Evidence map›Paper›PMID 30866059›Full record

SynthesisEpilepsia2019

Diagnostic implications of genetic copy number variation in epilepsy plus.

Antonietta Coppola, Elena Cellini, Hannah Stamberger, Elmo Saarentaus, Valentina Cetica, Dennis Lal, Tania Djémié, Magdalena Bartnik-Glaska, Berten Ceulemans, J Helen Cross and 30 more

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Epilepsia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
9.3field-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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Cytogenomic epileptology.Molecular cytogenetics · 2023
    Review
  15. Article
  16. Fine mapping and candidate gene analysis of a dravet syndrome modifier locus on mouse chromosome 11.Mammalian genome : official journal of the International Mammalian Genome Society · 2022
    Article
  17. Assessment of burden and segregation profiles of CNVs in patients with epilepsy.Annals of clinical and translational neurology · 2022
    Article
  18. Article
  19. Genetic Testing in Pediatric Epilepsy.Indian journal of pediatrics · 2021
    Review
  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

40 authors at 17 institutions in 8 countries.

Antonietta CoppolaDepartment of Clinical and Experimental Epilepsy, UCL Queen Square Institute of Neurology, WC1N3BG, UK.
Elena CelliniPediatric Neurology, Neurogenetics and Neurobiology Unit and Laboratories, Neuroscience Department, A Meyer Children's Hospital, University of Florence, Florence, Italy.
Hannah StambergerNeurogenetics Group, Center for Molecular Neurology, VIB, 2650, Antwerp, Belgium.
Elmo SaarentausAnalytic and Translational Genetics Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Valentina CeticaPediatric Neurology, Neurogenetics and Neurobiology Unit and Laboratories, Neuroscience Department, A Meyer Children's Hospital, University of Florence, Florence, Italy.
Dennis LalAnalytic and Translational Genetics Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Tania DjémiéNeurogenetics Group, Center for Molecular Neurology, VIB, 2650, Antwerp, Belgium.
Magdalena Bartnik-GlaskaDepartment of Medical Genetics, Institute of Mother and Child, Warsaw, Poland.
Berten CeulemansDepartment of Neurology-Pediatric Neurology, University and University Hospital Antwerp, Antwerp, Belgium.
J Helen CrossNeurology Department, Great Ormond Street Hospital, NHS Foundation Trust, London, UK.
Tine DeconinckNeurogenetics Group, Center for Molecular Neurology, VIB, 2650, Antwerp, Belgium.
Salvatore De MasiClinical Trial Office, Meyer Children's Hospital, Florence, Italy.
Thomas DornSwiss Epilepsy Center, Bleulerstrasse 60, CH-8008, Switzerland.
Renzo GuerriniPediatric Neurology, Neurogenetics and Neurobiology Unit and Laboratories, Neuroscience Department, A Meyer Children's Hospital, University of Florence, Florence, Italy.
Dorotha Hoffman-ZacharskaDepartment of Medical Genetics, Institute of Mother and Child, Warsaw, Poland.
Frank KooyDepartment of Medical Genetics, University of Antwerp, Antwerp, Belgium.ORCID 0000-0003-2024-0485
Lieven LagaeDepartment of Development and Regeneration, Section Pediatric Neurology, University Hospital KU Leuven, 3000, Leuven, Belgium.
Nicholas LenchNorth East Thames Regional Genetics Service, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK.
Johannes R LemkeInstitute of Human Genetics, University of Leipzig Hospitals and Clinics, Leipzig, Germany.
Ersilia LucenteforteDepartment of Clinical and Experimental Medicine, University of Pisa, Italy, Clinical Trial Office, Meyer Children's Hospital, Florence, Italy.
Francesca MadiaNeurogenetic Laboratory, Scientific Institute for Research, Hospitalisation and Health Care (IRCCS) G. Gaslini Institute, Genova, Italy.
Heather C MeffordDepartment of Pediatrics, Division of Genetic Medicine, University of Washington, Seattle, USA.
Deborah MorroghNorth East Thames Regional Genetics Service, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK.
Peter NuernbergCologne Center for Genomics, University of Cologne, Germany.
Aarno PalotieAnalytic and Translational Genetics Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
An-Sofie SchoonjansDepartment of Neurology-Pediatric Neurology, University and University Hospital Antwerp, Antwerp, Belgium.
Pasquale StrianoPediatric Neurology and Muscular Diseases Unit, DINOGMI-Department of Neurosciences, Rehabilitation, Ophthalmology Genetics, Maternal and Child Health, University of Genoa, 'G. Gaslini' Institute, Genova, Italy.ORCID 0000-0002-6065-1476
Elzbieta SzczepanikClinic of Neurology of Children and Adolescents, Institute of Mother and Child, Warsaw, Poland.
Anna TostevinDepartment of Clinical and Experimental Epilepsy, UCL Queen Square Institute of Neurology, WC1N3BG, UK.
Joris R VermeeschCenter for Human Genetics, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Hilde Van EschCenter for Human Genetics, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Wim Van PaesschenDepartment of Neurology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Jonathan J WatersNorth East Thames Regional Genetics Service, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK.
Sarah WeckhuysenNeurogenetics Group, Center for Molecular Neurology, VIB, 2650, Antwerp, Belgium.
Federico ZaraNeurogenetic Laboratory, Scientific Institute for Research, Hospitalisation and Health Care (IRCCS) G. Gaslini Institute, Genova, Italy.
Peter De JongheNeurogenetics Group, Center for Molecular Neurology, VIB, 2650, Antwerp, Belgium.
Sanjay M SisodiyaDepartment of Clinical and Experimental Epilepsy, UCL Queen Square Institute of Neurology, WC1N3BG, UK.
Carla MariniPediatric Neurology, Neurogenetics and Neurobiology Unit and Laboratories, Neuroscience Department, A Meyer Children's Hospital, University of Florence, Florence, Italy.
EuroEPINOMICS-RES Consortium
EpiCNV Consortium
University of Antwerp · BEMeyer Children's Hospital · ITGreat Ormond Street Hospital for Children NHS Foundation Trust · GBBroad Institute · USAntwerp University Hospital · BECentre For Human Genetics · INIstituto Giannina Gaslini · ITKU Leuven · BENational Hospital for Neurology and Neurosurgery · GBFederico II University Hospital · ITMother and Child Foundation · GBSwiss Epilepsy Center · CHUniversity Hospital Leipzig · DEUniversity of Cologne · DEUniversity of Genoa · ITUniversity of Pisa · ITUniversity of Washington · US

Funding

A Genomic Approach to EpilepsyR01NS069605 · NINDS · UNIVERSITY OF WASHINGTON · PI MEFFORD, HEATHER C. · 2010 to 2019
$4.9M
NINDS NIH HHS R01 NS069605Wellcome Trust 084730
6 · The paper itself

Abstract

objectiveCopy number variations (CNVs) represent a significant genetic risk for several neurodevelopmental disorders including epilepsy. As knowledge increases, reanalysis of existing data is essential. Reliable estimates of the contribution of CNVs to epilepsies from sizeable populations are not available.

methodsWe assembled a cohort of 1255 patients with preexisting array comparative genomic hybridization or single nucleotide polymorphism array based CNV data. All patients had "epilepsy plus," defined as epilepsy with comorbid features, including intellectual disability, psychiatric symptoms, and other neurological and nonneurological features. CNV classification was conducted using a systematic filtering workflow adapted to epilepsy.

resultsOf 1097 patients remaining after genetic data quality control, 120 individuals (10.9%) carried at least one autosomal CNV classified as pathogenic; 19 individuals (1.7%) carried at least one autosomal CNV classified as possibly pathogenic. Eleven patients (1%) carried more than one (possibly) pathogenic CNV. We identified CNVs covering recently reported (HNRNPU) or emerging (RORB) epilepsy genes, and further delineated the phenotype associated with mutations of these genes. Additional novel epilepsy candidate genes emerge from our study. Comparing phenotypic features of pathogenic CNV carriers to those of noncarriers of pathogenic CNVs, we show that patients with nonneurological comorbidities, especially dysmorphism, were more likely to carry pathogenic CNVs (odds ratio = 4.09, confidence interval = 2.51-6.68; P = 2.34 × 10 SIGNIFICANCE: The use of a specifically adapted workflow enabled identification of pathogenic autosomal CNVs in 10.9% of patients with epilepsy plus, which rose to 12.7% when we also considered possibly pathogenic CNVs. Our data indicate that epilepsy with comorbid features should be considered an indication for patients to be selected for a diagnostic algorithm including CNV detection. Collaborative large-scale CNV reanalysis leads to novel declaration of pathogenicity in unexplained cases and can promote discovery of promising candidate epilepsy genes.

Indexed as

ComorbidityDNA Copy Number VariationsEpilepsyGenetic Predisposition to DiseaseGenotypeHumansPhenotypearray CGHcopy number variantsepilepsy genesSNP array

Identifiers

PMID30866059
PMCPMC6488157
OpenAlexW2922085028

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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.