Evidence map›Paper›PMID 36942736›Full record

ArticleAmerican journal of medical genetics. Part A2023

Exome-wide assessment of isolated biliary atresia: A report from the National Birth Defects Prevention Study using child-parent trios and a case-control design to identify novel rare variants.

Pagna Sok, Aniko Sabo, Lynn M Almli, Mary M Jenkins, Wendy N Nembhard, A J Agopian, Michael J Bamshad, Elizabeth E Blue, Lawrence C Brody, Austin L Brown and 24 more

Open access · greenAbstract read
In one paragraph

Article in American journal of medical genetics. Part A, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Syndromic variants of biliary atresia.World journal of pediatric surgery · 2025
    Review
  4. Genetic background and biliary atresia.World journal of pediatric surgery · 2025
    Review
  5. Article
  6. Review
  7. Loci Associated With Susceptibility to Biliary Atresia-A Genome-Wide Association Study in Taiwan.Pediatrics international : official journal of the Japan Pediatric Society
    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

34 authors at 14 institutions in 1 country.

Pagna SokPediatrics, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0001-8210-4580
Aniko SaboHuman Genome Sequencing Center, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-9667-8072
Lynn M AlmliNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0003-4399-807X
Mary M JenkinsNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0002-4399-1348
Wendy N NembhardFay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.ORCID 0000-0002-8318-4049
A J AgopianDepartment of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas School of Public Health, Houston, Texas, USA.ORCID 0000-0002-5874-4155
Michael J BamshadDivision of Genetic Medicine, Department of Pediatrics, University of Washington, Seattle, Washington, USA.
Elizabeth E BlueBrotman Baty Institute for Precision Medicine, Seattle, Washington, USA.ORCID 0000-0002-0633-0305
Lawrence C BrodyGenetics and Environment Interaction Section, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, USA.
Austin L BrownPediatrics, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0001-5802-5073
Marilyn L BrowneBirth Defects Registry, New York State Department of Health, Albany, New York, USA.ORCID 0000-0002-1872-2787
Mark A CanfieldBirth Defects Epidemiology and Surveillance Branch, Texas Department of State Health Services, Austin, Texas, USA.ORCID 0000-0001-8827-1881
Suzan L CarmichaelDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Jessica X ChongDivision of Genetic Medicine, Department of Pediatrics, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-1616-2448
Shannon Dugan-PerezHuman Genome Sequencing Center, Baylor College of Medicine, Houston, Texas, USA.
Marcia L FeldkampDivision of Medical Genetics, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah, USA.ORCID 0000-0001-9171-7848
Richard H FinnellDepartment of Medicine, Center for Precision Environmental Health, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-5962-8754
Richard A GibbsHuman Genome Sequencing Center, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-1356-5698
Denise M KayDivision of Genetics, Wadsworth Center, New York State Department of Health, Albany, New York, USA.ORCID 0000-0002-9928-2698
Yunping LeiDepartment of Medicine, Center for Precision Environmental Health, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0003-1504-0884
Qingchang MengHuman Genome Sequencing Center, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0001-9783-6610
Cynthia A MooreNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0003-4224-2692
James C MullikinGenetics and Environment Interaction Section, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, USA.
Donna MuznyHuman Genome Sequencing Center, Baylor College of Medicine, Houston, Texas, USA.
Andrew F OlshanDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA.ORCID 0000-0001-9115-5128
Faith PangilinanGenetics and Environment Interaction Section, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, USA.
Jennita ReefhuisNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Paul A RomittiDepartment of Epidemiology, University of Iowa College of Public Health, Iowa City, Iowa, USA.ORCID 0000-0001-5393-9984
Jeremy M SchrawPediatrics, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-6674-9562
Gary M ShawDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0001-7438-4914
Martha M WerlerDepartment of Epidemiology, Boston University, Boston, Massachusetts, USA.ORCID 0000-0003-3392-6814
Sanjiv HarpavatPediatrics, Baylor College of Medicine, Houston, Texas, USA.
Philip J LupoPediatrics, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0003-0978-5863
University of Washington Center for Mendelian Genomics, NISC Comparative Sequencing Program, the National Birth Defects Prevention Study
Baylor College of Medicine · USCenters for Disease Control and Prevention · USNational Institutes of Health · USNew York State Department of Health · USStanford University · USUniversity of Washington · USBoston University · USHouston Health and Human Services Department · USTexas Department of State Health Services · USUniversity of Arkansas for Medical Sciences · USUniversity of Iowa · USUniversity of North Carolina at Chapel Hill · USUniversity of Utah · USUniversity of Washington Medical Center · US

Funding

Inter- and Intra-Species Comparative SequencingZIBHG000196 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI THOMAS, JAMES · 2009 to 2025
$177.6M
UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
The contribution folate and vitamin B12 genes to disease.ZIAHG000167 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BRODY, LAWRENCE C · 2009 to 2025
$17.6M
UW Center for Mendelian GenomicsUM1HG006493 · NHGRI · UNIVERSITY OF WASHINGTON · PI BAMSHAD, MICHAEL JOSEPH, LEAL, SUZANNE M · 2016 to 2020
$15.3M
Translational Research Support CoreP30ES030285 · NIEHS · BAYLOR COLLEGE OF MEDICINE · PI Casey W Wright · 2019 to 2026
$14.7M
NHGRI Genome Sequencing Program Coordinating CenterU24HG008956 · NHGRI · RUTGERS, THE STATE UNIV OF N.J. · PI BUYSKE, STEVEN G, MATISE, TARA C. · 2016 to 2020
$4.9M
A multidisciplinary approach for identifying and characterizing novel congenital malformation syndromesR01HD093660 · NICHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI AGOPIAN, A.J., LUPO, PHILIP · 2018 to 2022
$2.0M
EPA EP-D-18-001HSRD VA CDP 13-003Intramural CDC HHS CC999999NCBDD CDC HHS U01 DD001226NCBDD CDC HHS U01 DD001227NCBDD CDC HHS U01 DD001229NCBDD CDC HHS U01 DD001285NCBDD CDC HHS U01 DD001302NCBDD CDC HHS U01 DD001306NHGRI NIH HHS U24 HG008956NHGRI NIH HHS UM1 HG006493NICHD NIH HHS R01 HD093660NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

The etiology of biliary atresia (BA) is unknown, but recent studies suggest a role for rare protein-altering variants (PAVs). Exome sequencing data from the National Birth Defects Prevention Study on 54 child-parent trios, one child-mother duo, and 1513 parents of children with other birth defects were analyzed. Most (91%) cases were isolated BA. We performed (1) a trio-based analysis to identify rare de novo, homozygous, and compound heterozygous PAVs and (2) a case-control analysis using a sequence kernel-based association test to identify genes enriched with rare PAVs. While we replicated previous findings on PKD1L1, our results do not suggest that recurrent de novo PAVs play important roles in BA susceptibility. In fact, our finding in NOTCH2, a disease gene associated with Alagille syndrome, highlights the difficulty in BA diagnosis. Notably, IFRD2 has been implicated in other gastrointestinal conditions and warrants additional study. Overall, our findings strengthen the hypothesis that the etiology of BA is complex.

Indexed as

Biliary AtresiaCase-Control StudiesExomeHomozygoteHumansMembrane ProteinsParentsMembrane ProteinsPKD1L1 protein, humanbiliary atresiabirth defectNBDPSrare variantswhole exome sequencing

Identifiers

PMID36942736
PMCPMC10947986
OpenAlexW4328049674

What OpenQuestion holds

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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.