Evidence map›Paper›PMID 31504254›Full record

ArticleBrain : a journal of neurology2019

Heterogeneous clinical and functional features of GRIN2D-related developmental and epileptic encephalopathy.

Wenshu XiangWei, Varun Kannan, Yuchen Xu, Gabrielle J Kosobucki, Anthony J Schulien, Hirofumi Kusumoto, Christelle Moufawad El Achkar, Subhrajit Bhattacharya, Gaetan Lesca, Sylvie Nguyen and 18 more

Open access · bronzeAbstract readCase Reports
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 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

52 citing papers in PubMed, 88 citations in OpenAlex.

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  17. Chromosomal R-loops: who R they?Biologia futura · 2024
    Review
  18. Article
  19. A Frameshift Variant of GluN2A Identified in an Epilepsy Patient Results in NMDA Receptor Mistargeting.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Article
  20. 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

28 authors at 13 institutions in 6 countries.

Wenshu XiangWeiDepartment of Pediatrics and Pediatric Epilepsy Center, Peking University First Hospital, Beijing, China.
Varun KannanDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, USA.
Yuchen XuDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, USA.
Gabrielle J KosobuckiDepartment of Neurobiology, University of Pittsburgh School of Medicine and Pittsburgh Institute for Neurodegenerative Diseases, Pittsburgh PA, USA.
Anthony J SchulienDepartment of Neurobiology, University of Pittsburgh School of Medicine and Pittsburgh Institute for Neurodegenerative Diseases, Pittsburgh PA, USA.
Hirofumi KusumotoDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, USA.
Christelle Moufawad El AchkarDivision of Epilepsy, Department of Neurology, Boston Children's Hospital, Boston, MA, USA.
Subhrajit BhattacharyaDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, USA.
Gaetan LescaService de Genetique, Centre de Reference Anomalies du Developpement, Hospices Civils de Lyon, Bron, France; INSERM U1028, CNRS UMR5292, Paris, France.
Sylvie NguyenDepartment of Pediatric Neurology, University Hospital of Lille, and Lille Reference Centre for Rare Epileptic Disorders, Lille, France.
Katherine L HelbigDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Jean-Marie CuissetDepartment of Pediatric Neurology, University Hospital of Lille, and Lille Reference Centre for Rare Epileptic Disorders, Lille, France.
Christina Dühring FengerDanish Epilepsy Centre Filadelfia, Dianalund, Denmark.
Dragan MarjanovicDanish Epilepsy Centre Filadelfia, Dianalund, Denmark.
Elisabeth SchulerDivision of Child Neurology and Inherited Metabolic Diseases, Centre for Paediatrics and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Ye WuDepartment of Pediatrics and Pediatric Epilepsy Center, Peking University First Hospital, Beijing, China.
Xinhua BaoDepartment of Pediatrics and Pediatric Epilepsy Center, Peking University First Hospital, Beijing, China.
Yuehua ZhangDepartment of Pediatrics and Pediatric Epilepsy Center, Peking University First Hospital, Beijing, China.
Nina DirkxNeurogenetics Group, University of Antwerp, Belgium.
An-Sofie SchoonjansDepartment of Child Neurology, Antwerp University Hospital, Antwerp, Belgium.
Steffen SyrbeDivision of Child Neurology and Inherited Metabolic Diseases, Centre for Paediatrics and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Scott J MyersDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, USA.
Annapurna PoduriDivision of Epilepsy, Department of Neurology, Boston Children's Hospital, Boston, MA, USA.
Elias AizenmanDepartment of Neurobiology, University of Pittsburgh School of Medicine and Pittsburgh Institute for Neurodegenerative Diseases, Pittsburgh PA, USA.
Stephen F TraynelisDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, USA.
Johannes R LemkeInstitute of Human Genetics, University of Leipzig Hospitals and Clinics, Leipzig, Germany.
Hongjie YuanDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, USA.
Yuwu JiangDepartment of Pediatrics and Pediatric Epilepsy Center, Peking University First Hospital, Beijing, China.
Emory University · USPeking University · CNUniversity of Pittsburgh · USBoston Children's Hospital · USFiladelfia · DKHeidelberg University · DEUniversité de Lille · FRAntwerp University Hospital · BECentral South University · CNChildren's Hospital of Philadelphia · USUniversité Claude Bernard Lyon 1 · FRUniversity Hospital Leipzig · DEUniversity of Antwerp · BE

Funding

Liberation of Intracellular Zinc and Neuronal Cell DeathR01NS043277 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AIZENMAN, ELIAS · 2002 to 2022
$8.2M
Glutamate receptors and human neurological diseaseR35NS111619 · NINDS · EMORY UNIVERSITY · PI Stephen F Traynelis · 2019 to 2026
$6.6M
Control of Glutamate Receptor FunctionR01NS036654 · NINDS · EMORY UNIVERSITY · PI TRAYNELIS, STEPHEN F · 1998 to 2018
$3.7M
Mechanism of Action of Novel Subunit-Selective NMDA Receptor ModulatorsR01NS065371 · NINDS · EMORY UNIVERSITY · PI TRAYNELIS, STEPHEN F · 2009 to 2018
$3.4M
NMDAR Mutations & Neurodevelopmental Disorder: from Mechanism to Targeted TherapyR01HD082373 · NICHD · EMORY UNIVERSITY · PI YUAN, HONGJIE · 2015 to 2025
$3.3M
Functional effects of ion channel mutations found via exome sequencingR24NS092989 · NINDS · EMORY UNIVERSITY · PI TRAYNELIS, STEPHEN F · 2016 to 2019
$1.1M
NICHD NIH HHS R01 HD082373NINDS NIH HHS R01 NS036654NINDS NIH HHS R01 NS043277NINDS NIH HHS R01 NS065371NINDS NIH HHS R24 NS092989NINDS NIH HHS R35 NS111619
6 · The paper itself

Abstract

N-methyl d-aspartate receptors are ligand-gated ionotropic receptors mediating a slow, calcium-permeable component of excitatory synaptic transmission in the CNS. Variants in genes encoding NMDAR subunits have been associated with a spectrum of neurodevelopmental disorders. Here we report six novel GRIN2D variants and one previously-described disease-associated GRIN2D variant in two patients with developmental and epileptic encephalopathy. GRIN2D encodes for the GluN2D subunit protein; the GluN2D amino acids affected by the variants in this report are located in the pre-M1 helix, transmembrane domain M3, and the intracellular carboxyl terminal domain. Functional analysis in vitro reveals that all six variants decreased receptor surface expression, which may underline some shared clinical symptoms. In addition the GluN2D(Leu670Phe), (Ala675Thr) and (Ala678Asp) substitutions confer significantly enhanced agonist potency, and/or increased channel open probability, while the GluN2D(Ser573Phe), (Ser1271Phe) and (Arg1313Trp) substitutions result in a mild increase of agonist potency, reduced sensitivity to endogenous protons, and decreased channel open probability. The GluN2D(Ser573Phe), (Ala675Thr), and (Ala678Asp) substitutions significantly decrease current amplitude, consistent with reduced surface expression. The GluN2D(Leu670Phe) variant slows current response deactivation time course and increased charge transfer. GluN2D(Ala678Asp) transfection significantly decreased cell viability of rat cultured cortical neurons. In addition, we evaluated a set of FDA-approved NMDAR channel blockers to rescue functional changes of mutant receptors. This work suggests the complexity of the pathological mechanisms of GRIN2D-mediated developmental and epileptic encephalopathy, as well as the potential benefit of precision medicine.

Indexed as

AdultAmino Acid SequenceAnimalsChildChild, PreschoolEpilepsy, GeneralizedFemaleGene Expression RegulationGlutamic AcidHEK293 CellsHumansMaleNeuronsPolymorphism, Single NucleotideRatsRats, Sprague-DawleyGlutamic AcidGRIN2D protein, humanNR2D NMDA receptorReceptors, N-Methyl-D-Aspartatechannelopathyfunctional genomicsGluNglutamate receptorNMDA receptor

Identifiers

PMID31504254
PMCPMC6763743
OpenAlexW2971253736

What OpenQuestion holds

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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.