Evidence map›Paper›PMID 29330545›Full record

ArticleEuropean journal of human genetics : EJHG2018

De novo BK channel variant causes epilepsy by affecting voltage gating but not Ca

Xia Li, Sibylle Poschmann, Qiuyun Chen, Walid Fazeli, Nelly Jouayed Oundjian, Francesca M Snoeijen-Schouwenaars, Oliver Fricke, Erik-Jan Kamsteeg, Marjolein Willemsen, Qing Kenneth Wang

Open access · bronzeAbstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. The mechanism of CaThe Journal of biological chemistry · 2025
    Article
  4. Review
  5. Evaluation of fourChannels (Austin, Tex.) · 2024
    Article
  6. Article
  7. Article
  8. Review
  9. Large conductance voltage-and calcium-activated KFrontiers in pharmacology · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. CaInternational journal of molecular sciences · 2023
    Review
  15. KCurrent neuropharmacology · 2023
    Review
  16. Article
  17. Article
  18. Neuronal mechanism of a BK channelopathy in absence epilepsy and dyskinesia.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  19. Article
  20. 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

10 authors at 10 institutions in 4 countries.

Xia LiLaboratory of Molecular Biophysics of the Ministry of Education, College of Life Science and Technology, Center for Human Genome Research, Cardio-X Institute, Huazhong University of Science and Technology, Wuhan, Hubei Province, P. R. China.
Sibylle PoschmannChildren Hospital Dritter Orden, München, Germany.
Qiuyun ChenCenter for Cardiovascular Genetics, Department of Molecular Cardiology, Lerner Research Institute, Department of Cardiovascular Medicine, Cleveland Clinic, OH, USA.
Walid FazeliUniversity Children's Hospital Cologne, Pediatric Neurology, Cologne, Germany.
Nelly Jouayed OundjianDepartment of Pediatrics, Columbia University Medical Center, New York, NY, USA.
Francesca M Snoeijen-SchouwenaarsAcademic Department of Residential Care, Centre for Epileptology Kempenhaeghe, Heeze, The Netherlands.
Oliver FrickeDepartment of Child and Adolescent Psychiatry and Neuropediatrics, Gemeinschaftskrankenhaus Herdecke, Witten/Herdecke, Germany.
Erik-Jan KamsteegDepartment of Human Genetics, Radboud University Medical Center, HB Nijmegen, The Netherlands.
Marjolein WillemsenDepartment of Human Genetics, Radboud University Medical Center, HB Nijmegen, The Netherlands. marjolein.willemsen@radboudumc.nl.
Qing Kenneth WangLaboratory of Molecular Biophysics of the Ministry of Education, College of Life Science and Technology, Center for Human Genome Research, Cardio-X Institute, Huazhong University of Science and Technology, Wuhan, Hubei Province, P. R. China. wangq2@ccf.org.
Case Western Reserve University · USColumbia University Irving Medical Center · USGemeinschaftskrankenhaus Herdecke · DEHuazhong University of Science and Technology · CNKempenhaeghe · NLMünchen Klinik · DERadboud University Medical Center · NLRadboud University Nijmegen · NLUniversity Hospital Cologne · DEUniversity School · US

Funding

NGS in Large CAD Families: In-Depth Identification of Rare Risk Genomic VariantsR01HL121358 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI WANG, QING KENNETH · 2014 to 2017
$2.8M
Targeting Nav1.5 trafficking as a therapy for lethal genetic cardiac arrhythmiasR01HL126729 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI WANG, QING KENNETH · 2015 to 2018
$1.6M
NHLBI NIH HHS R01 HL121358NHLBI NIH HHS R01 HL126729
6 · The paper itself

Abstract

Epilepsy is one of the most common neurological diseases and it causes profound morbidity and mortality. We identified the first de novo variant in KCNMA1 (c.2984 A > G (p.(N995S)))-encoding the BK channel-that causes epilepsy, but not paroxysmal dyskinesia, in two independent families. The c.2984 A > G (p.(N995S)) variant markedly increased the macroscopic potassium current by increasing both the channel open probability and channel open dwell time. The c.2984 A > G (p.(N995S)) variant did not affect the calcium sensitivity of the channel. We also identified three other variants of unknown significance (c.1554 G > T (p.(K518N)), c.1967A > C (p.(E656A)), and c.3476 A > G (p.(N1159S))) in three separate patients with divergent epileptic phenotypes. However, these variants did not affect the BK potassium current, and are therefore unlikely to be disease-causing. These results demonstrate that BK channel variants can cause epilepsy without paroxysmal dyskinesia. The underlying molecular mechanism can be increased activation of the BK channel by increased sensitivity to the voltage-dependent activation without affecting the sensitivity to the calcium-dependent activation. Our data suggest that the BK channel may represent a drug target for the treatment of epilepsy. Our data highlight the importance of functional electrophysiological studies of BK channel variants in distinguishing whether a genomic variant of unknown significance is a disease-causing variant or a benign variant.

Indexed as

Ion Channel GatingMutationCalciumChildChild, PreschoolEpilepsyFemaleHEK293 CellsHumansLarge-Conductance Calcium-Activated Potassium Channel alpha SubunitsMaleCalciumKCNMA1 protein, humanLarge-Conductance Calcium-Activated Potassium Channel alpha Subunits

Identifiers

PMID29330545
PMCPMC5839055
OpenAlexW2783018888

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.