Evidence map›Paper›PMID 33789662›Full record

ArticleBMC medical genomics2021

HPO-driven virtual gene panel: a new efficient approach in molecular autopsy of sudden unexplained death.

Ulrike Schön, Anna Holzer, Andreas Laner, Stephanie Kleinle, Florentine Scharf, Anna Benet-Pagès, Oliver Peschel, Elke Holinski-Feder, Isabel Diebold

Open access · goldAbstract read
In one paragraph

Article in BMC medical genomics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Ulrike SchönMGZ - Medical Genetics Center Munich, Munich, Germany.
Anna HolzerInstitute of Legal Medicine, Ludwig-Maximilians-University, Munich, Germany.
Andreas LanerMGZ - Medical Genetics Center Munich, Munich, Germany.
Stephanie KleinleMGZ - Medical Genetics Center Munich, Munich, Germany.
Florentine ScharfMGZ - Medical Genetics Center Munich, Munich, Germany.
Anna Benet-PagèsMGZ - Medical Genetics Center Munich, Munich, Germany.
Oliver PeschelInstitute of Legal Medicine, Ludwig-Maximilians-University, Munich, Germany.
Elke Holinski-FederMGZ - Medical Genetics Center Munich, Munich, Germany.
Isabel DieboldMGZ - Medical Genetics Center Munich, Munich, Germany. Isabel.diebold@mgz-muenchen.de.ORCID 0000-0002-1753-563X
Medical Genetics Center · DELudwig-Maximilians-Universität München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMolecular autopsy represents an efficient tool to save the diagnosis in up to one-third of sudden unexplained death (SUD). A defined gene panel is usually used for the examination. Alternatively, it is possible to carry out a comprehensive genetic assessment (whole exome sequencing, WES), which also identifies rare, previously unknown variants. The disadvantage is that a dramatic number of variants must be assessed to identify the causal variant. To improve the evaluation of WES, the human phenotype ontology (HPO) annotation is used internationally for deep phenotyping in the field of rare disease. However, a HPO-based evaluation of WES in SUD has not been described before.

methodsWe performed WES in tissue samples from 16 people after SUD. Instead of a fixed gene panel, we defined a set of HPO terms and thus created a flexible "virtual gene panel", with the advantage, that recently identified genes are automatically associated by HPO terms in the HPO database.

resultsWe obtained a mean value of 68,947 variants per sample. Stringent filtering ended up in a mean value of 276 variants per sample. Using the HPO-driven virtual gene panel we developed an algorithm that prioritized 1.4% of the variants. Variant interpretation resulted in eleven potentially causative variants in 16 individuals.

conclusionOur data introduce an effective diagnostic procedure in molecular autopsy of SUD with a non-specific clinical phenotype.

Indexed as

AutopsyDeath, SuddenAdultAlgorithmsExome SequencingFemaleGene OntologyHumansMaleMiddle AgedPhenotypeHPOMolecular autopsySudden unexplained deathVariant interpretationWhole exome sequencing

Identifiers

PMID33789662
PMCPMC8011092
OpenAlexW3149953810

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Registered trials

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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.