Evidence map›Paper›PMID 37349538›Full record

ArticleNature medicine2023

Penetrance of pathogenic genetic variants associated with premature ovarian insufficiency.

Saleh Shekari, Stasa Stankovic, Eugene J Gardner, Gareth Hawkes, Katherine A Kentistou, Robin N Beaumont, Alexander Mörseburg, Andrew R Wood, Julia K Prague, Gita D Mishra and 9 more

Open access · hybridAbstract read
PubMed Publisher
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. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
16.9field-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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
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  5. Article
  6. Article
  7. Article
  8. A novel heterozygous splicing variant in theFrontiers in cell and developmental biology · 2026
    Article
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  18. CommonGenome research · 2025
    Article
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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

19 authors at 7 institutions in 3 countries.

Saleh Shekari *Department of Clinical and Biomedical Sciences, University of Exeter, Exeter, UK.ORCID http://orcid.org/0000-0002-1727-0272
Stasa Stankovic *MRC Epidemiology Unit, Wellcome-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-6602-1379
Eugene J GardnerMRC Epidemiology Unit, Wellcome-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0001-9671-1533
Gareth HawkesDepartment of Clinical and Biomedical Sciences, University of Exeter, Exeter, UK.ORCID http://orcid.org/0000-0002-3367-789X
Katherine A KentistouMRC Epidemiology Unit, Wellcome-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-5816-664X
Robin N BeaumontDepartment of Clinical and Biomedical Sciences, University of Exeter, Exeter, UK.ORCID http://orcid.org/0000-0003-0750-8248
Alexander MörseburgMRC Epidemiology Unit, Wellcome-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
Andrew R WoodDepartment of Clinical and Biomedical Sciences, University of Exeter, Exeter, UK.ORCID http://orcid.org/0000-0003-1726-948X
Julia K PragueExeter Centre of Excellence for Diabetes Research, University of Exeter, Exeter, UK.
Gita D MishraSchool of Public Health, Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
Felix R DayMRC Epidemiology Unit, Wellcome-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0003-3789-7651
Julia BaptistaPeninsula Medical School, University of Plymouth, Plymouth, UK.ORCID http://orcid.org/0000-0003-0915-5028
Caroline F WrightDepartment of Clinical and Biomedical Sciences, University of Exeter, Exeter, UK.ORCID http://orcid.org/0000-0003-2958-5076
Michael N WeedonDepartment of Clinical and Biomedical Sciences, University of Exeter, Exeter, UK.
Eva R HoffmannDepartment of Cellular and Molecular Medicine, DNRF Center for Chromosome Stability, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-2588-0652
Katherine S RuthDepartment of Clinical and Biomedical Sciences, University of Exeter, Exeter, UK.ORCID http://orcid.org/0000-0003-4966-9170
Ken K OngMRC Epidemiology Unit, Wellcome-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
John R B Perry *MRC Epidemiology Unit, Wellcome-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK. john.perry@mrc-epid.cam.ac.uk.ORCID http://orcid.org/0000-0001-6483-3771
Anna Murray *Department of Clinical and Biomedical Sciences, University of Exeter, Exeter, UK. A.Murray@exeter.ac.uk.ORCID http://orcid.org/0000-0002-2351-2522
University of Exeter · GBUniversity of Cambridge · GBThe University of Queensland · AUNational Health Service · GBUniversity of Copenhagen · DKUniversity of Plymouth · GBWellcome/MRC Institute of Metabolic Science · GB

Funding

Cancer Research UK 29019Cancer Research UK C18281/A29019Department of HealthMedical Research Council MC_UU_00006/1Medical Research Council MC_UU_00006/2Medical Research Council MC_UU_12015/1Medical Research Council MC_UU_12015/2Medical Research Council MR/M008924/1Medical Research Council MR/T00200X/1
6 · The paper itself

Abstract

Premature ovarian insufficiency (POI) affects 1% of women and is a leading cause of infertility. It is often considered to be a monogenic disorder, with pathogenic variants in ~100 genes described in the literature. We sought to systematically evaluate the penetrance of variants in these genes using exome sequence data in 104,733 women from the UK Biobank, 2,231 (1.14%) of whom reported at natural menopause under the age of 40 years. We found limited evidence to support any previously reported autosomal dominant effect. For nearly all heterozygous effects on previously reported POI genes, we ruled out even modest penetrance, with 99.9% (13,699 out of 13,708) of all protein-truncating variants found in reproductively healthy women. We found evidence of haploinsufficiency effects in several genes, including TWNK (1.54 years earlier menopause, P = 1.59 × 10

Indexed as

Menopause, PrematurePrimary Ovarian InsufficiencyAdultBasic Helix-Loop-Helix ProteinsFemaleHumansPenetranceBasic Helix-Loop-Helix ProteinsSOHLH2 protein, human

Identifiers

PMID37349538
OpenAlexW4381612390

What OpenQuestion holds

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Read underepoch 390

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.