Evidence map›Paper›PMID 31624253›Full record

ArticleNature communications2019

De novo and recessive forms of congenital heart disease have distinct genetic and phenotypic landscapes.

W Scott Watkins, E Javier Hernandez, Sergiusz Wesolowski, Brent W Bisgrove, Ryan T Sunderland, Edwin Lin, Gordon Lemmon, Bradley L Demarest, Thomas A Miller, Daniel Bernstein and 10 more

Open 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. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

57 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Human mutation · 2026
    Review
  6. Article
  7. Genetics of Congenital Heart Disease.Clinics in perinatology · 2025
    Review
  8. Article
  9. Observational
  10. Article
  11. Review
  12. Recessive genetic contribution to congenital heart disease in 5,424 probands.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  13. Article
  14. Observational
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Human Genetics of Defects of Situs.Advances in experimental medicine and biology · 2024
    Review
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

20 authors at 8 institutions in 1 country.

W Scott WatkinsDepartment of Human Genetics, University of Utah, Salt Lake City, UT, 84112, USA.
E Javier HernandezDepartment of Human Genetics, University of Utah, Salt Lake City, UT, 84112, USA.
Sergiusz WesolowskiDepartment of Human Genetics, University of Utah, Salt Lake City, UT, 84112, USA.ORCID http://orcid.org/0000-0002-9560-723X
Brent W BisgroveMolecular Medicine Program, University of Utah, Salt Lake City, UT, 84112, USA.ORCID http://orcid.org/0000-0002-0665-6401
Ryan T SunderlandMolecular Medicine Program, University of Utah, Salt Lake City, UT, 84112, USA.
Edwin LinDepartment of Human Genetics, University of Utah, Salt Lake City, UT, 84112, USA.
Gordon LemmonDepartment of Human Genetics, University of Utah, Salt Lake City, UT, 84112, USA.ORCID http://orcid.org/0000-0002-8381-205X
Bradley L DemarestMolecular Medicine Program, University of Utah, Salt Lake City, UT, 84112, USA.ORCID http://orcid.org/0000-0001-8755-6797
Thomas A MillerDivision of Pediatric Cardiology, University of Utah School of Medicine, Salt Lake City, UT, 83113, USA.
Daniel BernsteinDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, 94305, USA.ORCID http://orcid.org/0000-0001-7761-5853
Martina BruecknerDepartment of Pediatrics, Yale University School of Medicine, New Haven, CT, 06416, USA.ORCID http://orcid.org/0000-0003-0347-5389
Wendy K ChungDepartments of Pediatrics and Medicine, Columbia University, NY, Columbia, NY, 10032, USA.
Bruce D GelbMindich Child Health and Development Institute, Departments of Pediatrics and Genetics & Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.ORCID http://orcid.org/0000-0001-8527-5027
Elizabeth GoldmuntzDivision of Cardiology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.ORCID http://orcid.org/0000-0003-2936-4396
Jane W NewburgerDepartment of Cardiology, Boston Children's Hospital, Boston, MA, 02115, USA.ORCID http://orcid.org/0000-0002-7794-9017
Christine E SeidmanDepartments of Genetics and Medicine, Harvard Medical School, Boston, 02115, USA.ORCID http://orcid.org/0000-0001-6380-1209
Yufeng ShenDepartments of Systems Biology and Biomedical Informatics, Columbia University, New York, NY, 10032, USA.
H Joseph YostMolecular Medicine Program, University of Utah, Salt Lake City, UT, 84112, USA.ORCID http://orcid.org/0000-0003-2961-5669
Mark YandellDepartment of Human Genetics, University of Utah, Salt Lake City, UT, 84112, USA. myandell@genetics.utah.edu.
Martin Tristani-FirouziDivision of Pediatric Cardiology, University of Utah School of Medicine, Salt Lake City, UT, 83113, USA. Martin.Tristani@utah.edu.
University of Utah · USColumbia University · USBoston Children's Hospital · USChild Health and Development Institute · USChildren's Hospital of Philadelphia · USHoward Hughes Medical Institute · USStanford University · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Administrative Coordinating Center: Cardiovascular Development and Pediatric Cardiac Genomics ConsortiaU01HL131003 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI CNOTA, JAMES, OLLBERDING, NICHOLAS J · 2016 to 2024
$54.8M
TRAINING IN CARDIOVASCULAR RESEARCHT32HL007576 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Stavros George Drakos, Robin M Shaw · 1985 to 2026
$10.6M
Genetic determinants of human heterotaxy and aortic arch malformationU01HL098162 · NHLBI · YALE UNIVERSITY · PI BRUECKNER, MARTINA, GRUBER, PETER J · 2009 to 2024
$5.9M
Cilia in Heart Development and DiseaseR35HL145249 · NHLBI · YALE UNIVERSITY · PI BRUECKNER, MARTINA · 2019 to 2025
$5.2M
The Genetic Basis of Conotruncal DefectsU01HL098153 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI GOLDMUNTZ, ELIZABETH · 2009 to 2014
$4.3M
Molecular approaches to gene identification in congenital heart diseaseU01HL098163 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHUNG, WENDY K, WARBURTON, DOROTHY P. · 2009 to 2014
$3.9M
Genetics of Hypoplastic Left Heart SyndromeUM1HL128761 · NHLBI · J. DAVID GLADSTONE INSTITUTES · PI BERNSTEIN, DANIEL, SRIVASTAVA, DEEPAK · 2015 to 2019
$2.5M
The Genomic Basis of Congenital Heart Disease and Neurodevelopmental OutcomesUM1HL098147 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI NEWBURGER, JANE W., ROBERTS, AMY E · 2015 to 2019
$2.4M
Genetics of conotruncal defects and associated neurodevelopmental outcomesUM1HL098123 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI GELB, BRUCE D · 2015 to 2019
$2.3M
Genetics and genomics of congenital heart disease and associated neurodevelopmental abnormalitiesUM1HL098162 · NHLBI · YALE UNIVERSITY · PI BRUECKNER, MARTINA, GUPTA, ABHA RANI · 2015 to 2019
$2.2M
VAAST+: Tool for variant prioritization, risk assessment and disease-gene findingR01GM104390 · NIGMS · UNIVERSITY OF UTAH · PI JORDE, LYNN, YANDELL, MARK DOUGLAS · 2013 to 2017
$2.2M
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS R35 HL145249NHLBI NIH HHS T32 HL007576NHLBI NIH HHS U01 HL098153NHLBI NIH HHS U01 HL098162NHLBI NIH HHS U01 HL098163NHLBI NIH HHS U01 HL131003NHLBI NIH HHS UM1 HL098123NHLBI NIH HHS UM1 HL098147NHLBI NIH HHS UM1 HL098162NHLBI NIH HHS UM1 HL128711NHLBI NIH HHS UM1 HL128761NIGMS NIH HHS R01 GM104390NIH HHS S10 OD018164NIH HHS S10 OD018522NIH HHS S10 OD021644
6 · The paper itself

Abstract

The genetic architecture of sporadic congenital heart disease (CHD) is characterized by enrichment in damaging de novo variants in chromatin-modifying genes. To test the hypothesis that gene pathways contributing to de novo forms of CHD are distinct from those for recessive forms, we analyze 2391 whole-exome trios from the Pediatric Cardiac Genomics Consortium. We deploy a permutation-based gene-burden analysis to identify damaging recessive and compound heterozygous genotypes and disease genes, controlling for confounding effects, such as background mutation rate and ancestry. Cilia-related genes are significantly enriched for damaging rare recessive genotypes, but comparatively depleted for de novo variants. The opposite trend is observed for chromatin-modifying genes. Other cardiac developmental gene classes have less stratification by mode of inheritance than cilia and chromatin-modifying gene classes. Our analyses reveal dominant and recessive CHD are associated with distinct gene functions, with cilia-related genes providing a reservoir of rare segregating variation leading to CHD.

Indexed as

Genes, DominantGenes, RecessiveMutationCase-Control StudiesChildExome SequencingFemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyGenotypeHeart Defects, CongenitalHumansMalePhenotype

Identifiers

PMID31624253
PMCPMC6797711
OpenAlexW2981125010

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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.