Evidence map›Paper›PMID 33857290›Full record

ArticleThe Journal of experimental medicine2021

Familial thrombocytopenia due to a complex structural variant resulting in a WAC-ANKRD26 fusion transcript.

Lara Wahlster, Jeffrey M Verboon, Leif S Ludwig, Susan C Black, Wendy Luo, Kopal Garg, Richard A Voit, Ryan L Collins, Kiran Garimella, Maura Costello and 8 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
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  5. Article
  6. Hematology reports · 2025
    Article
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  19. Centers for Mendelian Genomics: A decade of facilitating gene discovery.Genetics in medicine : official journal of the American College of Medical Genetics · 2022
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 2 institutions in 1 country.

Lara Wahlster *Division of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Jeffrey M Verboon *Division of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Leif S LudwigDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Susan C BlackDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Wendy LuoDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Kopal GargDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Richard A VoitDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Ryan L CollinsBroad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, MA.
Kiran GarimellaBroad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, MA.
Maura CostelloBroad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, MA.
Katherine R ChaoBroad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, MA.
Julia K GoodrichBroad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, MA.
Stephanie P DiTroiaBroad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, MA.
Anne O'Donnell-LuriaBroad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, MA.
Michael E TalkowskiBroad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, MA.
Alan D MichelsonDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Alan B CantorDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Vijay G SankaranDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Broad Institute · USBoston Children's Hospital · US

Funding

PATHOPHYSIOLOGY OF HUMAN BLOOD CELLST32HL007574 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI Daniel Evan Bauer · 1985 to 2026
$18.4M
Joint Center for Mendelian GenomicsUM1HG008900 · NHGRI · BROAD INSTITUTE, INC. · PI O'DONNELL-LURIA, ANNE, REHM, HEIDI L · 2016 to 2020
$16.5M
Training Program in Bioinformatics and Integrative GenomicsT32HG002295 · NHGRI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI Peter J Park · 2001 to 2026
$15.8M
Stem Cell and Transplantation BiologyU54DK106829 · NIDDK · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DEREK L STIREWALT · 2015 to 2026
$9.1M
Systematic Genetic Dissection of Human ErythropoiesisR01DK103794 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI Vijay Ganesh Sankaran · 2014 to 2026
$5.9M
Next generation functional genomics of hematology traitsR01HL146500 · NHLBI · UNIVERSITY OF WASHINGTON · PI ALEXANDER P REINER · 2020 to 2026
$5.7M
A powerful web-based discovery platform for rare disease geneticsR01HG009141 · NHGRI · BROAD INSTITUTE, INC. · PI QUINLAN, AARON R, REHM, HEIDI L · 2017 to 2020
$2.9M
NHGRI NIH HHS R01 HG009141NHGRI NIH HHS T32 HG002295NHGRI NIH HHS UM1 HG008900NHLBI NIH HHS R01 HL146500NHLBI NIH HHS T32 HL007574NIDDK NIH HHS R01 DK103794NIDDK NIH HHS U54 DK106829
6 · The paper itself

Abstract

Advances in genome sequencing have resulted in the identification of the causes for numerous rare diseases. However, many cases remain unsolved with standard molecular analyses. We describe a family presenting with a phenotype resembling inherited thrombocytopenia 2 (THC2). THC2 is generally caused by single nucleotide variants that prevent silencing of ANKRD26 expression during hematopoietic differentiation. Short-read whole-exome and genome sequencing approaches were unable to identify a causal variant in this family. Using long-read whole-genome sequencing, a large complex structural variant involving a paired-duplication inversion was identified. Through functional studies, we show that this structural variant results in a pathogenic gain-of-function WAC-ANKRD26 fusion transcript. Our findings illustrate how complex structural variants that may be missed by conventional genome sequencing approaches can cause human disease.

Indexed as

Adaptor Proteins, Signal TransducingAdolescentAdultAgedCell LineCell Line, TumorChildChromosome BreakageChromosome DisordersExomeFemaleHEK293 CellsHeLa CellsHumansIntercellular Signaling Peptides and ProteinsMaleAdaptor Proteins, Signal TransducingANKRD26 protein, humanIntercellular Signaling Peptides and ProteinsWAC protein, human

Identifiers

PMID33857290
PMCPMC8056752
OpenAlexW3152873776

What OpenQuestion holds

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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.