Evidence map›Paper›PMID 31278258›Full record

ArticleNature communications2019

Clinically-relevant postzygotic mosaicism in parents and children with developmental disorders in trio exome sequencing data.

C F Wright, E Prigmore, D Rajan, J Handsaker, J McRae, J Kaplanis, T W Fitzgerald, D R FitzPatrick, H V Firth, M E Hurles

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
10.7field-weighted citation impact, top 1% 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

52 citing papers in PubMed, 93 citations in OpenAlex.

  1. Article
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  6. Clinical relevance of mosaic variants detected by exome sequencing.The Journal of allergy and clinical immunology · 2026
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  17. Four heterozygousFrontiers in neuroscience · 2024
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

C F WrightInstitute of Biomedicine and Clinical Science, College of Medicine and Health, University of Exeter, RILD Building, Royal Devon and Exeter Hospital, Exeter, EX2 5DW, UK. caroline.wright@exeter.ac.uk.ORCID http://orcid.org/0000-0003-2958-5076
E PrigmoreWellcome Sanger Institute, Wellcome Genome Campus, Hinxton, Cambridge, CB10 1SA, UK.
D RajanWellcome Sanger Institute, Wellcome Genome Campus, Hinxton, Cambridge, CB10 1SA, UK.
J HandsakerWellcome Sanger Institute, Wellcome Genome Campus, Hinxton, Cambridge, CB10 1SA, UK.
J McRaeWellcome Sanger Institute, Wellcome Genome Campus, Hinxton, Cambridge, CB10 1SA, UK.
J KaplanisWellcome Sanger Institute, Wellcome Genome Campus, Hinxton, Cambridge, CB10 1SA, UK.
T W FitzgeraldEuropean Bioinformatics Institute (EMBL-EBI), Wellcome Genome Campus, Cambridge, CB10 1SD, UK.
D R FitzPatrickMRC Human Genetics Unit, University of Edinburgh, Edinburgh, EH4 2XU, UK.
H V FirthWellcome Sanger Institute, Wellcome Genome Campus, Hinxton, Cambridge, CB10 1SA, UK.
M E HurlesWellcome Sanger Institute, Wellcome Genome Campus, Hinxton, Cambridge, CB10 1SA, UK.
Wellcome Sanger Institute · GBEuropean Bioinformatics Institute · GBInstitute of Genetics and Cancer · GBUniversity of Cambridge · GBUniversity of Exeter · GB

Funding

Medical Research Council MC_UU_00007/3Wellcome TrustWellcome Trust (Wellcome) WT098051
6 · The paper itself

Abstract

Mosaic genetic variants can have major clinical impact. We systematically analyse trio exome sequence data from 4,293 probands from the DDD Study with severe developmental disorders for pathogenic postzygotic mosaicism (PZM) in the child or a clinically-unaffected parent, and use ultrahigh-depth sequencing to validate candidate mosaic variants. We observe that levels of mosaicism for small genetic variants are usually equivalent in both saliva and blood and ~3% of causative de novo mutations exhibit PZM; this is an important observation, as the sibling recurrence risk is extremely low. We identify parental PZM in 21 trios (0.5% of trios), resulting in a substantially increased sibling recurrence risk in future pregnancies. Together, these forms of mosaicism account for 40 (1%) diagnoses in our cohort. Likely child-PZM mutations occur equally on both parental haplotypes, and the penetrance of detectable mosaic pathogenic variants overall is likely to be less than half that of constitutive variants.

Indexed as

MosaicismChildCohort StudiesDevelopmental DisabilitiesExomeExome SequencingFemaleGenetic TestingGenetic VariationHaplotypesHigh-Throughput Nucleotide SequencingHumansMaleMaternal InheritanceParentsPaternal Inheritance

Identifiers

PMID31278258
PMCPMC6611863
OpenAlexW2954061160

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.