Evidence map›Paper›PMID 39616267›Full record

ArticleEuropean journal of human genetics : EJHG2025

Identification of biallelic POLA2 variants in two families with an autosomal recessive telomere biology disorder.

Malin Kvarnung, Maria Pettersson, Pattra Chun-On, Maryam Rafati, Lisa J McReynolds, Anna Norberg, Pedro Luis Moura, Ida Pesonen, Roza Chaireti, Boa Grönros Söderholm and 8 more

Abstract readCase Reports
In one paragraph

Article in European journal of human genetics : EJHG, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Clonal Signatures of Telomere Biology Disorders.Current hematologic malignancy reports · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

18 authors.

Malin Kvarnung *Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden. malin.kvarnung@ki.se.
Maria Pettersson *Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Pattra Chun-On *Division of Hematology/Oncology, Department of Pediatrics, Boston Children's Hospital; Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Maryam RafatiDivision of Cancer Epidemiology and Genetics, Clinical Genetics Branch, National Cancer Institute, Bethesda, MD, USA.ORCID 0000-0001-7118-3412
Lisa J McReynoldsDivision of Cancer Epidemiology and Genetics, Clinical Genetics Branch, National Cancer Institute, Bethesda, MD, USA.ORCID 0000-0002-1018-1453
Anna NorbergDepartment of Medical Biosciences, Medical and Clinical Genetics, Umeå University, Umeå, Sweden.
Pedro Luis MouraDepartment of Medicine Huddinge, Center for Hematology and Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-0493-5394
Ida PesonenDepartment of Medicine Solna, Respiratory Medicine Unit, Karolinska Institutet, Stockholm, Sweden.
Roza ChairetiDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Boa Grönros SöderholmDivision of Nephrology, Danderyd University Hospital, Stockholm, Sweden.
Julia BurlinDivision of Nephrology, Danderyd University Hospital, Stockholm, Sweden.
Jenny RydénDepartment of Medicine Huddinge, Center for Hematology and Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden.
Eva Hellström LindbergDepartment of Medicine Huddinge, Center for Hematology and Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden.
Neelam GiriDivision of Cancer Epidemiology and Genetics, Clinical Genetics Branch, National Cancer Institute, Bethesda, MD, USA.
Sharon A SavageDivision of Cancer Epidemiology and Genetics, Clinical Genetics Branch, National Cancer Institute, Bethesda, MD, USA.ORCID 0000-0001-6006-0740
Suneet AgarwalDivision of Hematology/Oncology, Department of Pediatrics, Boston Children's Hospital; Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Ann NordgrenDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-3285-4281
Bianca TesiDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-8253-2507

Funding

Resource for Biocomputing Visualization and InformaticsP41GM103311 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FERRIN, THOMAS E · 2012 to 2017
$8.2M
NIGMS NIH HHS P41 GM103311Stockholms Läns Landsting (Stockholm County Council) FoUI-972766Stockholms Läns Landsting (Stockholm County Council) FoUI-985957Svenska Läkaresällskapet (Swedish Society of Medicine) SLS-973171
6 · The paper itself

Abstract

POLA2 encodes the accessory subunit of DNA polymerase α (polα)/primase, which is crucial for telomere C-strand fill-in. Incomplete fill-in of the C-rich telomeric strand after DNA replication has been proposed as a mechanism for Coats plus syndrome, a phenotype within the broader spectrum of telomere biology disorders (TBD). Coats plus syndrome has so far been associated with pathogenic variants in POT1, CTC1, and STN1. Here we report the findings of biallelic deleterious rare variants in POLA2 gene detected by whole genome sequencing and segregation analysis in five young adults from two unrelated families. All five individuals displayed abnormally short telomeres and a clinical phenotype suggesting a TBD disorder with Coats plus features including retinal and gastrointestinal telangiectasias. Our results suggest POLA2 as a novel autosomal recessive gene for a TBD with Coats plus features.

Indexed as

DNA Polymerase IFetal Growth RetardationRetinal DiseasesTelomereAtaxiaBrain NeoplasmsCalcinosisCentral Nervous System CystsGenes, RecessiveHumansLeukoencephalopathiesMuscle SpasticityMutationPedigreePhenotypeSeizuresDNA Polymerase IPOLA2 protein, human

Identifiers

PMID39616267
PMCPMC12048608

What Socratic 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 Socratic graph.