Evidence map›Paper›PMID 38057330›Full record

ArticleNature communications2023

Saturation genome editing of DDX3X clarifies pathogenicity of germline and somatic variation.

Elizabeth J Radford, Hong-Kee Tan, Malin H L Andersson, James D Stephenson, Eugene J Gardner, Holly Ironfield, Andrew J Waters, Daniel Gitterman, Sarah Lindsay, Federico Abascal and 9 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
7.7field-weighted citation impact, top 2% 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

50 citing papers in PubMed, 52 citations in OpenAlex.

  1. AlphaGenome Atlas:medRxiv : the preprint server for health sciences · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Functional dissection ofProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  8. Article
  9. Saturation Genome Editing TargetingCurrent issues in molecular biology · 2026
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. MaveMD: A functional data resource for genomic medicine.medRxiv : the preprint server for health sciences · 2025
    Article
  15. Article
  16. Saturation genome editing ofmedRxiv : the preprint server for health sciences · 2025
    Article
  17. Article
  18. Review
  19. Article
  20. 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

19 authors at 5 institutions in 2 countries.

Elizabeth J Radford *Wellcome Sanger Institute, Hinxton, CB10 1SA, UK.ORCID 0000-0002-7829-5422
Hong-Kee Tan *Wellcome Sanger Institute, Hinxton, CB10 1SA, UK.
Malin H L AnderssonWellcome Sanger Institute, Hinxton, CB10 1SA, UK.ORCID 0000-0003-1935-1989
James D StephensonEMBL-EBI, Wellcome Genome Campus, Hinxton, CB10 1SD, UK.
Eugene J GardnerMRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.ORCID 0000-0001-9671-1533
Holly IronfieldWellcome Sanger Institute, Hinxton, CB10 1SA, UK.
Andrew J WatersWellcome Sanger Institute, Hinxton, CB10 1SA, UK.
Daniel GittermanWellcome Sanger Institute, Hinxton, CB10 1SA, UK.
Sarah LindsayWellcome Sanger Institute, Hinxton, CB10 1SA, UK.ORCID 0000-0002-0965-3070
Federico AbascalWellcome Sanger Institute, Hinxton, CB10 1SA, UK.ORCID 0000-0002-6201-1587
Iñigo MartincorenaWellcome Sanger Institute, Hinxton, CB10 1SA, UK.ORCID 0000-0003-1122-4416
Anna Kolesnik-TaylorMRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
Elise Ng-CordellMRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
Helen V FirthWellcome Sanger Institute, Hinxton, CB10 1SA, UK.
Kate BakerMRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
John R B PerryMRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.ORCID 0000-0001-6483-3771
David J AdamsWellcome Sanger Institute, Hinxton, CB10 1SA, UK.ORCID 0000-0001-9490-0306
Sebastian S GeretyWellcome Sanger Institute, Hinxton, CB10 1SA, UK.ORCID 0000-0002-6126-5040
Matthew E HurlesWellcome Sanger Institute, Hinxton, CB10 1SA, UK. meh@sanger.ac.uk.ORCID 0000-0002-2333-7015
Wellcome Sanger Institute · GBUniversity of Cambridge · GBMRC Cognition and Brain Sciences Unit · GBEuropean Bioinformatics Institute · GBUniversity of British Columbia · CA

Funding

Academy of Medical Sciences SGL023\1060Cancer Research UK 21777Medical Research Council MC_UU_00006/1Medical Research Council MC_UU_00006/2Medical Research Council MC_UU_00030/3Medical Research Council MC_UU_12015/1Medical Research Council MC_UU_12015/2Wellcome Trust
6 · The paper itself

Abstract

Loss-of-function of DDX3X is a leading cause of neurodevelopmental disorders (NDD) in females. DDX3X is also a somatically mutated cancer driver gene proposed to have tumour promoting and suppressing effects. We perform saturation genome editing of DDX3X, testing in vitro the functional impact of 12,776 nucleotide variants. We identify 3432 functionally abnormal variants, in three distinct classes. We train a machine learning classifier to identify functionally abnormal variants of NDD-relevance. This classifier has at least 97% sensitivity and 99% specificity to detect variants pathogenic for NDD, substantially out-performing in silico predictors, and resolving up to 93% of variants of uncertain significance. Moreover, functionally-abnormal variants can account for almost all of the excess nonsynonymous DDX3X somatic mutations seen in DDX3X-driven cancers. Systematic maps of variant effects generated in experimentally tractable cell types have the potential to transform clinical interpretation of both germline and somatic disease-associated variation.

Indexed as

NeoplasmsNeurodevelopmental DisordersDEAD-box RNA HelicasesFemaleGene EditingGerm CellsGerm-Line MutationHumansVirulenceDDX3X protein, humanDEAD-box RNA Helicases

Identifiers

PMID38057330
PMCPMC10700591
OpenAlexW4389398607

What OpenQuestion holds

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LicenceCC BY
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.