Evidence map›Paper›PMID 42363298›Full record

ArticleGenome medicine2026

Cell type-specific contextualisation of the human phenome: towards the systematic treatment of all rare diseases.

Brian M Schilder, Kitty B Murphy, Hiranyamaya Dash, Yichun Zhang, Robert Gordon-Smith, Jai Chapman, Momoko Otani, Nathan G Skene

Abstract read
In one paragraph

Article in Genome medicine, 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. Article
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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

8 authors.

Brian M SchilderDepartment of Brain Sciences, Imperial College London, Burlington Danes Building, Hammersmith Hospital Campus, Du Cane Road, W12 0NN, London, UK. brian_schilder@alumni.brown.edu.
Kitty B MurphyDepartment of Brain Sciences, Imperial College London, Burlington Danes Building, Hammersmith Hospital Campus, Du Cane Road, W12 0NN, London, UK.
Hiranyamaya DashDepartment of Brain Sciences, Imperial College London, Burlington Danes Building, Hammersmith Hospital Campus, Du Cane Road, W12 0NN, London, UK.
Yichun ZhangDepartment of Brain Sciences, Imperial College London, Burlington Danes Building, Hammersmith Hospital Campus, Du Cane Road, W12 0NN, London, UK.
Robert Gordon-SmithDepartment of Brain Sciences, Imperial College London, Burlington Danes Building, Hammersmith Hospital Campus, Du Cane Road, W12 0NN, London, UK.
Jai ChapmanDepartment of Brain Sciences, Imperial College London, Burlington Danes Building, Hammersmith Hospital Campus, Du Cane Road, W12 0NN, London, UK.
Momoko OtaniNational Heart and Lung Institute, Imperial College London, London, UK.
Nathan G SkeneDepartment of Brain Sciences, Imperial College London, Burlington Danes Building, Hammersmith Hospital Campus, Du Cane Road, W12 0NN, London, UK. n.skene@imperial.ac.uk.

Funding

UK Dementia Research Institute (UK DRI) Future Leaders Fellowship MR/T04327X/1
6 · The paper itself

Abstract

backgroundRare diseases (RDs) are a highly heterogeneous and underserved group of conditions. Most RDs have a strong genetic basis but their causal pathophysiological mechanisms remain poorly understood, limiting the development of targeted therapies.

methodsWe systematically characterised the cell type-specific mechanisms underlying all genetically defined RD phenotypes by integrating the Human Phenotype Ontology (HPO) with whole-body single-cell transcriptomic atlases from embryonic, foetal, and adult samples. Associations were validated against orthogonal biomedical knowledge graphs and then prioritised by strength of supporting evidence, clinical severity, and gene-therapy compatibility.

resultsWe identified significant associations between 201 cell types and 9,575/11,028 (86.7%) phenotypes across 8,628 RDs, substantially expanding knowledge of phenotype-cell type links. Prioritisation by severity (e.g. lethality, motor or mental impairment) and gene-therapy compatibility (e.g. cell type specificity, postnatal treatability) identified candidate phenotypes and cell types for therapeutic targeting.

conclusionsWe present a scalable, reproducible framework for phenome-wide, cell type-specific mechanism prediction in rare diseases, providing a major step toward systematic therapeutic development for patients across a broad spectrum of serious RDs. SOFTWARE AND DATA AVAILABILITY: Interactive web portal: https://neurogenomics-ukdri.dsi.ic.ac.uk/ . R packages introduced in this study: KGExplorer ( https://github.com/neurogenomics/KGExplorer ), HPOExplorer ( https://github.com/neurogenomics/HPOExplorer ), and MSTExplorer ( https://github.com/neurogenomics/MSTExplorer ). Manuscript analyses and reproducibility code: https://github.com/neurogenomics/rare_disease_celltyping .

Indexed as

PhenomicsPhenotypeRare DiseasesHumansTranscriptomeCell type specificityGene therapyHuman phenotype ontologyPhenotype-cell type associationsRare diseaseSingle-cell transcriptomicsTherapeutic target identification

Identifiers

PMID42363298
PMCPMC13411100

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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.