Evidence map›Paper›PMID 25725044›Full record

ArticleJournal of medical genetics2015

De novo gain-of-function and loss-of-function mutations of SCN8A in patients with intellectual disabilities and epilepsy.

Maxime G Blanchard, Marjolein H Willemsen, Jaclyn B Walker, Sulayman D Dib-Hajj, Stephen G Waxman, Marjolijn C J Jongmans, Tjitske Kleefstra, Bart P van de Warrenburg, Peter Praamstra, Joost Nicolai and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical genetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed
14.6field-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

78 citing papers in PubMed, 140 citations in OpenAlex.

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18 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

14 authors at 6 institutions in 2 countries.

Maxime G BlanchardDepartment of Physiology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Marjolein H WillemsenDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands.
Jaclyn B WalkerDepartment of Human Genetics, University of Michigan, Ann Arbor, Michigan, USA.
Sulayman D Dib-HajjThe Center for Neuroscience & Regeneration Research, Yale School of Medicine, New Haven, Connecticut, USA The Rehabilitation Research Center, VA Connecticut Healthcare System, West Haven, Connecticut, USA.
Stephen G WaxmanThe Center for Neuroscience & Regeneration Research, Yale School of Medicine, New Haven, Connecticut, USA The Rehabilitation Research Center, VA Connecticut Healthcare System, West Haven, Connecticut, USA.
Marjolijn C J JongmansDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands.
Tjitske KleefstraDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands.
Bart P van de WarrenburgDepartment of Neurology, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, The Netherlands.
Peter PraamstraDepartment of Neurology, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, The Netherlands.
Joost NicolaiDepartment of Neurology, Maastricht University Medical Center, Maastricht, The Netherlands Epilepsy Center Kempenhaeghe, Heeze, The Netherlands.
Helger G YntemaDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands.
René J M BindelsDepartment of Physiology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Miriam H MeislerDepartment of Human Genetics, University of Michigan, Ann Arbor, Michigan, USA.
Erik-Jan KamsteegDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands.
Radboud University Nijmegen · NLRadboud University Medical Center · NLUniversity of Michigan–Ann Arbor · USVA Connecticut Healthcare System · USMaastricht University · NLRadboud Institute for Molecular Life Sciences · NL

Funding

The neuronal sodium channel gene SCN8AR01NS034509 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MIRIAM H MEISLER · 1996 to 2026
$9.5M
NINDS NIH HHS R01 NS034509NINDS NIH HHS R01 NS34509
6 · The paper itself

Abstract

backgroundMutations of SCN8A encoding the neuronal voltage-gated sodium channel NaV1.6 are associated with early-infantile epileptic encephalopathy type 13 (EIEE13) and intellectual disability. Using clinical exome sequencing, we have detected three novel de novo SCN8A mutations in patients with intellectual disabilities, and variable clinical features including seizures in two patients. To determine the causality of these SCN8A mutations in the disease of those three patients, we aimed to study the (dys)function of the mutant sodium channels.

methodsThe functional consequences of the three SCN8A mutations were assessed using electrophysiological analyses in transfected cells. Genotype-phenotype correlations of these and other cases were related to the functional analyses.

resultsThe first mutant displayed a 10 mV hyperpolarising shift in voltage dependence of activation (gain of function), the second did not form functional channels (loss of function), while the third mutation was functionally indistinguishable from the wildtype channel.

conclusionsComparison of the clinical features of these patients with those in the literature suggests that gain-of-function mutations are associated with severe EIEE, while heterozygous loss-of-function mutations cause intellectual disability with or without seizures. These data demonstrate that functional analysis of missense mutations detected by clinical exome sequencing, both inherited and de novo, is valuable for clinical interpretation in the age of massive parallel sequencing.

Indexed as

Genetic Association StudiesMutationAdultAmino Acid SequenceAmino Acid SubstitutionCell LineChildEpilepsyFemaleGenotypeHumansIntellectual DisabilityMaleNAV1.6 Voltage-Gated Sodium ChannelPhenotypeProtein SubunitsNAV1.6 Voltage-Gated Sodium ChannelProtein SubunitsSCN8A protein, humanencephalopathyEpilepsy and seizuresintelectual disabilityMovement disorders (other than Parkinsons)sodium channel

Identifiers

PMID25725044
PMCPMC4413743
OpenAlexW2109946103

What OpenQuestion holds

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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.