Evidence map›Paper›PMID 25735478›Full record

ArticleEuropean journal of human genetics : EJHG2015

CACNA1A haploinsufficiency causes cognitive impairment, autism and epileptic encephalopathy with mild cerebellar symptoms.

Lena Damaj, Alexis Lupien-Meilleur, Anne Lortie, Émilie Riou, Luis H Ospina, Louise Gagnon, Catherine Vanasse, Elsa Rossignol

Open access · bronzeAbstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 117 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 4 pooled it
5.3field-weighted citation impact, top 3% 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

117 citing papers in PubMed, 4 syntheses or guidelines pooled it, 207 citations in OpenAlex.

  1. Episodic Ataxias: Primary and Secondary Etiologies, Treatment, and Classification Approaches.Tremor and other hyperkinetic movements (New York, N.Y.) · 2023
    Pooled it
  2. Meta-Analysis IdentifiesInternational journal of molecular sciences · 2022
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Monogenic disorders associated with motor speech phenotypes in children and adolescents undergoing clinical exome sequencing.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  19. Phenotypic variability in cases with CACNA1A mutation.European journal of pediatrics · 2025
    Article
  20. Review

57 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

8 authors at 2 institutions in 1 country.

Lena DamajDepartment of Pediatrics, Neurology Service, CHU Ste-Justine, U. de Montréal, Montreal, Quebec, Canada.
Alexis Lupien-MeilleurDepartment of Neuroscience, CHU Ste-Justine, U. de Montréal, Montreal, Quebec, Canada.
Anne LortieDepartment of Pediatrics, Neurology Service, CHU Ste-Justine, U. de Montréal, Montreal, Quebec, Canada.
Émilie RiouDepartment of Pediatrics, CHUS, U. de Sherbrooke, Sherbrooke, Quebec, Canada.
Luis H OspinaDepartment of Ophtalmology, CHU Ste-Justine, U. de Montréal, Montreal, Quebec, Canada.
Louise GagnonDepartment of Pediatrics, Neurology Service, CHU Ste-Justine, U. de Montréal, Montreal, Quebec, Canada.
Catherine VanasseDepartment of Pediatrics, Neurology Service, CHU Ste-Justine, U. de Montréal, Montreal, Quebec, Canada.
Elsa RossignolDepartment of Pediatrics, Neurology Service, CHU Ste-Justine, U. de Montréal, Montreal, Quebec, Canada.
Centre Hospitalier Universitaire Sainte-Justine · CAUniversité de Sherbrooke · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CACNA1A loss-of-function mutations classically present as episodic ataxia type 2 (EA2), with brief episodes of ataxia and nystagmus, or with progressive spinocerebellar ataxia (SCA6). A minority of patients carrying CACNA1A mutations develops epilepsy. Non-motor symptoms associated with these mutations are often overlooked. In this study, we report 16 affected individuals from four unrelated families presenting with a spectrum of cognitive impairment including intellectual deficiency, executive dysfunction, ADHD and/or autism, as well as childhood-onset epileptic encephalopathy with refractory absence epilepsy, febrile seizures, downbeat nystagmus and episodic ataxia. Sequencing revealed one CACNA1A gene deletion, two deleterious CACNA1A point mutations including one known stop-gain and one new frameshift variant and a new splice-site variant. This report illustrates the phenotypic heterogeneity of CACNA1A loss-of-function mutations and stresses the cognitive and epileptic manifestations caused by the loss of CaV2.1 channels function, presumably affecting cerebellar, cortical and limbic networks.

Indexed as

AdultAtaxiaAutistic DisorderBrain DiseasesCalcium ChannelsCalcium Channels, N-TypeCerebellar DiseasesChildChild, PreschoolCognition DisordersHaploinsufficiencyHumansInfantNystagmus, PathologicPoint MutationCACNA1A protein, humanCalcium ChannelsCalcium Channels, N-Type

Identifiers

PMID25735478
PMCPMC4613477
OpenAlexW2054424855

What OpenQuestion holds

Textmetadata
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.