Evidence map›Paper›PMID 25656163›Full record

ArticleEpilepsia2015

Novel mutations in ATP1A3 associated with catastrophic early life epilepsy, episodic prolonged apnea, and postnatal microcephaly.

Alex R Paciorkowski, Sharon S McDaniel, Laura A Jansen, Hannah Tully, Emily Tuttle, Dalia H Ghoneim, Srinivasan Tupal, Sonya A Gunter, Valeria Vasta, Qing Zhang and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Epilepsia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
5.3field-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

73 citing papers in PubMed, 1 synthesis or guideline pooled it, 120 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Clinical and Genetic Spectrum ofNeurology. Genetics · 2026
    Article
  4. Observational
  5. Article
  6. Observational
  7. Review
  8. Structural Alterations in the Gray Matter Volume in Rapid-Onset Dystonia-Parkinsonism.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Tremor and other hyperkinetic movements (New York, N.Y.) · 2024
    Article
  15. Review
  16. Article
  17. The role ofFrontiers in cellular neuroscience · 2023
    Review
  18. Article
  19. Review
  20. Expanding phenotype of ATP1A3 mutation.Acta neurologica Belgica · 2022
    Article

13 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

17 authors at 8 institutions in 1 country.

Alex R PaciorkowskiDepartments of Neurology, Pediatrics, and Biomedical Genetics, University of Rochester Medical Center, Rochester, New York, U.S.A; Center for Neural Development and Disease, University of Rochester Medical Center, Rochester, New York, U.S.A.
Sharon S McDaniel
Laura A Jansen
Hannah Tully
Emily Tuttle
Dalia H Ghoneim
Srinivasan Tupal
Sonya A Gunter
Valeria Vasta
Qing Zhang
Thao Tran
Yi B Liu
Laurie J Ozelius
Allison Brashear
Kathleen J Sweadner
William B Dobyns
Sihoun Hahn
Seattle Children's Hospital · USUniversity of Rochester Medical Center · USUniversity of Virginia · USMassachusetts General Hospital · USUniversity of Washington · USIcahn School of Medicine at Mount Sinai · USKaiser Permanente San Francisco Medical Center · USWake Forest University · US

Funding

Supplement to Clinical, Genetic, and Cellular Consequences of Mutations in Na,K-ATPase ATP1A3R01NS058949 · NINDS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BRASHEAR, ALLISON · 2008 to 2025
$8.9M
The Role of ARX in Normal and Abnormal Brain DevelopmentR01NS046616 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI GOLDEN, JEFFREY A · 2005 to 2013
$4.1M
Biology of developmental encephalopathies presenting with infantile spasmsK08NS078054 · NINDS · UNIVERSITY OF ROCHESTER · PI PACIORKOWSKI, ALEXANDER R · 2013 to 2017
$779k
Early-Life Seizures and Development of GABAergic Inhibition in the Human BrainK02NS072162 · NINDS · UNIVERSITY OF VIRGINIA · PI JANSEN, LAURA A · 2011 to 2013
$581k
Genetics and biology of a viable mutant mouse with dystonic movementsR21NS081558 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI SWEADNER, KATHLEEN J · 2013 to 2014
$454k
NINDS NIH HHS K02 NS072162NINDS NIH HHS K02NS072162NINDS NIH HHS K08 NS078054NINDS NIH HHS K08NS078054NINDS NIH HHS R01 NS046616NINDS NIH HHS R01NS046616NINDS NIH HHS R01 NS058949NINDS NIH HHS R21 NS081558NINDS NIH HHS R21NS081558
6 · The paper itself

Abstract

objectiveMutations of ATP1A3 have been associated with rapid onset dystonia-parkinsonism and more recently with alternating hemiplegia of childhood. Here we report one child with catastrophic early life epilepsy and shortened survival, and another with epilepsy, episodic prolonged apnea, postnatal microcephaly, and severe developmental disability. Novel heterozygous mutations (p.Gly358Val and p.Ile363Asn) were identified in ATP1A3 in these children.

methodsSubjects underwent next-generation sequencing under a research protocol. Clinical data were collected retrospectively. The biochemical effects of the mutations on ATP1A3 protein function were investigated. Postmortem neuropathologic specimens from control and affected subjects were studied.

resultsThe mutations localized to the P domain of the Na,K-ATPase α3 protein, and resulted in significant reduction of Na,K-ATPase activity in vitro. We demonstrate in both control human brain tissue and that from the subject with the p.Gly358Val mutation that ATP1A3 immunofluorescence is prominently associated with interneurons in the cortex, which may provide some insight into the pathogenesis of the disease. SIGNIFICANCE: The findings indicate these mutations cause severe phenotypes of ATP1A3-related disorder spectrum that include catastrophic early life epilepsy, episodic apnea, and postnatal microcephaly.

Indexed as

Catastrophic IllnessBrainChild, PreschoolDNA Mutational AnalysisElectroencephalographyEnzyme InhibitorsEpilepsyFemaleGlutamate DecarboxylaseHEK293 CellsHumansInfantMaleModels, MolecularMutationNervous System DiseasesATP1A3 protein, humanEnzyme InhibitorsGlutamate Decarboxylaseglutamate decarboxylase 2OuabainSodium-Potassium-Exchanging ATPaseApneaATP1A3Early life epilepsyK-ATPaseNaNext-generation sequencingPostnatal microcephaly

Identifiers

PMID25656163
PMCPMC4363281
OpenAlexW2072020099

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.