Evidence map›Paper›PMID 23292638›Full record

ArticleNeuromolecular medicine2013

Novel mutations mapping to the fourth sodium channel domain of Nav1.7 result in variable clinical manifestations of primary erythromelalgia.

Roman Cregg, Bisola Laguda, Robert Werdehausen, James J Cox, John E Linley, Juan D Ramirez, Istvan Bodi, Michael Markiewicz, Kevin J Howell, Ya-Chun Chen and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Neuromolecular medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 64 citations in OpenAlex.

  1. NaBrain communications · 2026
    Article
  2. Peripheral temperature dysregulation associated with functionally altered NaPflugers Archiv : European journal of physiology · 2023
    Article
  3. Article
  4. Article
  5. Article
  6. Erythromelalgia in an Adolescent Female.Mediterranean journal of rheumatology · 2022
    Article
  7. Article
  8. Article
  9. Lacosamide Inhibition of NaFrontiers in pharmacology · 2021
    Article
  10. Article
  11. Physiology and Pathophysiology of Itch.Physiological reviews · 2020
    Review
  12. Painful and painless mutations of SCN9A and SCN11A voltage-gated sodium channels.Pflugers Archiv : European journal of physiology · 2020
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. NaNeurology. Genetics · 2017
    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

16 authors at 6 institutions in 2 countries.

Roman CreggMolecular Nociception Group, Wolfson Institute for Biomedical Research, UCL, Gower Street, London WC1E 6BT, UK.
Bisola Laguda
Robert Werdehausen
James J Cox
John E Linley
Juan D Ramirez
Istvan Bodi
Michael Markiewicz
Kevin J Howell
Ya-Chun Chen
Karen Agnew
Henry Houlden
Michael P Lunn
David L H Bennett
John N Wood
Maria Kinali
University College London · GBChelsea and Westminster Hospital · GBUniversity of Oxford · GBImperial College London · GBKing's College Hospital · GBThe Royal Free Hospital · GB

Funding

Biotechnology and Biological Sciences Research CouncilMedical Research Council G0802760Medical Research Council G0901905Medical Research Council G1001253Medical Research Council G108/638Medical Research Council G1100340Medical Research Council G9717869Medical Research Council MR/J004758/1Medical Research Council MR/K000608/1Wellcome Trust 095698Wellcome Trust 095698/Z/11/Z
6 · The paper itself

Abstract

We identified and clinically investigated two patients with primary erythromelalgia mutations (PEM), which are the first reported to map to the fourth domain of Nav1.7 (DIV). The identified mutations (A1746G and W1538R) were cloned and transfected to cell cultures followed by electrophysiological analysis in whole-cell configuration. The investigated patients presented with PEM, while age of onset was very different (3 vs. 61 years of age). Electrophysiological characterization revealed that the early onset A1746G mutation leads to a marked hyperpolarizing shift in voltage dependence of steady-state activation, larger window currents, faster activation kinetics (time-to-peak current) and recovery from steady-state inactivation compared to wild-type Nav1.7, indicating a pronounced gain-of-function. Furthermore, we found a hyperpolarizing shift in voltage dependence of slow inactivation, which is another feature commonly found in Nav1.7 mutations associated with PEM. In silico neuron simulation revealed reduced firing thresholds and increased repetitive firing, both indicating hyperexcitability. The late-onset W1538R mutation also revealed gain-of-function properties, although to a lesser extent. Our findings demonstrate that mutations encoding for DIV of Nav1.7 can not only be linked to congenital insensitivity to pain or paroxysmal extreme pain disorder but can also be causative of PEM, if voltage dependency of channel activation is affected. This supports the view that the degree of biophysical property changes caused by a mutation may have an impact on age of clinical manifestation of PEM. In summary, these findings extent the genotype-phenotype correlation profile for SCN9A and highlight a new region of Nav1.7 that is implicated in PEM.

Indexed as

Mutation, MissensePoint MutationAction PotentialsAge of OnsetAmino Acid SequenceAnalgesicsChild, PreschoolErythromelalgiaFemaleHEK293 CellsHumansIon TransportMiddle AgedMolecular Sequence DataMutagenesis, Site-DirectedNAV1.7 Voltage-Gated Sodium ChannelAnalgesicsNAV1.7 Voltage-Gated Sodium ChannelRecombinant Fusion ProteinsSCN9A protein, humanSodium

Identifiers

PMID23292638
PMCPMC3650253
OpenAlexW2035835685

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.