Evidence map›Paper›PMID 36007526›Full record

ReviewAmerican journal of human genetics2022

A genome sequencing system for universal newborn screening, diagnosis, and precision medicine for severe genetic diseases.

Stephen F Kingsmore, Laurie D Smith, Chris M Kunard, Matthew Bainbridge, Sergey Batalov, Wendy Benson, Eric Blincow, Sara Caylor, Christina Chambers, Guillermo Del Angel and 41 more

Open access · greenAbstract readReview
In one paragraph

Review in American journal of human genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed
29.4field-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.

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

101 citing papers in PubMed, 162 citations in OpenAlex.

  1. Article
  2. Progress and Prospects of Newborn Screening in China.International journal of neonatal screening · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

41 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

51 authors at 7 institutions in 1 country.

Stephen F KingsmoreRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA; Keck Graduate Institute, Claremont, CA 91711, USA. Electronic address: skingsmore@rchsd.org.
Laurie D SmithRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA.
Chris M KunardIllumina, Inc., San Diego, CA 92122, USA.
Matthew BainbridgeRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Sergey BatalovRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Wendy BensonRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Eric BlincowRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Sara CaylorRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Christina ChambersDepartment of Pediatrics, University of California San Diego, San Diego, CA 92093, USA.
Guillermo Del AngelAlexion, Astra Zeneca Rare Disease, Boston, MA 02210, USA.
David P DimmockRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Yan DingRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Katarzyna EllsworthRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Annette FeigenbaumRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA; Department of Pediatrics, University of California San Diego, San Diego, CA 92093, USA.
Erwin FriseFabric Genomics, Inc., Oakland, CA 94612, USA.
Robert C GreenMass General Brigham, Broad Institute, Ariadne Labs and Harvard Medical School, Boston, MA 02115, USA.
Lucia GuidugliRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Kevin P HallIllumina, Inc., San Diego, CA 92122, USA.
Christian HansenRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Charlotte A HobbsRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Scott D KahnLuna PBC, Inc., San Diego, CA 92121, USA.
Mark KielGenomenon Inc., Ann Arbor, MI 48108, USA.
Lucita Van Der KraanRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Chad KrilowTileDB Inc., Cambridge, MA 02142, USA.
Yong H KwonRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Lakshminarasimha MadhavraoRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Jennie LeRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Sebastien LefebvreAlexion, Astra Zeneca Rare Disease, Boston, MA 02210, USA.
Rebecca MardachRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA; Department of Pediatrics, University of California San Diego, San Diego, CA 92093, USA.
William R MowreyAlexion, Astra Zeneca Rare Disease, Boston, MA 02210, USA.
Danny OhRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Mallory J OwenRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
George PowleyTileDB Inc., Cambridge, MA 02142, USA.
Gunter ScharerRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA.
Seth ShelnuttTileDB Inc., Cambridge, MA 02142, USA.
Mari TokitaRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Shyamal S MehtaliaIllumina, Inc., San Diego, CA 92122, USA.
Albert OriolRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Stavros PapadopoulosTileDB Inc., Cambridge, MA 02142, USA.
James PerryRady Children's Hospital, San Diego, CA 92123, USA; Department of Pediatrics, University of California San Diego, San Diego, CA 92093, USA.
Edwin RosalesRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Erica SanfordRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA.
Steve SchwartzGenomenon Inc., Ann Arbor, MI 48108, USA.
Duke TranIllumina, Inc., San Diego, CA 92122, USA.
Martin G ReeseFabric Genomics, Inc., Oakland, CA 94612, USA.
Meredith WrightRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Narayanan VeeraraghavanRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Kristen WigbyRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA; Rady Children's Hospital, San Diego, CA 92123, USA; Department of Pediatrics, University of California San Diego, San Diego, CA 92093, USA.
Mary J WillisRady Children's Institute for Genomic Medicine, San Diego, CA 92123, USA.
Aaron R WolenTileDB Inc., Cambridge, MA 02142, USA.
Thomas DefayAlexion, Astra Zeneca Rare Disease, Boston, MA 02210, USA.
Children’s Institute · USAlexion Pharmaceuticals (United States) · USIllumina (United States) · USSecond Genome (United States) · USUniversity of California San Diego · USBroad Institute · USLuna Innovations (United States) · 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
ConProject-001U19HD077693 · NICHD · RADY PEDIATRIC GENOMICS & SYSTEMS MEDICINE INSTITUTE · PI KINGSMORE, STEPHEN FRANCIS · 2013 to 2018
$6.2M
Genomic and Environmental Determinants of Infant Deaths in San Diego County in 2015-2022R01HD101540 · NICHD · RADY PEDIATRIC GENOMICS & SYSTEMS MEDICINE INSTITUTE · PI CHAMBERS, CHRISTINA, KINGSMORE, STEPHEN FRANCIS · 2020 to 2024
$3.5M
Medical Research Council MC_PC_17228Medical Research Council MC_QA137853NCATS NIH HHS UL1 TR002550NCATS NIH HHS UM1 TR004407NICHD NIH HHS R01 HD101540NICHD NIH HHS U19 HD077693
6 · The paper itself

Abstract

Newborn screening (NBS) dramatically improves outcomes in severe childhood disorders by treatment before symptom onset. In many genetic diseases, however, outcomes remain poor because NBS has lagged behind drug development. Rapid whole-genome sequencing (rWGS) is attractive for comprehensive NBS because it concomitantly examines almost all genetic diseases and is gaining acceptance for genetic disease diagnosis in ill newborns. We describe prototypic methods for scalable, parentally consented, feedback-informed NBS and diagnosis of genetic diseases by rWGS and virtual, acute management guidance (NBS-rWGS). Using established criteria and the Delphi method, we reviewed 457 genetic diseases for NBS-rWGS, retaining 388 (85%) with effective treatments. Simulated NBS-rWGS in 454,707 UK Biobank subjects with 29,865 pathogenic or likely pathogenic variants associated with 388 disorders had a true negative rate (specificity) of 99.7% following root cause analysis. In 2,208 critically ill children with suspected genetic disorders and 2,168 of their parents, simulated NBS-rWGS for 388 disorders identified 104 (87%) of 119 diagnoses previously made by rWGS and 15 findings not previously reported (NBS-rWGS negative predictive value 99.6%, true positive rate [sensitivity] 88.8%). Retrospective NBS-rWGS diagnosed 15 children with disorders that had been undetected by conventional NBS. In 43 of the 104 children, had NBS-rWGS-based interventions been started on day of life 5, the Delphi consensus was that symptoms could have been avoided completely in seven critically ill children, mostly in 21, and partially in 13. We invite groups worldwide to refine these NBS-rWGS conditions and join us to prospectively examine clinical utility and cost effectiveness.

Indexed as

Neonatal ScreeningPrecision MedicineChildCritical IllnessGenetic TestingHumansInfant, NewbornRetrospective Studiesclinical decision supportclinical utilitydiagnosisdiagnostic odysseygene therapygenetic diseasenewborn screeningorphan drugrapid whole-genome sequencingsensitivityspecificityUK Biobankvirtual management guidance

Identifiers

PMID36007526
PMCPMC9502059
OpenAlexW4292951299

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.