Evidence map›Paper›PMID 34266427›Full record

ReviewBMC medical genomics2021

CNKSR2-related neurodevelopmental and epilepsy disorder: a cohort of 13 new families and literature review indicating a predominance of loss of function pathogenic variants.

Leigh Ann Higa, Jennifer Wardley, Christopher Wardley, Susan Singh, Timothy Foster, Joseph J Shen

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in BMC medical genomics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. [Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 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

6 authors at 4 institutions in 2 countries.

Leigh Ann HigaDepartment of Pediatrics, Community Regional Medical Center, Fresno, CA, USA.
Jennifer WardleyCNKSR2 Family Support Group, Rochdale, Lancashire, UK.
Christopher WardleyCNKSR2 Family Support Group, Rochdale, Lancashire, UK.
Susan SinghCNKSR2 Family Support Group, Sanger, CA, USA.
Timothy FosterDivision of Pediatric Neurology, Department of Pediatrics, UCSF Fresno, Fresno, CA, USA.
Joseph J ShenDivision of Genetics, Department of Pediatrics, UCSF Fresno, Fresno, CA, USA. jojshen@ucdavis.edu.ORCID 0000-0002-5604-7639
California State University, Fresno · USRochdale Infirmary · GBCommunity Regional Medical Center · USFamily Support Network · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPathogenic variants in connector enhancer of kinase suppressor of Ras-2 (CNKSR2) located on the X chromosome (Xp22.12) lead to a disorder characterized by developmental delay and a characteristic seizure phenotype. To date, 20 affected males representing 13 different pathogenic variants have been published. CASE PRESENTATION: We identified an 8-year-old male with seizures, abnormal electroencephalogram (EEG) with epileptiform abnormalities in the right hemisphere, and developmental delay with notable loss of speech following seizure onset. Additional concerns include multiple nighttime awakenings, hyperactivity, and autism spectrum disorder. Genetic testing identified a de novo pathogenic nonsense variant in CNKSR2. Through an active family support group, an additional 12 males are described, each harboring a different CNKSR2 variant. The clinical presentation and natural history consistently show early developmental delay, sleep disturbances, and seizure onset in childhood that is initially intractable but later becomes better controlled. Virtually all of the pathogenic variants are predicted to be loss of function, including genomic deletions, nonsense variants, splice site mutations, and small insertions or deletions.

conclusionsThis expanded knowledge, combined with functional studies and work with animal models currently underway, will enable a better understanding and improved ability to care for individuals with CNKSR2-related neurodevelopmental and epilepsy disorder.

Indexed as

EpilepsyNeurodevelopmental DisordersAdaptor Proteins, Signal TransducingAdolescentAdultChildChild, PreschoolElectroencephalographyFemaleHumansLoss of Function MutationMalePedigreeAdaptor Proteins, Signal TransducingCNKSR2 protein, humanCNK2CNKSR2CSWSDevelopmental delayEpilepsyESES

Identifiers

PMID34266427
PMCPMC8281706
OpenAlexW3178601319

What OpenQuestion holds

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LicenceCC BY
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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 OpenQuestion graph.