Evidence map›Paper›PMID 34906458›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2022

The ACMG SF v3.0 gene list increases returnable variant detection by 22% when compared with v2.0 in the ClinSeq cohort.

Jennifer J Johnston, Marie-Luise Brennan, Bailey Radenbaugh, Seeley J Yoo, Sophia M Hernandez, NHGRI Reverse Phenotyping Core, Katie L Lewis, Alexander E Katz, Teri A Manolio, Leslie G Biesecker

Registry-linked trialAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03632239 (Reverse Phenotyping Core), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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.

NCT03632239 enrolling by invitationnot on this map

Reverse Phenotyping Core (RPC)

TypeobservationalSponsorNational Human Genome Research Institute (NHGRI)Ran2020 to 2028Enrolled1,000ConditionsHarboring of Unexpected Genetic Variant
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
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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.

Jennifer J JohnstonCenter for Precision Health Research, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD. Electronic address: jjohnsto@mail.nih.gov.
Marie-Luise BrennanDivision of Genomic Medicine, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD; American College of Medical Genetics and Genomics, Bethesda, MD.
Bailey RadenbaughCenter for Precision Health Research, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD.
Seeley J YooCenter for Precision Health Research, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD.
Sophia M HernandezCenter for Precision Health Research, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD.
NHGRI Reverse Phenotyping CoreCenter for Precision Health Research, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD.
Katie L LewisCenter for Precision Health Research, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD.
Alexander E KatzCenter for Precision Health Research, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD.
Teri A ManolioCenter for Precision Health Research, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD; Division of Genomic Medicine, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD.
Leslie G BieseckerCenter for Precision Health Research, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD.

Funding

Genomic Ascertainment - Molecular and Genetic AspectsZIAHG200359 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIESECKER, LESLIE · 2009 to 2025
$19.7M
Reverse Phenotyping CoreZICHG200418 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI TURNER, CLESSON · 2021 to 2025
$5.3M
Intramural NIH HHS ZIA HG200359
6 · The paper itself

Abstract

purposeThe American College of Medical Genetics and Genomics (ACMG) recommends the return of pathogenic and likely pathogenic (P/LP) secondary findings from exome and genome sequencing. The latest version (ACMG secondary finding [SF] v3.0) includes 14 additional genes. We interrogated the ClinSeq cohort for variants in these genes to determine the additional yield in unselected individuals.

methodsExome data from 1473 individuals (60% White, 34% African American or Black, 6% other) were analyzed. We restricted our analyses to coding variants; +1,+2,-1, and -2 splice site variants; and the pathogenic GAA variant, NM_000152.5:c.-32-13T>G. Variants were assessed with slightly modified ACMG/Association of Molecular Pathology guidelines.

resultsA total of 25 P/LP variants were identified. In total, 7 individuals had P/LP variants in genes recommended for return of heterozygous variants, namely HNF1A (1), PALB2 (3), TMEM127 (1), and TTN (2). In total, 4 individuals had a homozygous variant in a gene recommended for biallelic variant return, namely HFE, NM_000410.3(HFE):c.845G>A p.Cys282Tyr. A total of 17 P/LP variants were identified in the heterozygous state in genes recommended only for biallelic variant reporting and were not returned. The frequency of returnable P/LP variants did not significantly differ by race.

conclusionUsing the ACMG SF v3.0, the returnable P/LP variant frequency increased in the ClinSeq cohort by 22%, from 3.4% (n = 50, ACMG SF v2.0) to 4.1% (n = 61, ACMG SF v3.0).

Indexed as

Genetic VariationGenomicsExomeExome SequencingHumansMutationACMG SF v3.0ClinSeqReverse phenotypingSecondary findingsVariant classification

Identifiers

PMID34906458
PMCPMC10120277

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Registered trials

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.