Evidence map›Paper›PMID 23821540›Full record

ArticleAnnals of neurology2013

Dravet syndrome patient-derived neurons suggest a novel epilepsy mechanism.

Yu Liu, Luis F Lopez-Santiago, Yukun Yuan, Julie M Jones, Helen Zhang, Heather A O'Malley, Gustavo A Patino, Janelle E O'Brien, Raffaella Rusconi, Ajay Gupta and 5 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Annals of neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 147 papers.

0numbers the graph read from it
0cells of the map it votes in
147citing papers in PubMed
12.4field-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

147 citing papers in PubMed, 244 citations in OpenAlex.

  1. GABACellular and molecular neurobiology · 2026
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  14. Distinctive In Vitro Phenotypes in iPSC-Derived Neurons From Patients With Gain- and Loss-of-FunctionThe Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
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  16. Review
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  19. Article
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87 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 1 country.

Yu LiuDepartments of Neurology, University of Michigan Medical Center, Ann Arbor, MI.
Luis F Lopez-Santiago
Yukun Yuan
Julie M Jones
Helen Zhang
Heather A O'Malley
Gustavo A Patino
Janelle E O'Brien
Raffaella Rusconi
Ajay Gupta
Robert C Thompson
Marvin R Natowicz
Miriam H Meisler
Lori L Isom
Jack M Parent
University of Michigan–Ann Arbor · USAnn Arbor VA Medical Center · USMichigan Medicine · USCleveland Clinic · USCleveland Clinic Lerner College of Medicine · USVA Ann Arbor Healthcare System · US

Funding

TRAINING IN MOLECULAR AND CELLULAR CARDIOLOGYT32HL007853 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David J. Pinsky · 1996 to 2026
$11.6M
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
Role of SCN1B in Inherited EpilepsyR37NS076752 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ISOM, LORI L. · 2017 to 2023
$4.8M
Sodium Channel Beta Subunit Cell Adhesive InteractionsR01MH059980 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ISOM, LORI L. · 2000 to 2010
$2.7M
Role of Sodium Channel SCN1B in Inherited EpilepsyR01NS076752 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ISOM, LORI L. · 2011 to 2014
$1.6M
Neural Progenitor Grafting for Restorative Stroke TherapyR01NS065450 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PARENT, JACK M · 2010 to 2014
$1.6M
Molecular Control of Na+ Channel Density and Localization in Myelinated AxonsR01NS064245 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ISOM, LORI L. · 2010 to 2014
$1.5M
PREDICTIVE GENES, MECHANISMS, AND CLINICAL BIOMARKERS OF SUDEPP20NS076916 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI NOEBELS, JEFFREY · 2011 to 2013
$1.4M
Stem cell derived neurons and inherited epilepsyRC1NS068684 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MEISLER, MIRIAM H · 2009 to 2010
$990k
Role of Sodium Channel SCN1B in Inherited EpilepsyR56NS076752 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ISOM, LORI L. · 2015 to 2015
$532k
NHLBI NIH HHS T32 HL007853NHLBI NIH HHS T32HL007853NIGMS NIH HHS T32 GM007544NIMH NIH HHS MH059980NINDS NIH HHS NS064245NINDS NIH HHS NS076752NINDS NIH HHS P20 NS076916NINDS NIH HHS R01 NS034509NINDS NIH HHS R01 NS064245NINDS NIH HHS R01 NS065450NINDS NIH HHS R01 NS076752NINDS NIH HHS R37 NS076752NINDS NIH HHS R56 NS076752NINDS NIH HHS RC1 NS068684NINDS NIH HHS RC1NS068684
6 · The paper itself

Abstract

objectiveNeuronal channelopathies cause brain disorders, including epilepsy, migraine, and ataxia. Despite the development of mouse models, pathophysiological mechanisms for these disorders remain uncertain. One particularly devastating channelopathy is Dravet syndrome (DS), a severe childhood epilepsy typically caused by de novo dominant mutations in the SCN1A gene encoding the voltage-gated sodium channel Na(v) 1.1. Heterologous expression of mutant channels suggests loss of function, raising the quandary of how loss of sodium channels underlying action potentials produces hyperexcitability. Mouse model studies suggest that decreased Na(v) 1.1 function in interneurons causes disinhibition. We aim to determine how mutant SCN1A affects human neurons using the induced pluripotent stem cell (iPSC) method to generate patient-specific neurons.

methodsHere we derive forebrain-like pyramidal- and bipolar-shaped neurons from 2 DS subjects and 3 human controls by iPSC reprogramming of fibroblasts. DS and control iPSC-derived neurons are compared using whole-cell patch clamp recordings. Sodium current density and intrinsic neuronal excitability are examined.

resultsNeural progenitors from DS and human control iPSCs display a forebrain identity and differentiate into bipolar- and pyramidal-shaped neurons. DS patient-derived neurons show increased sodium currents in both bipolar- and pyramidal-shaped neurons. Consistent with increased sodium currents, both types of patient-derived neurons show spontaneous bursting and other evidence of hyperexcitability. Sodium channel transcripts are not elevated, consistent with a post-translational mechanism.

interpretationThese data demonstrate that epilepsy patient-specific iPSC-derived neurons are useful for modeling epileptic-like hyperactivity. Our findings reveal a previously unrecognized cell-autonomous epilepsy mechanism potentially underlying DS, and offer a platform for screening new antiepileptic therapies.

Indexed as

Cell DifferentiationCells, CulturedChildEpilepsies, MyoclonicFemaleFibroblastsHumansInhibitory Postsynaptic PotentialsMaleMembrane PotentialsMutationNAV1.1 Voltage-Gated Sodium ChannelNeuronsPatch-Clamp TechniquesNAV1.1 Voltage-Gated Sodium ChannelSCN1A protein, human

Identifiers

PMID23821540
PMCPMC3775921
OpenAlexW2162587549

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Registered trials

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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.