Evidence map›Paper›PMID 25480986›Full record

ArticleJournal of medical genetics2015

Neuropathy target esterase impairments cause Oliver-McFarlane and Laurence-Moon syndromes.

Robert B Hufnagel, Gavin Arno, Nichole D Hein, Joshua Hersheson, Megana Prasad, Yvonne Anderson, Laura A Krueger, Louise C Gregory, Corinne Stoetzel, Thomas J Jaworek and 22 more

Open access · greenAbstract read
In one paragraph

Article in Journal of medical genetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 7% 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

68 citing papers in PubMed, 2 syntheses or guidelines pooled it, 121 citations in OpenAlex.

  1. Pooled it
  2. Frontiers in neuroscience · 2019
    Pooled it
  3. Trial
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  10. NovelJCEM case reports · 2026
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  13. The cyclic nucleotide binding sites of Swiss-Cheese, thebioRxiv : the preprint server for biology · 2025
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  15. Review
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  17. Review
  18. Article
  19. Novel variant inFrontiers in genetics · 2025
    Article
  20. Review

8 more citing papers are in PubMed but not listed here.

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

32 authors at 12 institutions in 4 countries.

Robert B HufnagelDivision of Human Genetics, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.
Gavin ArnoUCL Institute of Ophthalmology and Moorfields Eye Hospital, London, UK.
Nichole D HeinDepartment of Neurology, University of Michigan, Ann Arbor, Michigan, USA.
Joshua HershesonDepartment of Molecular Neuroscience, UCL Institute of Neurology, London, UK.
Megana PrasadLaboratoire de génétique Médicale, Université de Strasbourg, FMTS, Strasbourg, France.
Yvonne AndersonDepartment of Paediatrics, Taranaki Base Hospital, New Plymouth, New Zealand Liggins Institute, University of Auckland, Auckland, New Zealand.
Laura A KruegerDivision of Human Genetics, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.
Louise C GregoryDevelopmental Endocrinology Research Group, Genetics and Epigenetics in Health and Disease Section, Genetics and Genomic Medicine Programme, University College London Institute of Child Health, London, UK.
Corinne StoetzelLaboratoire de génétique Médicale, Université de Strasbourg, FMTS, Strasbourg, France.
Thomas J JaworekDepartment of Otorhinolaryngology, University of Maryland, Baltimore, Maryland, USA.
Sarah HullUCL Institute of Ophthalmology and Moorfields Eye Hospital, London, UK.
Abi LiDepartment of Molecular Neuroscience, UCL Institute of Neurology, London, UK.
Vincent PlagnolDepartment of Statistical Genetics, University College London, London, UK.
Christi M WillenDepartment of Pediatric Ophthalmology, University of Kentucky, Lexington, Kentucky, USA.
Thomas M MorganDepartment of Pediatrics, Vanderbilt University, Nashville, Tennessee, USA.
Cynthia A ProwsDivision of Human Genetics, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.
Rashmi S HegdeDevelopmental Biology, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.
Saima RiazuddinDepartment of Otorhinolaryngology, University of Maryland, Baltimore, Maryland, USA.
Gregory A GrabowskiDivision of Human Genetics, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.
Rudy J RichardsonDepartment of Neurology, University of Michigan, Ann Arbor, Michigan, USA Department of Environmental Health Sciences, University of Michigan, Ann Arbor, Michigan, USA.
Klaus DieterichDépartement de Génétique et Procréation, Hôpital Couple Enfant, CHU Grenoble and Grenoble Institut des Neurosciences, Equipe Muscle et Pathologie, Grenoble, France.
Taosheng HuangDivision of Human Genetics, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.
Tamas ReveszDepartment of Molecular Neuroscience, UCL Institute of Neurology, London, UK.
J P Martinez-BarberaDevelopmental Endocrinology Research Group, Genetics and Epigenetics in Health and Disease Section, Genetics and Genomic Medicine Programme, University College London Institute of Child Health, London, UK.
Robert A SiskDivision of Pediatric Ophthalmology, Cincinnati Children's Hospital, Cincinnati, Ohio, USA Cincinnati Eye Institute, Cincinnati, Ohio, USA.
Craig JefferiesDepartment of Paediatric Endocrinology, Starship Children's Hospital, Auckland, New Zealand.
Henry HouldenDepartment of Molecular Neuroscience, UCL Institute of Neurology, London, UK.
Mehul T DattaniDevelopmental Endocrinology Research Group, Genetics and Epigenetics in Health and Disease Section, Genetics and Genomic Medicine Programme, University College London Institute of Child Health, London, UK.
John K FinkDepartment of Neurology, University of Michigan, Ann Arbor, Michigan, USA.
Helene DollfusLaboratoire de génétique Médicale, Université de Strasbourg, FMTS, Strasbourg, France Centre de référence pour les Affections Rares Ophtalmologiques CARGO, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Anthony T MooreUCL Institute of Ophthalmology and Moorfields Eye Hospital, London, UK.
Zubair M AhmedDepartment of Otorhinolaryngology, University of Maryland, Baltimore, Maryland, USA.
University College London · GBCincinnati Children's Hospital Medical Center · USUniversité de Strasbourg · FRUniversity of Maryland, Baltimore · USUniversity of Michigan–Ann Arbor · USCentre Hospitalier Universitaire de Grenoble · FRCincinnati Eye Institute · USMoorfields Eye Hospital · GBStarship Children's Health · NZTaranaki Base Hospital · NZUniversity of Kentucky · USVanderbilt University · US

Funding

Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., TSEVAT, JOEL · 2012 to 2014
$9.9M
Usher Proteins in the Inner Ear Structure and FunctionR01DC012564 · NIDCD · UNIVERSITY OF MARYLAND BALTIMORE · PI Zubair M. Ahmed, Gregory I Frolenkov · 2013 to 2026
$7.0M
Identifying Genes for Non-syndromic Recessive Deafness-A Collaborative StudyR01DC011803 · NIDCD · UNIVERSITY OF MARYLAND BALTIMORE · PI RIAZUDDIN, SAIMA · 2012 to 2016
$1.6M
Medical Research Council G0700089Medical Research Council G0802760Medical Research Council G1001253Medical Research Council G108/638Medical Research Council MC_PC_15004Medical Research Council MR/J004758/1Medical Research Council MR/M000125/1NCATS NIH HHS UL1 TR000077NIDCD NIH HHS R01 DC011803NIDCD NIH HHS R01 DC012564Wellcome TrustWellcome Trust 082557
6 · The paper itself

Abstract

backgroundOliver-McFarlane syndrome is characterised by trichomegaly, congenital hypopituitarism and retinal degeneration with choroidal atrophy. Laurence-Moon syndrome presents similarly, though with progressive spinocerebellar ataxia and spastic paraplegia and without trichomegaly. Both recessively inherited disorders have no known genetic cause.

methodsWhole-exome sequencing was performed to identify the genetic causes of these disorders. Mutations were functionally validated in zebrafish pnpla6 morphants. Embryonic expression was evaluated via in situ hybridisation in human embryonic sections. Human neurohistopathology was performed to characterise cerebellar degeneration. Enzymatic activities were measured in patient-derived fibroblast cell lines.

resultsEight mutations in six families with Oliver-McFarlane or Laurence-Moon syndrome were identified in the PNPLA6 gene, which encodes neuropathy target esterase (NTE). PNPLA6 expression was found in the developing human eye, pituitary and brain. In zebrafish, the pnpla6 curly-tailed morphant phenotype was fully rescued by wild-type human PNPLA6 mRNA and not by mutation-harbouring mRNAs. NTE enzymatic activity was significantly reduced in fibroblast cells derived from individuals with Oliver-McFarlane syndrome. Intriguingly, adult brain histology from a patient with highly overlapping features of Oliver-McFarlane and Laurence-Moon syndromes revealed extensive cerebellar degeneration and atrophy.

conclusionsPreviously, PNPLA6 mutations have been associated with spastic paraplegia type 39, Gordon-Holmes syndrome and Boucher-Neuhäuser syndromes. Discovery of these additional PNPLA6-opathies further elucidates a spectrum of neurodevelopmental and neurodegenerative disorders associated with NTE impairment and suggests a unifying mechanism with diagnostic and prognostic importance.

Indexed as

Genetic Predisposition to DiseaseAcyltransferasesAllelesAmino Acid SequenceAnimalsBlepharoptosisCarboxylic Ester HydrolasesCentral Nervous SystemDevelopmental DisabilitiesDwarfismEmbryonic DevelopmentGene Expression Regulation, DevelopmentalHumansHypertrichosisIntellectual DisabilityLaurence-Moon SyndromeAcyltransferasesCarboxylic Ester Hydrolasesneurotoxic esterasePhospholipasesPNPLA6 protein, humanDermatologyDevelopmentalGeneticsNeuro endocrinologyOphthalmology

Identifiers

PMID25480986
PMCPMC8108008
OpenAlexW2137237947

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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.