Evidence map›Paper›PMID 40964703›Full record

ArticleCirculation. Genomic and precision medicine2025

Hereditary Hemorrhagic Telangiectasia Prevalence Estimates Calculated From GnomAD Allele Frequencies of Predicted Pathogenic Variants in

Anthony R Anzell, Carter M White, Brenda Diergaarde, Jenna C Carlson, Beth L Roman

Abstract read
In one paragraph

Article in Circulation. Genomic and precision medicine, 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.

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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

5 authors.

Anthony R AnzellDepartment of Human Genetics, University of Pittsburgh School of Public Health, PA (A.R.A., C.M.W., B.D., J.C.C., B.L.R.).ORCID 0000-0002-2870-1074
Carter M WhiteDepartment of Human Genetics, University of Pittsburgh School of Public Health, PA (A.R.A., C.M.W., B.D., J.C.C., B.L.R.).ORCID 0009-0009-2377-8556
Brenda DiergaardeDepartment of Human Genetics, University of Pittsburgh School of Public Health, PA (A.R.A., C.M.W., B.D., J.C.C., B.L.R.).ORCID 0000-0002-3578-6547
Jenna C CarlsonDepartment of Human Genetics, University of Pittsburgh School of Public Health, PA (A.R.A., C.M.W., B.D., J.C.C., B.L.R.).ORCID 0000-0001-5483-0833
Beth L RomanDepartment of Human Genetics, University of Pittsburgh School of Public Health, PA (A.R.A., C.M.W., B.D., J.C.C., B.L.R.).ORCID 0000-0002-1250-1705

Funding

High-Throughput Computing for Genomics and Bioinformatics ResearchS10OD028483 · OD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LEE, ADRIAN V · 2021 to 2021
$574k
NIH HHS S10 OD028483
6 · The paper itself

Abstract

backgroundHereditary hemorrhagic telangiectasia (HHT) is a near-fully penetrant autosomal dominant disorder characterized by nosebleeds, anemia, and arteriovenous malformations. The great majority of HHT cases are caused by heterozygous loss-of-function mutations in

methodsTo estimate the true prevalence of HHT, we summed allele frequencies of predicted pathogenic variants in

resultsWe calculated an HHT prevalence of between 2.1 in 5000 and 11.9 in 5000, or 2 to 12× higher than current estimates. Application of our machine learning-based classification method revealed missense variants as the greatest contributor to pathogenic allele frequency and similar HHT prevalence across genetic ancestries.

conclusionsOur results support the notion that HHT is underdiagnosed and that HHT prevalence may be above the threshold of a rare disease.

Indexed as

Activin Receptors, Type IIEndoglinGene FrequencyTelangiectasia, Hereditary HemorrhagicHumansPrevalenceActivin Receptors, Type IIACVRL1 protein, humanEndoglinENG protein, humanarteriovenous malformationgene frequencymutationprevalencetelangiectasia, hereditary hemorrhagic

Identifiers

PMID40964703
PMCPMC12741947

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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.