Evidence map›Paper›PMID 27839871›Full record

ArticleAmerican journal of human genetics2016

Mechanistic Insight into NMDA Receptor Dysregulation by Rare Variants in the GluN2A and GluN2B Agonist Binding Domains.

Sharon A Swanger, Wenjuan Chen, Gordon Wells, Pieter B Burger, Anel Tankovic, Subhrajit Bhattacharya, Katie L Strong, Chun Hu, Hirofumi Kusumoto, Jing Zhang and 5 more

Open access · bronzeAbstract read
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 122 papers.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed
11.0field-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

122 citing papers in PubMed, 178 citations in OpenAlex.

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  8. Observational
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  11. Disruption ofThe Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  12. Distinct Regulation of Early Trafficking of the NMDA Receptors by the Ligand-Binding Domains of the GluN1 and GluN2A Subunits.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  13. Article
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  15. Article
  16. Article
  17. Developmental and epileptic encephalopathies.Nature reviews. Disease primers · 2024
    Review
  18. Characterization of Mice Carrying a Neurodevelopmental Disease-Associated GluN2B(L825V) Variant.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Article
  19. Review
  20. Article

62 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

  • Commented on by
5 · Who and what money

Authors and funding

15 authors at 4 institutions in 2 countries.

Sharon A SwangerDepartment of Pharmacology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Wenjuan ChenDepartment of Pharmacology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Gordon WellsDepartment of Chemistry, Emory University, Atlanta, GA 30322, USA.
Pieter B BurgerDepartment of Chemistry, Emory University, Atlanta, GA 30322, USA.
Anel TankovicDepartment of Pharmacology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Subhrajit BhattacharyaDepartment of Pharmacology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Katie L StrongDepartment of Pharmacology, Emory University School of Medicine, Atlanta, GA 30322, USA; Department of Chemistry, Emory University, Atlanta, GA 30322, USA.
Chun HuDepartment of Pharmacology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Hirofumi KusumotoDepartment of Pharmacology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Jing ZhangDepartment of Pharmacology, Emory University School of Medicine, Atlanta, GA 30322, USA.
David R AdamsUndiagnosed Diseases Network, National Human Genome Research Institute, NIH, Bethesda, MD 20892, USA.
John J MillichapDepartments of Pediatrics and Neurology, Northwestern University Feinberg School of Medicine and Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA.
Slavé PetrovskiDepartment of Medicine, The University of Melbourne, Austin Health and Royal Melbourne Hospital, Melbourne, VIC 3050, Australia.
Stephen F TraynelisDepartment of Pharmacology, Emory University School of Medicine, Atlanta, GA 30322, USA; Center for Functional Evaluation of Rare Variants (CFERV), Emory University School of Medicine, Atlanta, GA 30322, USA. Electronic address: strayne@emory.edu.
Hongjie YuanDepartment of Pharmacology, Emory University School of Medicine, Atlanta, GA 30322, USA; Center for Functional Evaluation of Rare Variants (CFERV), Emory University School of Medicine, Atlanta, GA 30322, USA. Electronic address: hyuan@emory.edu.
Emory University · USAustin Health · AUNational Human Genome Research Institute · USNorthwestern University · US

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Control of Glutamate Receptor FunctionR01NS036654 · NINDS · EMORY UNIVERSITY · PI TRAYNELIS, STEPHEN F · 1998 to 2018
$3.7M
NMDAR Mutations & Neurodevelopmental Disorder: from Mechanism to Targeted TherapyR01HD082373 · NICHD · EMORY UNIVERSITY · PI YUAN, HONGJIE · 2015 to 2025
$3.3M
Control of glutamate receptor functionR37NS036654 · NINDS · EMORY UNIVERSITY · PI TRAYNELIS, STEPHEN F · 2007 to 2013
$2.4M
NCATS NIH HHS UL1 TR000454NICHD NIH HHS R01 HD082373NINDS NIH HHS R01 NS036654NINDS NIH HHS R37 NS036654
6 · The paper itself

Abstract

Epilepsy and intellectual disability are associated with rare variants in the GluN2A and GluN2B (encoded by GRIN2A and GRIN2B) subunits of the N-methyl-D-aspartate receptor (NMDAR), a ligand-gated ion channel with essential roles in brain development and function. By assessing genetic variation across GluN2 domains, we determined that the agonist binding domain, transmembrane domain, and the linker regions between these domains were particularly intolerant to functional variation. Notably, the agonist binding domain of GluN2B exhibited significantly more variation intolerance than that of GluN2A. To understand the ramifications of missense variation in the agonist binding domain, we investigated the mechanisms by which 25 rare variants in the GluN2A and GluN2B agonist binding domains dysregulated NMDAR activity. When introduced into recombinant human NMDARs, these rare variants identified in individuals with neurologic disease had complex, and sometimes opposing, consequences on agonist binding, channel gating, receptor biogenesis, and forward trafficking. Our approach combined quantitative assessments of these effects to estimate the overall impact on synaptic and non-synaptic NMDAR function. Interestingly, similar neurologic diseases were associated with both gain- and loss-of-function variants in the same gene. Most rare variants in GluN2A were associated with epilepsy, whereas GluN2B variants were associated with intellectual disability with or without seizures. Finally, discerning the mechanisms underlying NMDAR dysregulation by these rare variants allowed investigations of pharmacologic strategies to correct NMDAR function.

Indexed as

EpilepsyExomeGlutamic AcidHumansIntellectual DisabilityModels, MolecularMutation, MissenseNeuronsProtein BindingProtein DomainsProtein TransportReceptors, N-Methyl-D-AspartateSeizuresGlutamic AcidNR2B NMDA receptorReceptors, N-Methyl-D-Aspartate

Identifiers

PMID27839871
PMCPMC5142120
OpenAlexW2550618833

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.