Evidence map›Paper›PMID 34696790›Full record

ArticleBMC medical genomics2021

Phenotypic spectrum and genetics of PAX2-related disorder in the Chinese cohort.

Xue Yang, Yaqi Li, Ye Fang, Hua Shi, Tianchao Xiang, Jiaojiao Liu, Jialu Liu, Xiaoshan Tang, Xiaoyan Fang, Jing Chen and 19 more

Open access · goldAbstract read
In one paragraph

Article 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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

15 citing papers in PubMed, 24 citations in OpenAlex.

  1. Biallelic pathogenic variants inJournal of medical genetics · 2026
    Article
  2. Article
  3. A Novel Pathogenic Variant inCase reports in obstetrics and gynecology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Variable Phenotypic Expression ofMedicina (Kaunas, Lithuania) · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. International journal of molecular sciences · 2023
    Review
  15. Frontiers in pediatrics · 2021
    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

29 authors at 10 institutions in 1 country.

Xue Yang *Department of Nephrology, Children's Hospital of Fudan University, National Pediatric Medical Center of CHINA, 399 Wanyuan Road, Shanghai, China.
Yaqi Li *Department of Nephrology, Children's Hospital of Fudan University, National Pediatric Medical Center of CHINA, 399 Wanyuan Road, Shanghai, China.
Ye Fang *Department of Nephrology, Children's Hospital of Fudan University, National Pediatric Medical Center of CHINA, 399 Wanyuan Road, Shanghai, China.
Hua ShiDepartment of Nephrology, Children's Hospital of Fudan University, National Pediatric Medical Center of CHINA, 399 Wanyuan Road, Shanghai, China.
Tianchao XiangDepartment of Nephrology, Children's Hospital of Fudan University, National Pediatric Medical Center of CHINA, 399 Wanyuan Road, Shanghai, China.
Jiaojiao LiuDepartment of Nephrology, Children's Hospital of Fudan University, National Pediatric Medical Center of CHINA, 399 Wanyuan Road, Shanghai, China.
Jialu LiuDepartment of Nephrology, Children's Hospital of Fudan University, National Pediatric Medical Center of CHINA, 399 Wanyuan Road, Shanghai, China.
Xiaoshan TangDepartment of Nephrology, Children's Hospital of Fudan University, National Pediatric Medical Center of CHINA, 399 Wanyuan Road, Shanghai, China.
Xiaoyan FangDepartment of Nephrology, Children's Hospital of Fudan University, National Pediatric Medical Center of CHINA, 399 Wanyuan Road, Shanghai, China.
Jing ChenDepartment of Nephrology, Children's Hospital of Fudan University, National Pediatric Medical Center of CHINA, 399 Wanyuan Road, Shanghai, China.
Yihui ZhaiDepartment of Nephrology, Children's Hospital of Fudan University, National Pediatric Medical Center of CHINA, 399 Wanyuan Road, Shanghai, China.
Qian ShenDepartment of Nephrology, Children's Hospital of Fudan University, National Pediatric Medical Center of CHINA, 399 Wanyuan Road, Shanghai, China.
Yunli BiDepartment of Urology, Children's Hospital of Fudan University, Shanghai, China.
Yanyan QianClinical Genetic Center, Children's Hospital of Fudan University, Shanghai, China.
Bingbing WuClinical Genetic Center, Children's Hospital of Fudan University, Shanghai, China.
Huijun WangClinical Genetic Center, Children's Hospital of Fudan University, Shanghai, China.
Wenhao ZhouClinical Genetic Center, Children's Hospital of Fudan University, Shanghai, China.
Duan MaShanghai Key Lab of Birth Defect, Children's Hospital of Fudan University, Shanghai, 201102, China.
Haitao BaiThe First Affiliated Hospital of Xiamen University, Xiamen, China.
Jianhua MaoThe Children Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Lizhi ChenDepartment of Pediatrics, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510080, China.
Xiaowen WangWuhan Children's Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China.
Xiaojie GaoShenzhen Children's Hospital, Shenzheng, China.
Ruifeng ZhangXuzhou Children's Hospital, Xuzhou, China.
Jieqiu ZhuangThe Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Aihua ZhangChildren's Hospital of Nanjing Medical University, Nanjing, China.
Xiaoyun JiangDepartment of Pediatrics, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510080, China. jxiaoy@mail.sysu.edu.cn.
Hong XuDepartment of Nephrology, Children's Hospital of Fudan University, National Pediatric Medical Center of CHINA, 399 Wanyuan Road, Shanghai, China. hxu@shmu.edu.cn.
Jia RaoDepartment of Nephrology, Children's Hospital of Fudan University, National Pediatric Medical Center of CHINA, 399 Wanyuan Road, Shanghai, China. jiarao@fudan.edu.cn.
Children's Hospital of Fudan University · CNChildren's Hospital of Zhejiang University · CNFirst Affiliated Hospital of Xiamen University · CNHuazhong University of Science and Technology · CNSecond Affiliated Hospital of Nanjing Medical University · CNShenzhen Children's Hospital · CNSun Yat-sen University · CNThe First Affiliated Hospital, Sun Yat-sen University · CNWenzhou Medical University · CNXuzhou Children Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPathogenic variants of PAX2 cause autosomal-dominant PAX2-related disorder, which includes variable phenotypes ranging from renal coloboma syndrome (RCS), congenital anomalies of the kidney and urinary tract (CAKUT) to nephrosis. Phenotypic variability makes it difficult to define the phenotypic spectrum associated with genotype.

methodsWe collected the phenotypes in patients enrolled in the China national multicenter registry who were diagnosed with pathogenic variant in PAX2 and reviewed all published cases with PAX2-related disorders. We conducted a phenotype-based cluster analysis by variant types and molecular modeling of the structural impact of missense variants.

resultsTwenty different PAX2 pathogenic variants were identified in 32 individuals (27 families) with a diagnosis of RCS (9), CAKUT (11) and nephrosis (12) from the Chinese cohort. Individuals with abnormal kidney structure (RCS or CAKUT group) tended to have likely/presumed gene disruptive (LGD) variants (Fisher test, p < 0.05). A system review of 234 reported cases to date indicated a clear association of RCS to heterozygous loss-of-function PAX2 variants (LGD variants). Furthermore, we identified a subset of PAX2 missense variants in DNA-binding domain predicted to affect the protein structure or protein-DNA interaction associated with the phenotype of RCS.

conclusionDefining the phenotypic spectrum combined with genotype in PAX2-related disorder allows us to predict the pathogenic variants associated with renal and ophthalmological development. It highlighted the approach of structure-based analysis can be applied to diagnostic strategy aiding precise and timely diagnosis.

Indexed as

PhenotypeAbnormalities, MultipleAmino Acid SequenceChinaCohort StudiesHumansPAX2 Transcription FactorUrologic DiseasesPAX2 protein, humanPAX2 Transcription FactorCongenital anomalies of the kidneys and urinary tract (CAKUT)PAX2Phenotypic cluster analysisRenal coloboma syndrome (RCS)

Identifiers

PMID34696790
PMCPMC8543950
OpenAlexW3209776431

What OpenQuestion holds

Textmetadata
LicenceCC BY
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 OpenQuestion graph.