Evidence map›Paper›PMID 36197721›Full record

ArticleCirculation. Genomic and precision medicine2022

Functional Assays Reclassify Suspected Splice-Altering Variants of Uncertain Significance in Mendelian Channelopathies.

Matthew J O'Neill, Yuko Wada, Lynn D Hall, Devyn W Mitchell, Andrew M Glazer, Dan M Roden

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Genomic and precision medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

14 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
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  6. Functional Characterization ofInternational journal of molecular sciences · 2025
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  14. How Functional Genomics Can Keep Pace With VUS Identification.Frontiers in cardiovascular medicine · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Matthew J O'NeillVanderbilt University School of Medicine, Medical Scientist Training Program, Vanderbilt University (M.J.O.).ORCID 0000-0003-2014-7950
Yuko WadaDivision of Clinical Pharmacology, Department of Medicine, Vanderbilt Center for Arrhythmia Research and Therapeutics (VanCART) (Y.W., L.D.H., D.W.M., A.M.G.).ORCID 0000-0001-8533-8040
Lynn D HallDivision of Clinical Pharmacology, Department of Medicine, Vanderbilt Center for Arrhythmia Research and Therapeutics (VanCART) (Y.W., L.D.H., D.W.M., A.M.G.).ORCID 0000-0002-2604-8104
Devyn W MitchellDivision of Clinical Pharmacology, Department of Medicine, Vanderbilt Center for Arrhythmia Research and Therapeutics (VanCART) (Y.W., L.D.H., D.W.M., A.M.G.).ORCID 0000-0001-8508-3324
Andrew M GlazerDivision of Clinical Pharmacology, Department of Medicine, Vanderbilt Center for Arrhythmia Research and Therapeutics (VanCART) (Y.W., L.D.H., D.W.M., A.M.G.).ORCID 0000-0002-3938-4713
Dan M RodenDepartments of Medicine, Pharmacology, and Biomedical Informatics, Vanderbilt University Medical Center, Vanderbilt Center for Arrhythmia Research and Therapeutics (VanCART), Nashville, TN (D.M.R.).ORCID 0000-0002-6302-0389
The Arrhythmia Institute · USVanderbilt University Medical Center · USVanderbilt University · US

Funding

Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI STACIE B DUSETZINA · 1995 to 2026
$172.8M
Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007347 · NIGMS · VANDERBILT UNIVERSITY · PI WILLIAMS, CHRISTOPHER S. · 1985 to 2023
$26.3M
Systematically mapping variant effects for cardiovascular genesR01HL164675 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ASHLEY, EUAN A, RODEN, DAN M · 2022 to 2025
$8.1M
Functional Genomics of Cardiac Sodium Channel VariantsR01HL149826 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RODEN, DAN M · 2020 to 2023
$2.9M
A pipeline for identifying disease-causing variants in transmembrane proteinsR00HG010904 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GLAZER, ANDREW M. · 2022 to 2024
$737k
Aberrant Splicing in the Cardiac ArrhythmiasF30HL163923 · NHLBI · VANDERBILT UNIVERSITY · PI O'NEILL, MATTHEW · 2022 to 2023
$61k
NCI NIH HHS P30 CA068485NHGRI NIH HHS R00 HG010904NHLBI NIH HHS F30 HL163923NHLBI NIH HHS R01 HL149826NHLBI NIH HHS R01 HL164675NIDDK NIH HHS P30 DK058404NIGMS NIH HHS T32 GM007347
6 · The paper itself

Abstract

backgroundRare protein-altering variants in

methodsWe deployed minigene assays to assess the splicing consequences of 10 variants. Three variants incompatible with the minigene approach were introduced into control induced pluripotent stem cells by CRISPR genome editing. We differentiated cells into induced pluripotent stem cell-derived cardiomyocytes and studied splicing outcomes by reverse transcription-polymerase chain reaction. We used the American College of Medical Genetics and Genomics functional assay criteria (PS3/BS3) to reclassify variants.

resultsWe identified aberrant splicing, with presumed disruption of protein sequence, in 8/10 variants studied using the minigene assay and 1/3 studied in induced pluripotent stem cell-derived cardiomyocytes. We reclassified 8 variants of uncertain significance to likely pathogenic, 1 variant of uncertain significance to likely benign, and 1 likely pathogenic variant to pathogenic.

conclusionsFunctional assays reclassified splice-altering variants outside canonical splice sites in Brugada Syndrome- and long QT syndrome-associated genes.

Indexed as

Brugada SyndromeChannelopathiesLong QT SyndromeGenomicsHumansRNA Splicingarrhythmias, cardiacBrugada syndromehuman geneticslong QT syndromemolecular medicine

Identifiers

PMID36197721
PMCPMC9772980
OpenAlexW4302009733

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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.