Evidence map›Paper›PMID 34406647›Full record

ArticleClinical genetics2021

Molecular autopsy by proxy in preconception counseling.

Malak Ali Alghamdi, Ameinah Alrasheedi, Esra Alghamdi, Nouran Adly, Wajeih Y AlAali, Amal Alhashem, Abdulaziz Alshahrani, Hanan Shamseldin, Fowzan S Alkuraya, Majid Alfadhel

Open access · hybridAbstract read
In one paragraph

Article in Clinical genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
4.0field-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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Brugada syndrome in the forensic field: what do we know to date?Frontiers in cardiovascular medicine · 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

10 authors at 7 institutions in 1 country.

Malak Ali AlghamdiMedical Genetic Division, Pediatric Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.ORCID 0000-0002-8317-5951
Ameinah AlrasheediDepartment of Pediatrics, College of Medicine and Medical Sciences, Qassim University, Al Qassim, Saudi Arabia.
Esra AlghamdiCollege of Medicine, Imam Mohammed Ibn Saud Islamic University, Riyadh, Saudi Arabia.
Nouran AdlyCollege of Medicine Research Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Wajeih Y AlAaliDr. Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia.
Amal AlhashemDepartment of Pediatrics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Abdulaziz Alshahrani
Hanan ShamseldinDepartment of Translational Genomics, Center for Genomic Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Fowzan S AlkurayaDepartment of Translational Genomics, Center for Genomic Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.ORCID 0000-0003-4158-341X
Majid AlfadhelKing Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia.
King Faisal Specialist Hospital & Research Centre · SARiyadh Armed Forces Hospital · SAImam Mohammad ibn Saud Islamic University · SAKing Saud bin Abdulaziz University for Health Sciences · SAKing Saud Medical City · SAKing Saud University · SAQassim University · SA

Funding

National Plan for Science, Technology and Innovation (MAARIFAH), King Abdulaziz City for Science and Technology 5-18-03-001-0010
6 · The paper itself

Abstract

Monogenic diseases that result in early pregnancy loss or neonatal death are genetically and phenotypically highly variable. This often poses significant challenges in arriving at a molecular diagnosis for reproductive planning. Molecular autopsy by proxy (MABP) refers to the genetic testing of relatives of deceased individuals to deduce the cause of death. Here, we specifically tested couples who lost one or more children/pregnancies with no available DNA. We developed our testing strategy using whole exome sequencing data from 83 consanguineous Saudi couples. We detected the shared carrier state of 50 pathogenic variants/likely pathogenic variants in 43 families and of 28 variants of uncertain significance in 24 families. Negative results were seen in 16 couples after variant reclassification. In 10 families, the risk of more than one genetic disease was documented. Secondary findings were seen in 10 families: either genetic variants with potential clinical consequences for the tested individual or a female carrier for X-linked conditions. This couple-based approach has enabled molecularly informed genetic counseling for 52% (43/83 families). Given the predominance of autosomal recessive causes of pregnancy and child death in consanguineous populations, MABP can be a helpful approach to consanguineous couples who seek counseling but lack molecular data on their deceased offspring.

Indexed as

AutopsyGenetic CounselingMolecular Diagnostic TechniquesPreconception CareConsanguinityExome SequencingFemaleGenetic Association StudiesGenetic MarkersGenetic Predisposition to DiseaseGenetic TestingHumansMaleNucleic Acid Amplification TechniquesPhenotypePolymerase Chain ReactionGenetic Markersconsanguinitymolecular autopsy by proxyneonatal deathsrecurrent pregnancy losswhole exome sequencing

Identifiers

PMID34406647
PMCPMC9290025
OpenAlexW3193586269

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.