Evidence map›Paper›PMID 31332282›Full record

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

Nonrandom occurrence of multiple de novo coding variants in a proband indicates the existence of an oligogenic model in autism.

Yaoqiang Du, Zhongshan Li, Zhenwei Liu, Na Zhang, Ruochen Wang, Fengxia Li, Tao Zhang, Yi Jiang, Xiao Zhi, Zhen Wang and 1 more

Erratum issuedOpen access · bronzeAbstract read
PubMed Publisher
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. An erratum has been issued. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

30 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
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  3. Circadian rhythm lncRNABiochemistry and biophysics reports · 2026
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  5. Translational pediatrics · 2026
    Article
  6. Individuals with intellectual disability have an increased burden ofmedRxiv : the preprint server for health sciences · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Three generation families: Analysis of de novo variants in autism.European journal of human genetics : EJHG · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Identification of two novel autism genes,Frontiers in psychiatry · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Yaoqiang Du *Institute of Genomic Medicine, Wenzhou Medical University, Wenzhou, China.ORCID http://orcid.org/0000-0002-9158-8174
Zhongshan Li *Institute of Genomic Medicine, Wenzhou Medical University, Wenzhou, China.
Zhenwei Liu *Institute of Genomic Medicine, Wenzhou Medical University, Wenzhou, China.
Na ZhangInstitute of Genomic Medicine, Wenzhou Medical University, Wenzhou, China.
Ruochen WangInstitute of Genomic Medicine, Wenzhou Medical University, Wenzhou, China.
Fengxia LiInstitute of Genomic Medicine, Wenzhou Medical University, Wenzhou, China.
Tao ZhangInstitute of Genomic Medicine, Wenzhou Medical University, Wenzhou, China.ORCID http://orcid.org/0000-0001-8065-5776
Yi JiangInstitute of Genomic Medicine, Wenzhou Medical University, Wenzhou, China.
Xiao ZhiInstitute of Genomic Medicine, Wenzhou Medical University, Wenzhou, China.
Zhen WangResearch Center of Blood Transfusion Medicine, Education Ministry Key Laboratory of Laboratory Medicine, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, China.
Jinyu WuInstitute of Genomic Medicine, Wenzhou Medical University, Wenzhou, China. iamwujy@gmail.com.ORCID http://orcid.org/0000-0001-5476-301X
Wenzhou Medical University · CNZhejiang Provincial People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeElucidating the genetic architecture underlying autism spectrum disorder (ASD) will aid in the understanding of its genetic etiology and clinical diagnosis.

methodsA comprehensive set of coding de novo variants (DNVs) from 4504 trios with ASD and 3012 control/sibling trios from several large-scale sequencing studies were collected and combined. Multiple in-depth analyses including DNVs burden, clinical phenotypes, and functional networks underlying the combined data set were used to evaluate the nonrandom occurrence of multiple extreme DNVs (loss-of-function and damaging missense variants) in the same patients.

resultsWe observed a significant excess of multiple extreme DNVs among patients with ASD compared with controls. Meanwhile, patients with ASD carrying 2+ extreme DNVs had significantly lower IQs than patients carrying 0 or 1 DNV. Moreover, much closer functional connectivity than expected was observed among 2 or more genes with extreme DNVs from the same individuals. In particular, we identified 56 key genes as more confident ASD genes compared with other known ASD genes. In addition, we detected 23 new ASD candidate genes with recurrent DNVs, including VIP, ZWILCH, MSL2, LRRC4, and CAPRIN1.

conclusionsOur findings present compelling statistical evidence supporting an oligogenic model and provide new insights into the genetic architecture of ASD.

Indexed as

Multifactorial InheritanceMutation, MissenseAutism Spectrum DisorderCase-Control StudiesFemaleGene Regulatory NetworksGenetic Predisposition to DiseaseHumansIntelligence TestsLoss of Function MutationMaleModels, GeneticSequence Analysis, DNAautism spectrum disorderde novo variantsgenetic architectureoligogenic model

Identifiers

PMID31332282
OpenAlexW2962775644

What OpenQuestion holds

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Registered trials

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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.