Evidence map›Paper›PMID 34054129›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2021

Biallelic and monoallelic variants in PLXNA1 are implicated in a novel neurodevelopmental disorder with variable cerebral and eye anomalies.

Gabriel C Dworschak, Jaya Punetha, Jeshurun C Kalanithy, Enrico Mingardo, Haktan B Erdem, Zeynep C Akdemir, Ender Karaca, Tadahiro Mitani, Dana Marafi, Jawid M Fatih and 56 more

Open access · hybridAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 37 citations in OpenAlex.

  1. Journal of medical genetics · 2025
    Article
  2. Article
  3. Review
  4. Biallelic variants in Plexin B2 (Journal of medical genetics · 2024
    Article
  5. Tribal FounderNeurology. Genetics · 2024
    Article
  6. Article
  7. Cells · 2024
    Article
  8. Allelic heterogeneity and abnormal vesicle recycling inFrontiers in molecular neuroscience · 2024
    Article
  9. Review
  10. Review
  11. Semaphorin-6D and Plexin-A1 Act in a Non-Cell-Autonomous Manner to Position and Target Retinal Ganglion Cell Axons.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    Article
  12. Genotype-phenotype correlations in RHOBTB2-associated neurodevelopmental disorders.Genetics in medicine : official journal of the American College of Medical Genetics · 2023
    Article
  13. Rare variant analysis ofGenes & diseases · 2023
    Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. A Novel Loss-of-FunctionInternational journal of molecular sciences · 2022
    Article
  20. 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

66 authors at 20 institutions in 11 countries.

Gabriel C Dworschak *Institute of Human Genetics, Medical Faculty, University of Bonn, Bonn, Germany. gabriel.dworschak@uni-bonn.de.ORCID 0000-0003-0015-6964
Jaya Punetha *Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Jeshurun C KalanithyInstitute of Human Genetics, Medical Faculty, University of Bonn, Bonn, Germany.
Enrico MingardoInstitute of Human Genetics, Medical Faculty, University of Bonn, Bonn, Germany.
Haktan B ErdemDepartment of Medical Genetics, University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
Zeynep C AkdemirDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Ender KaracaDepartment of Genetics, University of Alabama at Birmingham, Birmingham, AL, USA.
Tadahiro MitaniDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Dana MarafiDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Jawid M FatihDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Shalini N JhangianiHuman Genome Sequencing Center, Baylor College of Medicine, Houston, TX, USA.
Jill V HunterDepartment of Radiology, Baylor College of Medicine, Houston, TX, USA.
Tikam Chand DakalGenome and Computational Biology Lab, Department of Biotechnology, Mohanlal Sukhadia University, Udaipur, Rajasthan, India.
Bhanupriya DhabhaiGenome and Computational Biology Lab, Department of Biotechnology, Mohanlal Sukhadia University, Udaipur, Rajasthan, India.
Omar DabbaghDepartment of Neuroscience, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Hessa S AlsaifDepartment of Genetics, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Fowzan S AlkurayaDepartment of Genetics, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Reza MaroofianDepartment of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom.
Henry HouldenDepartment of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom.
Stephanie EfthymiouDepartment of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom.
Natalia DominikDepartment of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom.
Vincenzo SalpietroDepartment of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom.
Tipu SultanDepartment of Pediatric Neurology, Institute of Child Health, The Children's Hospital Lahore, Lahore, Pakistan.
Shahzad HaiderDepartment of Paediatric Medicine, Wah Medical College, Rawalpindi, Pakistan.
Farah BibiUniversity Institute of Biochemistry & Biotechnology, PMAS - Arid Agriculture University, Rawalpindi, Pakistan.
Holger ThieleCologne Center for Genomics, University of Cologne, Cologne, Germany.
Julia HoefeleInstitute of Human Genetics, Klinikum rechts der Isar, School of Medicine, Technical University of Munich, Munich, Germany.
Korbinian M RiedhammerInstitute of Human Genetics, Klinikum rechts der Isar, School of Medicine, Technical University of Munich, Munich, Germany.
Matias WagnerInstitute of Human Genetics, Klinikum rechts der Isar, School of Medicine, Technical University of Munich, Munich, Germany.
Ilaria GuellaDepartment of Medical Genetics, Centre for Applied Neurogenetics, University of British Columbia, Vancouver, BC, Canada.
Michelle DemosDivision of Neurology, Department of Pediatrics, University of British Columbia and BC Children's Hospital, Vancouver, BC, Canada.
Boris KerenAP-HP, Hôpital Pitié-Salpêtrière, Département de Génétique, Paris, France.
Julien BurattiAP-HP, Hôpital Pitié-Salpêtrière, Département de Génétique, Paris, France.
Perrine CharlesAP-HP, Hôpital Pitié-Salpêtrière, Département de Génétique, Paris, France.
Caroline NavaAP-HP, Hôpital Pitié-Salpêtrière, Département de Génétique, Paris, France.
Delphine HéronAP-HP, Hôpital Pitié-Salpêtrière, Département de Génétique, Paris, France.
Solveig HeideAP-HP, Hôpital Pitié-Salpêtrière, Département de Génétique, Paris, France.
Elise ValkanasCenter for Mendelian Genomics, The Broad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, MA, USA.
Leigh B WaddellKids Neuroscience Centre, Kids Research, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Kristi J JonesKids Neuroscience Centre, Kids Research, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Emily C OatesKids Neuroscience Centre, Kids Research, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Sandra T CooperKids Neuroscience Centre, Kids Research, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Daniel MacArthurBroad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA, USA.
Steffen SyrbeDivision of Pediatric Epileptology, Centre for Paediatrics and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Andreas ZieglerDivision of Pediatric Neurology and Metabolic Medicine, Centre for Pediatrics and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Konrad PlatzerInstitute of Human Genetics, University of Leipzig Medical Center, Leipzig, Germany.
Volkan OkurDepartment of Pediatrics, Columbia University, New York, NY, USA.
Wendy K ChungDepartment of Pediatrics, Columbia University, New York, NY, USA.
Sarah A O'SheaDepartment of Neurology, Columbia University, New York, NY, USA.
Roy AlcalayDepartment of Neurology, Columbia University, New York, NY, USA.
Stanley FahnDepartment of Neurology, Columbia University, New York, NY, USA.
Paul R MarkDivision of Medical Genetics, Helen DeVos Children's Hospital Grand Rapids, New York, MI, USA.
Renzo GuerriniNeuroscience Department, Children's Hospital A. Meyer-University of Florence, Florence, Italy.
Annalisa VetroNeuroscience Department, Children's Hospital A. Meyer-University of Florence, Florence, Italy.
Beth HudsonGeneDx, Gaithersburg, MD, USA.
Rhonda E SchnurGeneDx, Gaithersburg, MD, USA.
George E HogansonDepartment of Pediatrics, University of Illinois, College of Medicine, Chicago, IL, USA.
Jennifer E BurtonDepartment of Pediatrics, University of Illinois, College of Medicine, Peoria, IL, USA.
Meriel McEntagartSouth West Thames Regional Genetics Centre, St. George's Healthcare NHS Trust, St. George's, University of London, London, United Kingdom.
Tobias LindenbergInstitute of Neuroanatomy, Medical Faculty, University of Bonn, Bonn, Germany.
Öznur YilmazInstitute of Anatomy and Cell Biology, Medical Faculty, University of Bonn, Bonn, Germany.
Benjamin OdermattInstitute of Anatomy and Cell Biology, Medical Faculty, University of Bonn, Bonn, Germany.
Davut PehlivanDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Jennifer E PoseyDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
James R LupskiDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Heiko ReutterInstitute of Human Genetics, Medical Faculty, University of Bonn, Bonn, Germany.
Baylor College of Medicine · USUniversity of Bonn · DEColumbia University · USNational Hospital for Neurology and Neurosurgery · GBSorbonne Université · FRThe University of Sydney · AUTUM Klinikum · DEBroad Institute · USHeidelberg University · DEIllinois College · USKing Faisal Specialist Hospital & Research Centre · SAMeyer Children's Hospital · ITMohanlal Sukhadia University · INUniversity of British Columbia · CAAlfaisal University · SACentre National de la Recherche Scientifique · FRChildren's Hospital at Westmead · AUHelen DeVos Children's Hospital · USLeipzig University · DEPir Mehr Ali Shah Arid Agriculture University · PK

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Joint Center for Mendelian GenomicsUM1HG008900 · NHGRI · BROAD INSTITUTE, INC. · PI O'DONNELL-LURIA, ANNE, REHM, HEIDI L · 2016 to 2020
$16.5M
Baylor-Johns Hopkins Center for Mendelian GeneticsUM1HG006542 · NHGRI · JOHNS HOPKINS UNIVERSITY · PI VALLE, DAVID · 2016 to 2020
$14.5M
STRUCTURAL VARIATION IN NEUROLOGICAL DISEASER35NS105078 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI LUPSKI, JAMES R. · 2018 to 2025
$6.0M
A powerful web-based discovery platform for rare disease geneticsR01HG009141 · NHGRI · BROAD INSTITUTE, INC. · PI QUINLAN, AARON R, REHM, HEIDI L · 2017 to 2020
$2.9M
Individual genomic analyses to discover the molecular basis and mechanisms contributing to adult-onset diseaseK08HG008986 · NHGRI · BAYLOR COLLEGE OF MEDICINE · PI POSEY, JENNIFER ELLEN · 2017 to 2021
$831k
Medical Research Council G0601943Medical Research Council MR/S005021/1Medical Research Council MR/S01165X/1NCATS NIH HHS UL1 TR001863NHGRI NIH HHS K08 HG008986NHGRI NIH HHS R01 HG009141NHGRI NIH HHS UM1 HG006542NHGRI NIH HHS UM1 HG008900NINDS NIH HHS R35 NS105078Wellcome Trust
6 · The paper itself

Abstract

purposeTo investigate the effect of PLXNA1 variants on the phenotype of patients with autosomal dominant and recessive inheritance patterns and to functionally characterize the zebrafish homologs plxna1a and plxna1b during development.

methodsWe assembled ten patients from seven families with biallelic or de novo PLXNA1 variants. We describe genotype-phenotype correlations, investigated the variants by structural modeling, and used Morpholino knockdown experiments in zebrafish to characterize the embryonic role of plxna1a and plxna1b.

resultsShared phenotypic features among patients include global developmental delay (9/10), brain anomalies (6/10), and eye anomalies (7/10). Notably, seizures were predominantly reported in patients with monoallelic variants. Structural modeling of missense variants in PLXNA1 suggests distortion in the native protein. Our zebrafish studies enforce an embryonic role of plxna1a and plxna1b in the development of the central nervous system and the eye.

conclusionWe propose that different biallelic and monoallelic variants in PLXNA1 result in a novel neurodevelopmental syndrome mainly comprising developmental delay, brain, and eye anomalies. We hypothesize that biallelic variants in the extracellular Plexin-A1 domains lead to impaired dimerization or lack of receptor molecules, whereas monoallelic variants in the intracellular Plexin-A1 domains might impair downstream signaling through a dominant-negative effect.

Indexed as

Eye AbnormalitiesNeurodevelopmental DisordersAnimalsGenetic Association StudiesHumansNerve Tissue ProteinsPhenotypeReceptors, Cell SurfaceZebrafishNerve Tissue ProteinsPLXNA1 protein, humanReceptors, Cell Surface

Identifiers

PMID34054129
PMCPMC8460429
OpenAlexW3165747741

What Socratic holds

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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 Socratic graph.