Evidence map›Paper›PMID 22700964›Full record

Trial reportThe Journal of biological chemistry2012

Mutations in the GlyT2 gene (SLC6A5) are a second major cause of startle disease.

Eloisa Carta, Seo-Kyung Chung, Victoria M James, Angela Robinson, Jennifer L Gill, Nathalie Remy, Jean-François Vanbellinghen, Cheney J G Drew, Sophie Cagdas, Duncan Cameron and 20 more

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in The Journal of biological chemistry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

45 citing papers in PubMed, 82 citations in OpenAlex.

  1. Mechanisms of transport and analgesic compounds recognition by glycine transporter 2.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  2. A New GlyT2 Variant Associated with Hyperekplexia.International journal of molecular sciences · 2025
    Article
  3. Review
  4. Article
  5. Startle Disease: New Molecular Insights into an Old Neurological Disorder.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2023
    Review
  6. Glycine: The Smallest Anti-Inflammatory Micronutrient.International journal of molecular sciences · 2023
    Review
  7. Article
  8. ReducedFrontiers in cell and developmental biology · 2022
    Article
  9. Review
  10. Article
  11. Advances in hyperekplexia and other startle syndromes.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Review
  12. Review
  13. Review
  14. A Novel Glycine Receptor Variant with Startle Disease Affects Syndapin I and Glycinergic Inhibition.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2020
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

30 authors at 20 institutions in 11 countries.

Eloisa CartaDepartment of Pharmacology, UCL School of Pharmacy, London WC1N 1AX, United Kingdom.
Seo-Kyung Chung
Victoria M James
Angela Robinson
Jennifer L Gill
Nathalie Remy
Jean-François Vanbellinghen
Cheney J G Drew
Sophie Cagdas
Duncan Cameron
Frances M Cowan
Mireria Del Toro
Gail E Graham
Adnan Y Manzur
Amira Masri
Serge Rivera
Emmanuel Scalais
Rita Shiang
Kate Sinclair
Catriona A Stuart
Marina A J Tijssen
Grahame Wise
Sameer M Zuberi
Kirsten Harvey
Brian R Pearce
Maya Topf
Rhys H Thomas
Stéphane Supplisson
Mark I Rees
Robert J Harvey
University College London · GBSwansea University · GBAzienda Ospedaliera Carlo Poma · ITCentre Hospitalier de la Côte Basque · FRCentre Hospitalier de Luxembourg · LUCentre National de la Recherche Scientifique · FRChildren's Hospital of Eastern Ontario · CACumberland Infirmary · GBGlan Clwyd Hospital · GBImperial College London · GBInstitute of Pathology and Genetics · BEInstitute of Structural and Molecular Biology · GBRoyal Children's Hospital · AURoyal Hospital for Children · GBSydney Children's Hospital · AUUniversity Medical Center Groningen · NLUniversity of Jordan · JOUniversity of Liège · BEVall d'Hebron Hospital Universitari · ESVirginia Commonwealth University · US

Funding

Medical Research Council G0601585
6 · The paper itself

Abstract

Hereditary hyperekplexia or startle disease is characterized by an exaggerated startle response, evoked by tactile or auditory stimuli, leading to hypertonia and apnea episodes. Missense, nonsense, frameshift, splice site mutations, and large deletions in the human glycine receptor α1 subunit gene (GLRA1) are the major known cause of this disorder. However, mutations are also found in the genes encoding the glycine receptor β subunit (GLRB) and the presynaptic Na(+)/Cl(-)-dependent glycine transporter GlyT2 (SLC6A5). In this study, systematic DNA sequencing of SLC6A5 in 93 new unrelated human hyperekplexia patients revealed 20 sequence variants in 17 index cases presenting with homozygous or compound heterozygous recessive inheritance. Five apparently unrelated cases had the truncating mutation R439X. Genotype-phenotype analysis revealed a high rate of neonatal apneas and learning difficulties associated with SLC6A5 mutations. From the 20 SLC6A5 sequence variants, we investigated glycine uptake for 16 novel mutations, confirming that all were defective in glycine transport. Although the most common mechanism of disrupting GlyT2 function is protein truncation, new pathogenic mechanisms included splice site mutations and missense mutations affecting residues implicated in Cl(-) binding, conformational changes mediated by extracellular loop 4, and cation-π interactions. Detailed electrophysiology of mutation A275T revealed that this substitution results in a voltage-sensitive decrease in glycine transport caused by lower Na(+) affinity. This study firmly establishes the combination of missense, nonsense, frameshift, and splice site mutations in the GlyT2 gene as the second major cause of startle disease.

Indexed as

Genetic Diseases, InbornGlycine Plasma Membrane Transport ProteinsMutationNerve Tissue ProteinsNeurodegenerative DiseasesAnimalsDNA Mutational AnalysisFemaleGlycineHeterozygoteHomozygoteHumansIon TransportMaleProtein Structure, TertiaryReceptors, GlycineGLRA1 protein, humanGLRB protein, humanGlycineGlycine Plasma Membrane Transport ProteinsNerve Tissue ProteinsReceptors, GlycineSLC6A5 protein, human

Identifiers

PMID22700964
PMCPMC3436555
OpenAlexW2135835560

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.