Evidence map›Paper›PMID 35760791›Full record

ArticleNature communications2022

Common genetic variation associated with Mendelian disease severity revealed through cryptic phenotype analysis.

David R Blair, Thomas J Hoffmann, Joseph T Shieh

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.6field-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

13 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Review
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  4. Comorbidity Disease Pattern in Japanese Elderly Population: A Network-Based Analysis.Mayo Clinic proceedings. Innovations, quality & outcomes · 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

3 authors at 3 institutions in 2 countries.

David R BlairDivision of Medical Genetics, Department of Pediatrics, Benioff Children's Hospital, San Francisco, CA, USA. David.Blair@ucsf.edu.ORCID http://orcid.org/0000-0002-7455-6488
Thomas J HoffmannInstitute for Human Genetics, San Francisco, CA, USA.ORCID http://orcid.org/0000-0001-6893-4449
Joseph T ShiehDivision of Medical Genetics, Department of Pediatrics, Benioff Children's Hospital, San Francisco, CA, USA. Joseph.Shieh2@ucsf.edu.ORCID http://orcid.org/0000-0003-0746-6084
Institute of Human Genetics · PLUCSF Benioff Children's Hospital · USUniversity of California, San Francisco · US

Funding

Enhancing Resident Investigation and Career Advancement in Cardiovascular and Pulmonary ScienceR38HL143581 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BIBBINS-DOMINGO, KIRSTEN, HUANG, ALISON · 2018 to 2021
$1.4M
Medical Research Council MC_PC_17228Medical Research Council MC_QA137853NHLBI NIH HHS R38 HL143581
6 · The paper itself

Abstract

Clinical heterogeneity is common in Mendelian disease, but small sample sizes make it difficult to identify specific contributing factors. However, if a disease represents the severely affected extreme of a spectrum of phenotypic variation, then modifier effects may be apparent within a larger subset of the population. Analyses that take advantage of this full spectrum could have substantially increased power. To test this, we developed cryptic phenotype analysis, a model-based approach that infers quantitative traits that capture disease-related phenotypic variability using qualitative symptom data. By applying this approach to 50 Mendelian diseases in two cohorts, we identify traits that reliably quantify disease severity. We then conduct genome-wide association analyses for five of the inferred cryptic phenotypes, uncovering common variation that is predictive of Mendelian disease-related diagnoses and outcomes. Overall, this study highlights the utility of computationally-derived phenotypes and biobank-scale cohorts for investigating the complex genetic architecture of Mendelian diseases.

Indexed as

Genome-Wide Association StudyPolymorphism, Single NucleotidePhenotypeSeverity of Illness Index

Identifiers

PMID35760791
PMCPMC9237040
OpenAlexW4283584309

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.