Evidence map›Paper›PMID 31273585›Full record

SynthesisJournal of assisted reproduction and genetics2019

Genetic diagnosis in first or second trimester pregnancy loss using exome sequencing: a systematic review of human essential genes.

Sarah M Robbins, Matthew A Thimm, David Valle, Angie C Jelin

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of assisted reproduction and genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Genomics of pregnancy loss.Journal of assisted reproduction and genetics · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. PLoV: a comprehensive database of genetic variants leading to pregnancy loss.Database : the journal of biological databases and curation · 2025
    Article
  8. Review
  9. Lethal phenotypes in Mendelian disorders.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Article
  10. Article
  11. Article
  12. Lethal phenotypes in Mendelian disorders.medRxiv : the preprint server for health sciences · 2024
    Article
  13. Essential genes: a cross-species perspective.Mammalian genome : official journal of the International Mammalian Genome Society · 2023
    Review
  14. Article
  15. Recurrent Pregnancy Loss and Concealed Long-QT Syndrome.Journal of the American Heart Association · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  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

4 authors at 1 institution in 1 country.

Sarah M RobbinsMcKusick-Nathans Institute in the Department of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. srobbi10@jhmi.edu.ORCID http://orcid.org/0000-0003-2101-1203
Matthew A ThimmJohns Hopkins University School of Medicine, Baltimore, MD, USA.
David ValleMcKusick-Nathans Institute in the Department of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Angie C JelinDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Johns Hopkins University · US

Funding

Baylor-Johns Hopkins Center for Mendelian GeneticsU54HG006542 · NHGRI · JOHNS HOPKINS UNIVERSITY · PI VALLE, DAVID · 2012 to 2015
$15.6M
Predoctoral Training Program in Human GeneticsT32GM007814 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI VALLE, DAVID · 1985 to 2021
$10.6M
Single gene pathogenic variants associated with BEEC (Bladder Exstrophy, Epispadias, Complex)K23DK119949 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI JELIN, ANGIE CHILD · 2019 to 2023
$1.1M
NHGRI NIH HHS 1U54HG006542NHGRI NIH HHS U54 HG006542NIGMS NIH HHS 5T32GM007814-37NIGMS NIH HHS T32 GM007814
6 · The paper itself

Abstract

purposeNon-aneuploid recurrent pregnancy loss (RPL) affects approximately 100,000 pregnancies worldwide annually. Exome sequencing (ES) may help uncover the genetic etiology of RPL and, more generally, pregnancy loss as a whole. Previous studies have attempted to predict the genes that, when disrupted, may cause human embryonic lethality. However, predictions by these early studies rarely point to the same genes. Case reports of pathogenic variants identified in RPL cases offer another clue. We evaluated known genetic etiologies of RPL identified by ES.

methodsWe gathered primary research articles from PubMed and Embase involving case reports of RPL reporting variants identified by ES. Two authors independently reviewed all articles for eligibility and extracted data based on predetermined criteria. Preliminary and amended analysis isolated 380 articles; 15 met all inclusion criteria.

resultsThese 15 articles described 74 families with 279 reported RPLs with 34 candidate pathogenic variants in 19 genes (NOP14, FOXP3, APAF1, CASP9, CHRNA1, NLRP5, MMP10, FGA, FLT1, EPAS1, IDO2, STIL, DYNC2H1, IFT122, PADI6, CAPS, MUSK, NLRP2, NLRP7) and 26 variants of unknown significance in 25 genes. These genes cluster in four essential pathways: (1) gene expression, (2) embryonic development, (3) mitosis and cell cycle progression, and (4) inflammation and immunity.

conclusionsFor future studies of RPL, we recommend trio-based ES in cases with normal parental karyotypes. In vitro fertilization with preimplantation genetic diagnosis can be pursued if causative variants are found. Utilization of other sequencing technologies in concert with ES should improve understanding of the causes of early embryonic lethality in humans.

Indexed as

Genes, EssentialAbortion, HabitualExome SequencingFemaleHumansPregnancyPregnancy Trimester, FirstPregnancy Trimester, SecondEmbryonic lethalExome sequencingPregnancy lossRecurrent pregnancy loss

Identifiers

PMID31273585
PMCPMC6707996
OpenAlexW2954041527

What OpenQuestion holds

Textmetadata
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.