Evidence map›Paper›PMID 39501598›Full record

ArticleClinical genetics2025

The Excess of Carriers in Rare Disorders Suggests a Nonpathogenic Effect for Most Variants of Uncertain Significance.

Stefano Medaglia, Jaume Reig-Palou, Ariadna Bellés, Nerea Moreno-Ruiz, Jairo Rodríguez, Xavier Armengol, Juan Ignacio Aróstegui, Lluís Armengol, Juan José Guillén, Hafid Laayouni and 1 more

Abstract read
In one paragraph

Article in Clinical genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Stefano MedagliaDepartament de Genètica, Microbiologia i Estadística, Facultat de Biologia, Universitat de Barcelona, Barcelona, Spain.
Jaume Reig-PalouDepartament de Genètica, Microbiologia i Estadística, Facultat de Biologia, Universitat de Barcelona, Barcelona, Spain.
Ariadna BellésClínica EUGIN, Barcelona, Spain.
Nerea Moreno-RuizInstitut de Biologia Evolutiva (UPF-CSIC), department of Medicine and Life Sciences, Universitat Pompeu Fabra, Parc de Recerca Biomèdica de Barcelona, Barcelona, Spain.ORCID 0000-0002-9636-0179
Jairo RodríguezQuantitative Genomic Medicine Laboratories (qGenomics), Esplugues del Llobregat, Barcelona, Spain.
Xavier ArmengolQuantitative Genomic Medicine Laboratories (qGenomics), Esplugues del Llobregat, Barcelona, Spain.
Juan Ignacio ArósteguiDepartament d'Immunologia, Hospital Clínic-Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.
Lluís ArmengolQuantitative Genomic Medicine Laboratories (qGenomics), Esplugues del Llobregat, Barcelona, Spain.
Juan José GuillénClínica EUGIN, Barcelona, Spain.
Hafid LaayouniInstitut de Biologia Evolutiva (UPF-CSIC), department of Medicine and Life Sciences, Universitat Pompeu Fabra, Parc de Recerca Biomèdica de Barcelona, Barcelona, Spain.
Ferran CasalsDepartament de Genètica, Microbiologia i Estadística, Facultat de Biologia, Universitat de Barcelona, Barcelona, Spain.

Funding

Agència de Gestió d'Ajuts Universitaris i de Recerca 2021 FI_B_00296Agència de Gestió d'Ajuts Universitaris i de Recerca 2021SGR01093European Regional Development FundMinisterio de Ciencia e Innovación AEI /10.13039/501100011033/ and FEDER Una manera de hacer Europa PID2021-125106OB-C31Ministerio de Ciencia e Innovación AEI /10.13039/501100011033/ and FEDER Una manera de hacer Europa PID2021-125106OB-C32Ministerio de Ciencia e Innovación AEI /10.13039/501100011033/ and FEDER Una manera de hacer Europa RTI2018-096824-B-C21Ministerio de Ciencia e Innovación AEI /10.13039/501100011033/ and FEDER Una manera de hacer Europa RTI2018-096824-B-C22
6 · The paper itself

Abstract

Functional annotation and interpretation of genetic variants are a critical step in genetic diagnosis, as it may lead to personalized therapeutic options and genetic counseling. While the number of confirmed pathogenic genetic variants in an individual is relatively low, the number of variants of uncertain significance (VOUS) can be considerably higher, increasing the number of potential carriers of genetic disorders. Thus, reducing uncertainty and assessing the real effect of VOUS are crucial for clinical and medical genetics. In this study, we evaluated the efficacy of genetic screening technologies in accurately predicting pathogenic variants and their corresponding disease prevalence in a cohort of over 6000 healthy individuals involved in assisted reproduction programs. Using data from 305 genes associated with recessive disorders, we determined the frequency of carriers of pathogenic variants and VOUS in our dataset and compared the predicted prevalence based on this information with reported population prevalence data. The higher predicted prevalence in some disorders when considering VOUS suggests a mostly benign effect.

Indexed as

Genetic Predisposition to DiseaseGenetic VariationHeterozygoteRare DiseasesFemaleGenetic TestingHumansMaleMutationPrevalencecarrier screeningfunctional annotationrecessive disordersVOUS

Identifiers

PMID39501598
PMCPMC11790509

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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.