Evidence map›Paper›PMID 34716235›Full record

ArticleJournal of medical genetics2022

Molecular diagnoses in the congenital malformations caused by ciliopathies cohort of the 100,000 Genomes Project.

Sunayna Best, Jenny Lord, Matthew Roche, Christopher M Watson, James A Poulter, Roel P J Bevers, Alex Stuckey, Katarzyna Szymanska, Jamie M Ellingford, Jenny Carmichael and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 21 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

16 authors at 7 institutions in 1 country.

Sunayna BestDivision of Molecular Medicine, University of Leeds Leeds Institute of Medical Research at St James's, Leeds, West Yorkshire, UK.
Jenny LordDepartment of Human Development and Health, University of Southampton Faculty of Medicine, Southampton, UK.
Matthew RocheMid Yorkshire Hospitals NHS Trust, Wakefield, UK.
Christopher M WatsonDepartment of Yorkshire Regional Genetics Service, Leeds Teaching Hospitals NHS Trust, Leeds, West Yorkshire, UK.ORCID 0000-0003-2371-1844
James A PoulterDivision of Molecular Medicine, University of Leeds Leeds Institute of Medical Research at St James's, Leeds, West Yorkshire, UK.ORCID 0000-0003-2048-5693
Roel P J BeversGenomics England, Queen Mary University of London, London, UK.
Alex StuckeyGenomics England, Queen Mary University of London, London, UK.
Katarzyna SzymanskaDivision of Molecular Medicine, University of Leeds Leeds Institute of Medical Research at St James's, Leeds, West Yorkshire, UK.
Jamie M EllingfordDivision of Evolution and Genomic Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.ORCID 0000-0003-1137-9768
Jenny CarmichaelEast Anglian Medical Genetics Service, Addenbrooke's Hospital, Cambridge, UK.
Helen BrittainGenomics England, Queen Mary University of London, London, UK.
Carmel ToomesDivision of Molecular Medicine, University of Leeds Leeds Institute of Medical Research at St James's, Leeds, West Yorkshire, UK.
Chris InglehearnDivision of Molecular Medicine, University of Leeds Leeds Institute of Medical Research at St James's, Leeds, West Yorkshire, UK.
Colin A JohnsonDivision of Molecular Medicine, University of Leeds Leeds Institute of Medical Research at St James's, Leeds, West Yorkshire, UK.
Gabrielle WhewayDepartment of Human Development and Health, University of Southampton Faculty of Medicine, Southampton, UK g.wheway@soton.ac.uk.ORCID 0000-0002-0494-0783
Genomics England Research Consortium
University of Leeds · GBQueen Mary University of London · GBAddenbrooke's Hospital · GBMid Yorkshire Hospitals NHS Trust · GBUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Manchester · GBUniversity of Southampton · GB

Funding

Medical Research Council MR/K011154/1Medical Research Council MR/M000532/1Medical Research Council MR/S006753/1Medical Research Council MR/T017503/1Medical Research Council MR/T02044X/1Wellcome Trust
6 · The paper itself

Abstract

backgroundPrimary ciliopathies represent a group of inherited disorders due to defects in the primary cilium, the 'cell's antenna'. The 100,000 Genomes Project was launched in 2012 by Genomics England (GEL), recruiting National Health Service (NHS) patients with eligible rare diseases and cancer. Sequence data were linked to Human Phenotype Ontology (HPO) terms entered by recruiting clinicians.

methodsEighty-three prescreened probands were recruited to the 100,000 Genomes Project suspected to have congenital malformations caused by ciliopathies in the following disease categories: Bardet-Biedl syndrome (n=45), Joubert syndrome (n=14) and 'Rare Multisystem Ciliopathy Disorders' (n=24). We implemented a bespoke variant filtering and analysis strategy to improve molecular diagnostic rates for these participants.

resultsWe determined a research molecular diagnosis for n=43/83 (51.8%) probands. This is 19.3% higher than previously reported by GEL (n=27/83 (32.5%)). A high proportion of diagnoses are due to variants in non-ciliopathy disease genes (n=19/43, 44.2%) which may reflect difficulties in clinical recognition of ciliopathies. n=11/83 probands (13.3%) had at least one causative variant outside the tiers 1 and 2 variant prioritisation categories (GEL's automated triaging procedure), which would not be reviewed in standard 100,000 Genomes Project diagnostic strategies. These include four structural variants and three predicted to cause non-canonical splicing defects. Two unrelated participants have biallelic likely pathogenic variants in

conclusionThese data illustrate the power of linking large-scale genome sequence to phenotype information. They demonstrate the value of research collaborations in order to maximise interpretation of genomic data.

Indexed as

Abnormalities, MultipleCiliopathiesEye AbnormalitiesKidney Diseases, CysticHumansPhenotypeState Medicineand neonatal diseases and abnormalitiescongenitaldiagnosisgeneticsgenomicshereditarymedical

Identifiers

PMID34716235
PMCPMC9340050
OpenAlexW3204044836

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.