Evidence map›Paper›PMID 36658419›Full record

ArticleNature medicine2023

Genomic autopsy to identify underlying causes of pregnancy loss and perinatal death.

Alicia B Byrne, Peer Arts, Thuong T Ha, Karin S Kassahn, Lynn S Pais, Anne O'Donnell-Luria, Broad Institute Center for Mendelian Genomics, Milena Babic, Mahalia S B Frank, Jinghua Feng and 22 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Nature medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
33.1field-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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Journal of medical genetics · 2026
    Article
  8. Article
  9. Article
  10. Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2026
    Article
  11. Article
  12. [Establish Standardized Pathological and Genetic Examinations to Reduce the Incidence of Stillbirth].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Review
  13. Genetics and Stillbirth.Clinics in perinatology · 2026
    Review
  14. Article
  15. Genomics of pregnancy loss.Journal of assisted reproduction and genetics · 2026
    Review
  16. Article
  17. Article
  18. A novelGlobal medical genetics · 2025
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors at 20 institutions in 3 countries.

Alicia B Byrne *Department of Genetics and Molecular Pathology, Centre for Cancer Biology, an alliance between SA Pathology and the University of South Australia, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0002-8141-1818
Peer Arts *Department of Genetics and Molecular Pathology, Centre for Cancer Biology, an alliance between SA Pathology and the University of South Australia, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0002-6742-6239
Thuong T Ha *Department of Genetics and Molecular Pathology, Centre for Cancer Biology, an alliance between SA Pathology and the University of South Australia, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0002-4408-2613
Karin S KassahnAdelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia.
Lynn S PaisBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Anne O'Donnell-LuriaBroad Institute of MIT and Harvard, Cambridge, MA, USA.ORCID http://orcid.org/0000-0001-6418-9592
Broad Institute Center for Mendelian Genomics
Milena BabicDepartment of Genetics and Molecular Pathology, Centre for Cancer Biology, an alliance between SA Pathology and the University of South Australia, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0002-6526-1020
Mahalia S B FrankDepartment of Genetics and Molecular Pathology, Centre for Cancer Biology, an alliance between SA Pathology and the University of South Australia, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0002-6668-4631
Jinghua FengUniSA Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia.
Paul WangACRF Genomics Facility, Centre for Cancer Biology, an alliance between SA Pathology and the University of South Australia, Adelaide, South Australia, Australia.
David M LawrenceACRF Genomics Facility, Centre for Cancer Biology, an alliance between SA Pathology and the University of South Australia, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0001-5464-5830
Leila EshraghiDepartment of Genetics and Molecular Pathology, Centre for Cancer Biology, an alliance between SA Pathology and the University of South Australia, Adelaide, South Australia, Australia.
Luis ArriolaDepartment of Genetics and Molecular Pathology, Centre for Cancer Biology, an alliance between SA Pathology and the University of South Australia, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0001-9806-0105
John ToubiaACRF Genomics Facility, Centre for Cancer Biology, an alliance between SA Pathology and the University of South Australia, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0002-5135-6504
Hung NguyenDepartment of Genetics and Molecular Pathology, SA Pathology, Adelaide, South Australia, Australia.
Genomic Autopsy Study Research Network
George McGillivrayVictorian Clinical Genetics Services, Murdoch Children's Research Institute and Royal Women's Hospital, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-3878-9057
Jason PinnerCentre for Clinical Genetics, Sydney Children's Hospitals Network - Randwick, Sydney, New South Wales, Australia.
Fiona McKenzieGenetic Services of Western Australia, Perth, Western Australia, Australia.
Rebecca MorrowDepartment of Genetics and Molecular Pathology, Centre for Cancer Biology, an alliance between SA Pathology and the University of South Australia, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0001-8667-8602
Jill LipsettDepartment of Anatomical Pathology, SA Pathology, Women's and Children's Hospital, North Adelaide, South Australia, Australia.
Nick MantonDepartment of Anatomical Pathology, SA Pathology, Women's and Children's Hospital, North Adelaide, South Australia, Australia.
T Yee KhongAdelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0002-2404-007X
Lynette MooreAdelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia.
Jan E LiebeltAdelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia.
Andreas W SchreiberUniSA Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0002-9081-3405
Sarah L King-SmithDepartment of Genetics and Molecular Pathology, Centre for Cancer Biology, an alliance between SA Pathology and the University of South Australia, Adelaide, South Australia, Australia.
Tristan S E HardyAdelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia.
Matilda R JacksonDepartment of Genetics and Molecular Pathology, Centre for Cancer Biology, an alliance between SA Pathology and the University of South Australia, Adelaide, South Australia, Australia.
Christopher P Barnett *Adelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia. christopher.barnett@sa.gov.au.
Hamish S Scott *Department of Genetics and Molecular Pathology, Centre for Cancer Biology, an alliance between SA Pathology and the University of South Australia, Adelaide, South Australia, Australia. hamish.scott@sa.gov.au.ORCID http://orcid.org/0000-0002-5813-631X
Broad Institute · USSouth Australia Pathology · AUMonash Health · AUWomen's and Children's Hospital · AUMelbourne Genomics Health Alliance · AULiverpool Hospital · AUPrincess Margaret Hospital for Children · AURoyal Children's Hospital · AUChildren's Hospital at Westmead · AURoyal Brisbane and Women's Hospital · AUServices Australia · AUThe University of Adelaide · AUAustin Health · AUPrince of Wales Hospital · AURoyal Prince Alfred Hospital · AURoyal Women's Hospital · AUThe University of Sydney · AUCanberra Hospital · AUFrankston Hospital · AURoyal Hobart Hospital · AU

Funding

Joint Center for Mendelian GenomicsUM1HG008900 · NHGRI · BROAD INSTITUTE, INC. · PI O'DONNELL-LURIA, ANNE, REHM, HEIDI L · 2016 to 2020
$16.5M
NHGRI NIH HHS UM1 HG008900
6 · The paper itself

Abstract

Pregnancy loss and perinatal death are devastating events for families. We assessed 'genomic autopsy' as an adjunct to standard autopsy for 200 families who had experienced fetal or newborn death, providing a definitive or candidate genetic diagnosis in 105 families. Our cohort provides evidence of severe atypical in utero presentations of known genetic disorders and identifies novel phenotypes and disease genes. Inheritance of 42% of definitive diagnoses were either autosomal recessive (30.8%), X-linked recessive (3.8%) or autosomal dominant (excluding de novos, 7.7%), with risk of recurrence in future pregnancies. We report that at least ten families (5%) used their diagnosis for preimplantation (5) or prenatal diagnosis (5) of 12 pregnancies. We emphasize the clinical importance of genomic investigations of pregnancy loss and perinatal death, with short turnaround times for diagnostic reporting and followed by systematic research follow-up investigations. This approach has the potential to enable accurate counseling for future pregnancies.

Indexed as

Abortion, SpontaneousPerinatal DeathAutopsyFemaleGenomicsHumansPregnancyPrenatal Diagnosis

Identifiers

PMID36658419
PMCPMC10333122
OpenAlexW4317499939

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Registered trials

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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.