Evidence map›Paper›PMID 33060286›Full record

ArticleJournal of medical genetics2021

Neurogenetic fetal akinesia and arthrogryposis: genetics, expanding genotype-phenotypes and functional genomics.

Gina Ravenscroft, Joshua S Clayton, Fathimath Faiz, Padma Sivadorai, Di Milnes, Rob Cincotta, Phillip Moon, Ben Kamien, Matthew Edwards, Martin Delatycki and 13 more

Open access · greenAbstract read
In one paragraph

Article in Journal of medical genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
6.2field-weighted citation impact, top 3% 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  12. Journal of obstetrics and gynaecology of India · 2025
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  13. Review
  14. Article
  15. Congenital Titinopathies Linked to Mutations inInternational journal of molecular sciences · 2024
    Article
  16. TheBiomedicines · 2024
    Article
  17. Article
  18. Article
  19. Case report: Dihydropyridine receptor (Frontiers in neurology · 2024
    Article
  20. 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

23 authors at 14 institutions in 4 countries.

Gina RavenscroftHarry Perkins Institute of Medical Research, Perth, Western Australia, Australia gina.ravenscroft@perkins.uwa.edu.au.ORCID 0000-0003-3634-211X
Joshua S ClaytonHarry Perkins Institute of Medical Research, Perth, Western Australia, Australia.
Fathimath FaizPathWest Diagnostic Genomics, Nedlands, Western Australia, Australia.
Padma SivadoraiPathWest Diagnostic Genomics, Nedlands, Western Australia, Australia.
Di MilnesGenetic Health Queensland, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Rob CincottaMaternal and Fetal Medicine, Mater Mothers' Hospital, Brisbane, Queensland, Australia.
Phillip MoonDepartment of Obstetrics, Redland Hospital, Cleveland, Queensland, Australia.
Ben KamienGenetic Services WA, Women and Newborn Heath Service, Subiaco, Western Australia, Australia.
Matthew EdwardsHunter Genetics, Hunter New England Health, New Lambton, New South Wales, Australia.ORCID 0000-0001-8437-8120
Martin DelatyckiVictorian Clinical Genetics Service, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Phillipa J LamontNeurology, Royal Perth Hospital, Perth, Western Australia, Australia.
Sophelia Hs ChanPaediatric Neurology Division, Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, Hong Kong.
Alison ColleyClinical Genetics Services SWSLHD, Liverpool Hospital, Liverpool, New South Wales, Australia.
Alan MaDepartment of Clinical Genetics, Children's Hospital Westmead, Sydney, New South Wales, Australia.
Felicity CollinsClinical Genetics Department, Western Sydney Genetics Program, Children's Hospitalat Westmead, Westmead, New South Wales, Australia.
Lucinda HenningtonMercy Health, Mercy Hospital for Women, Heidelberg, Victoria, Australia.
Teresa ZhaoVictorian Clinical Genetics Service, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
George McGillivrayVictorian Clinical Genetics Service, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Sondhya GhediaDepartment of Clinical Genetics, Royal North Shore Hospital, Sydney, New South Wales, Australia.
Katherine ChaoCenter for Mendelian Genomics, Broad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, Massachusetts, USA.
Anne O'Donnell-LuriaCenter for Mendelian Genomics, Broad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, Massachusetts, USA.
Nigel G LaingHarry Perkins Institute of Medical Research, Perth, Western Australia, Australia.
Mark R DavisPathWest Diagnostic Genomics, Nedlands, Western Australia, Australia.
Pathwest Laboratory Medicine · AUThe University of Western Australia · AUVictorian Clinical Genetics Services · AUBroad Institute · USChildren's Hospital at Westmead · AUHunter Genetics · AUBayside Health Service · AULiverpool Hospital · AUMater Mothers' Hospital · AUMercy Hospital for Women · AUQueen Mary Hospital · CNRoyal Brisbane and Women's Hospital · AURoyal North Shore Hospital · AURoyal Perth Hospital · AU

Funding

Joint Center for Mendelian GenomicsUM1HG008900 · NHGRI · BROAD INSTITUTE, INC. · PI O'DONNELL-LURIA, ANNE, REHM, HEIDI L · 2016 to 2020
$16.5M
A powerful web-based discovery platform for rare disease geneticsR01HG009141 · NHGRI · BROAD INSTITUTE, INC. · PI QUINLAN, AARON R, REHM, HEIDI L · 2017 to 2020
$2.9M
NHGRI NIH HHS R01 HG009141NHGRI NIH HHS UM1 HG008900
6 · The paper itself

Abstract

backgroundFetal akinesia and arthrogryposis are clinically and genetically heterogeneous and have traditionally been refractive to genetic diagnosis. The widespread availability of affordable genome-wide sequencing has facilitated accurate genetic diagnosis and gene discovery in these conditions.

methodsWe performed next generation sequencing (NGS) in 190 probands with a diagnosis of arthrogryposis multiplex congenita, distal arthrogryposis, fetal akinesia deformation sequence or multiple pterygium syndrome. This sequencing was a combination of bespoke neurogenetic disease gene panels and whole exome sequencing. Only class 4 and 5 variants were reported, except for two cases where the identified variants of unknown significance (VUS) are most likely to be causative for the observed phenotype. Co-segregation studies and confirmation of variants identified by NGS were performed where possible. Functional genomics was performed as required.

resultsOf the 190 probands, 81 received an accurate genetic diagnosis. All except two of these cases harboured class 4 and/or 5 variants based on the American College of Medical Genetics and Genomics guidelines. We identified phenotypic expansions associated with

conclusionsComprehensive gene panels give a diagnosis for a substantial proportion (42%) of fetal akinesia and arthrogryposis cases, even in an unselected cohort. Recently identified genes account for a relatively large proportion, 32%, of the diagnoses. Diagnostic-research collaboration was critical to the diagnosis and variant interpretation in many cases, facilitated genotype-phenotype expansions and reclassified VUS through functional genomics.

Indexed as

Genetic Association StudiesGenetic Predisposition to DiseaseGenomicsPhenotypeAllelesAmino Acid SequenceAmino Acid SubstitutionArthrogryposisChromosome MappingExome SequencingFemaleGenotypeHigh-Throughput Nucleotide SequencingHumansMagnetic Resonance ImagingMaleclinical geneticsmolecular geneticsneuromuscular disease

Identifiers

PMID33060286
PMCPMC8328565
OpenAlexW3092958293

What OpenQuestion holds

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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.