Evidence map›Paper›PMID 32442409›Full record

ArticleAmerican journal of human genetics2020

An Integrated Deep-Mutational-Scanning Approach Provides Clinical Insights on PTEN Genotype-Phenotype Relationships.

Taylor L Mighell, Stetson Thacker, Eric Fombonne, Charis Eng, Brian J O'Roak

Open access · bronzeAbstract read
In one paragraph

Article in American journal of human genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
3.6field-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

35 citing papers in PubMed, 58 citations in OpenAlex.

  1. Article
  2. Article
  3. MAVISp: A modular structure-based framework for protein variant effects.Protein science : a publication of the Protein Society · 2026
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  4. Review
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  19. Review
  20. Gingival Overgrowths RevealingBiomedicines · 2022
    Article
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

5 authors at 2 institutions in 1 country.

Taylor L MighellDepartment of Molecular and Medical Genetics, Oregon Health & Science University, Portland, OR 97239, USA.
Stetson ThackerGenomic Medicine Institute, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Cleveland Clinic Lerner College of Medicine, Cleveland, OH 44195, USA.
Eric FombonneDepartment of Psychiatry, Oregon Health & Science University, Portland, OR 97239, USA; Department of Pediatrics, Oregon Health & Science University, Portland, OR 97239, USA; Department of Behavioral Neuroscience, Oregon Health & Science University, Portland, OR 97239, USA.
Charis EngGenomic Medicine Institute, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Cleveland Clinic Lerner College of Medicine, Cleveland, OH 44195, USA; Department of Genetics and Genome Sciences and Germline High-Risk Cancer Focus Group, Comprehensive Cancer Center, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA. Electronic address: engc@ccf.org.
Brian J O'RoakDepartment of Molecular and Medical Genetics, Oregon Health & Science University, Portland, OR 97239, USA. Electronic address: oroak@ohsu.edu.
Oregon Health & Science University · USCleveland Clinic Lerner College of Medicine · US

Funding

Massively parallel functional analyses of human PTEN variantsF31HD095571 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI MIGHELL, TAYLOR · 2018 to 2019
$88k
NICHD NIH HHS F31 HD095571
6 · The paper itself

Abstract

Germline variation in PTEN results in variable clinical presentations, including benign and malignant neoplasia and neurodevelopmental disorders. Despite decades of research, it remains unclear how the PTEN genotype is related to clinical outcomes. In this study, we combined two recent deep mutational scanning (DMS) datasets probing the effects of single amino acid variation on enzyme activity and steady-state cellular abundance with a large, well-curated clinical cohort of PTEN-variant carriers. We sought to connect variant-specific molecular phenotypes to the clinical outcomes of individuals with PTEN variants. We found that DMS data partially explain quantitative clinical traits, including head circumference and Cleveland Clinic (CC) score, which is a semiquantitative surrogate of disease burden. We built logistic regression models that use DMS and CADD scores to separate clinical PTEN variation from gnomAD control-only variation with high accuracy. By using a survival-like analysis, we identified molecular phenotype groups with differential risk of early cancer onset as well as lifetime risk of cancer. Finally, we identified classes of DMS-defined variants with significantly different risk levels for classical hamartoma-related features (odds ratio [OR] range of 4.1-102.9). In stark contrast, the risk for developing autism or developmental delay does not significantly change across variant classes (OR range of 5.4-12.4). Together, these findings highlight the potential impact of combining DMS datasets with rich clinical data and provide new insights that might guide personalized clinical decisions for PTEN-variant carriers.

Indexed as

Genetic Association StudiesMutation, MissenseAdolescentAdultAgedAged, 80 and overChildChild, PreschoolCohort StudiesDatasets as TopicFemaleGenetic Predisposition to DiseaseHamartomaHumansIncidenceLogistic ModelsPTEN PhosphohydrolasePTEN protein, humanASDautismautism spectrum disordercancerdeep mutational scanninggenotype-phenotypemultiplex assay for variant effectPHTSPTENPTEN hamartoma tumor syndrome

Identifiers

PMID32442409
PMCPMC7273526
OpenAlexW3027095648

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.