Evidence map›Paper›PMID 40835948›Full record

ArticleBMC medical genomics2025

Long read whole genome sequencing-based discovery of structural variants and their role in aetiology of non-syndromic autism spectrum disorder in India.

Jhanvi Shah, Debasrija Mondal, Deepika Jain, Priti Mhatre, Ketan Patel, Anand Iyer, Manoj Pandya, Bhargavi Menghani, Gayatri Dave, Jayesh Sheth and 3 more

Abstract read
In one paragraph

Article in BMC medical genomics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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.

Jhanvi ShahFoundation for Research in Genetics and Endocrinology, Institute of Human Genetics, FRIGE House, Jodhpur Village Road, Ahmedabad, 380015, India.
Debasrija MondalCentre for Brain Research, Indian Institute of Science Campus, CV Raman Avenue, Bangalore, 560012, India.
Deepika JainShishu Child Development And Early Intervention Centre, Ahmedabad, India.
Priti MhatreTender Kinds Centre for Child Development, Navi Mumbai, India.
Ketan PatelSpeciality Homeopathic Clinic, Ahmedabad, India.
Anand IyerApollo Hospitals International Ltd, Ahmedabad, India.
Manoj PandyaKadam Maternity Home, Ahmedabad, India.
Bhargavi MenghaniChildren's Institute for Development and Advancement Centre, Vadodara, India.
Gayatri DaveP D Patel Institute of Applied Sciences, Charotar University of Science and Technology, Changa, India.
Jayesh ShethFoundation for Research in Genetics and Endocrinology, Institute of Human Genetics, FRIGE House, Jodhpur Village Road, Ahmedabad, 380015, India.
Frenny ShethFoundation for Research in Genetics and Endocrinology, Institute of Human Genetics, FRIGE House, Jodhpur Village Road, Ahmedabad, 380015, India.
Shweta Ramdas *Centre for Brain Research, Indian Institute of Science Campus, CV Raman Avenue, Bangalore, 560012, India. shwetaramdas@iisc.ac.in.
Harsh Sheth *Foundation for Research in Genetics and Endocrinology, Institute of Human Genetics, FRIGE House, Jodhpur Village Road, Ahmedabad, 380015, India. harsh.sheth@frige.co.in.

Funding

Council of Scientific and Industrial Research, India 09/1331(0001)/2021-EMR-IGujarat State Biotechnology Mission GSBTM/JDR&D/618/21-22/00003681
6 · The paper itself

Abstract

backgroundDespite having heritability estimates of 80%, ~ 50% cases of autism spectrum disorders (ASD) remain without a genetic diagnosis. Structural variants (SVs) detected using long-read whole genome sequencing (lrWGS) are a relatively new class of variants implicated in neurodevelopmental disorders. Short read sequencing (SRS) and chromosomal microarray (CMA) are unable to resolve these SVs due to their inherent technological limitations. This study was aimed to detect and delineate the role of SVs in children with non-syndromic ASDs using lrWGS in whom prior traditional genetic tests did not yield a definitive genetic diagnosis.

methodsA total of 23 patients with no prior genetic diagnosis from karyotyping, Fragile-X analysis, CMA and short read whole exome sequencing (srWES) were selected for lrWGS using Oxford Nanopore based sequencing platform. Samples were sequenced at an average coverage of ~ 7x. Contigs generated from high accuracy base calling were aligned against GRCh38/hg38 human reference genome build. SVs were called using five variant callers- Sniffles2, cuteSV, NanoVar, SVIM, and npInv, and annotated using AnnotSV. Calls from cuteSV were used as benchmark to identify concordant calls across at least three variant callers.

resultsAn average whole genome coverage of ~ 7x and N50 read length of 6.65 ± 3.3 kb was obtained across 46 runs (two runs/ sample). On average, a total of approximately 235,163 calls were made across all callers for each sample. The average number of deletions, duplications, insertions, inversions and translocations were 54,787, 3,335, 62,459, 1,286, and 113,296, respectively, were detected across all callers per sample. Of 23 cases, a candidate SV, an inversion of approximately 2.7 Mb in size encompassing SNAP25-AS1 gene was observed. This gene is likely to be involved in the synaptic pathway and has previously been associated with autism.

conclusionThis is the first study from India to assess the role of SVs in the aetiology of non-syndromic ASDs. Despite the small sample size, low-pass genome coverage, and modest N50 read length, the study indicates a modest contribution of SVs in the aetiology of non-syndromic ASD. Dearth of data supporting the role of SVs in non-syndromic ASDs in other cohorts from around the world further supports our conclusion.

Indexed as

Autism Spectrum DisorderGenomic Structural VariationWhole Genome SequencingChildChild, PreschoolFemaleHumansIndiaMaleAutism spectrum disorderCopy number variantsInversionLong read whole genome sequencingOxford nanopore technologyStructural variants

Identifiers

PMID40835948
PMCPMC12366170

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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.