Evidence map›Paper›PMID 25239001›Full record

ArticleEpilepsy research2014

Characterization of a de novo SCN8A mutation in a patient with epileptic encephalopathy.

Carolien G F de Kovel, Miriam H Meisler, Eva H Brilstra, Frederique M C van Berkestijn, Ruben van 't Slot, Stef van Lieshout, Isaac J Nijman, Janelle E O'Brien, Michael F Hammer, Mark Estacion and 3 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Epilepsy research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
7.8field-weighted citation impact, top 2% 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

55 citing papers in PubMed, 100 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Structure of human NaNature communications · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Somatostatin-Positive Interneurons Contribute to Seizures inThe Journal of neuroscience : the official journal of the Society for Neuroscience · 2021
    Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Trafficking mechanisms underlying NaChannels (Austin, Tex.) · 2020
    Review
  18. Article
  19. Review
  20. Immortalized Dorsal Root Ganglion Neuron Cell Lines.Frontiers in cellular neuroscience · 2020
    Review
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

13 authors at 5 institutions in 2 countries.

Carolien G F de KovelDepartment of Medical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands. Electronic address: c.dekovel@umcutrecht.nl.
Miriam H MeislerDepartment of Human Genetics, University of Michigan, Ann Arbor, MI 48109-5618, USA; Department of Neurology, University of Michigan, Ann Arbor, MI 48109-5618, USA.
Eva H BrilstraDepartment of Medical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
Frederique M C van BerkestijnDepartment of Pediatrics, University Medical Center Utrecht, Utrecht, The Netherlands.
Ruben van 't SlotDepartment of Medical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
Stef van LieshoutDepartment of Medical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
Isaac J NijmanDepartment of Medical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
Janelle E O'BrienDepartment of Human Genetics, University of Michigan, Ann Arbor, MI 48109-5618, USA.
Michael F HammerArizona Research Laboratories, Division of Biotechnology, University of Arizona, Tucson, AZ 85721, USA.
Mark EstacionDepartment of Neurology, Center for Neuroscience and Regeneration Research, Yale University School of Medicine, New Haven, CT 06510, USA; Rehabilitation Research Center, Veterans Affairs Connecticut Healthcare System, West Haven, CT 06516, USA.
Stephen G WaxmanDepartment of Neurology, Center for Neuroscience and Regeneration Research, Yale University School of Medicine, New Haven, CT 06510, USA; Rehabilitation Research Center, Veterans Affairs Connecticut Healthcare System, West Haven, CT 06516, USA.
Sulayman D Dib-HajjDepartment of Neurology, Center for Neuroscience and Regeneration Research, Yale University School of Medicine, New Haven, CT 06510, USA; Rehabilitation Research Center, Veterans Affairs Connecticut Healthcare System, West Haven, CT 06516, USA.
Bobby P C KoelemanDepartment of Medical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
University Medical Center Utrecht · NLYale University · USUniversity of Michigan · USUniversity of Arizona · USUtrecht University · NL

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
NIGMS NIH HHS T32 GM007544NINDS NIH HHS NS34509NINDS NIH HHS R01 NS034509
6 · The paper itself

Abstract

objectiveRecently, de novo SCN8A missense mutations have been identified as a rare dominant cause of epileptic encephalopathies (EIEE13). Functional studies on the first described case demonstrated gain-of-function effects of the mutation. We describe a novel de novo mutation of SCN8A in a patient with epileptic encephalopathy, and functional characterization of the mutant protein.

designWhole exome sequencing was used to discover the variant. We generated a mutant cDNA, transfected HEK293 cells, and performed Western blotting to assess protein stability. To study channel functional properties, patch-clamp experiments were carried out in transfected neuronal ND7/23 cells.

resultsThe proband exhibited seizure onset at 6 months of age, diffuse brain atrophy, and more profound developmental impairment than the original case. The mutation p.Arg233Gly in the voltage sensing transmembrane segment D1S4 was present in the proband and absent in both parents. This mutation results in a temperature-sensitive reduction in protein expression as well as reduced sodium current amplitude and density and a relative increased response to a slow ramp stimulus, though this did not result in an absolute increased current at physiological temperatures.

conclusionThe new de novo SCN8A mutation is clearly deleterious, resulting in an unstable protein with reduced channel activity. This differs from the gain-of-function attributes of the first SCN8A mutation in epileptic encephalopathy, pointing to heterogeneity of mechanisms. Since Nav1.6 is expressed in both excitatory and inhibitory neurons, a differential effect of a loss-of-function of Nav1.6 Arg223Gly on inhibitory interneurons may underlie the epilepsy phenotype in this patient.

Indexed as

ArginineChild, PreschoolEpilepsyFemaleGlycineHEK293 CellsHumansMembrane PotentialsMicrocephalyMutationNAV1.6 Voltage-Gated Sodium ChannelPatch-Clamp TechniquesTemperatureTransfectionArginineGlycineNAV1.6 Voltage-Gated Sodium ChannelSCN8A protein, humanEpileptic encephalopathyExome sequencingNav1.6Patch-clampSCN8A

Identifiers

PMID25239001
PMCPMC4490185
OpenAlexW2001979260

What OpenQuestion holds

Textmetadata
LicenceTDM
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.