Evidence map›Paper›PMID 41378238›Full record

ArticleMolecular syndromology2025

EpiSignature Utility for Variant of Uncertain Significance Reclassification in an Apparently Atypical Presentation of

Andrella Zuelke, Rachel Li, Connie Taylor, Cartney Gilkerson, Dylan Platt

Abstract read
In one paragraph

Article in Molecular syndromology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Andrella ZuelkeGenetic Counseling, Augustana University, Sioux Falls, SD, USA.
Rachel LiSanford Health, Sioux Falls, SD, USA.
Connie TaylorAvera Health, Sioux Falls, SD, USA.
Cartney GilkersonSanford Health, Sioux Falls, SD, USA.
Dylan PlattGenetic Counseling, Augustana University, Sioux Falls, SD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Current guidelines recommend broad sequencing as a first-tier test for epilepsy, identifying a genetic etiology in 40% of cases. Sequencing subsequently increases the number of patients identified with variants of uncertain significance (VUSs). Clinicians desire additional investigatory methods to better classify these VUSs. Case Presentation: The Conclusion: The number of epilepsy patients with nondiagnostic genetic results requires additional modes of investigation. Reclassification often takes years due to the novelty of variants identified. This case highlights the importance of laboratory scrutiny when multiple variants are detected, the need for greater data sharing between laboratories to reduce inconsistent classifications, and the utility of ancillary testing, such as methylation studies, to aid in VUS reclassification.

Indexed as

Developmental and epileptic encephalopathy 54 syndromeEpiSignature methylation analysisEpiSignature utilityHNRNPU-related neurodevelopmental disorderVariant of uncertain significance reclassification

Identifiers

PMID41378238
PMCPMC12688365

What OpenQuestion holds

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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.