Evidence map›Paper›PMID 32516855›Full record

ArticleHuman mutation2020

An assessment of the role of vinculin loss of function variants in inherited cardiomyopathy.

Megan H Hawley, Naif Almontashiri, Leslie G Biesecker, Natalie Berger, Wendy K Chung, John Garcia, Theresa A Grebe, Melissa A Kelly, Matthew S Lebo, Daniela Macaya and 12 more

Open access · bronzeAbstract read
In one paragraph

Article in Human mutation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Age and Sex Differences in the Genetics of Cardiomyopathy.Journal of cardiovascular translational research · 2023
    Article
  5. Review
  6. Article
  7. Review
  8. Understanding the molecular basis of cardiomyopathy.American journal of physiology. Heart and circulatory physiology · 2022
    Review
  9. 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

22 authors at 12 institutions in 4 countries.

Megan H HawleyLaboratory for Molecular Medicine, Partners HealthCare Personalized Medicine, Cambridge, Massachusetts.ORCID 0000-0001-7459-6263
Naif AlmontashiriFaculty of Applied Medical Sciences, Center for Genetics and Inherited Diseases, Taibah University, Almadinah Almunwarah, Saudi Arabia.
Leslie G BieseckerMedical Genomics and Metabolic Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland.
Natalie BergerDepartment of Maternal Fetal Medicine, SSM Health St Mary's Hospital, Madison, Wisconsin.
Wendy K ChungDepartments of Pediatrics and Medicine, Columbia University Irving Medical Center, New York, New York.
John GarciaInvitae Corporation, San Francisco, California.
Theresa A GrebeDivision of Genetics and Metabolism, Department of Child Health, Phoenix Children's Hospital, University of Arizona College of Medicine, Phoenix, Arizona.
Melissa A KellyGenomic Medicine Institute, Geisinger, Danville, Pennsylvania.
Matthew S LeboLaboratory for Molecular Medicine, Partners HealthCare Personalized Medicine, Cambridge, Massachusetts.
Daniela MacayaGeneDx, Inc, Gaithersburg, Maryland.
Hui MeiGeneDx, Inc, Gaithersburg, Maryland.
Julia PlattDivision of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California.
Gabi RichardGeneDx, Inc, Gaithersburg, Maryland.
Ashley RyanDivision of Genetics and Metabolism, Department of Child Health, Phoenix Children's Hospital, University of Arizona College of Medicine, Phoenix, Arizona.
Kate L ThomsonDivision of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, UK.
Matteo VattaInvitae Corporation, San Francisco, California.
Roddy WalshDepartment of Clinical and Experimental Cardiology, Heart Centre, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherland.
James S WareNational Heart and Lung Institute, Imperial College London, London, UK.
Matthew WheelerDivision of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California.
Hana ZoukLaboratory for Molecular Medicine, Partners HealthCare Personalized Medicine, Cambridge, Massachusetts.
Heather Mason-SuaresLaboratory for Molecular Medicine, Partners HealthCare Personalized Medicine, Cambridge, Massachusetts.
Birgit FunkeLaboratory for Molecular Medicine, Partners HealthCare Personalized Medicine, Cambridge, Massachusetts.
Mass General Brigham · USInvitae (United States) · USStanford Medicine · USUniversity of Arizona · USAmsterdam Neuroscience · NLColumbia University Irving Medical Center · USGeisinger Neuroscience Institute · USHarefield Hospital · GBNational Institutes of Health · USSt. Mary's Hospital · USTaibah University · SAUniversity of Oxford · GB

Funding

Genomic Ascertainment - Molecular and Genetic AspectsZIAHG200359 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIESECKER, LESLIE · 2009 to 2025
$19.7M
Genomic Ascertainment - Clinical and Behavioral AspectsZIAHG200387 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIESECKER, LESLIE · 2013 to 2025
$15.5M
Department of HealthIntramural NIH HHS ZIA HG200387Medical Research Council MC_UP_1102/20NIH HHS HG200387
6 · The paper itself

Abstract

The ACMG/AMP variant classification framework was intended for highly penetrant Mendelian conditions. While it is appreciated that clinically relevant variants exhibit a wide spectrum of penetrance, accurately assessing and expressing the pathogenicity of variants with lower penetrance can be challenging. The vinculin (VCL) gene illustrates these challenges. Model organism data provide evidence that loss of function of VCL may play a role in cardiomyopathy and aggregate case-control studies suggest low penetrance. VCL loss of function variants, however, are rarely identified in affected probands and therefore there is a paucity of family studies clarifying the clinical significance of individual variants. This study, which aggregated data from >18,000 individuals who underwent gene panel or exome testing for inherited cardiomyopathies, identified 32 probands with VCL loss-of-function variants and confirmed enrichment in probands with dilated cardiomyopathy (odds ratio [OR] = 9.01; confidence interval [CI] = 4.93-16.45). Our data revealed that the majority of these individuals (89.5%) had pediatric onset of disease. Family studies demonstrated that heterozygous loss of function of VCL alone is insufficient to cause cardiomyopathy but that these variants do contribute to disease risk. In conclusion, VCL loss-of-function variants should be reported in a diagnostic setting but need to be clearly distinguished as having lower penetrance.

Indexed as

Genetic Predisposition to DiseaseLoss of Function MutationAdolescentAdultCardiomyopathiesCardiomyopathy, DilatedChildChild, PreschoolExomeFemaleHumansInfantMaleMiddle AgedPedigreeVinculinVCL protein, humanVinculincardiomyopathy gene panel testingdilated cardiomyopathydilated cardiomyopathy geneticspediatric cardiomyopathyrisk alleleVCLvinculinvinculin loss of function

Identifiers

PMID32516855
PMCPMC7714388
OpenAlexW3033157762

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.