Evidence map›Paper›PMID 38693247›Full record

ArticleNature medicine2024

Exome sequencing reveals genetic heterogeneity and clinically actionable findings in children with cerebral palsy.

Yangong Wang, Yiran Xu, Chongchen Zhou, Ye Cheng, Niu Qiao, Qing Shang, Lei Xia, Juan Song, Chao Gao, Yimeng Qiao and 24 more

Abstract read
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In one paragraph

Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
12.7field-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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Standardizing early cerebral palsy detection in high-risk infants: reducing age at diagnosis through a quality improvement initiative.Journal of perinatology : official journal of the California Perinatal Association · 2026
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  6. Article
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  9. Review
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  11. Shared and distinct phenotypic profiles among neurodevelopmental disorder genes.medRxiv : the preprint server for health sciences · 2026
    Article
  12. Article
  13. A Phenotypic Paradigm for Cerebral Palsy Genetics.medRxiv : the preprint server for health sciences · 2026
    Article
  14. Review
  15. Article
  16. Review
  17. 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

34 authors at 9 institutions in 4 countries.

Yangong Wang *Children's Hospital of Fudan University and Institutes of Biomedical Sciences of Fudan University, Shanghai, China.
Yiran Xu *Department of Pediatrics, Henan Key Laboratory of Child Brain Injury and Henan Pediatric Clinical Research Center, The Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, China.
Chongchen Zhou *Rehabilitation Department, Henan Key Laboratory of Child Genetics and Metabolism, Children's Hospital of Zhengzhou University, Zhengzhou, China.
Ye Cheng *Children's Hospital of Fudan University and Institutes of Biomedical Sciences of Fudan University, Shanghai, China.ORCID 0000-0002-7380-8233
Niu QiaoState Key Laboratory of Medical Genomics, Shanghai Institute of Hematology, National Research Center for Translational Medicine (Shanghai), and School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, China.
Qing ShangRehabilitation Department, Henan Key Laboratory of Child Genetics and Metabolism, Children's Hospital of Zhengzhou University, Zhengzhou, China.
Lei XiaDepartment of Pediatrics, Henan Key Laboratory of Child Brain Injury and Henan Pediatric Clinical Research Center, The Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, China.
Juan SongDepartment of Pediatrics, Henan Key Laboratory of Child Brain Injury and Henan Pediatric Clinical Research Center, The Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, China.
Chao GaoRehabilitation Department, Henan Key Laboratory of Child Genetics and Metabolism, Children's Hospital of Zhengzhou University, Zhengzhou, China.
Yimeng QiaoChildren's Hospital of Fudan University and Institutes of Biomedical Sciences of Fudan University, Shanghai, China.
Xiaoli ZhangDepartment of Pediatrics, Henan Key Laboratory of Child Brain Injury and Henan Pediatric Clinical Research Center, The Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, China.
Ming LiDepartment of Pediatrics, Henan Key Laboratory of Child Brain Injury and Henan Pediatric Clinical Research Center, The Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, China.
Caiyun MaRehabilitation Department, Henan Key Laboratory of Child Genetics and Metabolism, Children's Hospital of Zhengzhou University, Zhengzhou, China.
Yangyi FanChildren's Hospital of Fudan University and Institutes of Biomedical Sciences of Fudan University, Shanghai, China.
Xirui PengDepartment of Pediatrics, Henan Key Laboratory of Child Brain Injury and Henan Pediatric Clinical Research Center, The Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, China.
Silin WuDepartment of Neurosurgery, The Affiliated Zhongshan Hospital of Fudan University, Shanghai, China.ORCID 0000-0002-4599-1851
Nan LvRehabilitation Department, Henan Key Laboratory of Child Genetics and Metabolism, Children's Hospital of Zhengzhou University, Zhengzhou, China.
Bingbing LiDepartment of Pediatrics, Henan Key Laboratory of Child Brain Injury and Henan Pediatric Clinical Research Center, The Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, China.
Yanyan SunDepartment of Pediatrics, Henan Key Laboratory of Child Brain Injury and Henan Pediatric Clinical Research Center, The Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, China.
Bohao ZhangDepartment of Pediatrics, Henan Key Laboratory of Child Brain Injury and Henan Pediatric Clinical Research Center, The Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, China.
Tongchuan LiDepartment of Pediatrics, Henan Key Laboratory of Child Brain Injury and Henan Pediatric Clinical Research Center, The Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, China.
Hongwei LiDepartment of Pediatrics, Henan Key Laboratory of Child Brain Injury and Henan Pediatric Clinical Research Center, The Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, China.
Jin ZhangChildren's Hospital of Fudan University and Institutes of Biomedical Sciences of Fudan University, Shanghai, China.
Yu SuChildren's Hospital of Fudan University and Institutes of Biomedical Sciences of Fudan University, Shanghai, China.
Qiaoli LiChildren's Hospital of Fudan University and Institutes of Biomedical Sciences of Fudan University, Shanghai, China.
Junying YuanDepartment of Pediatrics, Henan Key Laboratory of Child Brain Injury and Henan Pediatric Clinical Research Center, The Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, China.
Lei LiuChildren's Hospital of Fudan University and Institutes of Biomedical Sciences of Fudan University, Shanghai, China.
Andres Moreno-De-LucaDepartment of Radiology, Neuroradiology Section, Kingston Health Sciences Centre, Queen's University Faculty of Health Sciences, Kingston, Ontario, Canada.ORCID 0000-0002-2732-4043
Alastair H MacLennanRobinson Research Institute and Adelaide Medical School, The University of Adelaide, Adelaide, South Australia, Australia.
Jozef GeczRobinson Research Institute and Adelaide Medical School, The University of Adelaide, Adelaide, South Australia, Australia.ORCID 0000-0002-7884-6861
Dengna ZhuDepartment of Pediatrics, Henan Key Laboratory of Child Brain Injury and Henan Pediatric Clinical Research Center, The Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, China.
Xiaoyang WangCentre for Perinatal Medicine and Health, Institute of Clinical Science, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Changlian ZhuDepartment of Pediatrics, Henan Key Laboratory of Child Brain Injury and Henan Pediatric Clinical Research Center, The Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, China. changlian.zhu@neuro.gu.se.ORCID 0000-0002-5029-6730
Qinghe XingChildren's Hospital of Fudan University and Institutes of Biomedical Sciences of Fudan University, Shanghai, China. qhxing@fudan.edu.cn.ORCID 0000-0002-9916-8254
Third Affiliated Hospital of Zhengzhou University · CNChildren's Hospital of Fudan University · CNZhengzhou University · CNNational Center for Women and Children’s Health, China CDC · CNThe University of Adelaide · AUQueen's University · CAShanghai Jiao Tong University · CNSun Yat-sen University · CNUniversity of Gothenburg · SE

Funding

National Natural Science Foundation of China (National Science Foundation of China) 31972880, 32170615, 31371274Science and Technology Commission of Shanghai Municipality (Shanghai Municipal Science and Technology Commission) 19JC1411001Vetenskapsrådet (Swedish Research Council) 2018-02267,2022-01019VINNOVA (Swedish Governmental Agency for Innovation Systems) ALFGBG-965197VINNOVA (Swedish Governmental Agency for Innovation Systems) ALFGBG-966034
6 · The paper itself

Abstract

Cerebral palsy (CP) is the most common motor disability in children. To ascertain the role of major genetic variants in the etiology of CP, we conducted exome sequencing on a large-scale cohort with clinical manifestations of CP. The study cohort comprised 505 girls and 1,073 boys. Utilizing the current gold standard in genetic diagnostics, 387 of these 1,578 children (24.5%) received genetic diagnoses. We identified 412 pathogenic and likely pathogenic (P/LP) variants across 219 genes associated with neurodevelopmental disorders, and 59 P/LP copy number variants. The genetic diagnostic rate of children with CP labeled at birth with perinatal asphyxia was higher than the rate in children without asphyxia (P = 0.0033). Also, 33 children with CP manifestations (8.5%, 33 of 387) had findings that were clinically actionable. These results highlight the need for early genetic testing in children with CP, especially those with risk factors like perinatal asphyxia, to enable evidence-based medical decision-making.

Indexed as

Cerebral PalsyDNA Copy Number VariationsExome SequencingGenetic HeterogeneityChildChild, PreschoolCohort StudiesExomeFemaleGenetic Predisposition to DiseaseGenetic TestingHumansInfantInfant, NewbornMale

Identifiers

PMID38693247
OpenAlexW4396553573

What Socratic holds

Textmetadata
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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.