Evidence map›Paper›PMID 26395884›Full record

ArticleNeurogenetics2016

Clinical heterogeneity associated with KCNA1 mutations include cataplexy and nonataxic presentations.

Catherine A Brownstein, Alan H Beggs, Lance Rodan, Jiahai Shi, Meghan C Towne, Renee Pelletier, Siqi Cao, Paul A Rosenberg, David K Urion, Jonathan Picker and 2 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Neurogenetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 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. Properties of Heterochannels Kv(1.1-1.2)International journal of molecular sciences · 2025
    Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Paroxysmal Movement Disorders.Frontiers in neurology · 2021
    Review
  8. Article
  9. Review
  10. Review
  11. Clinical Spectrum ofInternational journal of molecular sciences · 2020
    Review
  12. Neuromuscular tetanic hyperexcitability syndrome associated to a heterozygousActa myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. Cataplexy and Its Mimics: Clinical Recognition and Management.Current treatment options in neurology · 2017
    Review
  17. Article
  18. Article
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

12 authors at 4 institutions in 2 countries.

Catherine A BrownsteinDivision of Genetics and Genomics, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA. catherine.brownstein@childrens.harvard.edu.
Alan H BeggsDivision of Genetics and Genomics, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA.
Lance RodanDivision of Genetics and Genomics, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA.
Jiahai ShiWhitehead Institute for Biomedical Research, MIT, Cambridge, MA, USA.
Meghan C TowneDivision of Genetics and Genomics, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA.
Renee PelletierDivision of Genetics and Genomics, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA.
Siqi CaoDivision of Genetics and Genomics, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA.
Paul A RosenbergDepartment of Neurology, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA.
David K UrionDepartment of Neurology, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA.
Jonathan PickerDivision of Genetics and Genomics, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA.
Wen-Hann TanDivision of Genetics and Genomics, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA.
Pankaj B AgrawalDivision of Genetics and Genomics, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA. pagrawal@enders.tch.harvard.edu.
Harvard University · USDana-Farber/Boston Children's Cancer and Blood Disorders Center · USBoston Children's Hospital · USCity University of Hong Kong · HK

Funding

SYNAPTIC MECHANISMS IN HIPPOCAMPAL EPILEPTOGENESISP30HD018655 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI FAGIOLINI, MICHELA · 1985 to 2015
$26.2M
Genome Sequence-Based Screening for Childhood Risk and Newborn IllnessU19HD077671 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI BEGGS, ALAN H., GREEN, ROBERT C. · 2013 to 2018
$6.1M
Mouse Neurodevelopmental Behavior CoreU54HD090255 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI POMEROY, SCOTT LOREN · 2016 to 2020
$5.2M
Cofilin-2: Molecular Function and it's Role in MyopathiesK08AR055072 · NIAMS · BOSTON CHILDREN'S HOSPITAL · PI AGRAWAL, PANKAJ B · 2007 to 2011
$633k
NIAMS NIH HHS K08 AR055072NIAMS NIH HHS K08AR055072NICHD NIH HHS P30 HD018655NICHD NIH HHS U19 HD077671NICHD NIH HHS U19HD077671NICHD NIH HHS U54 HD090255
6 · The paper itself

Abstract

Mutations in the KCNA1 gene are known to cause episodic ataxia/myokymia syndrome type 1 (EA1). Here, we describe two families with unique presentations who were enrolled in an IRB-approved study, extensively phenotyped, and whole exome sequencing (WES) performed. Family 1 had a diagnosis of isolated cataplexy triggered by sudden physical exertion in multiple affected individuals with heterogeneous neurological findings. All enrolled affected members carried a KCNA1 c.941T>C (p.I314T) mutation. Family 2 had an 8-year-old patient with muscle spasms with rigidity for whom WES revealed a previously reported heterozygous missense mutation in KCNA1 c.677C>G (p.T226R), confirming the diagnosis of EA1 without ataxia. WES identified variants in KCNA1 that explain both phenotypes expanding the phenotypic spectrum of diseases associated with mutations of this gene. KCNA1 mutations should be considered in patients of all ages with episodic neurological phenotypes, even when ataxia is not present. This is an example of the power of genomic approaches to identify pathogenic mutations in unsuspected genes responsible for heterogeneous diseases.

Indexed as

MutationAdolescentAdultAtaxiaCataplexyChildFemaleGenetic HeterogeneityHumansKv1.1 Potassium ChannelMaleMiddle AgedMutation, MissenseMyokymiaPedigreePhenotypeKCNA1 protein, humanKv1.1 Potassium ChannelCataplexyEpisodic ataxiaHypertoniaKCNA1Whole exome sequencing

Identifiers

PMID26395884
PMCPMC4911217
OpenAlexW2176624374

What OpenQuestion holds

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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.