Evidence map›Paper›PMID 22365152›Full record

ArticleAmerican journal of human genetics2012

De novo pathogenic SCN8A mutation identified by whole-genome sequencing of a family quartet affected by infantile epileptic encephalopathy and SUDEP.

Krishna R Veeramah, Janelle E O'Brien, Miriam H Meisler, Xiaoyang Cheng, Sulayman D Dib-Hajj, Stephen G Waxman, Dinesh Talwar, Santhosh Girirajan, Evan E Eichler, Linda L Restifo and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of human genetics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 235 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
235citing papers in PubMed, 3 pooled it
23.0field-weighted citation impact, top 1% 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

235 citing papers in PubMed, 3 syntheses or guidelines pooled it, 437 citations in OpenAlex.

  1. Pooled it
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  11. Neurologist's Black Swan: Molecular Basis of Prenatal Seizures.International journal of molecular sciences · 2025
    Review
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  20. Structural brain MRI abnormalities inFrontiers in neurology · 2025
    Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Krishna R VeeramahArizona Research Laboratories, Division of Biotechnology, University of Arizona, Tucson, 85721, USA.
Janelle E O'Brien
Miriam H Meisler
Xiaoyang Cheng
Sulayman D Dib-Hajj
Stephen G Waxman
Dinesh Talwar
Santhosh Girirajan
Evan E Eichler
Linda L Restifo
Robert P Erickson
Michael F Hammer
Arizona Science Center · USYale University · USUniversity of Arizona · USUniversity of Michigan–Ann Arbor · USUniversity of Washington · US

Funding

PREDOCTORAL TRAINING IN GENETICST32GM007544 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MORAN, JOHN V. · 1985 to 2022
$11.3M
The neuronal sodium channel gene SCN8AR01NS034509 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MIRIAM H MEISLER · 1996 to 2026
$9.5M
Genomic Identification of Autism LociR01HD065285 · NICHD · UNIVERSITY OF WASHINGTON · PI EICHLER, EVAN · 2009 to 2010
$2.6M
Genomic Patterns of Polymorphism in PrimatesR01HG005226 · NHGRI · UNIVERSITY OF ARIZONA · PI HAMMER, MICHAEL F, WALL, JEFFREY D · 2010 to 2012
$1.7M
NHGRI NIH HHS R01_HG005226NICHD NIH HHS HD065285NICHD NIH HHS R01 HD065285NIGMS NIH HHS T32 GM007544NIGMS NIH HHS T32_GM007544NINDS NIH HHS R01_NS34509
6 · The paper itself

Abstract

Individuals with severe, sporadic disorders of infantile onset represent an important class of disease for which discovery of the underlying genetic architecture is not amenable to traditional genetic analysis. Full-genome sequencing of affected individuals and their parents provides a powerful alternative strategy for gene discovery. We performed whole-genome sequencing (WGS) on a family quartet containing an affected proband and her unaffected parents and sibling. The 15-year-old female proband had a severe epileptic encephalopathy consisting of early-onset seizures, features of autism, intellectual disability, ataxia, and sudden unexplained death in epilepsy. We discovered a de novo heterozygous missense mutation (c.5302A>G [p.Asn1768Asp]) in the voltage-gated sodium-channel gene SCN8A in the proband. This mutation alters an evolutionarily conserved residue in Nav1.6, one of the most abundant sodium channels in the brain. Analysis of the biophysical properties of the mutant channel demonstrated a dramatic increase in persistent sodium current, incomplete channel inactivation, and a depolarizing shift in the voltage dependence of steady-state fast inactivation. Current-clamp analysis in hippocampal neurons transfected with p.Asn1768Asp channels revealed increased spontaneous firing, paroxysmal-depolarizing-shift-like complexes, and an increased firing frequency, consistent with a dominant gain-of-function phenotype in the heterozygous proband. This work identifies SCN8A as the fifth sodium-channel gene to be mutated in epilepsy and demonstrates the value of WGS for the identification of pathogenic mutations causing severe, sporadic neurological disorders.

Indexed as

Mutation, MissenseAdolescentDeath, SuddenEpilepsyExonsFemaleGene FrequencyGenome-Wide Association StudyGenomic Structural VariationHeterozygoteHumansMaleNAV1.6 Voltage-Gated Sodium ChannelNerve Tissue ProteinsNeuronsPhenotypeNAV1.6 Voltage-Gated Sodium ChannelNerve Tissue ProteinsSCN8A protein, humanSodium Channels

Identifiers

PMID22365152
PMCPMC3309181
OpenAlexW1974841170

What OpenQuestion holds

Textmetadata
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.