Evidence map›Paper›PMID 34556108›Full record

ArticleBMC medical genomics2021

Whole genome sequencing in the diagnosis of primary ciliary dyskinesia.

Gabrielle Wheway, N Simon Thomas, Mary Carroll, Janice Coles, Regan Doherty, Genomics England Research Consortium, Patricia Goggin, Ben Green, Amanda Harris, David Hunt and 6 more

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 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 4% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
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  5. [Report of 24 cases of primary ciliary dyskinesia in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Article
  6. Article
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  8. BiallelicFrontiers in genetics · 2026
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  19. Novel pathogenic variants ofFrontiers in genetics · 2024
    Article
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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

16 authors at 4 institutions in 1 country.

Gabrielle Wheway *School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK. g.wheway@soton.ac.uk.ORCID 0000-0002-0494-0783
N Simon Thomas *School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.
Mary CarrollSchool of Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Janice ColesSchool of Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Regan DohertySchool of Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Genomics England Research Consortium
Patricia GogginSchool of Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Ben GreenQueen Alexandra Hospital, Portsmouth Hospitals NHS Trust, Portsmouth, UK.
Amanda HarrisSchool of Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
David HuntWessex Clinical Genetics Service, University Hospitals Southampton NHS Foundation Trust, Southampton, UK.
Claire L JacksonSchool of Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Jenny LordSchool of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.
Vito MennellaInstitute for Life Sciences, University of Southampton, Southampton, UK.
James ThompsonSchool of Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Woolf T WalkerSchool of Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Jane S LucasSchool of Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK. jlucas1@soton.ac.uk.
University Hospital Southampton NHS Foundation Trust · GBUniversity of Southampton · GBQueen Alexandra Hospital · GBSalisbury District Hospital · GB

Funding

Medical Research Council MC_UU_00025/13Wellcome TrustWellcome Trust 204378/Z/16/Z
6 · The paper itself

Abstract

backgroundIt is estimated that 1-13% of cases of bronchiectasis in adults globally are attributable to primary ciliary dyskinesia (PCD) but many adult patients with bronchiectasis have not been investigated for PCD. PCD is a disorder caused by mutations in genes required for motile cilium structure or function, resulting in impaired mucociliary clearance. Symptoms appear in infancy but diagnosis is often late or missed, often due to the lack of a "gold standard" diagnostic tool and non-specific symptoms. Mutations in > 50 genes account for around 70% of cases, with additional genes, and non-coding, synonymous, missense changes or structural variants (SVs) in known genes presumed to account for the missing heritability.

methodsUK patients with no identified genetic confirmation for the cause of their PCD or bronchiectasis were eligible for whole genome sequencing (WGS) in the Genomics England Ltd 100,000 Genomes Project. 21 PCD probands and 52 non-cystic fibrosis (CF) bronchiectasis probands were recruited in Wessex Genome Medicine Centre (GMC). We carried out analysis of single nucleotide variants (SNVs) and SVs in all families recruited in Wessex GMC.

results16/21 probands in the PCD cohort received confirmed (n = 9), probable (n = 4) or possible (n = 3) diagnosis from WGS, although 13/16 of these could have been picked up by current standard of care gene panel testing. In the other cases, SVs were identified which were missed by panel testing. We identified variants in novel PCD candidate genes (IFT140 and PLK4) in 2 probands in the PCD cohort. 3/52 probands in the non-CF bronchiectasis cohort received a confirmed (n = 2) or possible (n = 1) diagnosis of PCD. We identified variants in novel PCD candidate genes (CFAP53 and CEP164) in 2 further probands in the non-CF bronchiectasis cohort.

conclusionsGenetic testing is an important component of diagnosing PCD, especially in cases of atypical disease history. WGS is effective in cases where prior gene panel testing has found no variants or only heterozygous variants. In these cases it may detect SVs and is a powerful tool for novel gene discovery.

Indexed as

Whole Genome SequencingAdolescentAdultBronchiectasisChildFemaleHumansKartagener SyndromeMaleMiddle AgedMutationPolymorphism, Single NucleotideYoung AdultDiagnosisGene discoveryNon-CF bronchiectasisPrimary ciliary dyskinesiaWhole genome sequencing

Identifiers

PMID34556108
PMCPMC8461892
OpenAlexW3201214371

What OpenQuestion holds

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LicenceCC BY
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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.