Evidence map›Paper›PMID 41454780›Full record

ArticleBiology of reproduction2026

Loss of the maternal effect gene NLRP2 impairs embryonic and extra-embryonic development, revealing a novel genetic cause of congenital anomalies†.

Momal Sharif, Zahra Anvar, Imen Chakchouk, Sara H El-Dessouky, Roni Zemet, Eric C Kao, Wessam E Sharaf-Eldin, Ying-Wooi Wan, Zhandong Liu, Pengfei Liu and 2 more

Abstract read
In one paragraph

Article in Biology of reproduction, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

12 authors.

Momal SharifDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0001-8876-9946
Zahra AnvarDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0002-5990-0068
Imen ChakchoukDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0001-7748-9260
Sara H El-DessoukyPrenatal Diagnosis & Fetal Medicine Department, National Research Centre, Cairo, Egypt.ORCID 0000-0003-1967-7532
Roni ZemetDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0002-7746-3594
Eric C KaoDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Wessam E Sharaf-EldinDepartment of Prenatal Diagnosis and Fetal Medicine, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt.ORCID 0000-0002-4728-9089
Ying-Wooi WanDuncan Neurological Research Institute at Texas Children's Hospital, Houston, TX, USA.ORCID 0000-0002-4354-7482
Zhandong LiuDuncan Neurological Research Institute at Texas Children's Hospital, Houston, TX, USA.ORCID 0000-0002-5310-8272
Pengfei LiuDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.ORCID 0009-0002-0119-5463
Michael JochumDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0002-2398-356X
Ignatia B Van den VeyverDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0002-0651-5924

Funding

MEDICAL GENETICS RESEARCH FELLOWSHIP PROGRAMT32GM007526 · NIGMS · BAYLOR COLLEGE OF MEDICINE · PI Brendan Lee · 1985 to 2026
$11.4M
Preclinical and Clincial OutcomesP50HD103555 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI Sandesh Chakravarthy Sreenath Nagamani, David Loren Nelson · 2020 to 2026
$9.9M
Comprehensive Mechanisms in Reproductive SciencesT32HD098068 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI STEPHANIE A. PANGAS · 2020 to 2026
$2.4M
Characterization of the role of maternal effect gene Nlrp2 in reproductionR01HD092746 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI VAN DEN VEYVER, IGNATIA B · 2018 to 2022
$1.9M
Lalor Foundation Postdoctoral Fellowship R01HD092746Lalor Foundation Postdoctoral Fellowship T32GM07526Lalor Foundation Postdoctoral Fellowship T32HD098068NICHD NIH HHS P50 HD103555NICHD NIH HHS R01 HD092746NICHD NIH HHS T32 HD098068NIGMS NIH HHS T32 GM007526Research Vision and the Duncan Neurological Research Institute at Texas Children's HospitalThe Baylor College of Medicine Intellectual and Developmental Disabilities Research Center P50HD103555
6 · The paper itself

Abstract

Maternal effect genes (MEGs) play a crucial role in early mammalian development, and their dysfunction can lead to severe embryonic and extra-embryonic abnormalities. NLRP2, a MEG that encodes a subcortical maternal complex protein, has been implicated in preimplantation development, but its role after implantation remains underexplored. In this study, we investigated the developmental consequences of maternal Nlrp2 loss-of-function in a maternal knockout (KO) mouse model at embryonic day 11.5. Embryos derived from Nlrp2-KO females have abnormal yolk sac vasculature, increased embryonic resorption, craniofacial abnormalities, neural tube defects, and congenital heart defects. Placental architecture is disrupted with an altered junctional zone and labyrinth structure. Transcriptome profiling of maternal decidua and placenta demonstrated dysregulation of genes involved in trophoblast differentiation and extra-embryonic development. Bisulfite sequencing of these tissues revealed persistence at E11.5 of previously observed locus-specific disruption in DNA methylation at four imprinted loci following maternal Nlrp2 loss. We further describe pregnancy outcomes and offspring phenotypes for two unrelated women with bi-allelic maternal NLRP2 variants. The first carried homozygous NLRP2 nonsense variants and experienced recurrent pregnancy loss and fetuses with multiple structural anomalies, including omphalocele, craniofacial dysmorphism, and cardiac defects. The second carried compound heterozygous frameshift and missense NLRP2 variants and had a child with neurodevelopmental impairment of uncertain etiology. These findings indicate a conserved role for maternal NLRP2 in embryonic viability and placental development, and support further studies in humans into the contribution of NLRP2 and other similar MEGs to offspring congenital anomalies and adverse pregnancy outcomes.

Indexed as

Adaptor Proteins, Signal TransducingCongenital AbnormalitiesEmbryonic DevelopmentAnimalsFemaleGene Expression Regulation, DevelopmentalHumansMiceMice, KnockoutPlacentaPregnancyAdaptor Proteins, Signal Transducingcongenital anomaliesembryonic developmentimprinting disordersmaternal effect genesNlrp2pregnancy loss

Identifiers

PMID41454780
PMCPMC13079454

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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.