Evidence map›Paper›PMID 37186221›Full record

ArticleMolecular genetics & genomic medicine2023

Diagnostic yield and clinical impact of chromosomal microarray analysis in autism spectrum disorder.

Francesca Cucinotta, Carla Lintas, Pasquale Tomaiuolo, Marco Baccarin, Chiara Picinelli, Paola Castronovo, Roberto Sacco, Ignazio Stefano Piras, Laura Turriziani, Arianna Ricciardello and 2 more

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 6 citations in OpenAlex.

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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

12 authors at 6 institutions in 3 countries.

Francesca CucinottaInterdepartmental Program "Autism 0-90", "G. Martino" University Hospital of Messina, Messina, Italy.ORCID 0000-0001-8477-7826
Carla LintasService for Neurodevelopmental Disorders & Laboratory of Molecular Psychiatry and Neurogenetics, University "Campus Bio-Medico", Rome, Italy.ORCID 0000-0003-1209-8554
Pasquale TomaiuoloInterdepartmental Program "Autism 0-90", "G. Martino" University Hospital of Messina, Messina, Italy.ORCID 0000-0002-1540-3924
Marco BaccarinMafalda Luce Center for Pervasive Developmental Disorders, Milan, Italy.
Chiara PicinelliMafalda Luce Center for Pervasive Developmental Disorders, Milan, Italy.
Paola CastronovoMafalda Luce Center for Pervasive Developmental Disorders, Milan, Italy.
Roberto SaccoService for Neurodevelopmental Disorders & Laboratory of Molecular Psychiatry and Neurogenetics, University "Campus Bio-Medico", Rome, Italy.
Ignazio Stefano PirasService for Neurodevelopmental Disorders & Laboratory of Molecular Psychiatry and Neurogenetics, University "Campus Bio-Medico", Rome, Italy.ORCID 0000-0003-4024-3368
Laura TurrizianiInterdepartmental Program "Autism 0-90", "G. Martino" University Hospital of Messina, Messina, Italy.
Arianna RicciardelloInterdepartmental Program "Autism 0-90", "G. Martino" University Hospital of Messina, Messina, Italy.
Maria Luisa ScattoniResearch Coordination and Support Service, Istituto Superiore di Sanità, Rome, Italy.ORCID 0000-0002-6659-0280
Antonio M PersicoChild and Adolescent Neuropsychiatry Program, Modena University Hospital & Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.ORCID 0000-0001-8910-4479
University of Messina · ITUniversità Campus Bio-Medico · ITIstituto Superiore di Sanità · ITSynlab Czech (Czechia) · CZTranslational Genomics Research Institute · USUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutism spectrum disorder (ASD) is characterized by high heritability estimates and recurrence rates; its genetic underpinnings are very heterogeneous and include variable combinations of common and rare variants. Array-comparative genomic hybridization (aCGH) offers significant sensitivity for the identification of copy number variants (CNVs), which can act as susceptibility or causal factors for ASD.

methodsThe aim of this study was to evaluate both diagnostic yield and clinical impact of aCGH in 329 ASD patients of Italian descent.

resultsPathogenic/likely pathogenic CNVs were identified in 50/329 (15.2%) patients, whereas 89/329 (27.1%) carry variants of uncertain significance. The 10 most enriched gene sets identified by Gene Ontology Enrichment Analysis are primarily involved in neuronal function and synaptic connectivity. In 13/50 (26.0%) patients with pathogenic/likely pathogenic CNVs, the outcome of array-CGH led to the request of 25 additional medical exams which would not have otherwise been prescribed, mainly including brain MRI, EEG, EKG, and/or cardiac ultrasound. A positive outcome was obtained in 12/25 (48.0%) of these additional tests.

conclusionsThis study confirms the satisfactory diagnostic yield of aCGH, underscoring its potential for better, more in-depth care of children with autism when genetic results are analyzed also with a focus on patient management.

Indexed as

Autism Spectrum DisorderAutistic DisorderChildComparative Genomic HybridizationDNA Copy Number VariationsHumansMicroarray Analysis15q11.2-q13.1 duplication syndrome16p11.2 microdeletion syndromearray comparative genomic hybridizationautism spectrum disordercopy number variantsgene set enrichment analysisgenotype-phenotype correlationneurodevelopmental disorders

Identifiers

PMID37186221
PMCPMC10422062
OpenAlexW4367053468

What OpenQuestion holds

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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.