Evidence map›Paper›PMID 30601941›Full record

ArticleBrain : a journal of neurology2019

Prominent role of forebrain excitatory neurons in SCN8A encephalopathy.

Rosie K A Bunton-Stasyshyn, Jacy L Wagnon, Eric R Wengert, Bryan S Barker, Alexa Faulkner, Pravin K Wagley, Kritika Bhatia, Julie M Jones, Marissa R Maniaci, Jack M Parent and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% 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

70 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Pooled it
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  7. Neurologist's Black Swan: Molecular Basis of Prenatal Seizures.International journal of molecular sciences · 2025
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10 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

13 authors at 2 institutions in 1 country.

Rosie K A Bunton-StasyshynDepartment of Human Genetics, University of Michigan, Ann Arbor, MI, USA.
Jacy L WagnonDepartment of Human Genetics, University of Michigan, Ann Arbor, MI, USA.
Eric R WengertDepartment of Anesthesiology, University of Virginia, Charlottesville VA, USA.
Bryan S BarkerDepartment of Anesthesiology, University of Virginia, Charlottesville VA, USA.
Alexa FaulknerNeuroscience Graduate Program, University of Michigan, Ann Arbor, MI, USA.
Pravin K WagleyDepartment of Neurology, University of Virginia, Charlottesville VA, USA.
Kritika BhatiaDepartment of Neurology, University of Michigan, Ann Arbor, MI, USA.
Julie M JonesDepartment of Human Genetics, University of Michigan, Ann Arbor, MI, USA.
Marissa R ManiaciDepartment of Human Genetics, University of Michigan, Ann Arbor, MI, USA.
Jack M ParentNeuroscience Graduate Program, University of Michigan, Ann Arbor, MI, USA.
Howard P GoodkinNeuroscience Graduate Program, University of Virginia, Charlottesville VA, USA.
Manoj K PatelDepartment of Anesthesiology, University of Virginia, Charlottesville VA, USA.
Miriam H MeislerDepartment of Human Genetics, University of Michigan, Ann Arbor, MI, USA.
University of Michigan–Ann Arbor · USUniversity of Virginia · US

Funding

The neuronal sodium channel gene SCN8AR01NS034509 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MIRIAM H MEISLER · 1996 to 2026
$9.5M
Pathogenesis of epilepsy in a SCN8A human mutation mouse modelR01NS103090 · NINDS · UNIVERSITY OF VIRGINIA · PI PATEL, MANOJ K · 2018 to 2022
$1.8M
NINDS NIH HHS R01 NS034509NINDS NIH HHS R01 NS103090
6 · The paper itself

Abstract

De novo mutations of the sodium channel gene SCN8A result in an epileptic encephalopathy with refractory seizures, developmental delay, and elevated risk of sudden death. p.Arg1872Trp is a recurrent de novo SCN8A mutation reported in 14 unrelated individuals with epileptic encephalopathy that included seizure onset in the prenatal or infantile period and severe verbal and ambulatory comorbidities. The major biophysical effect of the mutation was previously shown to be impaired channel inactivation accompanied by increased current density. We have generated a conditional mouse mutation in which expression of this severe gain-of-function mutation is dependent upon Cre recombinase. Global activation of p.Arg1872Trp by EIIa-Cre resulted in convulsive seizures and lethality at 2 weeks of age. Neural activation of the p.Arg1872Trp mutation by Nestin-Cre also resulted in early onset seizures and death. Restriction of p.Arg1872Trp expression to excitatory neurons using Emx1-Cre recapitulated seizures and juvenile lethality between 1 and 2 months of age. In contrast, activation of p.Arg1872Trp in inhibitory neurons by Gad2-Cre or Dlx5/6-Cre did not induce seizures or overt neurological dysfunction. The sodium channel modulator GS967/Prax330 prolonged survival of mice with global expression of R1872W and also modulated the activity of the mutant channel in transfected cells. Activation of the p.Arg1872Trp mutation in adult mice was sufficient to generate seizures and death, indicating that successful therapy will require lifelong treatment. These findings provide insight into the pathogenic mechanism of this gain-of-function mutation of SCN8A and identify excitatory neurons as critical targets for therapeutic intervention.

Indexed as

AnimalsBrain DiseasesCells, CulturedExcitatory Postsynaptic PotentialsFemaleGain of Function MutationIntegrasesMaleMiceMice, Inbred C57BLMice, TransgenicNAV1.6 Voltage-Gated Sodium ChannelNeuronsOrgan Culture TechniquesProsencephalonCre recombinaseIntegrasesNAV1.6 Voltage-Gated Sodium ChannelScn8a protein, mouse

Identifiers

PMID30601941
PMCPMC6351781
OpenAlexW2907366444

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.