Evidence map›Paper›PMID 39876536›Full record

ArticleAmerican journal of medical genetics. Part A2025

Phenotypic Expansion of Knobloch Syndrome Type 2 in an Individual With a De Novo PAK2 Variant.

Elizabeth A Werren, Louisa Kalsner, Jessica M Ewald, Michael Peracchio, Cameron King, Purva Vats, Peter A Audano, Peter N Robinson, Mark D Adams, Melissa A Kelly and 1 more

Abstract readCase Reports
In one paragraph

Article in American journal of medical genetics. Part A, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

  • Update of
    A2024
5 · Who and what money

Authors and funding

11 authors.

Elizabeth A WerrenThe Jackson Laboratory for Genomic Medicine, Farmington, Connecticut, USA.ORCID 0000-0002-0151-2564
Louisa KalsnerDepartment of Pediatrics, University of Connecticut School of Medicine, Farmington, Connecticut, USA.ORCID 0000-0003-0484-2013
Jessica M EwaldThe Jackson Laboratory for Genomic Medicine, Farmington, Connecticut, USA.
Michael PeracchioDivision of Genetics, Connecticut Children's Medical Center, Hartford, Connecticut, USA.
Cameron KingDepartment of Research, Connecticut Children's Medical Center, Hartford, Connecticut, USA.
Purva VatsThe Jackson Laboratory for Genomic Medicine, Farmington, Connecticut, USA.
Peter A AudanoThe Jackson Laboratory for Genomic Medicine, Farmington, Connecticut, USA.
Peter N RobinsonThe Jackson Laboratory for Genomic Medicine, Farmington, Connecticut, USA.ORCID 0000-0002-0736-9199
Mark D AdamsThe Jackson Laboratory for Genomic Medicine, Farmington, Connecticut, USA.
Melissa A KellyThe Jackson Laboratory for Genomic Medicine, Farmington, Connecticut, USA.
Adam P MatsonDepartment of Pediatrics, University of Connecticut School of Medicine, Farmington, Connecticut, USA.

Funding

Shared Resource ManagementP30CA034196 · NCI · JACKSON LABORATORY · PI Paul Robson · 1985 to 2026
$61.9M
Repetitive sequences drive genome variation and plasticityR35GM133600 · NIGMS · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI Christine R Beck · 2019 to 2026
$3.0M
Connecticut Children's Research InstituteJackson Laboratory for Genomic MedicineNCI NIH HHS P30 CA034196NIGMS NIH HHS R35 GM133600NIH NCI P30CA034196NIH NIGMS R35GM133600
6 · The paper itself

Abstract

P21-activated kinase 2 (PAK2) is a serine/threonine kinase essential for a variety of cellular processes including signal transduction, cellular survival, proliferation, and migration. A recent report proposed monoallelic PAK2 variants cause Knobloch syndrome type 2 (KNO2)-a developmental disorder primarily characterized by ocular anomalies. Here, we identified a novel de novo heterozygous missense variant in PAK2, NM_002577.4:c.1273G>A, p.(D425N), by genome sequencing in an individual with features consistent with KNO2. Notable clinical phenotypes observed in this individual were global developmental delay, congenital retinal detachment, mild cerebral ventriculomegaly, hypotonia, failure to thrive, pyloric stenosis, feeding intolerance, patent ductus arteriosus, and mild facial dysmorphism. The p.(D425N) variant lies within the protein kinase domain and is predicted to be functionally damaging by in silico analysis. Previous clinical genetic testing did not report this variant due to unknown relevance of PAK2 variants at the time of testing, highlighting the importance of reanalysis. Our findings substantiate the candidacy of PAK2 variants in KNO2 and expand the KNO2 clinical phenotypic spectrum.

Indexed as

Developmental DisabilitiesEye Abnormalitiesp21-Activated KinasesRetinal DetachmentGenetic Association StudiesHeterozygoteHumansMutation, MissensePhenotypep21-Activated KinasesPAK2 protein, humandevelopmental disorderkinaseKnobloch syndrome type 2PAK2

Identifiers

PMID39876536
PMCPMC12052494

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Registered trials

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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.