Evidence map›Paper›PMID 22814392›Full record

ArticleHuman molecular genetics2012

An X-linked channelopathy with cardiomegaly due to a CLIC2 mutation enhancing ryanodine receptor channel activity.

Kyoko Takano, Dan Liu, Patrick Tarpey, Esther Gallant, Alex Lam, Shawn Witham, Emil Alexov, Alka Chaubey, Roger E Stevenson, Charles E Schwartz and 2 more

Abstract read
In one paragraph

Article in Human molecular genetics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

63 citing papers in PubMed, 94 citations in OpenAlex.

  1. Article
  2. X-Linked Muscular Dystrophy in a Cat with a Putative Variant in theAnimals : an open access journal from MDPI · 2026
    Article
  3. Article
  4. Article
  5. Heart on Fire: UnmaskingMethodist DeBakey cardiovascular journal · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. On the linkage of thermodynamics and pathogenicity.Current opinion in structural biology · 2023
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article

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

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

12 authors at 4 institutions in 3 countries.

Kyoko TakanoJC Self Research Institute, Greenwood Genetic Center, Greenwood, SC 29646, USA.
Dan Liu
Patrick Tarpey
Esther Gallant
Alex Lam
Shawn Witham
Emil Alexov
Alka Chaubey
Roger E Stevenson
Charles E Schwartz
Philip G Board
Angela F Dulhunty
Australian National University · AUGreenwood Genetic Center · USClemson University · USWellcome Trust · GB

Funding

X-LINKED MENTAL RETARDATION: LINKAGE &CLINICAL STUDIESR01HD026202 · NICHD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI SCHWARTZ, CHARLES E · 1990 to 2006
$7.9M
New Generation DelPhi: large systems and beyond electrostaticsR01GM093937 · NIGMS · CLEMSON UNIVERSITY · PI ALEXOV, EMIL GEORGIEV · 2010 to 2023
$4.3M
The Effect of Single Nucleotide Polymorphisms on Protein Structure and InteractioR03LM009748 · NLM · CLEMSON UNIVERSITY · PI ALEXOV, EMIL GEORGIEV · 2009 to 2010
$177k
NICHD NIH HHS HD26202NIGMS NIH HHS GM09392NIGMS NIH HHS R01 GM093937NLM NIH HHS R03 LM009748
6 · The paper itself

Abstract

Chloride intracellular channel 2 (CLIC2) protein is a member of the glutathione transferase class of proteins. Its' only known function is the regulation of ryanodine receptor (RyR) intracellular Ca(2+) release channels. These RyR proteins play a major role in the regulation of Ca(2+) signaling in many cells. Utilizing exome capture and deep sequencing of genes on the X-chromosome, we have identified a mutation in CLIC2 (c.303C>G, p.H101Q) which is associated with X-linked intellectual disability (ID), atrial fibrillation, cardiomegaly, congestive heart failure (CHF), some somatic features and seizures. Functional studies of the H101Q variant indicated that it stimulated rather than inhibited the action of RyR channels, with channels remaining open for longer times and potentially amplifying Ca(2+) signals dependent on RyR channel activity. The overly active RyRs in cardiac and skeletal muscle cells and neuronal cells would result in abnormal cardiac function and trigger post-synaptic pathways and neurotransmitter release. The presence of both cardiomegaly and CHF in the two affected males and atrial fibrillation in one are consistent with abnormal RyR2 channel function. Since the dysfunction of RyR2 channels in the brain via 'leaky mutations' can result in mild developmental delay and seizures, our data also suggest a vital role for the CLIC2 protein in maintaining normal cognitive function via its interaction with RyRs in the brain. Therefore, our patients appear to suffer from a new channelopathy comprised of ID, seizures and cardiac problems because of enhanced Ca(2+) release through RyRs in neuronal cells and cardiac muscle cells.

Indexed as

MutationAmino Acid SequenceCalciumCardiomegalyChannelopathiesChloride ChannelsFamilyGenetic Diseases, X-LinkedHumansMaleMolecular Sequence DataMyocytes, CardiacPedigreeRyanodine Receptor Calcium Release ChannelCalciumChloride ChannelsCLIC2 protein, humanRyanodine Receptor Calcium Release Channel

Identifiers

PMID22814392
PMCPMC3459470
OpenAlexW2167044870

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.