Evidence map›Paper›PMID 33625768›Full record

ArticleMolecular genetics & genomic medicine2021

Considerations of expanded carrier screening: Lessons learned from combined malonic and methylmalonic aciduria.

Marie Cosette Gabriel, Stephanie M Rice, Jennifer L Sloan, Matthew H Mossayebi, Charles P Venditti, Huda B Al-Kouatly

Open access · goldAbstract readCase Reports
In one paragraph

Article in Molecular genetics & genomic medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 3 institutions in 1 country.

Marie Cosette GabrielDepartment of Obstetrics and Gynecology, Cooper University Hospital, Camden, NJ, USA.ORCID 0000-0002-7041-7675
Stephanie M RiceDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, USA.
Jennifer L SloanNational Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA.
Matthew H MossayebiDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, USA.ORCID 0000-0003-1717-5934
Charles P VendittiNational Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA.
Huda B Al-KouatlyDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, USA.ORCID 0000-0003-2922-0333
Thomas Jefferson University · USNational Institutes of Health · USCooper University Hospital · US

Funding

Investigations of Methylmalonic Acidemia and Related DisordersZIAHG200318 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI VENDITTI, CHARLES P · 2009 to 2025
$29.7M
6 · The paper itself

Abstract

backgroundExpanded carrier screening (ECS) utilizes high-throughput next-generation sequencing to evaluate an individual's carrier status for multiple conditions. Combined malonic and methylmalonic aciduria (CMAMMA) due to ACSF3 deficiency is a rare inherited disease included in such screening panels. Some cases have been reported with metabolic symptoms in childhood yet other cases describe a benign clinical course, suggesting the clinical phenotype is not well defined. METHODS/CASE REPORT: Clinical and laboratory findings during the prenatal period were obtained retrospectively from medical records.

resultsA 37-year-old nulliparous woman and her partner were each identified as carriers of ACSF3 variants and presented at 9 weeks gestation for prenatal genetic consultation. The couple received extensive genetic counseling and proceeded with chorionic villus sampling at 11 weeks gestation. Subsequent analysis confirmed that the fetus inherited both parental ACSF variants. The couple was devastated by the results and after reviewing options of pregnancy continuation and termination, they decided to terminate the pregnancy. Following this decision, the patient was diagnosed with acute stress disorder.

conclusionThis case highlights how expanded carrier screening adds complexity to reproductive decision-making. Stronger guidelines and additional research are needed to direct and evaluate the timing, composition, and implementation of ECS panels.

Indexed as

Genetic Carrier ScreeningAdultAmino Acid Metabolism, Inborn ErrorsAmniocentesisCarboxy-LyasesCoenzyme A LigasesFemaleGenetic CounselingHeterozygoteHumansMaleMalonyl Coenzyme AMetabolism, Inborn ErrorsMethylmalonic AcidMutationPregnancyACSF3 protein, humanCarboxy-LyasesCoenzyme A LigasesMalonyl Coenzyme AMethylmalonic AcidACSFCMAMMAexpanded carrier screeninggenetic counseling

Identifiers

PMID33625768
PMCPMC8123733
OpenAlexW3130854566

What OpenQuestion holds

Textmetadata
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.