Evidence map›Paper›PMID 34124757›Full record

ArticleHuman molecular genetics2021

A novel somatic mutation in GNB2 provides new insights to the pathogenesis of Sturge-Weber syndrome.

Roar Fjær, Katarzyna Marciniak, Olav Sundnes, Hanne Hjorthaug, Ying Sheng, Clara Hammarström, Jan Cezary Sitek, Magnus Dehli Vigeland, Paul Hoff Backe, Ane-Marte Øye and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Human molecular genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
10.9field-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

24 citing papers in PubMed, 63 citations in OpenAlex.

  1. Familial p.(Ala73Thr) Variant inClinical case reports · 2026
    Article
  2. Review
  3. Observational
  4. Article
  5. Biomarker development in Sturge-Weber syndrome.Journal of neurodevelopmental disorders · 2025
    Review
  6. Observational
  7. Transcriptomic Profiling Unveils EDN3Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  8. Review
  9. Somatic Mosaicism in Brain Disorders.Annual review of pathology · 2025
    Review
  10. Review
  11. Review
  12. Article
  13. Similarities and differences between brain and skinbioRxiv : the preprint server for biology · 2024
    Article
  14. Article
  15. Capillary malformations.The Journal of clinical investigation · 2024
    Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. 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

18 authors at 5 institutions in 3 countries.

Roar FjærDepartment of Medical Genetics, Oslo University Hospital and University of Oslo, Oslo 0424, Norway.
Katarzyna MarciniakK.G. Jebsen Inflammation Research Centre, University of Oslo, Oslo 0424, Norway.
Olav SundnesK.G. Jebsen Inflammation Research Centre, University of Oslo, Oslo 0424, Norway.
Hanne HjorthaugDepartment of Medical Genetics, Oslo University Hospital and University of Oslo, Oslo 0424, Norway.
Ying ShengDepartment of Medical Genetics, Oslo University Hospital and University of Oslo, Oslo 0424, Norway.
Clara HammarströmK.G. Jebsen Inflammation Research Centre, University of Oslo, Oslo 0424, Norway.
Jan Cezary SitekDepartment of Dermatology, Oslo University Hospital, Oslo 0424, Norway.
Magnus Dehli VigelandDepartment of Medical Genetics, Oslo University Hospital and University of Oslo, Oslo 0424, Norway.
Paul Hoff BackeInstitute of Clinical Medicine, University of Oslo, Oslo 0424, Norway.
Ane-Marte ØyeDepartment of Medical Genetics, Oslo University Hospital and University of Oslo, Oslo 0424, Norway.
Johanna Hol FosseK.G. Jebsen Inflammation Research Centre, University of Oslo, Oslo 0424, Norway.
Tor Espen Stav-NoraasK.G. Jebsen Inflammation Research Centre, University of Oslo, Oslo 0424, Norway.
Yuri UchiyamaDepartment of Human Genetics, Yokohama City University Graduate School of Medicine, Yokohama 236-0004, Japan.
Naomichi MatsumotoDepartment of Human Genetics, Yokohama City University Graduate School of Medicine, Yokohama 236-0004, Japan.
Anne ComiDepartment of Neurology, Hugo Moser Kennedy Krieger Research Institute, Baltimore, MD 21205, USA.
Jonathan PevsnerDepartment of Neurology, Hugo Moser Kennedy Krieger Research Institute, Baltimore, MD 21205, USA.
Guttorm HaraldsenK.G. Jebsen Inflammation Research Centre, University of Oslo, Oslo 0424, Norway.
Kaja Kristine SelmerDepartment of Medical Genetics, Oslo University Hospital and University of Oslo, Oslo 0424, Norway.
University of Oslo · NOOslo University Hospital · NOKennedy Krieger Institute · USYokohama City University · JPYokohama City University Hospital · JP

Funding

Role of somatic mosaicism in autism, schizophrenia, and bipolar disorder brainU01MH106884 · NIMH · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI PEVSNER, JONATHAN · 2015 to 2019
$2.5M
NIMH NIH HHS U01 MH106884
6 · The paper itself

Abstract

Sturge-Weber syndrome (SWS) is a neurocutaneous disorder characterized by vascular malformations affecting skin, eyes and leptomeninges of the brain, which can lead to glaucoma, seizures and intellectual disability. The discovery of a disease-causing somatic missense mutation in the GNAQ gene, encoding an alpha chain of heterotrimeric G-proteins, has initiated efforts to understand how G-proteins contribute to SWS pathogenesis. The mutation is predominantly detected in endothelial cells and is currently believed to affect downstream MAPK signalling. In this study of six Norwegian patients with classical SWS, we aimed to identify somatic mutations through deep sequencing of DNA from skin biopsies. Surprisingly, one patient was negative for the GNAQ mutation, but instead harbored a somatic mutation in GNB2 (NM_005273.3:c.232A>G, p.Lys78Glu), which encodes a beta chain of the same G-protein complex. The positions of the mutant amino acids in the G-protein are essential for complex reassembly. Therefore, failure of reassembly and continuous signalling is a likely consequence of both mutations. Ectopic expression of mutant proteins in endothelial cells revealed that expression of either mutant reduced cellular proliferation, yet regulated MAPK signalling differently, suggesting that dysregulated MAPK signalling cannot fully explain the SWS phenotype. Instead, both mutants reduced synthesis of Yes-associated protein (YAP), a transcriptional co-activator of the Hippo signalling pathway, suggesting a key role for this pathway in the vascular pathogenesis of SWS. The discovery of the GNB2 mutation sheds novel light on the pathogenesis of SWS and suggests that future research on targets of treatment should be directed towards the YAP, rather than the MAPK, signalling pathway.

Indexed as

Genetic Association StudiesGenetic Predisposition to DiseaseMutationAdolescentAdultChildDNA Mutational AnalysisExome SequencingGene FrequencyGTP-Binding ProteinsHumansMiddle AgedModels, MolecularNortriptylinePhenotypeProtein ConformationGNB2 protein, humanGTP-Binding ProteinsNortriptylineProtein Subunits

Identifiers

PMID34124757
PMCPMC8522634
OpenAlexW3167457296

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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.