PLA2G6
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Also known as iPLA2PNPLA9PARK14iPLA2betaNBIA2
Summary
PLA2G6 (phospholipase A2 group VI, HGNC:9039) is a protein-coding gene on chromosome 22q13.1, encoding 85/88 kDa calcium-independent phospholipase A2 (O60733). Calcium-independent phospholipase involved in phospholipid remodeling with implications in cellular membrane homeostasis, mitochondrial integrity and signal transduction.
The protein encoded by this gene is an A2 phospholipase, a class of enzyme that catalyzes the release of fatty acids from phospholipids. The encoded protein may play a role in phospholipid remodelling, arachidonic acid release, leukotriene and prostaglandin synthesis, fas-mediated apoptosis, and transmembrane ion flux in glucose-stimulated B-cells. Several transcript variants encoding multiple isoforms have been described, but the full-length nature of only three of them have been determined to date.
Source: NCBI Gene 8398 — RefSeq curated summary.
At a glance
- Gene–disease (curated): PLA2G6-associated neurodegeneration (Definitive, ClinGen) — +3 more curated relationships
- GWAS associations: 31
- Clinical variants (ClinVar): 1,223 total — 91 pathogenic, 54 likely-pathogenic
- Phenotypes (HPO): 133
- Druggable target: yes — 1 molecules with ChEMBL bioactivity
- Dosage sensitivity (ClinGen): haploinsufficiency autosomal recessive, triplosensitivity unscored
- MANE Select transcript:
NM_003560
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:9039 |
| Approved symbol | PLA2G6 |
| Name | phospholipase A2 group VI |
| Location | 22q13.1 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | iPLA2, PNPLA9, PARK14, iPLA2beta, NBIA2 |
| Ensembl gene | ENSG00000184381 |
| Ensembl biotype | protein_coding |
| OMIM | 603604 |
| Entrez | 8398 |
Gene structure
Transcript identifiers
Ensembl transcripts: 52 — 27 protein_coding, 12 protein_coding_CDS_not_defined, 7 nonsense_mediated_decay, 6 retained_intron
ENST00000332509, ENST00000335539, ENST00000402064, ENST00000417303, ENST00000420435, ENST00000426674, ENST00000427114, ENST00000427453, ENST00000430886, ENST00000435484, ENST00000436218, ENST00000445591, ENST00000447598, ENST00000448094, ENST00000452542, ENST00000452794, ENST00000452972, ENST00000454670, ENST00000455341, ENST00000463287, ENST00000471636, ENST00000479641, ENST00000480154, ENST00000490473, ENST00000491986, ENST00000496409, ENST00000498338, ENST00000594306, ENST00000655142, ENST00000660610, ENST00000663895, ENST00000664587, ENST00000665987, ENST00000667521, ENST00000668208, ENST00000668499, ENST00000668949, ENST00000671093, ENST00000673413, ENST00000885143, ENST00000885144, ENST00000885145, ENST00000885146, ENST00000885147, ENST00000885148, ENST00000885149, ENST00000931333, ENST00000955628, ENST00000955629, ENST00000955630, ENST00000955631, ENST00000955632
RefSeq mRNA: 9 — MANE Select: NM_003560
NM_001004426, NM_001199562, NM_001349864, NM_001349865, NM_001349866, NM_001349867, NM_001349868, NM_001349869, NM_003560
CCDS: CCDS13967, CCDS33645
Canonical transcript exons
ENST00000332509 — 17 exons
| Exon | Start | End |
|---|---|---|
| ENSE00001691504 | 38132831 | 38133013 |
| ENSE00001748821 | 38115527 | 38115681 |
| ENSE00001759648 | 38113487 | 38113654 |
| ENSE00001760874 | 38112504 | 38112577 |
| ENSE00001837460 | 38111495 | 38112305 |
| ENSE00001955932 | 38181664 | 38181830 |
| ENSE00002210330 | 38128269 | 38128430 |
| ENSE00002251199 | 38129454 | 38129562 |
| ENSE00003070499 | 38139982 | 38140169 |
| ENSE00003503664 | 38169218 | 38169471 |
| ENSE00003510284 | 38145438 | 38145653 |
| ENSE00003531265 | 38116075 | 38116211 |
| ENSE00003576128 | 38143105 | 38143288 |
| ENSE00003576539 | 38123095 | 38123258 |
| ENSE00003585530 | 38126371 | 38126449 |
| ENSE00003590715 | 38120759 | 38120909 |
| ENSE00003785588 | 38134988 | 38135084 |
Expression profiles
Bgee: expression breadth ubiquitous, 232 present calls, max score 99.25.
FANTOM5 (CAGE): breadth ubiquitous, TPM avg 6.7710 / max 128.3385, expressed in 1549 samples.
FANTOM5 promoters (10 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 194126 | 4.6440 | 1409 |
| 194125 | 1.7496 | 785 |
| 194123 | 0.0798 | 29 |
| 194124 | 0.0758 | 32 |
| 194127 | 0.0753 | 27 |
| 194122 | 0.0563 | 20 |
| 194119 | 0.0405 | 9 |
| 194128 | 0.0247 | 14 |
| 194117 | 0.0144 | 7 |
| 194118 | 0.0105 | 6 |
Top tissues by expression
278 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| right uterine tube | UBERON:0001302 | 99.25 | gold quality |
| right lobe of thyroid gland | UBERON:0001119 | 98.25 | gold quality |
| left lobe of thyroid gland | UBERON:0001120 | 98.17 | gold quality |
| gall bladder | UBERON:0002110 | 97.41 | gold quality |
| thyroid gland | UBERON:0002046 | 96.97 | gold quality |
| right adrenal gland cortex | UBERON:0035827 | 96.60 | gold quality |
| right adrenal gland | UBERON:0001233 | 96.27 | gold quality |
| sural nerve | UBERON:0015488 | 96.09 | gold quality |
| granulocyte | CL:0000094 | 96.05 | gold quality |
| right testis | UBERON:0004534 | 95.94 | gold quality |
| left ovary | UBERON:0002119 | 95.76 | gold quality |
| left testis | UBERON:0004533 | 95.66 | gold quality |
| right ovary | UBERON:0002118 | 94.76 | gold quality |
| metanephros cortex | UBERON:0010533 | 94.75 | gold quality |
| left uterine tube | UBERON:0001303 | 94.73 | gold quality |
| endocervix | UBERON:0000458 | 94.63 | gold quality |
| left adrenal gland | UBERON:0001234 | 94.44 | gold quality |
| left adrenal gland cortex | UBERON:0035825 | 94.40 | gold quality |
| skin of abdomen | UBERON:0001416 | 94.18 | gold quality |
| body of uterus | UBERON:0009853 | 94.06 | gold quality |
| body of pancreas | UBERON:0001150 | 93.92 | gold quality |
| tibial nerve | UBERON:0001323 | 93.75 | gold quality |
| skin of leg | UBERON:0001511 | 93.63 | gold quality |
| minor salivary gland | UBERON:0001830 | 93.59 | gold quality |
| mucosa of stomach | UBERON:0001199 | 93.53 | gold quality |
| omental fat pad | UBERON:0010414 | 93.53 | gold quality |
| adrenal cortex | UBERON:0001235 | 93.52 | gold quality |
| peritoneum | UBERON:0002358 | 93.47 | gold quality |
| ectocervix | UBERON:0012249 | 92.99 | gold quality |
| small intestine Peyer’s patch | UBERON:0003454 | 92.95 | gold quality |
Single-cell (SCXA)
Detected in 1 experiment(s), a significant marker in 1.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-ANND-3 | yes | 2.96 |
Regulation
Is transcription factor: no
Upstream regulators (CollecTRI, top): KAT5, PITX2, SREBF2
miRNA regulators (miRDB)
56 targeting PLA2G6, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):
| miRNA | Max score | Avg score | miRNA target_count |
|---|---|---|---|
| HSA-MIR-6870-5P | 99.99 | 68.55 | 2115 |
| HSA-MIR-4723-5P | 99.97 | 68.70 | 2034 |
| HSA-MIR-5698 | 99.97 | 68.49 | 2029 |
| HSA-MIR-7111-5P | 99.97 | 68.48 | 2062 |
| HSA-MIR-185-3P | 99.95 | 67.01 | 1743 |
| HSA-MIR-205-3P | 99.92 | 69.92 | 3165 |
| HSA-MIR-4731-5P | 99.89 | 67.23 | 2537 |
| HSA-MIR-4492 | 99.87 | 68.25 | 3611 |
| HSA-MIR-30A-3P | 99.87 | 69.74 | 2928 |
| HSA-MIR-30D-3P | 99.87 | 69.92 | 2917 |
| HSA-MIR-30E-3P | 99.87 | 69.68 | 2942 |
| HSA-MIR-3151-5P | 99.86 | 63.83 | 1069 |
| HSA-MIR-6756-5P | 99.82 | 67.97 | 2466 |
| HSA-MIR-92A-2-5P | 99.75 | 67.01 | 2164 |
| HSA-MIR-6764-5P | 99.75 | 67.89 | 2304 |
| HSA-MIR-6766-5P | 99.68 | 67.70 | 2325 |
| HSA-MIR-762 | 99.58 | 66.61 | 1994 |
| HSA-MIR-1915-3P | 99.58 | 66.79 | 1988 |
| HSA-MIR-486-3P | 99.51 | 66.82 | 1901 |
| HSA-MIR-1207-5P | 99.49 | 69.11 | 2983 |
| HSA-MIR-4688 | 99.48 | 64.68 | 828 |
| HSA-MIR-6743-5P | 99.48 | 63.60 | 721 |
| HSA-MIR-4498 | 99.47 | 67.42 | 2360 |
| HSA-MIR-6722-3P | 99.45 | 67.62 | 1919 |
| HSA-MIR-6507-3P | 99.35 | 67.32 | 1059 |
| HSA-MIR-4505 | 99.27 | 67.81 | 2678 |
| HSA-MIR-5787 | 99.22 | 67.86 | 2628 |
| HSA-MIR-4763-3P | 99.10 | 67.83 | 2649 |
| HSA-MIR-3160-3P | 99.07 | 64.78 | 955 |
| HSA-MIR-5001-5P | 99.05 | 66.76 | 1972 |
Functional genomics
ClinGen dosage: haploinsufficiency 30 (autosomal recessive), triplosensitivity Not yet evaluated (unscored). ClinGen Gene Dosage Map
Literature-anchored findings (GeneRIF, showing 40)
- activation during apoptosis promotes the exposure of membrane lysophosphatidylcholine leading to binding by natural immunoglobulin M antibodies and complement activation (PMID:12208880)
- stimulation of three isoforms of PLA2 by thapsigargin liberates free AA that, in turn, induces capacitative calcium influx in human T-cells (PMID:12423354)
- Arachidonic acid produced by iPLA(2)beta-catalyzed hydrolysis of their substrates induces release of Ca(2+) from ER stores, an event thought to participate in glucose-stimulated insulin secretion. (PMID:14749286)
- The GVIB iPLA2 is widely expressed in human tissues but is enriched in heart, placenta, and skeletal muscle. (PMID:15052324)
- Here we show that the C-terminal region of human iPLA(2)gamma is responsible for the enzymatic activity. (PMID:15249229)
- iPLA2 may be dispensable for the apoptotic process to occur (PMID:15252038)
- iPLA2epsilon (adiponutrin), iPLA2zeta (TTS-2.2), and iPLA2eta (GS2) are three novel TAG lipases/acylglycerol transacylases that likely participate in TAG hydrolysis and the acyl-CoA independent transacylation of acylglycerols (PMID:15364929)
- truncated iPLA(2) proteins associate with active iPLA(2) and down-regulate its activity during G(1) (PMID:15385540)
- Detailed characterization of group VIA phospholipase A2 beta suggests that the pancreatic islet beta-cells express multiple isoforms of iPLA2beta; the hypothesis in this review is that these isozymes participate in different cellular functions. (PMID:15573142)
- This study reviews the evidence and discusses the potential roles of phospholipase A2 Group 6A for schizophrenia with particular emphasis on published association studies. (PMID:16585943)
- mapped a locus for infantile neuroaxonal dystrophy (INAD) and neurodegeneration with brain iron accumulation (NBIA) to chromosome 22q12-q13 and identified mutations in PLA2G6, encoding a group VI phospholipase A2, in NBIA, INAD and Karak syndrome (PMID:16783378)
- Increase in iPLA(2) and accumulation of membrane phospholipid-derived metabolites in HCAEC exposed to hypoxia or thrombin have important implications in inflammation and arrhythmogenesis in atherosclerosis/thrombosis and myocardial ischemia. (PMID:16943248)
- iPLA2-VIA is a novel regulator of endothelial cell S phase progression, cell cycle residence, and angiogenesis (PMID:16966332)
- The role of calcium influx factor and PLA2G6 in the activation of CRAC channels and calcium entry in rat tumor cell lines is reported. (PMID:17003039)
- The disease gene was mapped to a 1.17-Mb locus on chromosome 22q13.1. (PMID:17033970)
- Transient receptor potential subfamily M member 8 (TRPM8) channel is stimulated by the Ca2+-independent phospholipase A2 (iPLA2) signaling pathway with its end products, lysophospholipids, acting as its endogenous ligands. (PMID:17082190)
- human coronary artery endothelial cells exposed to thrombin or tryptase stimulation demonstrated an increase in iPLA2 activity and arachidonic acid release (PMID:17188740)
- Cerebellar atrophy without cerebellar cortex hyperintensity in infantile neuroaxonal dystrophy (INAD) due to PLA2G6 mutation. (PMID:17254819)
- Secretion and activity of sPLA(2) were found to be similar in granulocyte-like PLB cells expressing or lacking cPLA(2)alpha, indicating that they are not under cPLA(2)alpha regulation. (PMID:17275398)
- oxytocin stimulation of uterine PGF2alpha production is mediated, at least in part, by up-regulation of PLA2G6 expression and activity (PMID:17459165)
- iPLA(2)beta and cPLA(2)alpha regulate monocyte migration from different intracellular locations, with iPLA(2)beta acting as a critical regulator of the cellular compass. (PMID:18208975)
- PLA2G6 mutations are associated with infantile neuroaxonal dystrophy and have been reported previously to cause early cerebellar signs, and the syndrome was classified as neurodegeneration with brain iron accumulation (type 2). (PMID:18570303)
- This review discusses the role of iPLA2 in cell growth with special emphasis placed on its role in cell signaling; the putative lipid signals involved are also discussed. (PMID:18775417)
- Tryptase stimulation of human small airway epithelial cells increased membrane-associated, calcium-independent phospholipase A(2)gamma (iPLA(2)gamma) activity, resulting in increased arachidonic acid and PGE(2) release. (PMID:18790994)
- PLA2G6 mutations are associated with nearly all cases of classic infantile neuroaxonal dystrophy. (PMID:18799783)
- H2O2-mediated hyperoxidation of Prdx6 induces cell cycle arrest at the G2/M transition through up-regulation of iPLA2 activity. (PMID:18826942)
- iPLA2 activity is responsible for membrane phospholipid hydrolysis in response to tryptase or thrombin stimulation in pulmonary vascular endothelial cells (PMID:19059366)
- Different and even identical PLA2G6 mutations may cause neurodegenerative diseases with heterogeneous clinical manifestations, including dystonia-parkinsonism. (PMID:19087156)
- The nine novel mutations identified in this study suggest the uniqueness of the PLA2G6 mutation spectrum in Chinese patients (PMID:19138334)
- Chromofungin or Catestatin , penetrate into PMNs, inducing extracellular calcium entry by a CaM-regulated iPLA2 pathway. (PMID:19225567)
- The region with the greatest change upon lipid binding in phospholipase A2 group VI was region 708-730. (PMID:19556238)
- iPLA2 expression is increased in neutrophils from people with diabetes and mediates superoxide generation, presenting an alternate pathway independent of protein kinase C and phosphatidic acid phosphohydrolase-1 hydrolase signaling. (PMID:20053941)
- These data demonstrate the novel findings that iPLA2 inhibition activates p38 by inducing reactive species, and further suggest that this signaling kinase is involved in p53 activation, cell cycle arrest and cytostasis. (PMID:20171194)
- Our data suggest that PLA2G6 mutations are unlikely to be an important cause of the common garden variety of Parkinson’s disease patients with dystonia or a positive family history (PMID:20186954)
- Results characterize a pathway leading to NOX2 activation in which iPLA(2)-regulated p38 MAPK activity is a key regulator of S100A8/A9 translocation via S100A9 phosphorylation. (PMID:20219570)
- Compound heterozygosity for a large intragenic deletion and a nonsense mutation was found in one patient with infantile neuroaxonal dystrophy while the other is carrying two novel splice-site mutations (PMID:20584031)
- This report further defines the clinical features and neuropathology of PLA2G6 related childhood and adult onset dystonia-parkinsonism . (PMID:20619503)
- Genetically determined NBIA cases from the Indian subcontinent suggest presence of unusual phenotypes of PANK2 and novel mutations (PMID:20629144)
- We identified genetic deficits in PLA2G6 that were associated with Levodopa responsive parkinsonism with pyramidal signs. (PMID:20669327)
- This study demonistrated that pLA2G6 has a dynamic expression pattern both in terms of the location of expression and the differentiation state of expressing cells. (PMID:20813170)
Cross-species orthologs
7 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | pla2g6 | ENSDARG00000060921 |
| mus_musculus | Pla2g6 | ENSMUSG00000042632 |
| rattus_norvegicus | Pla2g6 | ENSRNOG00000012295 |
| drosophila_melanogaster | iPLA2-VIA | FBGN0036053 |
| drosophila_melanogaster | mask | FBGN0043884 |
| caenorhabditis_elegans | WBGENE00011240 | |
| caenorhabditis_elegans | WBGENE00011423 |
Paralogs (4): NFKBIA (ENSG00000100906), NFKBIB (ENSG00000104825), ANKRD22 (ENSG00000152766), TONSL (ENSG00000160949)
Protein
Protein identifiers
85/88 kDa calcium-independent phospholipase A2 — O60733 (reviewed: O60733)
Alternative names: 2-lysophosphatidylcholine acylhydrolase, Group VI phospholipase A2, Intracellular membrane-associated calcium-independent phospholipase A2 beta, Palmitoyl-CoA hydrolase, Patatin-like phospholipase domain-containing protein 9
All UniProt accessions (15): A0A590UJC7, A0A590UJH4, A0A590UJZ2, A0A590UK51, A0A590UK67, B0QYE9, E7EX67, O60733, F8WEN3, F8WEQ9, H0Y6T3, H0Y7G5, H7C3P5, M0R1Q9, M0R3D9
UniProt curated annotations — full annotation on UniProt →
Function. Calcium-independent phospholipase involved in phospholipid remodeling with implications in cellular membrane homeostasis, mitochondrial integrity and signal transduction. Hydrolyzes the ester bond of the fatty acyl group attached at sn-1 or sn-2 position of phospholipids (phospholipase A1 and A2 activity respectively), producing lysophospholipids that are used in deacylation-reacylation cycles. Hydrolyzes both saturated and unsaturated long fatty acyl chains in various glycerophospholipid classes such as phosphatidylcholines, phosphatidylethanolamines and phosphatidates, with a preference for hydrolysis at sn-2 position. Can further hydrolyze lysophospholipids carrying saturated fatty acyl chains (lysophospholipase activity). Upon oxidative stress, contributes to remodeling of mitochondrial phospholipids in pancreatic beta cells, in a repair mechanism to reduce oxidized lipid content. Preferentially hydrolyzes oxidized polyunsaturated fatty acyl chains from cardiolipins, yielding monolysocardiolipins that can be reacylated with unoxidized fatty acyls to regenerate native cardiolipin species. Hydrolyzes oxidized glycerophosphoethanolamines present in pancreatic islets, releasing oxidized polyunsaturated fatty acids such as hydroxyeicosatetraenoates (HETEs). Has thioesterase activity toward fatty-acyl CoA releasing CoA-SH known to facilitate fatty acid transport and beta-oxidation in mitochondria particularly in skeletal muscle. Plays a role in regulation of membrane dynamics and homeostasis. Selectively hydrolyzes sn-2 arachidonoyl group in plasmalogen phospholipids, structural components of lipid rafts and myelin. Regulates F-actin polymerization at the pseudopods, which is required for both speed and directionality of MCP1/CCL2-induced monocyte chemotaxis. Targets membrane phospholipids to produce potent lipid signaling messengers. Generates lysophosphatidate (LPA, 1-acyl-glycerol-3-phosphate), which acts via G-protein receptors in various cell types. Has phospholipase A2 activity toward platelet-activating factor (PAF, 1-O-alkyl-2-acetyl-sn-glycero-3-phosphocholine), likely playing a role in inactivation of this potent pro-inflammatory signaling lipid. In response to glucose, amplifies calcium influx in pancreatic beta cells to promote INS secretion. Lacks the catalytic domain and may act as a negative regulator of the catalytically active isoforms. Lacks the catalytic domain and may act as a negative regulator of the catalytically active isoforms.
Subunit / interactions. Homodimer formed by catalytic domains tightly interacting through a large hydrophobic interface. The contact area involves 3 alpha helices, several loops and a part of the beta sheet from each monomer. Both active sites of the dimer are in close proximity adopting an open conformation that provide sufficient space for phospholipid access and favoring cooperativity in deacylation-reacylation reactions. Each monomer has 9 ankyrin repeats stacked side-by-side in an elongated structure oriented outwards from the catalytic core.
Subcellular location. Cytoplasm. Cell membrane. Mitochondrion. Cell projection. Pseudopodium.
Tissue specificity. Four different transcripts were found to be expressed in a distinct tissue distribution.
Disease relevance. Neurodegeneration with brain iron accumulation 2B (NBIA2B) [MIM:610217] A neurodegenerative disorder associated with iron accumulation in the brain, primarily in the basal ganglia. It is characterized by progressive extrapyramidal dysfunction leading to rigidity, dystonia, dysarthria and sensorimotor impairment. The disease is caused by variants affecting the gene represented in this entry. Neurodegeneration with brain iron accumulation 2A (NBIA2A) [MIM:256600] A neurodegenerative disease characterized by pathologic axonal swelling and spheroid bodies in the central nervous system. Onset is within the first 2 years of life with death by age 10 years. The disease is caused by variants affecting the gene represented in this entry. Parkinson disease 14 (PARK14) [MIM:612953] An adult-onset progressive neurodegenerative disorder characterized by parkinsonism, dystonia, severe cognitive decline, cerebral and cerebellar atrophy and absent iron in the basal ganglia on magnetic resonance imaging. The disease is caused by variants affecting the gene represented in this entry.
Activity regulation. Activated by ATP. Inhibited by calcium-activated calmodulin. Inhibited by bromoenol lactone (BEL).
Domain organisation. Has two putative calmodulin binding domains, the 1-9-14 and IQ motifs. One calmodulin molecule interacts with PLA2G6 dimer, likely through 1-9-14 motif on each monomer. Binds calmodulin in a calcium-dependent way.
Isoforms (4)
| UniProt ID | Names | Canonical? |
|---|---|---|
| O60733-1 | LH-iPLA2 | yes |
| O60733-2 | SH-iPLA2 | |
| O60733-3 | Ankyrin-iPLA2-1 | |
| O60733-4 | Ankyrin-iPLA2-2 |
RefSeq proteins (9): NP_001004426, NP_001186491, NP_001336793, NP_001336794, NP_001336795, NP_001336796, NP_001336797, NP_001336798, NP_003551* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR002110 | Ankyrin_rpt | Repeat |
| IPR002641 | PNPLA_dom | Domain |
| IPR016035 | Acyl_Trfase/lysoPLipase | Homologous_superfamily |
| IPR036770 | Ankyrin_rpt-contain_sf | Homologous_superfamily |
| IPR047148 | PLPL9 | Family |
Pfam: PF00023, PF01734, PF12796
Enzyme classification (BRENDA):
- EC 3.1.1.4 — phospholipase A2 (BRENDA: 129 organisms, 452 substrates, 710 inhibitors, 90 Km, 14 kcat entries)
Substrate kinetics (BRENDA)
58 substrates with measured Km, best-characterized 15. Km ranges are aggregated across organisms/conditions.
| Substrate | Km (mM) | Measurements |
|---|---|---|
| PHOSPHATIDYLCHOLINE | 0.05–17 | 12 |
| 1,2-DIHEXANOYL-SN-GLYCERO-3-PHOSPHOCHOLINE | 0.94–13.85 | 7 |
| PHOSPHATIDYLETHANOLAMINE | 0.02–10.5 | 5 |
| 1,2-DIHEPTANOYL-SN-GLYCERO-3-PHOPHORYLCHOLINE | 1.12–5.13 | 3 |
| 1,2-DIHEPTANOYL-SN-GLYCERO-3-PHOSPHOCHOLINE | 3–3.92 | 3 |
| 1,2-DIOCTANOYL-SN-GLYCERO-3-PHOSPHOCHOLINE | 0.12–3.2 | 3 |
| 1-HEXADECYL-2-ACETYL-SN-GLYCEROL-3-PHOSPHOCHOLIN | 0.0137–0.0142 | 2 |
| 1-PALMITOYL-2-ARACHIDONYLPHOSPHATIDYLCHOLINE | 0.0016–0.0033 | 2 |
| LECITHIN | 8.3–8.5 | 2 |
| (3E)-3-[(3AS,7AS)-3-METHYL-2-OXO-6-(PROPAN-2-YLI | 0.742 | 1 |
| (3R,3AS,5AS,8BR)-3,5A,5B-TRIMETHYL-3A,4,5,5A,5B, | 0.746 | 1 |
| (3R,3AS,5AS,9BR)-3,5A,9-TRIMETHYL-3A,4,5,5A-TETR | 0.734 | 1 |
| (3R,3AS,6R,8S,9BS)-6,8-DIHYDROXY-3,6,9-TRIMETHYL | 0.744 | 1 |
| (3R,3AS,6R,8S,9BS)-8-HYDROXY-3,6,9-TRIMETHYL-2-O | 0.738 | 1 |
| (3R,3AS,6R,9BS)-3,6,9-TRIMETHYL-2,8-DIOXO-2,3,3A | 0.742 | 1 |
Catalyzed reactions (Rhea), 12 shown:
- a 1-acyl-sn-glycero-3-phosphocholine + H2O = sn-glycerol 3-phosphocholine + a fatty acid + H(+) (RHEA:15177)
- a 1,2-diacyl-sn-glycero-3-phosphocholine + H2O = a 1-acyl-sn-glycero-3-phosphocholine + a fatty acid + H(+) (RHEA:15801)
- hexadecanoyl-CoA + H2O = hexadecanoate + CoA + H(+) (RHEA:16645)
- a 1-O-alkyl-2-acyl-sn-glycero-3-phosphocholine + H2O = a 1-O-alkyl-sn-glycero-3-phosphocholine + a fatty acid + H(+) (RHEA:36231)
- 1-hexadecanoyl-2-(9Z-octadecenoyl)-sn-glycero-3-phosphocholine + H2O = 1-hexadecanoyl-sn-glycero-3-phosphocholine + (9Z)-octadecenoate + H(+) (RHEA:38779)
- 1-hexadecanoyl-2-(5Z,8Z,11Z,14Z-eicosatetraenoyl)-sn-glycero-3-phosphocholine + H2O = 1-hexadecanoyl-sn-glycero-3-phosphocholine + (5Z,8Z,11Z,14Z)-eicosatetraenoate + H(+) (RHEA:40427)
- 1-hexadecanoyl-2-(5Z,8Z,11Z,14Z-eicosatetraenoyl)-sn-glycero-3-phosphoethanolamine + H2O = 1-hexadecanoyl-sn-glycero-3-phosphoethanolamine + (5Z,8Z,11Z,14Z)-eicosatetraenoate + H(+) (RHEA:40431)
- 1-hexadecanoyl-sn-glycero-3-phosphocholine + H2O = sn-glycerol 3-phosphocholine + hexadecanoate + H(+) (RHEA:40435)
- 1’,3’-bis[1,2-di-(9Z-octadecenoyl)-sn-glycero-3-phospho]-glycerol + H2O = 1’-[1,2-di-(9Z-octadecenoyl)-sn-glycero-3-phospho]-3’-[1-(9Z-octadecenoyl)-sn-glycero-3-phospho]-glycerol + (9Z)-octadecenoate + H(+) (RHEA:40463)
- 1’-[1,2-di-(9Z-octadecenoyl)-sn-glycero-3-phospho]-3’-[1-(9Z-octadecenoyl)-sn-glycero-3-phospho]-glycerol + H2O = 1’,3’-bis-[1-(9Z-octadecenoyl)-sn-glycero-3-phospho]-glycerol + (9Z)-octadecenoate + H(+) (RHEA:40467)
- 1-O-hexadecyl-2-acetyl-sn-glycero-3-phosphocholine + H2O = 1-O-hexadecyl-sn-glycero-3-phosphocholine + acetate + H(+) (RHEA:40479)
- 1-octadecanoyl-2-(5Z,8Z,11Z,14Z-eicosatetraenoyl)-sn-glycero-3-phosphocholine + H2O = 1-octadecanoyl-sn-glycero-3-phosphocholine + (5Z,8Z,11Z,14Z)-eicosatetraenoate + H(+) (RHEA:40519)
UniProt features (53 total): sequence variant 21, repeat 9, splice variant 6, sequence conflict 5, short sequence motif 3, transmembrane region 2, region of interest 2, active site 2, chain 1, domain 1, mutagenesis site 1
Structure
Experimental structures (PDB)
0 structures.
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-O60733-F1 | 86.16 | 0.69 |
Functional residue map
Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.
Catalytic / active sites (2): 519 (nucleophile); 652 (proton acceptor)
Mutagenesis-validated functional residues (1):
| Position | Phenotype |
|---|---|
| 519 | abolishes phospholipase and lysophospholipase activities. |
Function
Pathways and Gene Ontology
Reactome pathways
5 pathways
| ID | Pathway |
|---|---|
| R-HSA-1482788 | Acyl chain remodelling of PC |
| R-HSA-1482798 | Acyl chain remodeling of CL |
| R-HSA-1482839 | Acyl chain remodelling of PE |
| R-HSA-2029485 | Role of phospholipids in phagocytosis |
| R-HSA-6811436 | COPI-independent Golgi-to-ER retrograde traffic |
MSigDB gene sets: 539 (showing top):
GSE45365_NK_CELL_VS_BCELL_DN, MYAATNNNNNNNGGC_UNKNOWN, GOBP_PHOSPHOLIPID_METABOLIC_PROCESS, GOBP_PHOSPHATIDYLCHOLINE_METABOLIC_PROCESS, REACTOME_INNATE_IMMUNE_SYSTEM, CHIBA_RESPONSE_TO_TSA_UP, GOBP_ANTIMICROBIAL_HUMORAL_RESPONSE, KEGG_MAPK_SIGNALING_PATHWAY, GOBP_POSITIVE_REGULATION_OF_AMIDE_METABOLIC_PROCESS, GOBP_INSULIN_SECRETION, GOBP_CELLULAR_RESPONSE_TO_CARBOHYDRATE_STIMULUS, GRAESSMANN_APOPTOSIS_BY_DOXORUBICIN_UP, RIZ_ERYTHROID_DIFFERENTIATION_CCNE1, GRAESSMANN_RESPONSE_TO_MC_AND_DOXORUBICIN_UP, GOBP_POSITIVE_REGULATION_OF_PROTEIN_LOCALIZATION
GO Biological Process (12): chemotaxis (GO:0006935), antibacterial humoral response (GO:0019731), phosphatidylcholine catabolic process (GO:0034638), positive regulation of insulin secretion involved in cellular response to glucose stimulus (GO:0035774), cardiolipin acyl-chain remodeling (GO:0035965), Fc-gamma receptor signaling pathway involved in phagocytosis (GO:0038096), phosphatidylethanolamine catabolic process (GO:0046338), platelet activating factor metabolic process (GO:0046469), phosphatidic acid metabolic process (GO:0046473), positive regulation of ceramide biosynthetic process (GO:2000304), lipid metabolic process (GO:0006629), lipid catabolic process (GO:0016042)
GO Molecular Function (11): 1-alkyl-2-acetylglycerophosphocholine esterase activity (GO:0003847), phosphatidylcholine lysophospholipase A1 activity (GO:0004622), A2-type glycerophospholipase activity (GO:0004623), calmodulin binding (GO:0005516), hydrolase activity (GO:0016787), serine hydrolase activity (GO:0017171), identical protein binding (GO:0042802), obsolete calcium-independent phospholipase A2 activity (GO:0047499), long-chain fatty acyl-CoA hydrolase activity (GO:0052816), catalytic activity (GO:0003824), protein binding (GO:0005515)
GO Cellular Component (10): obsolete extracellular space (GO:0005615), mitochondrion (GO:0005739), cytosol (GO:0005829), plasma membrane (GO:0005886), microtubule cytoskeleton (GO:0015630), nuclear speck (GO:0016607), pseudopodium (GO:0031143), cytoplasm (GO:0005737), membrane (GO:0016020), cell projection (GO:0042995)
Reactome top-level categories
Rollup of top-3 pathways:
| Category | Pathways |
|---|---|
| Glycerophospholipid biosynthesis | 3 |
| Fcgamma receptor (FCGR) dependent phagocytosis | 1 |
| Golgi-to-ER retrograde transport | 1 |
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| cellular anatomical structure | 4 |
| glycerophospholipid catabolic process | 2 |
| glycerophospholipid metabolic process | 2 |
| carboxylic ester hydrolase activity | 2 |
| protein binding | 2 |
| cytoplasm | 2 |
| response to chemical | 1 |
| taxis | 1 |
| antimicrobial humoral response | 1 |
| defense response to bacterium | 1 |
| phosphatidylcholine metabolic process | 1 |
| positive regulation of insulin secretion | 1 |
| insulin secretion involved in cellular response to glucose stimulus | 1 |
| regulation of insulin secretion involved in cellular response to glucose stimulus | 1 |
| cardiolipin metabolic process | 1 |
| Fc receptor mediated stimulatory signaling pathway | 1 |
| phagocytosis | 1 |
| Fc-gamma receptor signaling pathway | 1 |
| phosphatidylethanolamine metabolic process | 1 |
| ether lipid metabolic process | 1 |
| ceramide biosynthetic process | 1 |
| positive regulation of sphingolipid biosynthetic process | 1 |
| regulation of ceramide biosynthetic process | 1 |
| primary metabolic process | 1 |
| lipid metabolic process | 1 |
| catabolic process | 1 |
| lysophospholipase A1 activity | 1 |
| glycerophospholipase activity | 1 |
| catalytic activity | 1 |
| hydrolase activity | 1 |
| fatty acyl-CoA hydrolase activity | 1 |
| molecular_function | 1 |
| binding | 1 |
| intracellular membrane-bounded organelle | 1 |
| membrane | 1 |
| cell periphery | 1 |
| cytoskeleton | 1 |
| nuclear ribonucleoprotein granule | 1 |
| plasma membrane bounded cell projection | 1 |
| intracellular anatomical structure | 1 |
Protein interactions and networks
STRING
1700 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| PLA2G6 | PANK2 | Q9BZ23 | 958 |
| PLA2G6 | FTL | P02792 | 907 |
| PLA2G6 | FBXO7 | Q9Y3I1 | 898 |
| PLA2G6 | ATP13A2 | Q9NQ11 | 841 |
| PLA2G6 | PLA2G2A | P14555 | 823 |
| PLA2G6 | PARK7 | Q99497 | 812 |
| PLA2G6 | C19orf12 | Q9NSK7 | 810 |
| PLA2G6 | GIGYF2 | Q6Y7W6 | 802 |
| PLA2G6 | PINK1 | Q9BXM7 | 801 |
| PLA2G6 | CALML6 | Q8TD86 | 780 |
| PLA2G6 | CALML3 | P27482 | 780 |
| PLA2G6 | CALML4 | Q96GE6 | 780 |
| PLA2G6 | CALML5 | Q9NZT1 | 780 |
| PLA2G6 | MTAP | Q13126 | 771 |
| PLA2G6 | GBA1 | P04062 | 752 |
IntAct
41 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| PLA2G6 | CEP76 | psi-mi:“MI:0915”(physical association) | 0.560 |
| PLA2G6 | NUP93 | psi-mi:“MI:0915”(physical association) | 0.560 |
| PLA2G6 | SERTAD2 | psi-mi:“MI:0915”(physical association) | 0.560 |
| PLA2G6 | PLA2G6 | psi-mi:“MI:0915”(physical association) | 0.560 |
| PLA2G6 | USP54 | psi-mi:“MI:0915”(physical association) | 0.560 |
| PLA2G6 | MAT2B | psi-mi:“MI:0915”(physical association) | 0.560 |
| PLA2G6 | RCBTB2 | psi-mi:“MI:0915”(physical association) | 0.560 |
| PLA2G6 | TRIM50 | psi-mi:“MI:0915”(physical association) | 0.560 |
| PLA2G6 | psi-mi:“MI:0915”(physical association) | 0.560 | |
| PLA2G6 | RUSC1 | psi-mi:“MI:0915”(physical association) | 0.560 |
| ZBTB42 | PLA2G6 | psi-mi:“MI:0915”(physical association) | 0.560 |
| HIF1AN | CNOT1 | psi-mi:“MI:0914”(association) | 0.350 |
| NEK4 | E2F8 | psi-mi:“MI:0914”(association) | 0.350 |
| PLA2G6 | CHEK1 | psi-mi:“MI:0914”(association) | 0.350 |
| UBXN6 | ZSWIM8 | psi-mi:“MI:0914”(association) | 0.350 |
| CIAO2A | psi-mi:“MI:0914”(association) | 0.350 | |
| DHFR | FANCA | psi-mi:“MI:0914”(association) | 0.350 |
| NXT2 | MYO1G | psi-mi:“MI:0914”(association) | 0.350 |
| PLA2G6 | CEP76 | psi-mi:“MI:0915”(physical association) | 0.000 |
| PLA2G6 | NUP93 | psi-mi:“MI:0915”(physical association) | 0.000 |
| PLA2G6 | SERTAD2 | psi-mi:“MI:0915”(physical association) | 0.000 |
| PLA2G6 | RCBTB2 | psi-mi:“MI:0915”(physical association) | 0.000 |
| PLA2G6 | PLA2G6 | psi-mi:“MI:0915”(physical association) | 0.000 |
| PLA2G6 | USP54 | psi-mi:“MI:0915”(physical association) | 0.000 |
| MAT2B | PLA2G6 | psi-mi:“MI:0915”(physical association) | 0.000 |
| PLA2G6 | TRIM50 | psi-mi:“MI:0915”(physical association) | 0.000 |
BioGRID (28): Arf1 (Affinity Capture-Western), PLA2G6 (Reconstituted Complex), PLA2G6 (Affinity Capture-RNA), PLA2G6 (Affinity Capture-MS), PLA2G6 (Two-hybrid), PLA2G6 (Two-hybrid), PLA2G6 (Two-hybrid), PLA2G6 (Two-hybrid), PLA2G6 (Two-hybrid), PLA2G6 (Two-hybrid), PLA2G6 (Two-hybrid), PLA2G6 (Two-hybrid), PLA2G6 (Two-hybrid), PLA2G6 (Two-hybrid), PLA2G6 (Two-hybrid)
ESM2 similar proteins: A0A3L7I2I8, A0FKG7, A2AGL3, A7MB89, B0LPN4, E9Q401, O60733, P30957, P42694, P49754, P97570, P97819, Q15413, Q29RM5, Q2KIX2, Q2T9K6, Q32PW3, Q3SX45, Q4V890, Q59H18, Q5F361, Q5GIG6, Q5KU39, Q5RF15, Q5U2S6, Q5ZKK2, Q66H07, Q66H63, Q6B858, Q6DFV5, Q6NYU2, Q7T3P8, Q7TQP6, Q8C0T1, Q8CEF1, Q8K0L0, Q8K114, Q8TC84, Q91W86, Q92736
Diamond homologs: A0A3L7I2I8, O60733, O89019, P97570, P97819, Q20500, Q9KVG8, P07207, P46530, Q9TZM3, A6QR20, B2RXR6, G0LXV8, L7XDS4, O15084, O75762, O90760, P0DJE3, P19838, P23631, P53356, Q3SX00, Q4FE45, Q4JHE0, Q505D1, Q54HW1, Q55FM5, Q5F478, Q5R8C8, Q63369, Q68FF6, Q6JAN1, Q6RI86, Q7Z020, Q86W74, Q8BLA8, Q8BTI7, Q8N8A2, Q8NB46, Q94B55
SIGNOR signaling
0 interactions.
Disease & clinical
Clinical variants and AI predictions
ClinVar
1223 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 91 |
| Likely pathogenic | 54 |
| Uncertain significance | 360 |
| Likely benign | 489 |
| Benign | 56 |
Top pathogenic / likely-pathogenic (30)
| Variant ID | HGVS | Classification |
|---|---|---|
| 1012263 | NM_003560.4(PLA2G6):c.668C>A (p.Pro223Gln) | Pathogenic |
| 1012698 | NM_003560.4(PLA2G6):c.2251G>T (p.Glu751Ter) | Pathogenic |
| 1028628 | NM_003560.4(PLA2G6):c.1933C>T (p.Arg645Ter) | Pathogenic |
| 1076982 | NC_000022.10:g.(?38528818)(38539315_?)dup | Pathogenic |
| 1252075 | NM_003560.4(PLA2G6):c.1125del (p.Val376fs) | Pathogenic |
| 1323464 | NM_003560.4(PLA2G6):c.857_858del (p.Tyr286fs) | Pathogenic |
| 1343814 | NM_003560.4(PLA2G6):c.1690del (p.Phe563_Leu564insTer) | Pathogenic |
| 1453196 | NC_000022.10:g.(?38565205)(38565433_?)del | Pathogenic |
| 1459347 | NC_000022.10:g.(?38528818)(38536196_?)del | Pathogenic |
| 159730 | NC_000022.10:g.38522454delG | Pathogenic |
| 159734 | NM_003560.4(PLA2G6):c.1509del (p.Ser504fs) | Pathogenic |
| 159749 | NM_003560.4(PLA2G6):c.1903C>T (p.Arg635Ter) | Pathogenic |
| 159764 | NM_003560.4(PLA2G6):c.2327_2328del (p.Thr776fs) | Pathogenic |
| 159773 | NM_003560.4(PLA2G6):c.517C>T (p.Gln173Ter) | Pathogenic |
| 159780 | NM_003560.4(PLA2G6):c.821T>G (p.Met274Arg) | Pathogenic |
| 1686076 | NM_003560.4(PLA2G6):c.1969G>A (p.Ala657Thr) | Pathogenic |
| 1686077 | NM_003560.4(PLA2G6):c.1474_1478del (p.Ile492fs) | Pathogenic |
| 1712833 | NM_003560.4(PLA2G6):c.1648del (p.Arg550fs) | Pathogenic |
| 2121380 | NM_003560.4(PLA2G6):c.1460del (p.Gly487fs) | Pathogenic |
| 2170057 | NM_003560.4(PLA2G6):c.1974C>G (p.Asn658Lys) | Pathogenic |
| 2412648 | NM_003560.4(PLA2G6):c.1427+2T>C | Pathogenic |
| 2412654 | NM_003560.4(PLA2G6):c.127C>T (p.Gln43Ter) | Pathogenic |
| 2424703 | NC_000022.10:g.(?38535969)(38536196_?)del | Pathogenic |
| 2501533 | NM_003560.4(PLA2G6):c.1915del (p.Ala639fs) | Pathogenic |
| 265449 | NM_003560.4(PLA2G6):c.208C>T (p.Arg70Ter) | Pathogenic |
| 2709169 | NM_003560.4(PLA2G6):c.2276+1G>C | Pathogenic |
| 2711293 | NM_003560.4(PLA2G6):c.1833dup (p.Arg612fs) | Pathogenic |
| 2724426 | NM_003560.4(PLA2G6):c.1982C>T (p.Thr661Met) | Pathogenic |
| 2737044 | NM_003560.4(PLA2G6):c.1524dup (p.Lys509fs) | Pathogenic |
| 2739108 | NM_003560.4(PLA2G6):c.2144G>A (p.Trp715Ter) | Pathogenic |
SpliceAI
4871 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| 22:38112305:TC:T | acceptor_loss | 1.0000 |
| 22:38112306:C:CA | acceptor_loss | 1.0000 |
| 22:38112306:C:CC | acceptor_gain | 1.0000 |
| 22:38112498:CCTCA:C | donor_loss | 1.0000 |
| 22:38112499:CTCAC:C | donor_loss | 1.0000 |
| 22:38112500:TCA:T | donor_loss | 1.0000 |
| 22:38112501:CA:C | donor_loss | 1.0000 |
| 22:38112502:ACCTG:A | donor_loss | 1.0000 |
| 22:38112503:CCT:C | donor_loss | 1.0000 |
| 22:38112574:TGCA:T | acceptor_gain | 1.0000 |
| 22:38112575:GCA:G | acceptor_gain | 1.0000 |
| 22:38112576:CA:C | acceptor_gain | 1.0000 |
| 22:38112576:CAC:C | acceptor_gain | 1.0000 |
| 22:38112578:C:CC | acceptor_gain | 1.0000 |
| 22:38113480:CA:C | donor_gain | 1.0000 |
| 22:38113485:A:AC | donor_gain | 1.0000 |
| 22:38113485:A:AT | donor_loss | 1.0000 |
| 22:38113486:C:CC | donor_gain | 1.0000 |
| 22:38113486:C:CG | donor_loss | 1.0000 |
| 22:38113486:CA:C | donor_gain | 1.0000 |
| 22:38113495:C:CT | donor_gain | 1.0000 |
| 22:38113505:G:A | donor_gain | 1.0000 |
| 22:38113512:T:A | donor_gain | 1.0000 |
| 22:38113652:ACCC:A | acceptor_loss | 1.0000 |
| 22:38113653:CC:C | acceptor_gain | 1.0000 |
| 22:38113653:CCCTG:C | acceptor_loss | 1.0000 |
| 22:38113654:CC:C | acceptor_gain | 1.0000 |
| 22:38113654:CCTG:C | acceptor_loss | 1.0000 |
| 22:38113655:C:CA | acceptor_loss | 1.0000 |
| 22:38113656:T:A | acceptor_loss | 1.0000 |
AlphaMissense
0 scored. Top likely-pathogenic:
dbSNP variants (sampled 300 via entrez): RS1000008648 (22:38164892 G>A,C), RS1000030845 (22:38154085 A>C), RS1000049180 (22:38134973 T>A,C,G), RS1000054648 (22:38123088 C>T), RS1000120429 (22:38159328 A>G,T), RS1000140578 (22:38112635 G>A,C,T), RS1000162160 (22:38143879 A>G), RS1000192393 (22:38157880 T>C), RS1000268169 (22:38118639 A>T), RS1000303487 (22:38115649 C>A,T), RS1000400563 (22:38134788 G>T), RS1000419201 (22:38175586 C>T), RS1000474397 (22:38127890 A>G), RS1000493952 (22:38130856 C>A), RS1000500182 (22:38174807 G>A)
Disease associations
OMIM: gene MIM:603604 | disease phenotypes: MIM:256600, MIM:610217, MIM:612953, MIM:234200, MIM:168600, MIM:600329, MIM:108600, MIM:209850, MIM:213000, MIM:611584
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| neurodegeneration with brain iron accumulation 2A | Definitive | Autosomal recessive |
| neurodegeneration with brain iron accumulation 2B | Definitive | Autosomal recessive |
| autosomal recessive Parkinson disease 14 | Strong | Autosomal recessive |
ClinGen Gene-Disease Validity (1)
Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.
| Disease | Classification | Inheritance |
|---|---|---|
| PLA2G6-associated neurodegeneration | Definitive | AR |
Mondo (16): neurodegeneration with brain iron accumulation 2A (MONDO:0024457), PLA2G6-associated neurodegeneration (MONDO:0017998), neurodegeneration with brain iron accumulation 2B (MONDO:0012444), autosomal recessive Parkinson disease 14 (MONDO:0013060), neurodegeneration with brain iron accumulation (MONDO:0018307), congenital nervous system disorder (MONDO:0002320), Parkinson disease (MONDO:0005180), parkinsonian disorder (MONDO:0021095), vascular parkinsonism (MONDO:0956980), infantile osteopetrosis with neuroaxonal dysplasia (MONDO:0010866), spastic ataxia (MONDO:0017845), autism (MONDO:0005260), cerebellar ataxia (MONDO:0000437), microcephaly (MONDO:0001149), isolated cerebellar hypoplasia/agenesis (MONDO:0008939)
Orphanet (11): Infantile neuroaxonal dystrophy (Orphanet:35069), PLA2G6-associated neurodegeneration (Orphanet:329303), Adult-onset dystonia-parkinsonism (Orphanet:199351), Neurodegeneration with brain iron accumulation (Orphanet:385), Infantile osteopetrosis with neuroaxonal dysplasia (Orphanet:85179), Spastic ataxia (Orphanet:316226), Rare ataxia (Orphanet:102002), Isolated cerebellar agenesis (Orphanet:1398), Cerebellar hypoplasia-tapetoretinal degeneration syndrome (Orphanet:2246), Waardenburg syndrome (Orphanet:3440), NON RARE IN EUROPE: Parkinson disease (Orphanet:319705)
HPO phenotypes
133 total (30 of 133 shown, HPO-id order):
| HPO | Term |
|---|---|
| HP:0000007 | Autosomal recessive inheritance |
| HP:0000017 | Nocturia |
| HP:0000338 | Hypomimic face |
| HP:0000347 | Micrognathia |
| HP:0000365 | Hearing impairment |
| HP:0000486 | Strabismus |
| HP:0000511 | Vertical supranuclear gaze palsy |
| HP:0000571 | Hypometric saccades |
| HP:0000572 | Visual loss |
| HP:0000605 | Supranuclear gaze palsy |
| HP:0000618 | Blindness |
| HP:0000639 | Nystagmus |
| HP:0000648 | Optic atrophy |
| HP:0000649 | Abnormality of visual evoked potentials |
| HP:0000658 | Eyelid apraxia |
| HP:0000708 | Atypical behavior |
| HP:0000712 | Emotional lability |
| HP:0000716 | Depression |
| HP:0000718 | Aggressive behavior |
| HP:0000729 | Autistic behavior |
| HP:0000736 | Short attention span |
| HP:0000746 | Delusion |
| HP:0000750 | Delayed speech and language development |
| HP:0000751 | Personality changes |
| HP:0000752 | Hyperactivity |
| HP:0000762 | Decreased nerve conduction velocity |
| HP:0001249 | Intellectual disability |
| HP:0001250 | Seizure |
| HP:0001251 | Ataxia |
| HP:0001252 | Hypotonia |
GWAS associations
31 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST000438_2 | Cutaneous nevi | 3.000000e-08 |
| GCST000758_25 | Triglycerides | 4.000000e-08 |
| GCST001034_3 | Cutaneous nevi | 1.000000e-06 |
| GCST001267_10 | Melanoma | 2.000000e-06 |
| GCST002216_3 | Triglycerides | 3.000000e-08 |
| GCST002667_11 | Mammographic density (dense area) | 3.000000e-08 |
| GCST002669_5 | Percent mammographic density | 5.000000e-09 |
| GCST003435_15 | Body fat percentage | 3.000000e-09 |
| GCST003435_29 | Body fat percentage | 1.000000e-06 |
| GCST003435_37 | Body fat percentage | 9.000000e-08 |
| GCST003435_9 | Body fat percentage | 2.000000e-07 |
| GCST003681_5 | C-reactive protein levels or triglyceride levels (pleiotropy) | 9.000000e-10 |
| GCST004142_13 | Melanoma | 2.000000e-09 |
| GCST004237_7 | Triglyceride levels | 3.000000e-12 |
| GCST004238_10 | Triglyceride levels | 4.000000e-10 |
| GCST004988_670 | Breast cancer | 1.000000e-13 |
| GCST007504_10 | Nevus count | 3.000000e-18 |
| GCST007505_8 | Nevus count or cutaneous melanoma | 2.000000e-28 |
| GCST010002_82 | Refractive error | 2.000000e-13 |
| GCST010173_28 | Triglyceride levels | 8.000000e-18 |
| GCST010241_132 | Apolipoprotein A1 levels | 7.000000e-24 |
| GCST010242_289 | HDL cholesterol levels | 2.000000e-26 |
| GCST010244_243 | Triglyceride levels | 2.000000e-26 |
| GCST010303_6 | Nevus count or cutaneous melanoma | 4.000000e-41 |
| GCST010703_11 | Brain morphology (MOSTest) | 9.000000e-10 |
| GCST012480_17 | C-reactive protein levels | 5.000000e-09 |
| GCST012480_5 | C-reactive protein levels | 8.000000e-08 |
| GCST90000025_709 | Appendicular lean mass | 1.000000e-11 |
| GCST90002385_582 | High light scatter reticulocyte count | 1.000000e-09 |
| GCST90002401_277 | Platelet distribution width | 3.000000e-10 |
EFO canonical traits (14, from GWAS)
| EFO ID | Trait name |
|---|---|
| EFO:0000625 | nevus |
| EFO:0004530 | triglyceride measurement |
| EFO:0005941 | mammographic density measurement |
| EFO:0006503 | dense area measurement |
| EFO:0006502 | mammographic density percentage |
| EFO:0007800 | body fat percentage |
| EFO:0004458 | C-reactive protein measurement |
| EFO:0004632 | nevus count |
| EFO:0004614 | apolipoprotein A 1 measurement |
| EFO:0004612 | high density lipoprotein cholesterol measurement |
| EFO:0004346 | neuroimaging measurement |
| EFO:0004980 | appendicular lean mass |
| EFO:0007986 | reticulocyte count |
| EFO:0007984 | platelet component distribution width |
MeSH disease descriptors (11)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D001321 | Autistic Disorder | F03.625.164.113.500 |
| D002524 | Cerebellar Ataxia | C10.228.140.252.190; C10.597.350.090.500; C23.888.592.350.090.200 |
| D008831 | Microcephaly | C05.660.207.620; C10.500.507.400.500; C16.131.621.207.620; C16.131.666.507.400.500 |
| D010300 | Parkinson Disease | C10.228.140.079.862.500; C10.228.662.600.400; C10.574.928.750 |
| D020734 | Parkinsonian Disorders | C10.228.140.079.862; C10.228.662.600 |
| C562568 | Cerebellar Hypoplasia (supp.) | |
| C567844 | Dystonia-Parkinsonism, Adult-Onset (supp.) | |
| C536071 | Hunter Carpenter Macdonald syndrome (supp.) | |
| C538421 | Neurodegeneration with brain iron accumulation (NBIA) (supp.) | |
| C536055 | Osteopetrosis and infantile neuroaxonal dystrophy (supp.) | |
| C564815 | Spastic Ataxia (supp.) |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: yes
ChEMBL targets (1): CHEMBL3213 (SINGLE PROTEIN)
Molecules with ChEMBL bioactivity
1 molecules (phase ≥1), by development phase (incl. off-target/promiscuous compounds). Patent mentions across the top 20 by phase: 272 (via chembl_molecule»patent_compound — counts attach to the compound, not the gene–compound relationship, so off-target/promiscuous molecules can dominate).
| Molecule | Name | Phase | Patents |
|---|---|---|---|
| CHEMBL148674 | VARESPLADIB | 2 | 272 |
PharmGKB: 1 entry (VIP=true, CPIC=false)
GtoPdb / IUPHAR curated pharmacology
(IUPHAR/BPS Guide to Pharmacology — expert-curated)
Target class: enzyme — Phospholipase A2
ChEMBL bioactivities
33 potent at pChembl≥5 of 34 total, top 31 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).
| pChembl | Type | Value | Unit | Molecule |
|---|---|---|---|---|
| 9.00 | IC50 | 1 | nM | CHEMBL4476476 |
| 7.52 | IC50 | 30 | nM | CHEMBL6223 |
| 7.34 | IC50 | 46 | nM | CHEMBL89506 |
| 7.32 | IC50 | 48 | nM | CHEMBL89506 |
| 7.31 | IC50 | 49 | nM | CHEMBL89506 |
| 7.30 | IC50 | 50 | nM | CHEMBL89506 |
| 7.27 | IC50 | 54 | nM | CHEMBL89506 |
| 7.26 | IC50 | 55 | nM | CHEMBL89506 |
| 7.25 | IC50 | 56 | nM | VARESPLADIB |
| 7.20 | IC50 | 63 | nM | CHEMBL89506 |
| 7.17 | IC50 | 67 | nM | CHEMBL89506 |
| 7.08 | IC50 | 83 | nM | CHEMBL89506 |
| 7.05 | IC50 | 90 | nM | CHEMBL4438490 |
| 7.02 | IC50 | 95 | nM | CHEMBL269758 |
| 6.98 | IC50 | 104 | nM | VARESPLADIB |
| 6.88 | IC50 | 131 | nM | VARESPLADIB |
| 6.85 | IC50 | 140 | nM | BROMOENOL LACTONE |
| 6.80 | IC50 | 160 | nM | CHEMBL89506 |
| 6.72 | IC50 | 190 | nM | CHEMBL6228 |
| 6.60 | IC50 | 250 | nM | VARESPLADIB |
| 6.48 | IC50 | 330 | nM | VARESPLADIB |
| 6.23 | IC50 | 590 | nM | VARESPLADIB |
| 6.22 | IC50 | 600 | nM | VARESPLADIB |
| 5.91 | IC50 | 1230 | nM | CHEMBL4438490 |
| 5.89 | IC50 | 1300 | nM | CHEMBL4438490 |
| 5.86 | IC50 | 1390 | nM | CHEMBL4438490 |
| 5.85 | IC50 | 1410 | nM | CHEMBL4438490 |
| 5.82 | IC50 | 1520 | nM | CHEMBL4438490 |
| 5.74 | IC50 | 1830 | nM | CHEMBL4438490 |
| 5.73 | IC50 | 1880 | nM | CHEMBL4438490 |
| 5.46 | IC50 | 3500 | nM | CHEMBL4439384 |
PubChem BioAssay actives
33 with measured affinity, of 359 total; 9 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.
| Compound | Assay | Type | Value | Unit |
|---|---|---|---|---|
| (3R,4R)-3-(4-phenylbutyl)-4-propyloxetan-2-one | 1602894: Inhibition of human recombinant G6A iPLA2 using arachidonyl-1-14C PAPC and PAPC incubated for 30 mins by HPLC-MS analysis based radioactivity-based group specific mixed micelle assay | ic50 | 0.0010 | uM |
| (6E)-6-(iodomethylidene)-3-naphthalen-1-yloxan-2-one | 158790: Compounds were evaluated for the inhibitory activity against canine myocardial cytosolic calcium dependent phospholipase A2. | ic50 | 0.0300 | uM |
| 1,1,1-trifluoro-3-octylsulfanylpropan-2-one | 1614031: Inhibition of human recombinant calcium-independent PLA2 using PAPS as substrate assessed as reduction in 16:0 LPC formation after 30 mins in presence of equal molar mixture of PAPA/PAPC/PAPE/PAPG/PAPS/PLPC by HPLC-MS analysis | ic50 | 0.0460 | uM |
| 2-(1-benzyl-2-ethyl-3-oxamoylindol-4-yl)oxyacetic acid | 1614029: Inhibition of human recombinant calcium-independent PLA2 using PAPC as substrate assessed as reduction in free [14C]-AA formation after 30 mins by scintillation counting | ic50 | 0.0560 | uM |
| N-[[(2S,4R)-1-[2-(2,4-difluorobenzoyl)benzoyl]-4-tritylsulfanylpyrrolidin-2-yl]methyl]-4-[(E)-(2,4-dioxo-1,3-thiazolidin-5-ylidene)methyl]benzamide | 1614035: Inhibition of human recombinant calcium-independent PLA2 using PAPA as substrate assessed as reduction in 16:0 LPC formation after 30 mins by HPLC-MS analysis | ic50 | 0.0900 | uM |
| (6E)-3-naphthalen-1-yl-6-prop-2-ynylideneoxan-2-one | 158790: Compounds were evaluated for the inhibitory activity against canine myocardial cytosolic calcium dependent phospholipase A2. | ic50 | 0.0950 | uM |
| (6E)-6-(bromomethylidene)-3-naphthalen-1-yloxan-2-one | 158790: Compounds were evaluated for the inhibitory activity against canine myocardial cytosolic calcium dependent phospholipase A2. | ic50 | 0.1400 | uM |
| (6Z)-6-(iodomethylidene)-3-naphthalen-1-yloxan-2-one | 158790: Compounds were evaluated for the inhibitory activity against canine myocardial cytosolic calcium dependent phospholipase A2. | ic50 | 0.1900 | uM |
| (3R,4S)-3-(4-phenylbutyl)-4-propyloxetan-2-one | 1602894: Inhibition of human recombinant G6A iPLA2 using arachidonyl-1-14C PAPC and PAPC incubated for 30 mins by HPLC-MS analysis based radioactivity-based group specific mixed micelle assay | ic50 | 3.5000 | uM |
CTD chemical–gene interactions
32 total (human), top 30 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| Estradiol | affects cotreatment, decreases expression | 2 |
| Tobacco Smoke Pollution | decreases expression, increases methylation | 2 |
| Aflatoxin B1 | decreases methylation, increases methylation | 2 |
| triphenyl phosphate | affects expression | 1 |
| bisphenol A | decreases methylation | 1 |
| 2,5,2’,5’-tetrachlorobiphenyl | decreases expression | 1 |
| beta-lapachone | decreases expression | 1 |
| sodium arsenite | decreases expression | 1 |
| 4-aminophenylarsenoxide | decreases reaction, affects binding | 1 |
| 3’-O-(4-benzoyl)benzoyladenosine 5’-triphosphate | decreases reaction, increases reaction, increases secretion | 1 |
| pentanal | decreases expression | 1 |
| 6-(bromomethylene)tetrahydro-3-(1-naphthaleneyl)-2H-pyran-2-one | decreases activity | 1 |
| perfluorooctane sulfonic acid | increases expression | 1 |
| abrine | increases expression | 1 |
| jinfukang | affects cotreatment, increases expression | 1 |
| Resveratrol | increases expression | 1 |
| Sunitinib | increases expression | 1 |
| Arsenic Trioxide | affects binding, decreases reaction | 1 |
| Air Pollutants | increases abundance, decreases expression | 1 |
| Arsenic | affects methylation | 1 |
| Aspirin | increases expression | 1 |
| Benzo(a)pyrene | decreases expression | 1 |
| Cisplatin | affects cotreatment, increases expression | 1 |
| Doxorubicin | increases expression | 1 |
| Hydrogen Peroxide | affects expression | 1 |
| NAD | decreases reaction, increases reaction, increases secretion | 1 |
| Sarin | increases expression | 1 |
| Smoke | increases expression | 1 |
| Valproic Acid | increases methylation | 1 |
| Cadmium Chloride | decreases expression | 1 |
ChEMBL screening assays
47 unique, capped per target: 47 binding
Representative assays (with source publication via chembl_document):
| Assay ID | Type | Description | Source paper |
|---|---|---|---|
| CHEMBL1011801 | Binding | Inhibition of human group 6A iPLA2 at 0.091 mol fraction by mixed micelle-based assay | Synthesis of polyfluoro ketones for selective inhibition of human phospholipase A2 enzymes. — J Med Chem |
Cellosaurus cell lines
16 cell lines: 9 induced pluripotent stem cell, 4 cancer cell line, 2 embryonic stem cell, 1 finite cell line
First 10 cell lines (id-ordered, not curated):
| Cellosaurus | Name | Category | Sex |
|---|---|---|---|
| CVCL_A8HL | RCPFi004-A | Induced pluripotent stem cell | Male |
| CVCL_A8HM | RCPFi005-A | Induced pluripotent stem cell | Female |
| CVCL_A8HN | RCPFi006-A | Induced pluripotent stem cell | Male |
| CVCL_C1UV | NCBSi003-A | Induced pluripotent stem cell | Male |
| CVCL_C1UW | NCBSi004-A | Induced pluripotent stem cell | Female |
| CVCL_D0HN | LNDWCHi001-A | Induced pluripotent stem cell | Female |
| CVCL_D0KC | ONHi001-A | Induced pluripotent stem cell | Male |
| CVCL_D1TY | Abcam U-87MG PLA2G6 KO | Cancer cell line | Male |
| CVCL_E2W4 | WIBR3_PLA2G6_D331Y_A4_C2 | Embryonic stem cell | Female |
| CVCL_E2W5 | WIBR3_PLA2G6_D331Y_A9_A4 | Embryonic stem cell | Female |
Clinical trials (associated diseases)
300 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT03726996 | PHASE4 | TERMINATED | Desipramine in Infantile Neuroaxonal Dystrophy (INAD). |
| NCT00030979 | PHASE4 | COMPLETED | Donepezil to Treat Dementia in Parkinson’s Disease |
| NCT00043849 | PHASE4 | COMPLETED | Treatment of Agitation/Psychosis in Dementia/Parkinsonism (TAP/DAP) |
| NCT00095810 | PHASE4 | COMPLETED | Aripiprazole in Patients With Psychosis Associated With Parkinson’s Disease |
| NCT00125567 | PHASE4 | COMPLETED | Stalevo in Early Wearing-Off Patients |
| NCT00143026 | PHASE4 | COMPLETED | Study to Compare the Effect of Treatment With Carbidopa/Levodopa/Entacapone on the Quality of Life of Patients With Parkinson’s Disease. This Study is Not Recruiting in the United States |
| NCT00144300 | PHASE4 | COMPLETED | Ophthalmologic Safety Study of Pramipexole Immediate Release (IR) Versus Ropinirole in Early Parkinson’s Disease (PD) Patients |
| NCT00153972 | PHASE4 | COMPLETED | Dopamine Turnover Rate as Surrogate Parameter for Diagnosis of Early Parkinson’s Disease |
| NCT00174239 | PHASE4 | TERMINATED | Study Of Cabaser and Sinemet CR For The Treatment Of Nighttime Symptoms Associated With Parkinson’s Disease. |
| NCT00215904 | PHASE4 | COMPLETED | D-serine Adjuvant Treatment for Parkinson’s Disease |
| NCT00247247 | PHASE4 | COMPLETED | Comtess® Versus Cabaseril® as Add-on to Levodopa in the Treatment of Parkinsonian Patients Suffering From Wearing- Off. |
| NCT00272688 | PHASE4 | COMPLETED | Continuous Delivery of Levodopa in Patients With Advanced Idiopathic Parkinsons Disease - Cost-benefit |
| NCT00297778 | PHASE4 | COMPLETED | Pramipexole Versus Placebo in Parkinson’s Disease (PD) Patients With Depressive Symptoms |
| NCT00304161 | PHASE4 | COMPLETED | Effectiveness of Antidepressant Treatment for Depression in People With Parkinson’s Disease |
| NCT00307450 | PHASE4 | COMPLETED | Efficacy and Safety of Levetiracetam Versus Placebo on Levodopa-induced Dyskinesias in Advanced Parkinson’s Disease |
| NCT00321854 | PHASE4 | COMPLETED | Study of (Mirapex) Pramipexole for the Early Treatment of Parkinsons Disease (PD) |
| NCT00354133 | PHASE4 | UNKNOWN | Controlled Trial With Deep Brain Stimulation in Patients With Early Parkinson’s Disease |
| NCT00373087 | PHASE4 | COMPLETED | COMT Polymorphism and Entacapone Efficacy |
| NCT00391898 | PHASE4 | COMPLETED | Efficacy of Levodopa/Carbidopa/Entacapone vs Levodopa/Carbidopa in Parkinson’s Disease Patients With Early Wearing-off |
| NCT00399477 | PHASE4 | COMPLETED | A Non-Blinded Study Demonstrating the Effectiveness and Safety of Azilect Alone or in Combination Therapy in Parkinson’s Disease |
| NCT00402233 | PHASE4 | COMPLETED | A Randomized, Double-blind, Active (Pramipexole 0.5 mg Tid) and Placebo Controlled, Study of Pramipexole Given 0.5 mg and 0.75 mg Bid Over 12-week Treatment in Early Parkinson’s Disease (PD) Patients |
| NCT00437125 | PHASE4 | COMPLETED | Study on the Tolerability of Duloxetine in Depressed Patients With Parkinson’s Disease |
| NCT00443872 | PHASE4 | COMPLETED | Efficacy of Orally Disintegrating Selegiline in Parkinson’s Patients Experiencing Adverse Effects With Dopamine Agonists |
| NCT00455143 | PHASE4 | TERMINATED | Cognitive Protection - Dexmedetomidine and Cognitive Reserve |
| NCT00462007 | PHASE4 | COMPLETED | Study to Evaluate Initiation of Stalevo in Early Wearing-off |
| NCT00462254 | PHASE4 | TERMINATED | Ramelteon (ROZEREM) in the Treatment of Sleep Disturbances Associated With Parkinson’s Disease |
| NCT00477802 | PHASE4 | TERMINATED | Botulinum Toxin Type A (Botox) in the Management of Levodopa-Induced Peak-Dose Dyskinesias in Parkinson’s Disease |
| NCT00485069 | PHASE4 | COMPLETED | REQUIP (Ropinirole Hydrochloride) IR Long-Term Phase 4 Study |
| NCT00489255 | PHASE4 | COMPLETED | Safety/Efficacy of Tigan® to Control Nausea/Vomiting Experienced During Apokyn® Initiation and Treatment |
| NCT00526630 | PHASE4 | COMPLETED | Methylphenidate for the Treatment of Gait Impairment in Parkinson’s Disease |
| NCT00561678 | PHASE4 | COMPLETED | Perioperative Cognitive Function - Dexmedetomidine and Cognitive Reserve |
| NCT00571285 | PHASE4 | TERMINATED | Clinical Effects of Vitamin D Repletion in Patients With Parkinson’s Disease |
| NCT00584025 | PHASE4 | WITHDRAWN | Keppra IV for the Treatment of Motor Fluctuations in Parkinson’s Disease |
| NCT00584090 | PHASE4 | WITHDRAWN | Solifenacin Succinate (VESIcare) for the Treatment of Urinary Incontinence in Parkinson’s Disease |
| NCT00590122 | PHASE4 | COMPLETED | Parcopa Versus Carbidopa-levodopa in a Single Dose Cross-over Comparison Study |
| NCT00594464 | PHASE4 | COMPLETED | A Trial of Neupro® (Rotigotine Transdermal Patch) in Patients With Parkinson’s Disease Undergoing Surgery |
| NCT00601978 | PHASE4 | WITHDRAWN | Carbidopa/Levodopa Versus Carbidopa/Levodopa/Entacapone on Markers of Event Related Potentials (ERPs) in Patients With Idiopathic Parkinson’s Disease (PD) and End-of-dose Wearing Off |
| NCT00632762 | PHASE4 | COMPLETED | Long-Term Effects of Amantadine in Parkinsonian (AMANDYSK) |
| NCT00640159 | PHASE4 | COMPLETED | Selegiline to Zelapar Switch Study in Parkinson Disease Patients |
| NCT00642356 | PHASE4 | TERMINATED | Carbidopa/Levodopa/Entacapone Versus Immediate Release (IR) Carbidopa/Levodopa on Non-motor Symptoms in Patients With Idiopathic Parkinson’s Disease and Demonstrating Non-motor Symptoms of Wearing Off |
Related Atlas pages
- Associated diseases: neurodegeneration with brain iron accumulation 2A, neurodegeneration with brain iron accumulation 2B, autosomal recessive Parkinson disease 14, PLA2G6-associated neurodegeneration
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): autosomal recessive Parkinson disease 14, cerebellar ataxia, infantile osteopetrosis with neuroaxonal dysplasia, isolated cerebellar hypoplasia/agenesis, neurodegeneration with brain iron accumulation, neurodegeneration with brain iron accumulation 2A, neurodegeneration with brain iron accumulation 2B, parkinsonian disorder, PLA2G6-associated neurodegeneration, spastic ataxia, vascular parkinsonism, Waardenburg syndrome type 2E