Evidence map›Paper›PMID 35047849›Full record

ArticleHGG advances2022

Low frequency of treatable pediatric disease alleles in gnomAD: An opportunity for future genomic screening of newborns.

Nina B Gold, Steven M Harrison, Jared H Rowe, Jessica Gold, Elissa Furutani, Alessandra Biffi, Christine N Duncan, Akiko Shimamura, Leslie E Lehmann, Robert C Green

Open access · goldAbstract read
In one paragraph

Article in HGG advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

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

  1. Pooled it
  2. Correlation ofFrontiers in pediatrics · 2026
    Article
  3. Estimating the sensitivity of genomic newborn screening for treatable inherited metabolic disorders.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  4. Review
  5. Article
  6. Implications of Genomic Newborn Screening for Infant Mortality.International journal of neonatal screening · 2023
    Article
  7. Review
  8. Article
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.

Nina B GoldMassachusetts General Hospital for Children, Division of Medical Genetics and Metabolism, Boston, MA, USA.
Steven M HarrisonBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Jared H RoweHarvard Medical School, Boston, MA, USA.
Jessica GoldDepartment of Pediatrics, Division of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Elissa FurutaniBoston Children's Hospital, Division of Hematology and Oncology, Boston, MA, USA.
Alessandra BiffiHarvard Medical School, Boston, MA, USA.
Christine N DuncanHarvard Medical School, Boston, MA, USA.
Akiko ShimamuraHarvard Medical School, Boston, MA, USA.
Leslie E LehmannHarvard Medical School, Boston, MA, USA.
Robert C GreenHarvard Medical School, Boston, MA, USA.
Boston Children's Hospital · USDana-Farber Cancer Institute · USHarvard University · USAriadne Diagnostics (United States) · USBroad Institute · USChildren's Hospital of Philadelphia · USMassachusetts General Hospital · US

Funding

Finding Genomic Profiles of COVID-19 Phenotypes from the EHRU01HG008685 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIZABETH W KARLSON, Matthew S Lebo · 2015 to 2026
$13.6M
Integration of Whole Genome Sequencing into Clinical MedicineU01HG006500 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI GREEN, ROBERT C. · 2012 to 2016
$11.5M
MEDICAL GENETICS RESEARCH TRAINING GRANTT32GM008638 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI Rebecca Ganetzky · 1997 to 2026
$8.7M
Research Training in Pediatric OncologyT32CA136432 · NCI · DANA-FARBER CANCER INST · PI SCOTT A ARMSTRONG · 2009 to 2026
$7.9M
Return of Genomic Results and Estimating Penetrance in Population-Based CohortsR01HL143295 · NHLBI · BROAD INSTITUTE, INC. · PI CARSON, APRIL P, GREEN, ROBERT C. · 2019 to 2022
$7.2M
Systems Biology of Bone Marrow Failure and MDS for Precision MedicineRC2DK122533 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI FIGUEROA, MARIA EUGENIA, FLEMING, MARK D · 2019 to 2023
$6.4M
Genome Sequence-Based Screening for Childhood Risk and Newborn IllnessU19HD077671 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI BEGGS, ALAN H., GREEN, ROBERT C. · 2013 to 2018
$6.1M
Implementation of Whole Genome Sequencing as Screening in a Diverse Cohort of Healthy InfantsU01TR003201 · NCATS · BRIGHAM AND WOMEN'S HOSPITAL · PI GREEN, ROBERT C., HOLM, INGRID ADELE · 2021 to 2024
$5.1M
Experiences and Outcomes in Early Adopters of Predispositional SequencingR01HG009922 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI GREEN, ROBERT C. · 2018 to 2020
$2.6M
NCATS NIH HHS U01 TR003201NCI NIH HHS T32 CA136432NHGRI NIH HHS R01 HG009922NHGRI NIH HHS U01 HG006500NHGRI NIH HHS U01 HG008685NHLBI NIH HHS R01 HL143295NICHD NIH HHS U19 HD077671NIDDK NIH HHS RC2 DK122533NIGMS NIH HHS T32 GM008638
6 · The paper itself

Abstract

Hematopoietic stem cell transplant (HSCT) can prevent progression of several genetic disorders. Although a subset of these disorders are identified on newborn screening panels, others are not identified until irreversible symptoms develop. Genetic testing is an efficient methodology to ascertain pre-symptomatic children, but the penetrance of risk-associated variants in the general population is not well understood. We developed a list of 127 genes associated with disorders treatable with HSCT. We identified likely pathogenic or pathogenic (LP/P) and loss-of-function (LoF) variants in these genes in the Genome Aggregation Database (gnomAD), a dataset containing exome and genome sequencing data from 141,456 healthy adults. Within gnomAD, we identified 59 individuals with a LP/P or LoF variant in 15 genes. Genes were associated with bone marrow failure syndromes, bleeding disorders, primary immunodeficiencies, osteopetrosis, metabolic disorders, and epidermolysis bullosa. In conclusion, few ostensibly healthy adults had genotypes associated with pediatric disorders treatable with HSCTs. Given that most of these disorders do not have biomarkers that could be cheaply and universally assessed on a standard newborn screen, our data suggest that genetic testing may be a complementary approach to traditional newborn screening methodology that has the potential to improve mortality and is not expected to lead to a high burden of false-positive results.

Indexed as

genomic screeningnewborn screeningpenetrancerare diseasestem cell transplant

Identifiers

PMID35047849
PMCPMC8756496
OpenAlexW3202328393

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.