Evidence map›Paper›PMID 40393667›Full record

ArticleThrombosis and haemostasis2026

Landscape and Spectrum of VWF Variants in Type 2 Von Willebrand Disease: Insights from a German Patient Cohort.

Hamideh Yadegari, Susan Halimeh, Alexander Krahforst, Anna Pavlova, Behnaz Pezeshkpoor, Jens Müller, Bernd Pötzsch, Arijit Biswas, Natascha Marquardt, Ute Scholz and 8 more

Abstract read
In one paragraph

Article in Thrombosis and haemostasis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Correction of VWF multimerization in type 2A/IIC von Willebrand disease by exogenous VWF propeptide supplementation.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    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.

Hamideh Yadegari *Institute of Experimental Haematology and Transfusion Medicine, Medical Faculty, University of Bonn, Bonn, Germany.ORCID 0000-0002-2006-8497
Susan Halimeh *Coagulation Center Rhein-Ruhr, Duisburg, Germany.
Alexander KrahforstInstitute of Experimental Haematology and Transfusion Medicine, Medical Faculty, University of Bonn, Bonn, Germany.
Anna PavlovaInstitute of Experimental Haematology and Transfusion Medicine, Medical Faculty, University of Bonn, Bonn, Germany.
Behnaz PezeshkpoorInstitute of Experimental Haematology and Transfusion Medicine, Medical Faculty, University of Bonn, Bonn, Germany.ORCID 0000-0002-4796-3424
Jens MüllerInstitute of Experimental Haematology and Transfusion Medicine, Medical Faculty, University of Bonn, Bonn, Germany.
Bernd PötzschInstitute of Experimental Haematology and Transfusion Medicine, Medical Faculty, University of Bonn, Bonn, Germany.
Arijit BiswasInstitute of Experimental Haematology and Transfusion Medicine, Medical Faculty, University of Bonn, Bonn, Germany.
Natascha MarquardtInstitute of Experimental Haematology and Transfusion Medicine, Medical Faculty, University of Bonn, Bonn, Germany.
Ute ScholzCenter of Hemostasis, MVZ Labor Leipzig, Leipzig, Germany.
Heinrich RichterMünster Hemostasis Center, Münster, Germany.
Heiner TrobischLaboratory and Ambulance for Coagulation Disorders, Duisburg, Germany.
Karin LiebscherInstitute of Transfusion Medicine and Clinical Hemostaseology, Klinikum St. Georg GmbH, Leipzig, Germany.
Martin OlivieriPediatric Thrombosis and Hemostasis Unit, Dr. Von Hauner Children's Hospital, LMU Clinic, Munich, Germany.
Karolin Trautmann-GrillUniversity Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Oliver TiebelInstitute of Clinical Chemistry and Laboratory Medicine, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Ralf KnöflerPediatric Hemostaseology Unit, Department of Pediatrics, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Johannes OldenburgInstitute of Experimental Haematology and Transfusion Medicine, Medical Faculty, University of Bonn, Bonn, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

von Willebrand disease (VWD) type 2 arises from variants in von Willebrand factor (VWF) that disrupt its essential hemostatic functions. As per ISTH guidelines, it is classified as type 2A, 2B, 2M, and 2N based on the affected VWF roles.This population-based study aims to uncover the genotype and laboratory phenotypes in type 2 VWD, providing insights into underlying genetics and genotype-phenotype associations.Our cohort included 247 patients from 196 families. Patients were characterized through multiple VWF phenotypic assays and genetic analyses, including DNA sequencing, copy number variation evaluations, and bioinformatic assessments.A total of 86 index patients (IPs, 44%) were diagnosed with type 2A, the most prevalent subtype. Additionally, 27 IPs (14%) were diagnosed with type 2N, 24 IPs (12%) with type 2B, 17 IPs (9%) with type 2M, and 42 IPs categorized as type U VWD carried VWD-associated variants but could not be assigned to a specific subtype. VWF variants were detected in 187 out of 196 (95%) individuals. A total of 222 VWF variants were identified: 187 missense (84%), 22 null alleles (10%), 5 regulatory (2%), 6 gene conversions (3%), and 2 silent variants (1%). Many variants were recurrent in our cohort, resulting in 114 distinct variants. Of these, 45 (39%) were novel.Our data expands the spectrum of disease-associated variants in VWF, including many newly identified variants. This provides valuable insights for accurate diagnosis and personalized treatment. Additionally, the significant genetic heterogeneity among type 2 patients highlights the challenges in sub-classification.

Indexed as

von Willebrand Disease, Type 2von Willebrand FactorAdolescentAdultAgedChildChild, PreschoolCohort StudiesDNA Copy Number VariationsFemaleGenetic Association StudiesGenetic Predisposition to DiseaseGenetic VariationGenotypeGermanyHumansvon Willebrand Factor

Identifiers

PMID40393667
PMCPMC12858306

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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.