Evidence map›Paper›PMID 31943948›Full record

ArticleMolecular genetics & genomic medicine2020

Double homozygosity in CEP57 and DYNC2H1 genes detected by WES: Composite or expanded phenotype?

Lidia Pezzani, Laura Pezzoli, Alessandra Pansa, Barbara Facchinetti, Daniela Marchetti, Agnese Scatigno, Anna R Lincesso, Loredana Perego, Monica Pingue, Isabella Pellicioli and 7 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Molecular genetics & genomic medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. A novelJournal of pediatric endocrinology & metabolism : JPEM · 2026
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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

17 authors at 1 institution in 1 country.

Lidia PezzaniLaboratorio di Genetica Medica, ASST Papa Giovanni XXIII, Bergamo, Italy.
Laura PezzoliLaboratorio di Genetica Medica, ASST Papa Giovanni XXIII, Bergamo, Italy.
Alessandra PansaLaboratorio di Genetica Medica, ASST Papa Giovanni XXIII, Bergamo, Italy.
Barbara FacchinettiLaboratorio di Genetica Medica, ASST Papa Giovanni XXIII, Bergamo, Italy.
Daniela MarchettiLaboratorio di Genetica Medica, ASST Papa Giovanni XXIII, Bergamo, Italy.
Agnese ScatignoPediatria, ASST Papa Giovanni XXIII, Bergamo, Italy.
Anna R LincessoLaboratorio di Genetica Medica, ASST Papa Giovanni XXIII, Bergamo, Italy.
Loredana PeregoLaboratorio di Genetica Medica, ASST Papa Giovanni XXIII, Bergamo, Italy.
Monica PingueLaboratorio di Genetica Medica, ASST Papa Giovanni XXIII, Bergamo, Italy.
Isabella PellicioliTerapia Intensiva Pediatrica, ASST Papa Giovanni XXIII, Bergamo, Italy.
Lucia MigliazzaChirurgia Pediatrica, ASST Papa Giovanni XXIII, Bergamo, Italy.
Giovanna MangiliPatologia Neonatale, ASST Papa Giovanni XXIII, Bergamo, Italy.
Lorenzo GallettiCardiochirurgia, ASST Papa Giovanni XXIII, Bergamo, Italy.
Ursula GiussaniLaboratorio di Genetica Medica, ASST Papa Giovanni XXIII, Bergamo, Italy.
Ezio BonanomiTerapia Intensiva Pediatrica, ASST Papa Giovanni XXIII, Bergamo, Italy.
Anna CeredaPediatria, ASST Papa Giovanni XXIII, Bergamo, Italy.
Maria IasconeLaboratorio di Genetica Medica, ASST Papa Giovanni XXIII, Bergamo, Italy.ORCID 0000-0002-4707-212X
Ospedale Papa Giovanni XXIII · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the last few years trio-whole exome sequencing (WES) analysis has demonstrated its potential in obtaining genetic diagnoses even in nonspecific clinical pictures and in atypical presentations of known diseases. Moreover WES allows the detection of variants in multiple genes causing different genetic conditions in a single patient, in about 5% of cases. The resulting phenotype may be clinically discerned as variability in the expression of a known phenotype, or as a new unreported syndromic condition.

methodsTrio-WES was performed on a 4-month-old baby with a complex clinical presentation characterized by skeletal anomalies, congenital heart malformation, congenital hypothyroidism, generalized venous and arterial hypoplasia, and recurrent infections.

resultsWES detected two different homozygous variants, one in CEP57, the gene responsible for mosaic variegated aneuploidy syndrome 2, the other in DYNC2H1, the main gene associated with short-rib thoracic dysplasia.

conclusionThe contribution of these two different genetic causes in determining the phenotype of our patient is discussed, including some clinical signs not explained by the detected variants. The report then highlights the role of WES in providing complete and fast diagnosis in patients with complex presentations of rare genetic syndromes, with important implications in the assessment of recurrence risk.

Indexed as

PhenotypeCytoplasmic DyneinsExome SequencingHeart Defects, CongenitalHomozygoteHumansHypothyroidismInfantMaleMicrotubule-Associated ProteinsMosaicismMusculoskeletal AbnormalitiesMutationNuclear ProteinsSyndromeCEP57 protein, humanCytoplasmic DyneinsDYNC2H1 protein, humanMicrotubule-Associated ProteinsNuclear ProteinsCEP57composite phenotypedouble homozygosityDYNC2H1WES

Identifiers

PMID31943948
PMCPMC7057129
OpenAlexW2999147480

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LicenceCC BY-NC-ND
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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.