Evidence map›Paper›PMID 33226272›Full record

ArticleCirculation. Genomic and precision medicine2021

Amino Acid-Level Signal-to-Noise Analysis Aids in Pathogenicity Prediction of Incidentally Identified

Patrick S Connell, Amy M Berkman, BriAnna M Souder, Elisa J Pirozzi, Julia J Lovin, Jill A Rosenfeld, Pengfei Liu, Hari Tunuguntla, Hugh D Allen, Susan W Denfield and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Genomic and precision medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Circulation. Genomic and precision medicine · 2023
    Article
  3. Article
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  5. Article
  6. Article
  7. 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

12 authors at 2 institutions in 3 countries.

Patrick S ConnellDepartment of Pediatrics, Section of Pediatric Cardiology (P.S.C., B.M.S., J.J.L., H.T., H.D.A., S.W.D., J.J.K.), Baylor College of Medicine, Houston, TX.
Amy M BerkmanDivision of Cardiology, Department of Pediatrics (A.M.B., B.M.S., E.J.P., A.P.L.), Duke University School of Medicine, Durham, NC.
BriAnna M SouderDepartment of Pediatrics, Section of Pediatric Cardiology (P.S.C., B.M.S., J.J.L., H.T., H.D.A., S.W.D., J.J.K.), Baylor College of Medicine, Houston, TX.
Elisa J PirozziDivision of Cardiology, Department of Pediatrics (A.M.B., B.M.S., E.J.P., A.P.L.), Duke University School of Medicine, Durham, NC.
Julia J LovinDepartment of Pediatrics, Section of Pediatric Cardiology (P.S.C., B.M.S., J.J.L., H.T., H.D.A., S.W.D., J.J.K.), Baylor College of Medicine, Houston, TX.
Jill A RosenfeldDepartment of Molecular and Human Genetics (J.A.R., P.L.), Baylor College of Medicine, Houston, TX.
Pengfei LiuDepartment of Molecular and Human Genetics (J.A.R., P.L.), Baylor College of Medicine, Houston, TX.
Hari TunuguntlaDepartment of Pediatrics, Section of Pediatric Cardiology (P.S.C., B.M.S., J.J.L., H.T., H.D.A., S.W.D., J.J.K.), Baylor College of Medicine, Houston, TX.
Hugh D AllenDepartment of Pediatrics, Section of Pediatric Cardiology (P.S.C., B.M.S., J.J.L., H.T., H.D.A., S.W.D., J.J.K.), Baylor College of Medicine, Houston, TX.
Susan W DenfieldDepartment of Pediatrics, Section of Pediatric Cardiology (P.S.C., B.M.S., J.J.L., H.T., H.D.A., S.W.D., J.J.K.), Baylor College of Medicine, Houston, TX.
Jeffrey J KimDepartment of Pediatrics, Section of Pediatric Cardiology (P.S.C., B.M.S., J.J.L., H.T., H.D.A., S.W.D., J.J.K.), Baylor College of Medicine, Houston, TX.
Andrew P LandstromDivision of Cardiology, Department of Pediatrics (A.M.B., B.M.S., E.J.P., A.P.L.), Duke University School of Medicine, Durham, NC.
Baylor College of Medicine · USDuke University · US

Funding

Stimulating Access to Research in Residency (StARR) - NHLBIR38HL143612 · NHLBI · DUKE UNIVERSITY · PI Mai ElMallah, David H. Harpole · 2018 to 2026
$2.6M
The Role of Junctophilin Type 2 in Cardiac Node AutomaticityK08HL136839 · NHLBI · DUKE UNIVERSITY · PI LANDSTROM, ANDREW P. · 2017 to 2021
$769k
NHLBI NIH HHS K08 HL136839NHLBI NIH HHS R38 HL143612
6 · The paper itself

Abstract

background

methodsIncidentally identified TTNtvs were obtained from a large referral database of clinical exome sequencing (Baylor Genetics) and compared with rare population variants from genome aggregation database and cardiomyopathy-associated variants from cohort studies in the literature. A subset of TTNtv-positive children evaluated for cardiomyopathy at Texas Children's Hospital was retrospectively reviewed for clinical features of cardiomyopathy. Amino acid-level signal-to-noise analysis was performed.

resultsPathological hotspots were identified within the A-band and N-terminal I-band that closely correlated with regions of high percent-spliced in of exons. Incidental TTNtvs and population TTNtvs did not localize to these regions. Variants were reclassified based on current American College of Medical Genetics and Genomics criteria with incorporation of signal-to-noise analysis among Texas Children's Hospital cases. Those reclassified as likely pathogenic or pathogenic were more likely to have evidence of cardiomyopathy on echocardiography than those reclassified as variants of unknown significance.

conclusionsIncidentally found TTNtvs are common among clinical exome sequencing referrals. Pathological hotspots within the A-band of TTN may be informative in determining variant pathogenicity when incorporated into current American College of Medical Genetics and Genomics guidelines.

Indexed as

Alternative SplicingAmino AcidsCardiomyopathiesChildChild, PreschoolCohort StudiesConnectinDatabases, GeneticEchocardiographyExome SequencingExonsFemaleHumansMaleRetrospective StudiesSignal-To-Noise RatioAmino AcidsConnectinTTN protein, humancardiomyopathiesexomegenetic testingincidental findingspopulation

Identifiers

PMID33226272
PMCPMC7887062
OpenAlexW3109781062

What OpenQuestion holds

Textmetadata
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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.