Evidence map›Paper›PMID 27476654›Full record

ArticleAmerican journal of human genetics2016

De Novo Mutations in SLC1A2 and CACNA1A Are Important Causes of Epileptic Encephalopathies.

Epi4K Consortium

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in American journal of human genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 139 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
139citing papers in PubMed, 2 pooled it
30.3field-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

139 citing papers in PubMed, 2 syntheses or guidelines pooled it, 299 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. AExperimental and therapeutic medicine · 2025
    Article
  7. Article
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  9. Article
  10. Polymorphisms inGenes · 2025
    Article
  11. Article
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  13. Article
  14. Phenotypic variability in cases with CACNA1A mutation.European journal of pediatrics · 2025
    Article
  15. Review
  16. Review
  17. In vitro human ion channel assays predictive of drug-induced seizure.Toxicological sciences : an official journal of the Society of Toxicology · 2025
    Article
  18. Review
  19. Article
  20. Article

79 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

1 author.

Epi4K Consortiumepi4k@columbia.edu

Funding

3 of 7 Epi4K: Sequencing, Biostatistics & Bioinformatics CoreU01NS077303 · NINDS · DUKE UNIVERSITY · PI EICHLER, EVAN, GOLDSTEIN, DAVID B. · 2011 to 2018
$13.3M
A Genomic Approach to EpilepsyR01NS069605 · NINDS · UNIVERSITY OF WASHINGTON · PI MEFFORD, HEATHER C. · 2010 to 2019
$4.9M
2 of 7 EPI4K - Phenotyping Clinical Informatics Core U01NS077276 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LOWENSTEIN, DANIEL H · 2011 to 2015
$3.1M
7 of 7 Epi 4K: Copy Number Variants ProjectU01NS077275 · NINDS · UNIVERSITY OF WASHINGTON · PI EICHLER, EVAN, MEFFORD, HEATHER C. · 2011 to 2013
$2.2M
4 of 7: Epi4K: Epileptic Encephalopathies ProjectU01NS077364 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SHERR, ELLIOTT · 2011 to 2013
$827k
1 of 7 Epi4K: Gene discovery in 4,000 epilepsy genomes - Administrative CoreU01NS077274 · NINDS · DUKE UNIVERSITY · PI GOLDSTEIN, DAVID B. · 2011 to 2015
$776k
NINDS NIH HHS R01 NS069605NINDS NIH HHS U01 NS077274NINDS NIH HHS U01 NS077275NINDS NIH HHS U01 NS077276NINDS NIH HHS U01 NS077303NINDS NIH HHS U01 NS077364
6 · The paper itself

Abstract

Epileptic encephalopathies (EEs) are the most clinically important group of severe early-onset epilepsies. Next-generation sequencing has highlighted the crucial contribution of de novo mutations to the genetic architecture of EEs as well as to their underlying genetic heterogeneity. Our previous whole-exome sequencing study of 264 parent-child trios revealed more than 290 candidate genes in which only a single individual had a de novo variant. We sought to identify additional pathogenic variants in a subset (n = 27) of these genes via targeted sequencing in an unsolved cohort of 531 individuals with a diverse range of EEs. We report 17 individuals with pathogenic variants in seven of the 27 genes, defining a genetic etiology in 3.2% of this unsolved cohort. Our results provide definitive evidence that de novo mutations in SLC1A2 and CACNA1A cause specific EEs and expand the compendium of clinically relevant genotypes for GABRB3. We also identified EEs caused by genetic variants in ALG13, DNM1, and GNAO1 and report a mutation in IQSEC2. Notably, recurrent mutations accounted for 7/17 of the pathogenic variants identified. As a result of high-depth coverage, parental mosaicism was identified in two out of 14 cases tested with mutant allelic fractions of 5%-6% in the unaffected parents, carrying significant reproductive counseling implications. These results confirm that dysregulation in diverse cellular neuronal pathways causes EEs, and they will inform the diagnosis and management of individuals with these devastating disorders.

Indexed as

MutationAdolescentAdultAllelesCalcium ChannelsCalcium Channels, N-TypeChild, PreschoolCohort StudiesEpilepsyExcitatory Amino Acid Transporter 2FemaleGlutamate Plasma Membrane Transport ProteinsGTP-Binding Protein alpha Subunits, Gi-GoGuanine Nucleotide Exchange FactorsHumansInfantALG13 protein, humanCACNA1A protein, humanCalcium ChannelsCalcium Channels, N-TypeExcitatory Amino Acid Transporter 2GABRB3 protein, humanGlutamate Plasma Membrane Transport ProteinsGNAO1 protein, humanGTP-Binding Protein alpha Subunits, Gi-GoGuanine Nucleotide Exchange FactorsIQSEC2 protein, humanN-AcetylglucosaminyltransferasesReceptors, GABA-ASLC1A2 protein, human

Identifiers

PMID27476654
PMCPMC4974067
OpenAlexW2486138415

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.