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Relevance to Autism

A two-stage analysis of rare de novo and inherited coding variants in 42,607 ASD cases, including 35,130 new cases for the SPARK cohort, in Zhou et al., 2022 identified MARK2 as a gene reaching exome-wide significance (P < 2.5E-06); association of MARK2 with ASD risk was primarily driven by de novo variants. A de novo missense variant in MARK2 was also identified in an ASD proband from the SAGE cohort in Guo et al., 2019. More recently, Gong et al., 2024 reported 31 individuals with MARK2 variants presenting with autism spectrum disorder (30/31, 96.8%), developmental delay/intellectual disability (29/29, 100%), speech/language problems (31/31, 100%), additional behavioral abnormalities (20/27, 74.1%), and distinctive recurrent facial features including a narrow face, abnormal or broad forehead, downslanting palpebral fissures, and large or dysplastic ears. Moreover, Gong et al., 2024 demonstrated that MARK2 loss in either proband-derived or CRISPR-engineered isogenic induced pluripotent stem cells (iPSCs) led to early neuronal developmental and functional deficits, including anomalous polarity and dis-organization in neural rosettes, as well as imbalanced proliferation and differentiation in neural progenitor cells (NPCs), while Mark2+/- mice showed abnormal cortical formation and partition and ASD-like behavior.

Molecular Function

This gene encodes a member of the Par-1 family of serine/threonine protein kinases. The protein is an important regulator of cell polarity in epithelial and neuronal cells, and also controls the stability of microtubules through phosphorylation and inactivation of several microtubule-associating proteins. The protein localizes to cell membranes.

External Links

        

References

Type
Title
Type of Disorder
Associated Disorders
Author, Year
Primary
Integrating de novo and inherited variants in 42
ASD
Support
Neuronal connectivity, behavioral, and transcriptional alterations associated with the loss of MARK2
ASD
Epilepsy/seizures
Support
Genome sequencing identifies multiple deleterious variants in autism patients with more severe phenotypes.
ASD
Support
The contribution of de novo coding mutations to autism spectrum disorder
ASD
Support
Synaptic, transcriptional and chromatin genes disrupted in autism.
ASD
Support
Massively parallel characterization of non-coding de novo mutations in autism spectrum disorder
ASD
Support
Identification of a de Novo MARK2 gene variant in a patient with autism spectrum disorder, epilepsy, and neurodevelopmental delay
ASD, DD, epilepsy/seizures
Recent Recommendation
MARK2 variants cause autism spectrum disorder via the downregulation of WNT/β-catenin signaling pathway
ASD
DD, ID, epilepsy/seizures

Rare

Variant ID
Variant Type
Allele Change
Residue Change
Inheritance Pattern
Inheritance Association
Family Type
Author, Year
 GEN1348R001 
 missense_variant 
 c.500A>C 
 p.His167Pro 
 De novo 
  
  
 GEN1348R002 
 synonymous_variant 
 c.289C>T 
 p.Leu97= 
 De novo 
  
 Simplex 
 GEN1348R003 
 frameshift_variant 
 c.699del 
 p.Trp234GlyfsTer3 
 De novo 
  
 Simplex 
 GEN1348R004 
 frameshift_variant 
 c.1002del 
 p.Met335TrpfsTer20 
 De novo 
  
 Simplex 
 GEN1348R005 
 stop_gained 
 c.211C>T 
 p.Arg71Ter 
 De novo 
  
  
 GEN1348R006 
 missense_variant 
 c.403G>A 
 p.Gly135Arg 
 De novo 
  
  
 GEN1348R007 
 missense_variant 
 c.2029G>A 
 p.Gly677Ser 
 De novo 
  
  
 GEN1348R008 
 splice_site_variant 
 c.404-2A>C 
  
 De novo 
  
  
 GEN1348R009 
 stop_gained 
 c.457C>T 
 p.Arg153Ter 
 De novo 
  
  
 GEN1348R010 
 missense_variant 
 c.691G>A 
 p.Val231Met 
 De novo 
  
  
 GEN1348R011 
 splice_region_variant 
 c.1416+8G>C 
  
 De novo 
  
  
 GEN1348R012 
 splice_site_variant 
 c.1934+1G>A 
  
 De novo 
  
  
 GEN1348R013 
 stop_gained 
 c.688G>T 
 p.Glu230Ter 
 Familial 
 Maternal 
  
 GEN1348R014 
 stop_gained 
 c.1807C>T 
 p.Arg603Ter 
 Familial 
 Paternal 
  
 GEN1348R015 
 frameshift_variant 
 c.179del 
 p.Gly60AlafsTer8 
 Familial 
 Paternal 
  
 GEN1348R016 
 splice_site_variant 
 c.1677-1G>C 
  
 Unknown 
 Not paternal 
  
 GEN1348R017 
 missense_variant 
 c.2029G>A 
 p.Gly677Ser 
 De novo 
  
 Unknown 
 GEN1348R018 
 frameshift_variant 
 c.1426del 
 p.Leu476SerfsTer31 
 De novo 
  
 Simplex 
 GEN1348R019 
 copy_number_loss 
  
  
 De novo 
  
 Simplex 
 GEN1348R020 
 stop_gained 
 c.211C>T 
 p.Arg71Ter 
 Unknown 
  
  
 GEN1348R021 
 frameshift_variant 
 c.258_259dup 
 p.Thr87ArgfsTer4 
 Unknown 
  
  
 GEN1348R022 
 splice_site_variant 
 c.337+1G>T 
 p.? 
 De novo 
  
 Simplex 
 GEN1348R023 
 missense_variant 
 c.581T>C 
 p.Phe194Ser 
 De novo 
  
 Simplex 
 GEN1348R024 
 frameshift_variant 
 c.812delT 
 p.Phe271SerfsTer25 
 De novo 
  
 Simplex 
 GEN1348R025 
 splice_site_variant 
 c.235-2A>G 
 p.? 
 Familial 
 Paternal 
  
 GEN1348R026 
 stop_gained 
 c.904C>T 
 p.Arg302Ter 
 De novo 
  
 Simplex 
 GEN1348R027 
 splice_site_variant 
 c.989-1G>A 
 p.? 
 De novo 
  
 Simplex 
 GEN1348R028 
 frameshift_variant 
 c.1120delA 
 p.Thr374ProfsTer2 
 De novo 
  
 Simplex 
 GEN1348R029 
 frameshift_variant 
 c.1181dupA 
 p.Val395GlyfsTer27 
 De novo 
  
 Simplex 
 GEN1348R030 
 stop_gained 
 c.904C>T 
 p.Arg302Ter 
 Familial 
 Paternal 
  
 GEN1348R031 
 missense_variant 
 c.239C>T 
 p.Ala80Val 
 De novo 
  
 Simplex 
 GEN1348R032 
 splice_site_variant 
 c.1514+2T>G 
 p.? 
 Unknown 
  
  
 GEN1348R033 
 splice_site_variant 
 c.1934+1G>A 
 p.? 
 Unknown 
  
  
 GEN1348R034 
 stop_gained 
 c.1750C>T 
 p.Arg584Ter 
 De novo 
  
 Simplex 
 GEN1348R035 
 frameshift_variant 
 c.1516dupC 
 p.Leu506ProfsTer47 
 Unknown 
 Not maternal 
  
 GEN1348R036 
 frameshift_variant 
 c.1938_1939delTC 
 p.Leu647ValfsTer11 
 Familial 
 Paternal 
  
 GEN1348R037 
 frameshift_variant 
 c.2168_2169delGC 
 p.Cys723SerfsTer6 
 De novo 
  
 Simplex 
 GEN1348R038 
 stop_gained 
 c.2239C>T 
 p.Gln747Ter 
 De novo 
  
 Simplex 
 GEN1348R039 
 missense_variant 
 c.2255T>C 
 p.Val752Ala 
 De novo 
  
 Simplex 
 GEN1348R040 
 missense_variant 
 c.2291G>C 
 p.Arg764Pro 
 De novo 
  
 Simplex 
 GEN1348R041 
 stop_gained 
 c.757C>T 
 p.Gln253Ter 
 De novo 
  
 Simplex 
 GEN1348R042 
 stop_gained 
 c.2239C>T 
 p.Gln747Ter 
 De novo 
  
  
 GEN1348R043 
 frameshift_variant 
 c.1888_1889insG 
 p. Ala630GlyfsTer29 
 De novo 
  
 Simplex 
 GEN1348R044 
 stop_gained 
 c.1990C>T 
 p.Arg664Ter 
 Familial 
 Paternal 
  
 GEN1348R045 
 frameshift_variant 
 c.1769delG 
 p.Gly590ValfsTer26 
 De novo 
  
 Simplex 
 GEN1348R046 
 frameshift_variant 
 c.288dupA 
 p.Leu97ThrfsTer18 
 De novo 
  
 Simplex 
 GEN1348R047 
 missense_variant 
 c.403G>A 
 p.Gly135Arg 
 De novo 
  
 Simplex 
 GEN1348R048 
 splice_site_variant 
 c.1101+1G>A 
 p.? 
 De novo 
  
 Simplex 
 GEN1348R049 
 missense_variant 
 c.905G>A 
 p.Arg302Gln 
 De novo 
  
 Simplex 
 GEN1348R050 
 frameshift_variant 
 c.645_646insA 
 p.Ala216SerfsTer12 
 De novo 
  
 Simplex 
 GEN1348R051 
 intron_variant 
 c.55-12181C>T 
  
 De novo 
  
 Simplex 

Common

No Common Variants Available
Chromosome
CNV Locus
CNV Type
# of studies
Animal Model
11
Deletion
 13
 

Model Summary

The Mark2 knockout mouse shows abnormal spine morphology, with an increase in immature spines. The knockout shows a decrease in mEPSC frequency and behavioral deficits in spatial memory, active avoidance, social approach and anxiety. The heterozygote haploinsufficiency model shows milder phenotypes, including an imbalance of neuronal proliferation and differentiation, resulting in abnormal cortical lamination. The heterozygote also shows ASD-like phenotypes like decreased social approach and social memory and increased repetitive digging and self-grooming behavior.

References

Type
Title
Author, Year
Additional
MARK2 variants cause autism spectrum disorder via the downregulation of WNT/β-catenin signaling pathway
Primary
Neuronal connectivity, behavioral, and transcriptional alterations associated with the loss of MARK2

M_MARK2_3_KO_HT

Model Type: Genetic
Model Genotype: Heterozygous
Mutation: Knockout allele was generated using CRISPR-Cas-mediated genome engineering to delete exons 2-17 of Mark2.
Allele Type: Knockout
Strain of Origin: Not specified
Genetic Background: Not specified
ES Cell Line: Not applicable
Mutant ES Cell Line:
Model Source: Cyagen Biosciences (China)

M_MARK2_1_KO_HM

Model Type: Genetic
Model Genotype: Homozygous
Mutation: Knockout allele (MGI:2182819) replaces exons 2, 3 and 4 with a neomycin cassette. The deleted region encodes a glycine-rich motif involved in MgATP-binding.
Allele Type: Knockout
Strain of Origin: 129X1/SvJ
Genetic Background: C57BL/6J
ES Cell Line: RW-4
Mutant ES Cell Line:
Model Source: Jackson Laboratory

M_MARK2_2_KO_HT

Model Type: Genetic
Model Genotype: Heterozygous
Mutation: Knockout allele (MGI:2182819) replaces exons 2, 3 and 4 with a neomycin cassette. The deleted region encodes a glycine-rich motif involved in MgATP-binding.
Allele Type: Knockout
Strain of Origin: 129X1/SvJ
Genetic Background: C57BL/6J
ES Cell Line: RW-4
Mutant ES Cell Line:
Model Source: Jackson Laboratory

M_MARK2_3_KO_HT

Category
Entity
Quantity
Experimental Paradigm
Age at Testing
Cell proliferation: neural precursors1
Decreased
Description: Heterozygous mice show a decrease in BdU incorporation as a measure of cell proliferation.
 BrdU incorporation
 
Neuronal differentiation1
Increased
Description: Heterozygous mice show an increase in Tuj+ cells as a measure of differentiation.
Exp Paradigm: Tuj1
 Immunohistochemistry
 
Cortical lamination1
Abnormal
Description: Heterozygous mice show abnormal cortical lamination.
Exp Paradigm: Ctip2, Satb2
 Immunohistochemistry
 
Self grooming1
Increased
Description: Heterozygous mice show an increase in self grooming behavior.
 Grooming behavior assessments
 
Repetitive digging1
Increased
Description: Heterozygous mice show an increase in marbles buried.
 Marble-burying test
 
Social memory1
Decreased
Description: Heterozygous mice show a decrease in preference for social novelty.
 Three-chamber social approach test
 
Social approach1
Decreased
Description: Heterozygous mice show a decrease in preference for social stimulus.
 Three-chamber social approach test
 
Size/growth1
Decreased
Description: Heterozygous mice show a decrease in body weight.
 Body weight measurement
 
Anxiety1
Increased
Description: Heterozygous mice show a decrease in time in open arms.
 Elevated plus maze test
 
Spatial reference memory1
Decreased
Description: Heterozygous mice show a deficit in spatial memory in the probe test.
 Barnes maze test
 
Spatial learning1
Decreased
Description: Heterozygous mice show a decrease in spatial learning in the acquisition phase.
 Barnes maze test
 
Spatial working memory1
Decreased
Description: Heterozygous mice show a decrease in correct alternations.
 Y-maze test
 
Targeted expression1
Decreased
Description: Heterozygous mice show a lower percentage of pre-pulse inhibition.
 Quantitative PCR (qRT-PCR)
 
Object recognition memory1
 No change
 Novel object recognition test
 
General locomotor activity: ambulatory activity1
 No change
 Open field test
 
Cortical thickness1
 No change
 Immunohistochemistry
 
 Not Reported:

M_MARK2_1_KO_HM

Category
Entity
Quantity
Experimental Paradigm
Age at Testing
Dendritic architecture: spine morphology1
Abnormal
Description: Knockout mice show an increased number of thin spines and reduced number of mushroom spines, but no overall differences across genotypes for length, width.
Exp Paradigm: YFP
 Fluorescence microscopy
 
Miniature post synaptic current frequency: excitatory1
Decreased
Description: Knockouts show a decrease in mEPSC frequency.
Exp Paradigm: hippocampus pyramidal neurons
 Whole-cell patch clamp
 
Social approach1
Decreased
Description: Knockouts show decreased social approach.
 Three-chamber social approach test
 
Anxiety1
Decreased
Description: Knockouts show an increase in time in open arms.
 Elevated plus maze test
 
Spatial reference memory1
Decreased
Description: Knockouts show a decrease in spatial memory.
 Morris water maze
 
Spatial learning1
Decreased
Description: Knockouts show a decrease in spatial learning
 Morris water maze
 
Cued or contextual fear conditioning: active avoidance1
Decreased
Description: Knockouts show a decrease in active avoidance.
 Active avoidance test
 
Targeted expression1
Decreased
Description: Knockout shows abolished expression of Mark2 protein.
Exp Paradigm: forebrain
 Western blot
 5-8 weeks
Protein expression level evidence1
 No change
 Western blot
 5-8 weeks
Dendritic architecture: spine density1
 No change
 Fluorescence microscopy
 
Miniature post synaptic current amplitude: excitatory1
 No change
 Whole-cell patch clamp
 
 Not Reported:

M_MARK2_2_KO_HT

Category
Entity
Quantity
Experimental Paradigm
Age at Testing
Dendritic architecture: spine morphology1
Abnormal
Description: Heterozygous mice show an increased number of thin spines and reduced number of mushroom spines, but no overall differences across genotypes for length, width.
Exp Paradigm: YFP
 Fluorescence microscopy
 
Membrane potential1
Decreased
Description: Heterozygous mice show a decrease in membrane potential.
 Whole-cell patch clamp
 
Intrinsic membrane properties1
Abnormal
Description: Heterozygous mice show increased membrane time constant Tau, and sag ratio but no change in rheobase or input resistance.
 Whole-cell patch clamp
 
Seizure threshold1
Decreased
Description: Heterozygous mice show an increased Racine scale score and increased mortality.
Exp Paradigm: pilocapine
 Observation of chemically induced seizures
 
Anxiety1
Decreased
Description: Heterozygous mice show an increase in time in open arms.
 Elevated plus maze test
 
Spatial reference memory1
Decreased
Description: Heterozygous mice show a decrease in spatial memory in the probe phase.
 Morris water maze
 
Spatial learning1
Decreased
Description: Heterozygous mice show a decrease in spatial learning in the acquisition phase.
 Morris water maze
 
Targeted expression1
Decreased
Description: Heterozygous mutants shows partially decreased levels of Mark2 protein.
Exp Paradigm: forebrain
 Western blot
 5-8 weeks
Cued or contextual fear conditioning: active avoidance1
 No change
 Active avoidance test
 
Protein expression level evidence1
 No change
 Western blot
 5-8 weeks
Dendritic architecture: spine density1
 No change
 Fluorescence microscopy
 
Action potential property: firing rate1
 No change
 Whole-cell patch clamp
 
Miniature post synaptic current amplitude: excitatory1
 No change
 Whole-cell patch clamp
 
Miniature post synaptic current frequency: excitatory1
 No change
 Whole-cell patch clamp
 
 Not Reported:

 

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