Evidence map›Paper›PMID 36928819›Full record

ArticleNature medicine2023

Genetic association analysis of 77,539 genomes reveals rare disease etiologies.

Daniel Greene, Genomics England Research Consortium, Daniela Pirri, Karen Frudd, Ege Sackey, Mohammed Al-Owain, Arnaud P J Giese, Khushnooda Ramzan, Sehar Riaz, Itaru Yamanaka and 24 more

Open access · hybridFull text read
In one paragraph

Article in Nature medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
23.2field-weighted citation impact, top 1% 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

59 citing papers in PubMed, 74 citations in OpenAlex.

  1. Article
  2. Inner ear deficits complicate interpretation of depression-like behaviors inProceedings of the National Academy of Sciences of the United States of America · 2026
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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

34 authors at 17 institutions in 6 countries.

Daniel GreeneDepartment of Medicine, University of Cambridge, Cambridge, UK.
Genomics England Research Consortium
Daniela PirriNational Heart and Lung Institute, Imperial College London, London, UK.
Karen FruddNational Heart and Lung Institute, Imperial College London, London, UK.
Ege SackeyMolecular and Clinical Sciences Institute, St. George's University of London, London, UK.
Mohammed Al-OwainDepartment of Medical Genomics, Centre for Genomic Medicine, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
Arnaud P J GieseDepartment of Otorhinolaryngology Head and Neck Surgery, School of Medicine, University of Maryland, Baltimore, MD, USA.ORCID http://orcid.org/0000-0001-7228-9542
Khushnooda RamzanDepartment of Clinical Genomics, Centre for Genomic Medicine, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
Sehar RiazDepartment of Otorhinolaryngology Head and Neck Surgery, School of Medicine, University of Maryland, Baltimore, MD, USA.
Itaru YamanakaDepartment of Bioscience and Genetics, National Cerebral and Cardiovascular Center, Osaka, Japan.ORCID http://orcid.org/0000-0003-0293-8070
Nele BoeckxCenter for Medical Genetics, Antwerp University Hospital/University of Antwerp, Antwerp, Belgium.
Chantal ThysDepartment of Cardiovascular Sciences, Center for Molecular and Vascular Biology, KU Leuven, Leuven, Belgium.
Bruce D GelbMindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0001-8527-5027
Paul BrennanNorthern Genetics Service, Newcastle upon Tyne Hospitals National Health Service Trust International Centre for Life, Newcastle upon Tyne, UK.
Verity HartillDepartment of Clinical Genetics, Chapel Allerton Hospital, Leeds Teaching Hospitals National Health Service Trust, Leeds, UK.
Julie HarvengtCentre for Medical Genetics, Centre Hospitalier Universitaire de Liège, Liège, Belgium.
Tomoki KoshoDepartment of Medical Genetics, Shinshu University School of Medicine, Nagano, Japan.ORCID http://orcid.org/0000-0002-8344-7507
Sahar MansourMolecular and Clinical Sciences Institute, St. George's University of London, London, UK.
Mitsuo MasunoDepartment of Medical Genetics, Kawasaki Medical School Hospital, Okayama, Japan.
Takako OhataOkinawa Chubu Hospital, Okinawa, Japan.
Helen StewartOxford University Hospitals National Health Service Foundation Trust, Oxford, UK.
Khalid TaibahEar Nose and Throat Medical Centre, Riyadh, Saudi Arabia.
Claire L S TurnerPeninsula Clinical Genetics Service, Royal Devon & Exeter Hospital, Exeter, UK.
Faiqa ImtiazDepartment of Clinical Genomics, Centre for Genomic Medicine, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
Saima RiazuddinDepartment of Otorhinolaryngology Head and Neck Surgery, School of Medicine, University of Maryland, Baltimore, MD, USA.ORCID http://orcid.org/0000-0002-8645-4761
Takayuki MorisakiDepartment of Bioscience and Genetics, National Cerebral and Cardiovascular Center, Osaka, Japan.
Pia OstergaardMolecular and Clinical Sciences Institute, St. George's University of London, London, UK.ORCID http://orcid.org/0000-0002-2190-1356
Bart L LoeysCenter for Medical Genetics, Antwerp University Hospital/University of Antwerp, Antwerp, Belgium.ORCID http://orcid.org/0000-0003-3703-9518
Hiroko MorisakiDepartment of Bioscience and Genetics, National Cerebral and Cardiovascular Center, Osaka, Japan.
Zubair M AhmedDepartment of Otorhinolaryngology Head and Neck Surgery, School of Medicine, University of Maryland, Baltimore, MD, USA.ORCID http://orcid.org/0000-0003-2914-4502
Graeme M BirdseyNational Heart and Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-0981-8672
Kathleen FresonDepartment of Cardiovascular Sciences, Center for Molecular and Vascular Biology, KU Leuven, Leuven, Belgium.
Andrew MumfordSchool of Cellular and Molecular Medicine, University of Bristol, Bristol, UK.
Ernest TurroMindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA. ernest.turro@mssm.edu.ORCID http://orcid.org/0000-0002-1820-6563
National Health Service · GBUniversity of Maryland, Baltimore · USKing Faisal Specialist Hospital & Research Centre · SANational Cerebral and Cardiovascular Center · JPSt George's, University of London · GBImperial College London · GBKU Leuven · BEUniversity of Cambridge · GBCentre Hospitalier Universitaire de Liège · BEChild Health and Development Institute · USKawasaki Medical School Hospital · JPOkinawa Prefectural Chubu Hospital · JPRadboud University Nijmegen · NLRoyal Devon and Exeter Hospital · GBShinshu University · JPUniversity College London · GBUniversity of Antwerp · BE

Funding

Conduits: Mount Sinai Health System Translational Science HubUL1TR004419 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Rosalind J Wright · 2022 to 2026
$46.4M
Genetics and Functional Studies of Autosomal Recessive Neurological DisordersR01NS107428 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI Saima Riazuddin · 2018 to 2026
$4.7M
Molecular Determinants of Usher Syndrome Disorder in HumansR01DC016295 · NIDCD · UNIVERSITY OF MARYLAND BALTIMORE · PI AHMED, ZUBAIR M. · 2018 to 2022
$2.7M
Integrative analysis of whole genomes and transcriptomes from multiple cell types in rare disease patientsR01HL161365 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Ernest Turro · 2023 to 2026
$2.6M
Bayesian genetic association analysis of all rare diseases in the Kids First cohortR03HD111492 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI TURRO, ERNEST · 2023 to 2024
$338k
British Heart Foundation PG/17/33/32990British Heart Foundation PG/20/16/35047British Heart Foundation RE/18/1/34212British Heart Foundation RG/17/7/33217Medical Research Council MR/P011543/1Medical Research Council MR/V037617/1NCATS NIH HHS UL1 TR004419NHLBI NIH HHS R01 HL161365NICHD NIH HHS R03 HD111492NIDCD NIH HHS R01 DC016295NINDS NIH HHS R01 NS107428Wellcome TrustWellcome Trust 219506/Z/19/Z
6 · The paper itself

Abstract

The genetic etiologies of more than half of rare diseases remain unknown. Standardized genome sequencing and phenotyping of large patient cohorts provide an opportunity for discovering the unknown etiologies, but this depends on efficient and powerful analytical methods. We built a compact database, the 'Rareservoir', containing the rare variant genotypes and phenotypes of 77,539 participants sequenced by the 100,000 Genomes Project. We then used the Bayesian genetic association method BeviMed to infer associations between genes and each of 269 rare disease classes assigned by clinicians to the participants. We identified 241 known and 19 previously unidentified associations. We validated associations with ERG, PMEPA1 and GPR156 by searching for pedigrees in other cohorts and using bioinformatic and experimental approaches. We provide evidence that (1) loss-of-function variants in the Erythroblast Transformation Specific (ETS)-family transcription factor encoding gene ERG lead to primary lymphoedema, (2) truncating variants in the last exon of transforming growth factor-β regulator PMEPA1 result in Loeys-Dietz syndrome and (3) loss-of-function variants in GPR156 give rise to recessive congenital hearing impairment. The Rareservoir provides a lightweight, flexible and portable system for synthesizing the genetic and phenotypic data required to study rare disease cohorts with tens of thousands of participants.

Indexed as

Genome-Wide Association StudyRare DiseasesBayes TheoremGenotypeHumansMembrane ProteinsPhenotypeMembrane ProteinsPMEPA1 protein, human

Identifiers

PMID36928819
PMCPMC10033407
OpenAlexW4327549422

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read60
table measurements read3
identifiers read1
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.