Evidence map›Paper›PMID 37372421›Full record

ArticleGenes2023

Success and Pitfalls of Genetic Testing in Undiagnosed Diseases: Whole Exome Sequencing and Beyond.

Valeria Barili, Enrico Ambrosini, Vera Uliana, Melissa Bellini, Giulia Vitetta, Davide Martorana, Ilenia Rita Cannizzaro, Antonietta Taiani, Erika De Sensi, Patrizia Caggiati and 3 more

Open access · goldAbstract read
In one paragraph

Article in Genes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.8field-weighted citation impact, top 9% 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, 9 citations in OpenAlex.

  1. Arriving at a diagnosis: Effective strategies used by the Undiagnosed Diseases Network.Genetics in medicine : official journal of the American College of Medical Genetics · 2026
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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

13 authors at 4 institutions in 2 countries.

Valeria BariliMedical Genetics, Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Enrico AmbrosiniMedical Genetics, Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.ORCID 0000-0002-7520-3721
Vera UlianaMedical Genetics, University Hospital of Parma, 43126 Parma, Italy.
Melissa BelliniDepartment of Pediatrics and Neonatology, Guglielmo da Saliceto Hospital, 29121 Piacenza, Italy.
Giulia VitettaMedical Genetics, University of Bologna, 40138 Bologna, Italy.
Davide MartoranaMedical Genetics, University Hospital of Parma, 43126 Parma, Italy.ORCID 0000-0002-7572-7031
Ilenia Rita CannizzaroMedical Genetics, Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.ORCID 0009-0009-6816-6131
Antonietta TaianiMedical Genetics, Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Erika De SensiMedical Genetics, Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.ORCID 0000-0002-2104-4016
Patrizia CaggiatiMedical Genetics, University Hospital of Parma, 43126 Parma, Italy.
Sarah HiltonDivision of Evolution, Infection & Genomics, School of Biological Sciences, Faculty of Biology, Medicine & Health, The University of Manchester, Manchester M13 9PL, UK.
Siddharth BankaDivision of Evolution, Infection & Genomics, School of Biological Sciences, Faculty of Biology, Medicine & Health, The University of Manchester, Manchester M13 9PL, UK.
Antonio PercesepeMedical Genetics, Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.ORCID 0000-0002-3268-6786
University of Parma · ITUniversity of Manchester · GBGuglielmo da Saliceto Hospital · ITUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Novel approaches to uncover the molecular etiology of neurodevelopmental disorders (NDD) are highly needed. Even using a powerful tool such as whole exome sequencing (WES), the diagnostic process may still prove long and arduous due to the high clinical and genetic heterogeneity of these conditions. The main strategies to improve the diagnostic rate are based on family segregation, re-evaluation of the clinical features by reverse-phenotyping, re-analysis of unsolved NGS-based cases and epigenetic functional studies. In this article, we described three selected cases from a cohort of patients with NDD in which trio WES was applied, in order to underline the typical challenges encountered during the diagnostic process: (1) an ultra-rare condition caused by a missense variant in

Indexed as

De Lange SyndromeUndiagnosed DiseasesCell Cycle ProteinsExome SequencingGenetic TestingHumansMutation, MissenseRare DiseasesTranscription FactorsCell Cycle ProteinsNIPBL protein, humanTranscription FactorschromatinopathiesCornelia de Lange syndromeepisignatureKabuki syndromeKleefstra syndromeMEIS2neurodevelopmental disorders

Identifiers

PMID37372421
PMCPMC10297877
OpenAlexW4380373702

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.