Evidence map›Paper›PMID 39756651›Full record

ArticleThe Journal of molecular diagnostics : JMD2025

Concordance of Whole-Genome Long-Read Sequencing with Standard Clinical Testing for Prader-Willi and Angelman Syndromes.

Cate R Paschal, Miranda P G Zalusky, Anita E Beck, Madelyn A Gillentine, Jaya Narayanan, Nikhita Damaraju, Joy Goffena, Sophie H R Storz, Danny E Miller

Abstract read
In one paragraph

Article in The Journal of molecular diagnostics : JMD, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Population-scale detection of methylation outliers from long-read genome sequencing.medRxiv : the preprint server for health sciences · 2026
    Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Pangenome discovery of missing autism variants.medRxiv : the preprint server for health sciences · 2025
    Article
  7. Review
  8. 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

9 authors.

Cate R PaschalDepartment of Laboratories, Seattle Children's Hospital, Seattle, Washington; Department of Laboratory Medicine and Pathology, University of Washington and Seattle Children's Hospital, Seattle, Washington.
Miranda P G ZaluskyDivision of Genetic Medicine, Department of Pediatrics, University of Washington and Seattle Children's Hospital, Seattle, Washington.
Anita E BeckDivision of Genetic Medicine, Department of Pediatrics, University of Washington and Seattle Children's Hospital, Seattle, Washington.
Madelyn A GillentineDepartment of Laboratories, Seattle Children's Hospital, Seattle, Washington.
Jaya NarayananDepartment of Laboratories, Seattle Children's Hospital, Seattle, Washington.
Nikhita DamarajuDivision of Genetic Medicine, Department of Pediatrics, University of Washington and Seattle Children's Hospital, Seattle, Washington; Institute for Public Health Genetics, University of Washington, Seattle, Washington.
Joy GoffenaDivision of Genetic Medicine, Department of Pediatrics, University of Washington and Seattle Children's Hospital, Seattle, Washington.
Sophie H R StorzDivision of Genetic Medicine, Department of Pediatrics, University of Washington and Seattle Children's Hospital, Seattle, Washington.
Danny E MillerDepartment of Laboratory Medicine and Pathology, University of Washington and Seattle Children's Hospital, Seattle, Washington; Division of Genetic Medicine, Department of Pediatrics, University of Washington and Seattle Children's Hospital, Seattle, Washington; Department of Genome Sciences, University of Washington, Seattle, Washington; Brotman Baty Institute for Precision Medicine, University of Washington, Seattle, Washington. Electronic address: dm1@uw.edu.

Funding

Long-read DNA and RNA sequencing to identify disease-causing genetic variation and streamline testingDP5OD033357 · OD · UNIVERSITY OF WASHINGTON · PI MILLER, DANNY ERWIN · 2022 to 2025
$1.9M
NIH HHS DP5 OD033357
6 · The paper itself

Abstract

Current clinical testing approaches for individuals with suspected imprinting disorders are complex, often requiring multiple tests performed in a stepwise manner to make a precise molecular diagnosis. We investigated whether whole-genome long-read sequencing could be used as a single data source to simultaneously evaluate copy number variants, single-nucleotide variants, structural variants, and differences in methylation in a cohort of individuals known to have either Prader-Willi or Angelman syndrome. Twenty-five individuals sequenced to an average depth of coverage of 36× on an Oxford Nanopore Technologies PromethION were evaluated. A custom one-page report was generated that could be used to assess copy number, single-nucleotide variants, and methylation patterns at select CpG sites within the 15q11.2-q13.1 region and prioritize candidate pathogenic variants in UBE3A. After training with three positive controls, three analysts blinded to the known clinical diagnosis arrived at the correct molecular diagnosis for 22 of 22 cases (20 true positive, 2 negative controls). Our findings demonstrate the utility of long-read sequencing as a single, comprehensive data source for complex clinical testing, offering potential benefits, such as reduced testing costs, increased diagnostic yield, and shorter turnaround times, in the clinical laboratory.

Indexed as

Angelman SyndromePrader-Willi SyndromeWhole Genome SequencingChildChild, PreschoolChromosomes, Human, Pair 15CpG IslandsDNA Copy Number VariationsDNA MethylationFemaleGenetic TestingHigh-Throughput Nucleotide SequencingHumansMalePolymorphism, Single NucleotideUbiquitin-Protein LigasesUBE3A protein, humanUbiquitin-Protein Ligases

Identifiers

PMID39756651
PMCPMC11881775

What OpenQuestion holds

Textmetadata
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.