Evidence map›Paper›PMID 31551682›Full record

ArticleFrontiers in neuroscience2019

A Novel Gain-of-Function Nav1.9 Mutation in a Child With Episodic Pain.

Jianying Huang, Mark Estacion, Peng Zhao, Fadia B Dib-Hajj, Betsy Schulman, Angela Abicht, Ingo Kurth, Knut Brockmann, Stephen G Waxman, Sulayman D Dib-Hajj

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neuroscience, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

18 citing papers in PubMed, 35 citations in OpenAlex.

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  2. Mechanism-based nonopioid analgesic targets.The Journal of clinical investigation · 2025
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  8. Peripheral temperature dysregulation associated with functionally altered NaPflugers Archiv : European journal of physiology · 2023
    Article
  9. Article
  10. Article
  11. Familial Episodic Pain Syndromes.Journal of pain research · 2022
    Review
  12. The Gain-of-Function R222S Variant inFrontiers in neurology · 2022
    Article
  13. Contributions of NaScientific reports · 2021
    Article
  14. Article
  15. Article
  16. The development of somatosensory neurons: Insights into pain and itch.Current topics in developmental biology · 2021
    Review
  17. Neuropathic Itch.Cells · 2020
    Review
  18. Painful and painless mutations of SCN9A and SCN11A voltage-gated sodium channels.Pflugers Archiv : European journal of physiology · 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

10 authors at 5 institutions in 2 countries.

Jianying HuangDepartment of Neurology, Center for Neuroscience and Regeneration Research, Yale University School of Medicine, New Haven, CT, United States.
Mark EstacionDepartment of Neurology, Center for Neuroscience and Regeneration Research, Yale University School of Medicine, New Haven, CT, United States.
Peng ZhaoDepartment of Neurology, Center for Neuroscience and Regeneration Research, Yale University School of Medicine, New Haven, CT, United States.
Fadia B Dib-HajjDepartment of Neurology, Center for Neuroscience and Regeneration Research, Yale University School of Medicine, New Haven, CT, United States.
Betsy SchulmanDepartment of Neurology, Center for Neuroscience and Regeneration Research, Yale University School of Medicine, New Haven, CT, United States.
Angela AbichtMedizinisch Genetisches Zentrum, Munich, Germany.
Ingo KurthMedical Faculty, Institute of Human Genetics, RWTH Aachen University, Aachen, Germany.
Knut BrockmannDepartment of Pediatrics and Pediatric Neurology, Georg August University, Göttingen, Germany.
Stephen G WaxmanDepartment of Neurology, Center for Neuroscience and Regeneration Research, Yale University School of Medicine, New Haven, CT, United States.
Sulayman D Dib-HajjDepartment of Neurology, Center for Neuroscience and Regeneration Research, Yale University School of Medicine, New Haven, CT, United States.
Yale University · USVA Connecticut Healthcare System · USMedical Genetics Center · DERWTH Aachen University · DEUniversity of Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Voltage-gated sodium channel Nav1.9 is a threshold channel that regulates action potential firing. Nav1.9 is preferentially expressed in myenteric neurons, and small-diameter dorsal root ganglion (DRG) and trigeminal ganglion neurons including nociceptors. Recent studies have demonstrated a monogenic Mendelian link of Nav1.9 to human pain disorders. Gain-of-function variants in Nav1.9, which cause smaller depolarizations of RMP, have been identified in patients with familial episodic pain type 3 (FEPS3) and the more common pain disorder small fiber neuropathy. To explore the phenotypic spectrum of Nav1.9 channelopathy, here we report a new Nav1.9 mutation, N816K, in a child with early-onset episodic pain in both legs, episodic abdominal pain, and chronic constipation. Sequencing of further selected pain genes was normal. N816K alters a residue at the N-terminus of loop 2, proximal to the cytoplasmic terminus of transmembrane segment 6 in domain II. Voltage-clamp recordings demonstrate that Nav1.9-N816K significantly increases current density and hyperpolarizes voltage-dependence of activation by 10 mV, enabling a larger window current. Current-clamp recordings in DRG neurons shows that N816K channels depolarize RMP of small DRG neurons by 7 mV, reduce current threshold of firing an action potential and render DRG neurons hyperexcitable. Taken together these data demonstrate gain-of-function attributes of the newly described N816K mutation at the channel and cellular levels, which are consistent with a pain phenotype in the carrier of this mutation.

Indexed as

channelopathyDRGexcitabilitypainSCN11Asodium channel

Identifiers

PMID31551682
PMCPMC6733892
OpenAlexW2967577955

What OpenQuestion holds

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LicenceCC BY
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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.