Evidence map›Paper›PMID 38972082›Full record

ArticlePlacenta2024

Placental somatic mutation in human stillbirth and live birth: A pilot case-control study of paired placental, fetal, and maternal whole genomes.

Amelia D Wallace, Nathan R Blue, Terry Morgan, Tsegaselassie Workalemahu, Robert M Silver, Aaron R Quinlan

Abstract read
In one paragraph

Article in Placenta, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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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

6 authors.

Amelia D WallaceUniversity of Utah Health, Department of Human Genetics, 15 N 2030 E, Eccles Institute of Human Genetics Rm 7160B, Salt Lake City, UT, 84112, USA; Utah Center for Genetic Discovery, 15 N 2030 E, #2100, Salt Lake City, UT, 4112, USA.
Nathan R BlueUniversity of Utah Health, Department of Obstetrics and Gynecology, 30 N Mario Capecchi Dr, Level 5 South, Salt Lake City, UT, 84132, USA.
Terry MorganOregon Health & Science University, Departments of Pathology and Obstetrics and Gynecology, 3181 SW Sam Jackson Park Rd, L-113, Portland, OR, 97239, USA.
Tsegaselassie WorkalemahuUniversity of Utah Health, Department of Obstetrics and Gynecology, 30 N Mario Capecchi Dr, Level 5 South, Salt Lake City, UT, 84132, USA.
Robert M SilverUniversity of Utah Health, Department of Obstetrics and Gynecology, 30 N Mario Capecchi Dr, Level 5 South, Salt Lake City, UT, 84132, USA. Electronic address: bob.silver@hsc.utah.edu.
Aaron R QuinlanUniversity of Utah Health, Department of Human Genetics, 15 N 2030 E, Eccles Institute of Human Genetics Rm 7160B, Salt Lake City, UT, 84112, USA; Utah Center for Genetic Discovery, 15 N 2030 E, #2100, Salt Lake City, UT, 4112, USA. Electronic address: aquinlan@genetics.utah.edu.

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI KATHARINE S ULLMAN · 1986 to 2026
$72.6M
Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
Stillbirth NetworkU01HD045954 · NICHD · RESEARCH TRIANGLE INSTITUTE · PI PARKER, CORETTE BREEDEN · 2003 to 2009
$8.4M
Utah Women's Reproductive Health Research Career Development ProgramK12HD085816 · NICHD · UNIVERSITY OF UTAH · PI SILVER, ROBERT M. · 2015 to 2024
$3.2M
Research on the Scope and Causes of Stillbirth in the USU10HD045944 · NICHD · UNIVERSITY OF UTAH · PI SILVER, ROBERT M. · 2003 to 2009
$2.7M
Inherited and de novo genetic variants relevant to familial, recurrent and sporadic stillbirthR01HD112836 · NICHD · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Tsegaselassie Workalemahu · 2023 to 2026
$2.5M
San Antonio Center for the Study of StillbirthU10HD045955 · NICHD · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI DUDLEY, DONALD J · 2003 to 2009
$2.4M
Research on the Scope and Causes of Stillbirth in the USU10HD045925 · NICHD · EMORY UNIVERSITY · PI HOGUE, CAROL · 2003 to 2009
$2.3M
RESEARCH ON SCOPE &CAUSES OF STILLBIRTH IN THE USU10HD045953 · NICHD · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI COUSTAN, DONALD R · 2003 to 2009
$2.3M
Scope and Causes of StillbirthU10HD045952 · NICHD · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI SAADE, GEORGE R. · 2003 to 2009
$1.9M
NCATS NIH HHS UL1 TR002538NCATS NIH HHS UM1 TR004409NCI NIH HHS P30 CA042014NICHD NIH HHS HHSN275201400001CNICHD NIH HHS K12 HD085816NICHD NIH HHS L30 HD103165NICHD NIH HHS R01 HD112836NICHD NIH HHS U01 HD045954NICHD NIH HHS U10 HD045925NICHD NIH HHS U10 HD045944NICHD NIH HHS U10 HD045952NICHD NIH HHS U10 HD045953NICHD NIH HHS U10 HD045955
6 · The paper itself

Abstract

introductionA high frequency of single nucleotide somatic mutations in the placenta has been recently described, but its relationship to placental dysfunction is unknown.

methodsWe performed a pilot case-control study using paired fetal, maternal, and placental samples collected from healthy live birth controls (n = 10), live births with fetal growth restriction (FGR) due to placental insufficiency (n = 7), and stillbirths with FGR and placental insufficiency (n = 11). We quantified single nucleotide and structural somatic variants using bulk whole genome sequencing (30-60X coverage) in four biopsies from each placenta. We also assessed their association with clinical and histological evidence of placental dysfunction.

resultsSeventeen pregnancies had sufficiently high-quality placental, fetal, and maternal DNA for analysis. Each placenta had a median of 473 variants (range 111-870), with 95 % arising in just one biopsy within each placenta. In controls, live births with FGR, and stillbirths, the median variant counts per placenta were 514 (IQR 381-779), 582 (450-735), and 338 (245-441), respectively. After adjusting for depth of sequencing coverage and gestational age at birth, the somatic mutation burden was similar between groups (FGR live births vs. controls, adjusted diff. 59, 95 % CI -218 to +336; stillbirths vs controls, adjusted diff. -34, -351 to +419), and with no association with placental dysfunction (p = 0.7). DISCUSSION: We confirmed the high prevalence of somatic mutation in the human placenta and conclude that the placenta is highly clonal. We were not able to identify any relationship between somatic mutation burden and clinical or histologic placental insufficiency.

Indexed as

Fetal Growth RetardationLive BirthMutationPlacentaPlacental InsufficiencyStillbirthAdultCase-Control StudiesFemaleFetusHumansPilot ProjectsPregnancyConfined placental mosaicismFetal growth restrictionPlacental insufficiencyPregnancySomatic mutationStillbirthWhole genome sequencing

Identifiers

PMID38972082
PMCPMC11368634

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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.