Evidence map›Paper›PMID 33001999›Full record

ArticlePLoS genetics2020

Phenotype-genotype comorbidity analysis of patients with rare disorders provides insight into their pathological and molecular bases.

Elena Díaz-Santiago, Fernando M Jabato, Elena Rojano, Pedro Seoane, Florencio Pazos, James R Perkins, Juan A G Ranea

Open access · goldAbstract read
In one paragraph

Article in PLoS genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.1field-weighted citation impact, top 6% of its field
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

15 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Shared and distinct phenotypic profiles among neurodevelopmental disorder genes.medRxiv : the preprint server for health sciences · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. A Visual Phenotype-Based Differential Diagnosis Process for Rare Diseases.Interdisciplinary sciences, computational life sciences · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
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

7 authors at 3 institutions in 1 country.

Elena Díaz-SantiagoDepartment of Molecular Biology and Biochemistry, University of Malaga, Malaga, Spain.ORCID 0000-0002-6178-8626
Fernando M JabatoDepartment of Molecular Biology and Biochemistry, University of Malaga, Malaga, Spain.ORCID 0000-0001-7498-1962
Elena RojanoDepartment of Molecular Biology and Biochemistry, University of Malaga, Malaga, Spain.ORCID 0000-0002-2678-710X
Pedro SeoaneDepartment of Molecular Biology and Biochemistry, University of Malaga, Malaga, Spain.ORCID 0000-0002-3020-1415
Florencio PazosNational Centre for Biotechnology (CNB-CSIC), Madrid, Spain.
James R PerkinsDepartment of Molecular Biology and Biochemistry, University of Malaga, Malaga, Spain.ORCID 0000-0003-4108-096X
Juan A G RaneaDepartment of Molecular Biology and Biochemistry, University of Malaga, Malaga, Spain.
Instituto de Salud Carlos III · ESUniversidad de Málaga · ESCentro Nacional de Biotecnología · ES

Funding

Wellcome Trust
6 · The paper itself

Abstract

Genetic and molecular analysis of rare disease is made difficult by the small numbers of affected patients. Phenotypic comorbidity analysis can help rectify this by combining information from individuals with similar phenotypes and looking for overlap in terms of shared genes and underlying functional systems. However, few studies have combined comorbidity analysis with genomic data. We present a computational approach that connects patient phenotypes based on phenotypic co-occurence and uses genomic information related to the patient mutations to assign genes to the phenotypes, which are used to detect enriched functional systems. These phenotypes are clustered using network analysis to obtain functionally coherent phenotype clusters. We applied the approach to the DECIPHER database, containing phenotypic and genomic information for thousands of patients with heterogeneous rare disorders and copy number variants. Validity was demonstrated through overlap with known diseases, co-mention within the biomedical literature, semantic similarity measures, and patient cluster membership. These connected pairs formed multiple phenotype clusters, showing functional coherence, and mapped to genes and systems involved in similar pathological processes. Examples include claudin genes from the 22q11 genomic region associated with a cluster of phenotypes related to DiGeorge syndrome and genes related to the GO term anterior/posterior pattern specification associated with abnormal development. The clusters generated can help with the diagnosis of rare diseases, by suggesting additional phenotypes for a given patient and potential underlying functional systems. Other tools to find causal genes based on phenotype were also investigated. The approach has been implemented as a workflow, named PhenCo, which can be adapted to any set of patients for which phenomic and genomic data is available. Full details of the analysis, including the clusters formed, their constituent functional systems and underlying genes are given. Code to implement the workflow is available from GitHub.

Indexed as

ComorbidityGenetic Predisposition to DiseaseGenomicsDatabases, GeneticDNA Copy Number VariationsGenetic Association StudiesGenome, HumanGenotypeHumansMutationPhenotypeRare Diseases

Identifiers

PMID33001999
PMCPMC7553355
OpenAlexW3089704999

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.