Evidence map›Paper›PMID 20368164›Full record

ArticleScience translational medicine2009

Arrhythmia in heart and brain: KCNQ1 mutations link epilepsy and sudden unexplained death.

A M Goldman, E Glasscock, J Yoo, T T Chen, T L Klassen, J L Noebels

Open access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 158 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
158citing papers in PubMed, 2 pooled it
8.4field-weighted citation impact, top 2% 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

158 citing papers in PubMed, 2 syntheses or guidelines pooled it, 316 citations in OpenAlex.

  1. Electrocardiographic abnormalities in epilepsy: analysis of cardiac conduction patterns and SUDEP Risk.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. A novel link betweenBiomedical reports · 2025
    Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Sudden Unexpected Death in Epilepsy: Central Respiratory Chemoreception.International journal of molecular sciences · 2025
    Review
  20. Article

98 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

A M GoldmanDepartment of Neurology, Baylor College of Medicine, Houston, TX 77030, USA.
E Glasscock
J Yoo
T T Chen
T L Klassen
J L Noebels
Baylor College of Medicine · US

Funding

PLASTICITY IN DEVELOPING EPILEPTIC BRAINR01NS029709 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI NOEBELS, JEFFREY · 1991 to 2025
$9.1M
Mutidisciplinary Training;Brain Disorders &DevelopmentT32NS043124 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI SWANN, JOHN WILLIAM · 2002 to 2021
$4.6M
Ion channelopathies co-expressed in heart and brain.K08NS047304 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI GOLDMAN, ALICA M · 2004 to 2008
$867k
NINDS NIH HHS K08 NS047304NINDS NIH HHS R01 NS029709NINDS NIH HHS T32 NS043124
6 · The paper itself

Abstract

Sudden unexplained death is a catastrophic complication of human idiopathic epilepsy, causing up to 18% of patient deaths. A molecular mechanism and an identified therapy have remained elusive. Here, we find that epilepsy occurs in mouse lines bearing dominant human LQT1 mutations for the most common form of cardiac long QT syndrome, which causes syncopy and sudden death. KCNQ1 encodes the cardiac KvLQT1 delayed rectifier channel, which has not been previously found in the brain. We have shown that, in these mice, this channel is found in forebrain neuronal networks and brainstem nuclei, regions in which a defect in the ability of neurons to repolarize after an action potential, as would be caused by this mutation, can produce seizures and dysregulate autonomic control of the heart. That long QT syndrome mutations in KCNQ1 cause epilepsy reveals the dual arrhythmogenic potential of an ion channelopathy coexpressed in heart and brain and motivates a search for genetic diagnostic strategies to improve risk prediction and prevention of early mortality in persons with seizure disorders of unknown origin.

Indexed as

Death, SuddenPoint MutationAmino Acid SequenceAnimalsArrhythmias, CardiacBrainElectrocardiographyElectroencephalographyEpilepsyGene Expression ProfilingHumansKCNQ1 Potassium ChannelMiceMolecular Sequence DataPotassium Channels, Voltage-GatedSequence Homology, Amino AcidKCNE1 protein, humanKCNQ1 Potassium ChannelPotassium Channels, Voltage-Gated

Identifiers

PMID20368164
PMCPMC2951754
OpenAlexW2157152005

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.