Evidence map›Paper›PMID 30911571›Full record

ArticleAnnals of clinical and translational neurology2019

Contribution of ultrarare variants in mTOR pathway genes to sporadic focal epilepsies.

Tommaso Pippucci, Laura Licchetta, Sara Baldassari, Caterina Marconi, Monica De Luise, Candace Myers, Elena Nardi, Federica Provini, Cinzia Cameli, Raffaella Minardi and 10 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 23 citations in OpenAlex.

  1. Early death and neuronal abnormalities inbioRxiv : the preprint server for biology · 2025
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  13. Therapy in Sleep-Related Hypermotor Epilepsy (SHE).Current treatment options in neurology · 2020
    Review
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

20 authors at 8 institutions in 2 countries.

Tommaso PippucciMedical Genetics Unit Polyclinic Sant'Orsola-Malpighi University Hospital Bologna Italy.
Laura LicchettaIRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy.
Sara BaldassariDepartment of Biomedical and Surgical Sciences (DIMEC) University of Bologna Bologna Italy.
Caterina MarconiDepartment of Biomedical and Surgical Sciences (DIMEC) University of Bologna Bologna Italy.
Monica De LuiseDepartment of Biomedical and Surgical Sciences (DIMEC) University of Bologna Bologna Italy.
Candace MyersDivision of Genetic Medicine Department of Pediatrics University of Washington Seattle Washington.
Elena NardiDepartment of Statistical Sciences "Paolo Fortunati" University of Bologna Bologna Italy.
Federica ProviniIRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy.
Cinzia CameliDepartment of Pharmacy and Biotechnology University of Bologna Bologna Italy.
Raffaella MinardiIRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy.
Elena BacchelliDepartment of Pharmacy and Biotechnology University of Bologna Bologna Italy.
Lucio GiordanoNeuropsychiatric Department Spedali Civili Brescia Italy.
Giovanni CrichiuttiDivision of Pediatrics Department of Medicine University of Udine Udine Italy.
Giuseppe d'OrsiEpilepsy Center Clinic of Nervous System Diseases University of Foggia Riuniti Hospital Foggia Italy.
Marco SeriMedical Genetics Unit Polyclinic Sant'Orsola-Malpighi University Hospital Bologna Italy.
Giuseppe GasparreDepartment of Biomedical and Surgical Sciences (DIMEC) University of Bologna Bologna Italy.
Heather C MeffordDivision of Genetic Medicine Department of Pediatrics University of Washington Seattle Washington.
Paolo TinuperIRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy.
Francesca BisulliIRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy.
Collaborative Group of Italian League Against Epilepsy (LICE) Genetic Commission
University of Bologna · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Washington · USAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITIstituto delle Scienze Neurologiche di Bologna · ITPoliclinico S.Orsola-Malpighi · ITUniversity of Foggia · ITUniversity of Udine · IT

Funding

A Genomic Approach to EpilepsyR01NS069605 · NINDS · UNIVERSITY OF WASHINGTON · PI MEFFORD, HEATHER C. · 2010 to 2019
$4.9M
NINDS NIH HHS R01 NS069605
6 · The paper itself

Abstract

Objective: We investigated the contribution to sporadic focal epilepsies (FE) of ultrarare variants in genes coding for the components of complexes regulating mechanistic Target Of Rapamycin (mTOR)complex 1 (mTORC1). Methods: We collected genetic data of 121 Italian isolated FE cases and 512 controls by Whole Exome Sequencing (WES) and single-molecule Molecular Inversion Probes (smMIPs) targeting 10 genes of the GATOR1, GATOR2, and TSC complexes. We collapsed "qualifying" variants (ultrarare and predicted to be deleterious or loss of function) across the examined genes and sought to identify their enrichment in cases compared to controls. Results: We found eight qualifying variants in cases and nine in controls, demonstrating enrichment in FE patients ( Interpretation: Our findings support the contribution of ultrarare variants in genes in the mTOR pathway complexes GATOR and TSC to the risk of sporadic FE and a shared genetic basis between rare and common epilepsies. The identification of a monogenic etiology in isolated cases, most typically encountered in clinical practice, may offer to a broader community of patients the perspective of precision therapies directed by the underlying genetic cause.

Indexed as

AdolescentAdultChildChild, PreschoolEpilepsies, PartialExome SequencingFemaleGenetic Predisposition to DiseaseGenomic Structural VariationGTPase-Activating ProteinsHumansInfantMaleMechanistic Target of Rapamycin Complex 1Middle AgedMultiprotein ComplexesDEPDC5 protein, humanGTPase-Activating ProteinsMechanistic Target of Rapamycin Complex 1Multiprotein ComplexesTSC1 protein, humanTSC2 protein, humanTuberous Sclerosis Complex 1 ProteinTuberous Sclerosis Complex 2 Protein

Identifiers

PMID30911571
PMCPMC6414475
OpenAlexW2917826557

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.