Evidence map›Paper›PMID 33707547›Full record

ArticleScientific reports2021

Sanger sequencing is no longer always necessary based on a single-center validation of 1109 NGS variants in 825 clinical exomes.

A Arteche-López, A Ávila-Fernández, R Romero, R Riveiro-Álvarez, M A López-Martínez, A Giménez-Pardo, C Vélez-Monsalve, J Gallego-Merlo, I García-Vara, Berta Almoguera and 8 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
8.8field-weighted citation impact, top 2% 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

38 citing papers in PubMed, 65 citations in OpenAlex.

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  12. Sanger validation of WGS variants.Scientific reports · 2025
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  13. Article
  14. Case Report:Frontiers in genetics · 2025
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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

18 authors at 2 institutions in 1 country.

A Arteche-LópezDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
A Ávila-FernándezDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
R RomeroDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
R Riveiro-ÁlvarezDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
M A López-MartínezDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
A Giménez-PardoDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
C Vélez-MonsalveDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
J Gallego-MerloDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
I García-VaraDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
Berta AlmogueraDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
A Bustamante-AragonésDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
F Blanco-KellyDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
S Tahsin-SwafiriDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
E Rodríguez-PinillaDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
P MinguezDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
I LordaDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
M J Trujillo-TiebasDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain.
C AyusoDepartment of Genetics, Health Research Institute-Jimenez Diaz Foundation University Hospital (IIS-FJD), Avda. Reyes Católicos 2, 28040, Madrid, Spain. cayuso@fjd.es.
Hospital Universitario Fundación Jiménez Díaz · ESResearch Institute Hospital 12 de Octubre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the improved accuracy of next-generation sequencing (NGS), it is widely accepted that variants need to be validated using Sanger sequencing before reporting. Validation of all NGS variants considerably increases the turnaround time and costs of clinical diagnosis. We comprehensively assessed this need in 1109 variants from 825 clinical exomes, the largest sample set to date assessed using Illumina chemistry reported. With a concordance of 100%, we conclude that Sanger sequencing can be very useful as an internal quality control, but not so much as a verification method for high-quality single-nucleotide and small insertion/deletions variants. Laboratories might validate and establish their own thresholds before discontinuing Sanger confirmation studies. We also expand and validate 23 copy number variations detected by exome sequencing in 20 samples, observing a concordance of 95.65% (22/23).

Indexed as

High-Throughput Nucleotide SequencingDNA Copy Number VariationsExomeHumansMutationReproducibility of Results

Identifiers

PMID33707547
PMCPMC7952542
OpenAlexW3134698250

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.