Evidence map›Paper›PMID 35882841›Full record

ArticleNature communications2022

An automated 13.5 hour system for scalable diagnosis and acute management guidance for genetic diseases.

Mallory J Owen, Sebastien Lefebvre, Christian Hansen, Chris M Kunard, David P Dimmock, Laurie D Smith, Gunter Scharer, Rebecca Mardach, Mary J Willis, Annette Feigenbaum and 55 more

Registry-linked trialOpen 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. It is linked to trial NCT03211039 (Prenatal Precision Medicine), which is not on this map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
13.3field-weighted citation impact, top 1% 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.

NCT03211039 naunknown statusnot on this map

Prenatal Precision Medicine (NSIGHT2): A Randomized, Blinded, Prospective Study of the Clinical Utility of Rapid Genomic Sequencing for Infants in the Acute-care Setting

TypeinterventionalSponsorRady Pediatric Genomics & Systems Medicine InstituteRan2017 to 2024Enrolled213ConditionsGenetic Diseases, Genetic Syndrome, Mendelian DisordersArmsGenomic sequencing and molecular diagnostic results, if any.
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Longitudinal big biological data in the AI era.Molecular systems biology · 2025
    Review
  8. Data-driven consideration of genetic disorders for global genomic newborn screening programs.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  9. Article
  10. Long-term follow-up of children who received rapid genomic sequencing.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  11. Review
  12. Article
  13. Genome-scale models in human metabologenomics.Nature reviews. Genetics · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

65 authors at 7 institutions in 1 country.

Mallory J OwenRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Sebastien LefebvreAlexion Pharmaceuticals, Inc., Boston, MA, 02210, USA.ORCID 0000-0002-6076-2926
Christian HansenRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Chris M KunardIllumina, Inc., San Diego, CA, 92122, USA.
David P DimmockRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.ORCID 0000-0001-6690-2523
Laurie D SmithRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Gunter ScharerRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Rebecca MardachRady Children's Hospital, San Diego, CA, 92123, USA.
Mary J WillisRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Annette FeigenbaumRady Children's Hospital, San Diego, CA, 92123, USA.
Anna-Kaisa NiemiRady Children's Hospital, San Diego, CA, 92123, USA.
Yan DingRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Luca Van Der KraanRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Katarzyna EllsworthRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Lucia GuidugliRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Bryan R LajoieIllumina, Inc., San Diego, CA, 92122, USA.
Timothy K McPhailIllumina, Inc., San Diego, CA, 92122, USA.
Shyamal S MehtaliaIllumina, Inc., San Diego, CA, 92122, USA.
Kevin K ChauRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Yong H KwonRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Zhanyang ZhuRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.ORCID 0000-0002-5442-1121
Sergey BatalovRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.ORCID 0000-0002-0925-0554
Shimul ChowdhuryRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Seema RegoRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.ORCID 0000-0001-7425-4319
James PerryRady Children's Hospital, San Diego, CA, 92123, USA.
Mark SpezialeRady Children's Hospital, San Diego, CA, 92123, USA.
Mark NespecaRady Children's Hospital, San Diego, CA, 92123, USA.
Meredith S WrightRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Martin G ReeseFabric Genomics, Inc., Oakland, CA, 94612, USA.ORCID 0000-0001-8297-245X
Francisco M De La VegaFabric Genomics, Inc., Oakland, CA, 94612, USA.
Joe AzureFabric Genomics, Inc., Oakland, CA, 94612, USA.
Erwin FriseFabric Genomics, Inc., Oakland, CA, 94612, USA.ORCID 0000-0002-9281-4567
Charlene Son RigbyFabric Genomics, Inc., Oakland, CA, 94612, USA.ORCID 0000-0001-8627-996X
Sandy WhiteFabric Genomics, Inc., Oakland, CA, 94612, USA.
Charlotte A HobbsRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Sheldon GilmerRady Children's Hospital, San Diego, CA, 92123, USA.ORCID 0000-0002-5295-1065
Gail KnightRady Children's Hospital, San Diego, CA, 92123, USA.
Albert OriolRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Jerica LenbergRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Shareef A NahasRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Kate PerofskyRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Kyu KimRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Jeanne CarrollRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Nicole G CoufalRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Erica SanfordRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Kristen WigbyRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Jacqueline WeirIllumina, Inc., San Diego, CA, 92122, USA.
Vicki S ThomsonIllumina, Inc., San Diego, CA, 92122, USA.
Louise FraserIllumina, Inc., San Diego, CA, 92122, USA.ORCID 0000-0001-9709-6827
Seka S LazareIllumina, Inc., San Diego, CA, 92122, USA.ORCID 0000-0002-6519-4454
Yoon H ShinIllumina, Inc., San Diego, CA, 92122, USA.
Haiying GrunenwaldIllumina, Inc., San Diego, CA, 92122, USA.
Richard LeeIllumina, Inc., San Diego, CA, 92122, USA.
David JonesIllumina, Inc., San Diego, CA, 92122, USA.ORCID 0000-0001-7433-5995
Duke TranIllumina, Inc., San Diego, CA, 92122, USA.
Andrew GrossIllumina, Inc., San Diego, CA, 92122, USA.
Patrick DaigleIllumina, Inc., San Diego, CA, 92122, USA.
Anne CaseIllumina, Inc., San Diego, CA, 92122, USA.
Marisa LueIllumina, Inc., San Diego, CA, 92122, USA.
James A RichardsonIllumina, Inc., San Diego, CA, 92122, USA.
John ReyndersAlexion Pharmaceuticals, Inc., Boston, MA, 02210, USA.ORCID 0000-0002-4067-9500
Thomas DefayAlexion Pharmaceuticals, Inc., Boston, MA, 02210, USA.ORCID 0000-0002-5801-9017
Kevin P HallIllumina, Inc., San Diego, CA, 92122, USA.ORCID 0000-0002-8420-7791
Narayanan VeeraraghavanRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA.
Stephen F KingsmoreRady Children's Institute for Genomic Medicine, San Diego, CA, 92123, USA. skingsmore@rchsd.org.ORCID 0000-0001-7180-2527
Children’s Institute · USIllumina (United States) · USID Genomics (United States) · USUniversity of California San Diego · USAlexion Pharmaceuticals (United States) · USRady Children's Hospital-San Diego · USUniversity of San Diego · US

Funding

Scripps Translational Science InstituteUL1TR002550 · NCATS · SCRIPPS RESEARCH INSTITUTE, THE · PI TOPOL, ERIC JEFFREY · 2018 to 2022
$28.9M
Scripps Clinical and Translational Science HubUM1TR004407 · NCATS · SCRIPPS RESEARCH INSTITUTE, THE · PI Eric Jeffrey Topol · 2023 to 2026
$24.2M
Precision Medicine in the Diagnosis of Genetic Disorders in NeonatesU01TR002271 · NCATS · TUFTS MEDICAL CENTER · PI DAVIS, JONATHAN M., MARON, JILL LAMANNA · 2018 to 2022
$8.0M
ConProject-001U19HD077693 · NICHD · RADY PEDIATRIC GENOMICS & SYSTEMS MEDICINE INSTITUTE · PI KINGSMORE, STEPHEN FRANCIS · 2013 to 2018
$6.2M
NCATS NIH HHS U01 TR002271NCATS NIH HHS UL1 TR002550NCATS NIH HHS UM1 TR004407NICHD NIH HHS U19 HD077693
6 · The paper itself

Abstract

While many genetic diseases have effective treatments, they frequently progress rapidly to severe morbidity or mortality if those treatments are not implemented immediately. Since front-line physicians frequently lack familiarity with these diseases, timely molecular diagnosis may not improve outcomes. Herein we describe Genome-to-Treatment, an automated, virtual system for genetic disease diagnosis and acute management guidance. Diagnosis is achieved in 13.5 h by expedited whole genome sequencing, with superior analytic performance for structural and copy number variants. An expert panel adjudicated the indications, contraindications, efficacy, and evidence-of-efficacy of 9911 drug, device, dietary, and surgical interventions for 563 severe, childhood, genetic diseases. The 421 (75%) diseases and 1527 (15%) effective interventions retained are integrated with 13 genetic disease information resources and appended to diagnostic reports ( https://gtrx.radygenomiclab.com ). This system provided correct diagnoses in four retrospectively and two prospectively tested infants. The Genome-to-Treatment system facilitates optimal outcomes in children with rapidly progressive genetic diseases.

Indexed as

DNA Copy Number VariationsChildHumansInfantRetrospective StudiesWhole Genome Sequencing

Identifiers

PMID35882841
PMCPMC9325884
OpenAlexW4287981765

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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.