Evidence map›Paper›PMID 30009487›Full record

ArticleEpilepsia2018

Genome-wide association study: Exploring the genetic basis for responsiveness to ketogenic dietary therapies for drug-resistant epilepsy.

Natasha E Schoeler, Costin Leu, Simona Balestrini, Jonathan M Mudge, Charles A Steward, Adam Frankish, Mary-Anne Leung, Mark Mackay, Ingrid Scheffer, Ruth Williams and 3 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Epilepsia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. 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

13 authors at 7 institutions in 4 countries.

Natasha E SchoelerDepartment of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, UK.ORCID 0000-0001-6202-1497
Costin LeuDepartment of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, UK.
Simona BalestriniDepartment of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, UK.
Jonathan M MudgeEuropean Molecular Biology Laboratory, Wellcome Genome Campus, European Bioinformatics Institute, Cambridge, UK.
Charles A StewardWellcome Genome Campus, Congenica Ltd, Cambridge, UK.
Adam FrankishEuropean Molecular Biology Laboratory, Wellcome Genome Campus, European Bioinformatics Institute, Cambridge, UK.
Mary-Anne LeungChildren's Neurosciences Centre, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Mark MackayDepartment of Paediatrics, The University of Melbourne, Royal Children's Hospital, Melbourne, Vic., Australia.
Ingrid SchefferDepartment of Paediatrics, The University of Melbourne, Royal Children's Hospital, Melbourne, Vic., Australia.
Ruth WilliamsChildren's Neurosciences Centre, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Josemir W SanderNIHR University College London Hospitals Biomedical Research Centre, UCL Institute of Neurology, London, UK.ORCID 0000-0001-6041-9661
J Helen CrossUCL Great Ormond Street Institute of Child Health, London, UK.
Sanjay M SisodiyaDepartment of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, UK.
Epilepsy Research UK · GBEuropean Bioinformatics Institute · GBGreat Ormond Street Hospital · GBGuy's and St Thomas' NHS Foundation Trust · GBRoyal Children's Hospital · AUUCL Biomedical Research Centre · GBWellcome Connecting Science · GB

Funding

GENCODE Resource ProjectU41HG007234 · NHGRI · SANGER INSTITUTE · PI FLICEK, PAUL · 2013 to 2020
$20.3M
Medical Research Council MC_PC_14140NHGRI NIH HHS U41 HG007234Wellcome Trust 084730
6 · The paper itself

Abstract

objectiveWith the exception of specific metabolic disorders, predictors of response to ketogenic dietary therapies (KDTs) are unknown. We aimed to determine whether common variation across the genome influences the response to KDT for epilepsy.

methodsWe genotyped individuals who were negative for glucose transporter type 1 deficiency syndrome or other metabolic disorders, who received KDT for epilepsy. Genotyping was performed with the Infinium HumanOmniExpressExome Beadchip. Hospital records were used to obtain demographic and clinical data. KDT response (≥50% seizure reduction) at 3-month follow-up was used to dissect out nonresponders and responders. We then performed a genome-wide association study (GWAS) in nonresponders vs responders, using a linear mixed model and correcting for population stratification. Variants with minor allele frequency <0.05 and those that did not pass quality control filtering were excluded.

resultsAfter quality control filtering, the GWAS of 112 nonresponders vs 123 responders revealed an association locus at 6p25.1, 61 kb upstream of CDYL (rs12204701, P = 3.83 × 10 SIGNIFICANCE: CDYL deficiency has been shown to disrupt neuronal migration and to influence susceptibility to epilepsy in mice. Further exploration with a larger replication cohort is warranted to clarify whether CDYL is the causal gene underlying the association signal.

Indexed as

PharmacognosyChildChild, PreschoolCohort StudiesCo-Repressor ProteinsDiet, KetogenicDrug Resistant EpilepsyFemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyGenotypeGlucose Transporter Type 1HumansHydro-LyasesInternational CooperationLogistic ModelsCDYL protein, humanCo-Repressor ProteinsGlucose Transporter Type 1Hydro-LyasesProteinsSLC2A1 protein, humanbiomarkerCDYLgeneticshigh-fatlow-carbohydrate

Identifiers

PMID30009487
PMCPMC6099477
OpenAlexW2884395746

What OpenQuestion holds

Textmetadata
LicenceTDM
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.