Evidence map›Paper›PMID 33835733›Full record

ReviewMolecular genetics & genomic medicine2021

The benefits and challenges of family genetic testing in rare genetic diseases-lessons from Fabry disease.

Dominique P Germain, Sergey Moiseev, Fernando Suárez-Obando, Faisal Al Ismaili, Huda Al Khawaja, Gheona Altarescu, Fellype C Barreto, Farid Haddoum, Fatemeh Hadipour, Irina Maksimova and 9 more

Open access · goldAbstract readReview
In one paragraph

Review 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 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
5.5field-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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Review
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  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Newborn Screening in Fabry Disease.International journal of molecular sciences · 2025
    Review
  12. Article
  13. Article
  14. Prevalence of Fabry Disease in Patients on Dialysis in France.International journal of molecular sciences · 2024
    Article
  15. Article
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  18. Review
  19. Review
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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

19 authors at 15 institutions in 15 countries.

Dominique P GermainFrench Referral Center for Fabry disease, Division of Medical Genetics, University of Versailles, Montigny, France.ORCID 0000-0002-8355-007X
Sergey MoiseevTareev Clinic of Internal Diseases, Sechenov First Moscow State Medical University, Moscow, Russia.
Fernando Suárez-ObandoInstituto de Genética Humana, Facultad de Medicina, Pontificia Universidad Javeriana, and Servicio de Genética, Hospital Universitario San Ignacio, Bogotá, Colombia.
Faisal Al IsmailiNephrology Department, The Royal Hospital, Muscat, Oman.
Huda Al KhawajaMCH Hospital, Al-Hassa, Saudi Arabia.
Gheona AltarescuGenetic Unit, Shaare Zedek Medical Center, Jerusalem, Israel.
Fellype C BarretoService of Nephrology, Department of Internal Medicine, Federal University of Paraná, Curitiba, Brazil.
Farid HaddoumCentre Hospitalo-Universitaire Mustapha, Algiers, Algeria.
Fatemeh HadipourMedical Genetics Department, Atieh Hospital, Tehran, Iran.
Irina MaksimovaSanofi, Moscow, Russia.
Mirelle KramisHospital Español, México City, Mexico.
Sheela NampoothiriDepartment of Pediatric Genetics, Amrita Institute of Medical Sciences & Research Centre, Kochi, India.
Khanh Ngoc NguyenCenter for Rare Diseases and Newborn Screening, Vietnam National Children's Hospital, Hanoi, Vietnam.
Dau-Ming NiuInstitute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan.
Juan PoliteiNeurology Department, Laboratorio Neuroquímica Dr Néstor Chamoles Buenos Aires, Buenos Aires, Argentina.
Long-Sun RoDepartment of Neurology, Chang Gung Memorial Hospital-Linkou Medical Center, Taoyuan, Taiwan.
Dung Vu ChiCenter for Rare Diseases and Newborn Screening, Vietnam National Children's Hospital, Hanoi, Vietnam.
Nan ChenDepartment of Nephrology, Institute of Nephrology, Ruijin Hospital, The Medical School of Shanghai Jiao Tong University, Shanghai, China.
Sergey KutsevResearch Centre for Medical Genetics, Moscow, Russia.
Vietnam National Children's Hospital · VNAmrita Institute of Medical Sciences and Research Centre · INChang Gung Memorial Hospital · TWHôpital Mustapha Pacha · DZHospital Español · MXNational Yang Ming Chiao Tung University · TWPontificia Universidad Javeriana · COResearch Centre for Medical Genetics · RURoyal Hospital · OMSaad Specialist Hospital · SASechenov University · RUShaare Zedek Medical Center · ILShanghai Jiao Tong University · CNUniversidade Federal do Paraná · BRUniversité de Versailles Saint-Quentin-en-Yvelines · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFamily genetic testing of patients newly diagnosed with a rare genetic disease can improve early diagnosis of family members, allowing patients to receive disease-specific therapies when available. Fabry disease, an X-linked lysosomal storage disorder caused by pathogenic variants in GLA, can lead to end-stage renal disease, cardiac arrhythmias, and stroke. Diagnostic delays are common due to the rarity of the disease and non-specificity of early symptoms. Newborn screening and screening of at-risk populations, (e.g., patients with hypertrophic cardiomyopathy or undiagnosed nephropathies) can identify individuals with Fabry disease. Subsequent cascade genotyping of family members may disclose a greater number of affected individuals, often at younger age than they would have been diagnosed otherwise.

methodsWe conducted a literature search to identify all published data on family genetic testing for Fabry disease, and discussed these data, experts' own experiences with family genetic testing, and the barriers to this type of screening that are present in their respective countries.

resultsThere are potential barriers that make implementation of family genetic testing challenging in some countries. These include associated costs and low awareness of its importance, and cultural and societal issues. Regionally, there are barriers associated with population educational levels, national geography and infrastructures, and a lack of medical geneticists.

conclusionIn this review, the worldwide experience of an international group of experts of Fabry disease highlights the issues faced in the family genetic testing of patients affected with rare genetic diseases.

Indexed as

Fabry DiseaseGenetic TestingHumansPedigreeat-risk populations screeningcascade genotypingearly diagnosisFabry diseasefamily genetic testingpedigree drawingrare disease

Identifiers

PMID33835733
PMCPMC8172211
OpenAlexW3152127110

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.