Evidence map›Paper›PMID 28620718›Full record

ArticleJournal of neurology2017

The phenotypic spectrum of ARHGEF9 includes intellectual disability, focal epilepsy and febrile seizures.

Karl Martin Klein, Manuela Pendziwiat, Anda Eilam, Ronit Gilad, Ilan Blatt, Felix Rosenow, Moien Kanaan, Ingo Helbig, Zaid Afawi, Israeli-Palestinian Epilepsy Family Consortium

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Journal of neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 21 citations in OpenAlex.

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  15. The α3 subunit of GABAThe Journal of biological chemistry
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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

10 authors at 6 institutions in 4 countries.

Karl Martin KleinEpilepsy Center Frankfurt Rhine-Main, Department of Neurology, Center of Neurology and Neurosurgery, University Hospital, Goethe-University Frankfurt, Frankfurt/Main, Germany. k.klein@med.uni-frankfurt.de.ORCID http://orcid.org/0000-0002-6654-1665
Manuela PendziwiatDepartment of Neuropediatrics, Christian-Albrechts-University of Kiel, Kiel, Germany.
Anda EilamKaplan Medical Center, Hebrew University Medical School, Rehovot, Israel.
Ronit GiladKaplan Medical Center, Hebrew University Medical School, Rehovot, Israel.
Ilan BlattSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Felix RosenowEpilepsy Center Frankfurt Rhine-Main, Department of Neurology, Center of Neurology and Neurosurgery, University Hospital, Goethe-University Frankfurt, Frankfurt/Main, Germany.
Moien KanaanHereditary Research Lab, Bethlehem University, Bethlehem, Palestine.
Ingo HelbigDepartment of Neuropediatrics, Christian-Albrechts-University of Kiel, Kiel, Germany.
Zaid AfawiSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Israeli-Palestinian Epilepsy Family Consortium
Goethe University Frankfurt · DEKaplan Medical Center · ILTel Aviv University · ILBethlehem University · PSChildren's Hospital of Philadelphia · USChristian-Albrechts-Universität zu Kiel · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutations or structural genomic alterations of the X-chromosomal gene ARHGEF9 have been described in male and female patients with intellectual disability. Hyperekplexia and epilepsy were observed to a variable degree, but incompletely described. Here, we expand the phenotypic spectrum of ARHGEF9 by describing a large Ethiopian-Jewish family with epilepsy and intellectual disability. The four affected male siblings, their unaffected parents and two unaffected female siblings were recruited and phenotyped. Parametric linkage analysis was performed using SNP microarrays. Variants from exome sequencing in two affected individuals were confirmed by Sanger sequencing. All affected male siblings had febrile seizures from age 2-3 years and intellectual disability. Three developed afebrile seizures between age 7-17 years. Three showed focal seizure semiology. None had hyperekplexia. A novel ARHGEF9 variant (c.967G>A, p.G323R, NM_015185.2) was hemizygous in all affected male siblings and heterozygous in the mother. This family reveals that the phenotypic spectrum of ARHGEF9 is broader than commonly assumed and includes febrile seizures and focal epilepsy with intellectual disability in the absence of hyperekplexia or other clinically distinguishing features. Our findings suggest that pathogenic variants in ARHGEF9 may be more common than previously assumed in patients with intellectual disability and mild epilepsy.

Indexed as

AdolescentAdultEpilepsies, PartialFamilyFemaleHumansIntellectual DisabilityMalePhenotypeRho Guanine Nucleotide Exchange FactorsSeizures, FebrileYoung AdultARHGEF9 protein, humanRho Guanine Nucleotide Exchange FactorsARHGEF9Febrile seizuresFocal epilepsyGenetic epilepsyIntellectual disability

Identifiers

PMID28620718
OpenAlexW2626648697

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.