Evidence map›Paper›PMID 42237322›Full record

ArticleGenome biology2026

Evidence for G6PD variant classification from multiplexed functional assays.

Renee C Geck, Melinda K Wheelock, Rachel L Powell, Ziyu R Wang, Daniel L Holmes, Shawn Fayer, Gabriel E Boyle, Allyssa J Vandi, Abby V McGee, Clara J Amorosi and 4 more

Abstract read
In one paragraph

Article in Genome biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Supervised learning of protein variant effects across large-scale mutagenesis datasets.Protein science : a publication of the Protein Society · 2026
    Article
  2. A scalable approach to resolving variants of uncertain significance.bioRxiv : the preprint server for biology · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Renee C GeckDepartment of Genome Sciences, University of Washington, Seattle, WA, 98195, USA.
Melinda K WheelockDepartment of Genome Sciences, University of Washington, Seattle, WA, 98195, USA.
Rachel L PowellDepartment of Genome Sciences, University of Washington, Seattle, WA, 98195, USA.
Ziyu R WangDepartment of Genome Sciences, University of Washington, Seattle, WA, 98195, USA.
Daniel L HolmesDepartment of Genome Sciences, University of Washington, Seattle, WA, 98195, USA.
Shawn FayerDepartment of Genome Sciences, University of Washington, Seattle, WA, 98195, USA.
Gabriel E BoyleDepartment of Genome Sciences, University of Washington, Seattle, WA, 98195, USA.
Allyssa J VandiDepartment of Genome Sciences, University of Washington, Seattle, WA, 98195, USA.
Abby V McGeeDepartment of Genome Sciences, University of Washington, Seattle, WA, 98195, USA.
Clara J AmorosiDepartment of Genome Sciences, University of Washington, Seattle, WA, 98195, USA.
Nick MooreBioinformatics Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, 3050, Australia.
Alan F RubinBioinformatics Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, 3050, Australia.
Douglas M FowlerDepartment of Genome Sciences and Department of Bioengineering, University of Washington, Seattle, WA, 98195, USA. dfowler@uw.edu.
Maitreya J DunhamDepartment of Genome Sciences, University of Washington, Seattle, WA, 98195, USA. maitreya@uw.edu.

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric Collisson · 1985 to 2026
$296.4M
INTERDISCIPLINARY TRAINING IN GENOMIC SCIENCEST32HG000035 · NHGRI · UNIVERSITY OF WASHINGTON · PI Bruce Colston Trapnell · 1995 to 2026
$24.2M
The Center for Actionable Variant Analysis; measuring variant function at scaleUM1HG011969 · NHGRI · UNIVERSITY OF WASHINGTON · PI Douglas M Fowler, Lea Starita · 2021 to 2026
$9.9M
Comprehensive, context-aware, functional analysis of Cytochrome P450 variantsR01GM132162 · NIGMS · UNIVERSITY OF WASHINGTON · PI DUNHAM, MAITREYA J, FOWLER, DOUGLAS M · 2019 to 2022
$2.1M
Functional interpretation of human G6PD variants using multiplexed analyses in S. cerevisiaeF32GM143852 · NIGMS · UNIVERSITY OF WASHINGTON · PI GECK, RENEE CATHERINE · 2021 to 2022
$134k
NCI NIH HHS P30 CA015704NHGRI NIH HHS T32 HG000035NHGRI NIH HHS UM1 HG011969NIGMS NIH HHS F32 GM143852NIGMS NIH HHS R01 GM132162
6 · The paper itself

Abstract

backgroundG6PD deficiency is one of the most common enzyme deficiencies worldwide, and increases the likelihood of adverse reactions to certain drugs and foods. As availability of routine sequencing and biobanking increases, more variants in G6PD have been identified but not connected to phenotypes, since most G6PD-deficient individuals are asymptomatic until they encounter a trigger. This is further complicated since over 60% of 1,559 known genetic variants in G6PD are variants of uncertain significance and thus cannot guide drug prescribing and dosing.

resultsTo resolve which variants are clinically meaningful and avoid harm from adverse drug reactions, we conducted two high-throughput functional assays: one for G6PD activity, and one for abundance. We measured the function of 9,504 missense, nonsense, and synonymous G6PD variants. The patterns of variant effect on activity and abundance confirmed the importance of structural NADP

conclusionsOur data can be used to deepen our understanding of G6PD as a protein, and to close the gap in classification for variants of uncertain significance to improve implementation of genetic medicine for G6PD deficiency.

Indexed as

Genetic VariationGlucosephosphate DehydrogenaseGlucosephosphate Dehydrogenase DeficiencyHumansMutation, MissenseG6PD protein, humanGlucosephosphate Dehydrogenase

Identifiers

PMID42237322
PMCPMC13455394

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.