Evidence map›Paper›PMID 37264205›Full record

ArticleNature medicine2023

Genomic profiling informs diagnoses and treatment in vascular anomalies.

Dong Li, Sarah E Sheppard, Michael E March, Mark R Battig, Lea F Surrey, Abhay S Srinivasan, Leticia S Matsuoka, Lifeng Tian, Fengxiang Wang, Christoph Seiler and 32 more

Registry-linked trialOpen access · greenAbstract 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. It is linked to trial NCT07072403 (Safety and Efficacy of Trametinib for Complicated Vascular Anomalies), which is not on this map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
18.7field-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.

NCT07072403 phase1 / phase2active not recruitingnot on this mapstarted 2025, after this paper: background citation

Safety and Efficacy of Trametinib for Complicated Vascular Anomalies: A Multicenter Prospective Study

TypeinterventionalSponsorWest China HospitalRan2025 to 2027Enrolled20ConditionsVascular AnomaliesArmsTrametinib tablet
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 57 citations in OpenAlex.

  1. Review
  2. Article
  3. RAS Inhibitor RMC-7977 Blocks Vascular Overgrowth of NRASJournal of cellular and molecular medicine · 2026
    Article
  4. Article
  5. The 9th International RASopathies Symposium.American journal of medical genetics. Part A · 2026
    Article
  6. SHOC2 Is a Novel Cause of Central Conducting Lymphatic Anomaly.American journal of medical genetics. Part A · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Targeted Therapies for Slow-Flow Vascular Malformations.The Australasian journal of dermatology · 2025
    Review
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

42 authors at 2 institutions in 1 country.

Dong Li *Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA. Lid2@chop.edu.ORCID 0000-0002-2265-6727
Sarah E Sheppard *Division of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0003-3480-8123
Michael E MarchCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Mark R BattigCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Lea F SurreyDepartment of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0002-6944-2232
Abhay S SrinivasanDivision of Interventional Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0002-0180-4719
Leticia S MatsuokaCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Lifeng TianCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Fengxiang WangCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Christoph SeilerZebrafish Core, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Jill DaynekaComprehensive Vascular Anomalies Program, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0003-1175-2390
Alexandra J BorstDivision of Hematology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0002-7316-8643
Mary C MatosCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Scott M PaulissenUnit on Vascular Malformations, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA.ORCID 0000-0002-9258-2380
Ganesh KrishnamurthyDepartment of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Bede NriaguComprehensive Vascular Anomalies Program, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0003-3006-4796
Tamjeed SikderComprehensive Vascular Anomalies Program, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Melissa CaseyComprehensive Vascular Anomalies Program, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Lydia WilliamsComprehensive Vascular Anomalies Program, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0001-9232-3656
Sneha RanguCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Nora O'ConnorCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Alexandria ThomasCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Erin PintoJill and Mark Fishman Center for Lymphatic Disorders, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Cuiping HouCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Kenny NguyenCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Renata Pellegrino da SilvaCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Samar N ChehimiCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Charlly KaoCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Lauren BirocJill and Mark Fishman Center for Lymphatic Disorders, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Allison D BrittComprehensive Vascular Anomalies Program, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0001-6601-0453
Maria QueenanDepartment of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Janet R ReidDepartment of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0001-6253-3708
Joseph A NapoliDivision of Plastic, Reconstructive, and Oral Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
David M LowDivision of Plastic, Reconstructive, and Oral Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Seth VatskyDivision of Interventional Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
James TreatSection of Dermatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Christopher L SmithJill and Mark Fishman Center for Lymphatic Disorders, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Anne Marie CahillDivision of Interventional Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Kristen M SnyderDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Denise M AdamsDepartment of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Yoav DoriJill and Mark Fishman Center for Lymphatic Disorders, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0003-0531-8723
Hakon HakonarsonCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA. hakonarson@chop.edu.ORCID 0000-0003-2814-7461
Children's Hospital of Philadelphia · USEunice Kennedy Shriver National Institute of Child Health and Human Development · US

Funding

Cellular and Molecular Mechanisms of Vascular MalformationsZIAHD009003 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI SHEPPARD, SARAH · 2022 to 2025
$6.1M
Characterization of RASopathy Mutations Underlying Lymphatic Anomalies and Preparation for Clinical DevelopmentR21TR003331 · NCATS · CHILDREN'S HOSP OF PHILADELPHIA · PI LI, DONG · 2020 to 2021
$484k
Intramural NIH HHS ZIA HD009003NCATS NIH HHS R21 TR003331
6 · The paper itself

Abstract

Vascular anomalies are malformations or tumors of the blood or lymphatic vasculature and can be life-threatening. Although molecularly targeted therapies can be life-saving, identification of the molecular etiology is often impeded by lack of accessibility to affected tissue samples, mosaicism or insufficient sequencing depth. In a cohort of 356 participants with vascular anomalies, including 104 with primary complex lymphatic anomalies (pCLAs), DNA from CD31+ cells isolated from lymphatic fluid or cell-free DNA from lymphatic fluid or plasma underwent ultra-deep sequencing thereby uncovering pathogenic somatic variants down to a variant allele fraction of 0.15%. A molecular diagnosis, including previously undescribed genetic causes, was obtained in 41% of participants with pCLAs and 72% of participants with other vascular malformations, leading to a new medical therapy for 63% (43/69) of participants and resulting in improvement in 63% (35/55) of participants on therapy. Taken together, these data support the development of liquid biopsy-based diagnostic techniques to identify previously undescribed genotype-phenotype associations and guide medical therapy in individuals with vascular anomalies.

Indexed as

Lymphatic AbnormalitiesVascular MalformationsAllelesGenetic TestingGenomicsHumansMutation

Identifiers

PMID37264205
PMCPMC11184491
OpenAlexW4378980658

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Registered trials

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.