Evidence map›Paper›PMID 32009526›Full record

ArticleJournal of the American Heart Association2020

Pathogenic and Uncertain Genetic Variants Have Clinical Cardiac Correlates in Diverse Biobank Participants.

Tess D Pottinger, Megan J Puckelwartz, Lorenzo L Pesce, Avery Robinson, Samuel Kearns, Jennifer A Pacheco, Laura J Rasmussen-Torvik, Maureen E Smith, Rex Chisholm, Elizabeth M McNally

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
5.6field-weighted citation impact, top 4% 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

24 citing papers in PubMed, 41 citations in OpenAlex.

  1. Review
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  18. The genetic architecture of pediatric cardiomyopathy.American journal of human genetics · 2022
    Article
  19. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Tess D PottingerCenter for Genetic Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Megan J PuckelwartzCenter for Genetic Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Lorenzo L PesceComputation Institute University of Chicago Chicago IL.
Avery RobinsonCenter for Genetic Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Samuel KearnsCenter for Genetic Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Jennifer A PachecoCenter for Genetic Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Laura J Rasmussen-TorvikDepartment of Preventive Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Maureen E SmithCenter for Genetic Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Rex ChisholmCenter for Genetic Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Elizabeth M McNallyCenter for Genetic Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Northwestern University · USUniversity of Chicago · US

Funding

Northwestern Genomic Risk Assessment and Management ProgramU01HG011169 · NHGRI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI REX L CHISHOLM, Elizabeth M McNally · 2020 to 2026
$7.4M
TRAINING IN METABOLISM, DIABETES AND ENDOCRINOLOGYT32DK007169 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Joseph Bass · 1988 to 2026
$6.6M
Cardiomyopathy Genomes ProjectR01HL128075 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MCNALLY, ELIZABETH M, NOBREGA, MARCELO A. · 2015 to 2023
$5.3M
Genomic Medicine at Northwestern: Discovery and ImplementationU01HG008673 · NHGRI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CHISHOLM, REX L, SMITH, MAUREEN E · 2015 to 2019
$4.1M
Predoctoral Training Program in Biomedical Data Driven Discovery (BD3)T32LM012203 · NLM · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KLABJAN, DIEGO, STARREN, JUSTIN B. · 2015 to 2019
$1.1M
NHGRI NIH HHS U01 HG008673NHGRI NIH HHS U01 HG011169NHLBI NIH HHS R01 HL128075NIDDK NIH HHS T32 DK007169NLM NIH HHS T32 LM012203
6 · The paper itself

Abstract

Background Genome sequencing coupled with electronic heath record data can uncover medically important genetic variation. Interpretation of rare genetic variation and its role in mediating cardiovascular phenotypes is confounded by variants of uncertain significance. Methods and Results We analyzed the whole genome sequence of 900 racially and ethnically diverse biobank participants selected from a single US center. Participants were equally divided among European, African, Hispanic, and mixed races/ethnicities. We evaluated the American College of Medical Genetics and Genomics medically actionable list of 59 genes, focusing on the cardiac genes. Variation was interpreted using the most recent reports in ClinVar, a database of medically relevant human variation. We identified 19 individuals with pathogenic or likely pathogenic variants in cardiac actionable genes (2%) and found evidence of related clinical correlates in the electronic health record. Participants of African ancestry, compared with those of European ancestry, had more variants of uncertain significance in the medically actionable genes including the 30 cardiac actionable genes, even when normalized to total variant count per person. Longitudinal measures of left ventricle size from ≈400 biobank participants (1723 patient-years) were correlated with genetic findings. The presence of ≥1 uncertain variant in the actionable cardiac genes and a cardiomyopathy diagnosis correlated with increased left ventricular internal diameter in diastole and in systole. In particular,

Indexed as

Mutation, MissenseAdultAgedBiological Specimen BanksBlack or African AmericanCarrier ProteinsElectronic Health RecordsFemaleGenetic Predisposition to DiseaseHeart DiseasesHumansMaleMiddle AgedMyosin Binding Protein CPhenotypeRisk AssessmentCarrier ProteinsMyosin Binding Protein Cbiobankcardiomyopathyleft ventriclemedically actionable genesvariants of uncertain significance

Identifiers

PMID32009526
PMCPMC7033893
OpenAlexW3004787903

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.