centre for Clinical Neurosciences, Salford Royal Foundation Trust, Manchester, UK.
Shazia K AfridiDepartment of Neurology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Rupert ObholzerDepartment of Neurology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
English Specialist NF research group
Chris DuffDepartment of Plastic Surgery, Manchester Universities Foundation Trust, Manchester, UK.
Stavros M StivarosDepartment of Paediatric Neurology, Manchester Universities Foundation Trust, Manchester, UK.
Grace VassalloDepartment of Paediatric Neurology, Manchester Universities Foundation Trust, Manchester, UK.
Elaine F HarknessDivision of Informatics, Imaging and Data Sciences, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Miriam J SmithNW Genomic Laboratory hub, Manchester Centre for Genomic Medicine, St Mary's Hospital, Division of Evolution and Genomic Science, University of Manchester, Manchester, UK.ORCID http://orcid.org/0000-0002-3184-0817
Salford Royal NHS Foundation Trust · GBUniversity of Manchester · GBManchester University NHS Foundation Trust · GBCambridge University Hospitals NHS Foundation Trust · GBGuy's and St Thomas' NHS Foundation Trust · GBManchester Academic Health Science Centre · GBNuffield Orthopaedic Centre · GBOxford University Hospitals NHS Trust · GB

Funding

Department of Health IS-BRC-1215–20007Department of Health NIHR/CS/010/021Medical Research Council G0600485
6 · The paper itself

Abstract

purposeTo evaluate the incidence of mosaicism in de novo neurofibromatosis 2 (NF2).

methodsPatients fulfilling NF2 criteria, but with no known affected family member from a previous generation (n = 1055), were tested for NF2 variants in lymphocyte DNA and where available tumor DNA. The proportion of individuals with a proven or presumed mosaic NF2 variant was assessed and allele frequencies of identified variants evaluated using next-generation sequencing.

resultsThe rate of proven/presumed mosaicism was 232/1055 (22.0%). However, nonmosaic heterozygous pathogenic variants were only identified in 387/1055 (36.7%). When variant detection rates in second generation nonmosaics were applied to de novo cases, we assessed the overall probable mosaicism rate to be 59.7%. This rate differed by age from 21.7% in those presenting with bilateral vestibular schwannoma <20 years to 80.7% in those aged ≥60 years. A mosaic variant was detected in all parents of affected children with a single-nucleotide pathogenic NF2 variant.

conclusionThis study has identified a very high probable mosaicism rate in de novo NF2, probably making NF2 the condition with the highest expressed rate of mosaicism in de novo dominant disease that is nonlethal in heterozygote form. Risks to offspring are small and probably correlate with variant allele frequency detected in blood.

Indexed as

MosaicismAdultFemaleGene FrequencyGerm-Line MutationHigh-Throughput Nucleotide SequencingHumansIncidenceMaleMiddle AgedMutation RateNeurofibromatosis 2Neurofibromin 2PedigreePolymorphism, Single NucleotideSequence Analysis, DNANeurofibromin 2NF2 protein, humanLZTR1mosaicismneurofibromatosis type 2NF2schwannoma

Identifiers

PMID31273341
OpenAlexW2951311857

What OpenQuestion holds

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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.