Evidence map›Paper›PMID 32196822›Full record

ArticleHuman mutation2020

Damaging de novo missense variants in EEF1A2 lead to a developmental and degenerative epileptic-dyskinetic encephalopathy.

Gemma L Carvill, Katherine L Helbig, Candace T Myers, Marcello Scala, Robert Huether, Sara Lewis, Tyler N Kruer, Brandon S Guida, Somayeh Bakhtiari, Joy Sebe and 35 more

Open access · bronzeAbstract read
In one paragraph

Article in Human mutation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 37 citations in OpenAlex.

  1. Review
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  11. [Developmental and epileptic encephalopathy 33 caused byZhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
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  16. Autism- and epilepsy-associatedProceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  17. The Journal of international medical research · 2023
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  18. Modelling the Human Blood-Brain Barrier in Huntington Disease.International journal of molecular sciences · 2022
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  19. 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

45 authors at 20 institutions in 8 countries.

Gemma L CarvillKen and Ruth Davee Department of Neurology, Northwestern University, Chicago, Illinois.ORCID 0000-0003-4945-3628
Katherine L HelbigDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0001-8249-0549
Candace T MyersDivision of Genetic Medicine, Department of Pediatrics, Seattle, Washington.
Marcello ScalaDepartment of Pediatric Neurology & Muscular Disorders, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini, Genoa, Italy.
Robert HuetherDivision of Clinical Genomics, Ambry Genetics, Aliso Viejo, California.
Sara LewisBarrow Neurological Institute, Department of Neurology, Phoenix Children's Hospital, Phoenix, Arizona.
Tyler N KruerBarrow Neurological Institute, Department of Neurology, Phoenix Children's Hospital, Phoenix, Arizona.
Brandon S GuidaBarrow Neurological Institute, Department of Neurology, Phoenix Children's Hospital, Phoenix, Arizona.
Somayeh BakhtiariBarrow Neurological Institute, Department of Neurology, Phoenix Children's Hospital, Phoenix, Arizona.
Joy SebeDepartment of Biology, University of Washington, Seattle, Washington.
Sha TangDivision of Clinical Genomics, Ambry Genetics, Aliso Viejo, California.
Heather StickneyDepartment of Biological Structure, University of Washington, Seattle, Washington.
Sehribani Ulusoy OktayDepartment of Biology, University of Washington, Seattle, Washington.
Ashwin A BhandiwadDepartment of Biological Structure, University of Washington, Seattle, Washington.
Keri RamseyCenter for Rare Childhood Disorders, Translational Genomics Research Institute, Phoenix, Arizona.
Vinodh NarayananCenter for Rare Childhood Disorders, Translational Genomics Research Institute, Phoenix, Arizona.
Timothy FeymaDepartment of Neurology, Gillette Children's Specialty Healthcare, St. Paul, Minnesota.
Luis O RohenaDepartment of Pediatrics, Division of Genetics, San Antonio Military Medical Center, San Antonio, Texas.
Andrea AccogliDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Università degli Studi di Genova, Genoa, Italy.
Mariasavina SeverinoDepartment of Pediatric Neurology & Muscular Disorders, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini, Genoa, Italy.
Georgina HollingsworthDepartments of Medicine and Paediatrics, University of Melbourne and Austin Health Royal Children's Hospital, Melbourne, Australia.
Deepak GillTy Nelson Department of Neurology, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.
Christel DepienneINSERM UMR 975, Institut du Cerveau et de la Moelle Epinière, Hôpital Pitié-Salpêtrière, Paris, France.
Caroline NavaINSERM UMR 975, Institut du Cerveau et de la Moelle Epinière, Hôpital Pitié-Salpêtrière, Paris, France.
Lynette G SadleirDepartment of Paediatrics and Child Health, University of Otago Wellington, Wellington South, New Zealand.
Paul A CarusoDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston.
Angela E LinMedical Genetics, Department of Pediatrics, MassGeneral Hospital for Children, Harvard Medical School, Boston, Massachusetts.
Floor E JansenDepartment of Pediatric Neurology, University Medical Center, Utrecht, The Netherlands.
Bobby KoelemanDepartment of Pediatric Neurology, University Medical Center, Utrecht, The Netherlands.
Eva BrilstraDepartment of Genetics, Utrecht University, Utrecht, The Netherlands.
Marjolein H WillemsenDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands.
Tjitske KleefstraDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands.
Joaquim SaServiço de Genética Médica, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Marie-Laure MathieuNeuropaediatrics Department, Femme Mère Enfant Hospital, Lyon, France.
Laurine PerrinDepartment of Paediatric Physical Medicine and Rehabilitation, CHU Saint-Etienne, Hôpital Bellevue, Saint-Étienne, France.
Gaetan LescaCRNL Inserm U1028-CNRS UMR5292-Claude Bernard University Lyon 1, Lyon, France.
Pasquale StrianoDepartment of Pediatric Neurology & Muscular Disorders, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini, Genoa, Italy.
Giorgio CasariDepartment of Pediatric Neurology & Muscular Disorders, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini, Genoa, Italy.
Ingrid E SchefferDepartments of Medicine and Paediatrics, University of Melbourne and Austin Health Royal Children's Hospital, Melbourne, Australia.
David RaibleDepartment of Biology, University of Washington, Seattle, Washington.
Evelyn SattleggerSchool of Natural & Computational Sciences, Massey University, Auckland, New Zealand.
Valeria CapraDepartment of Pediatric Neurology & Muscular Disorders, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini, Genoa, Italy.
Sergio Padilla-LopezBarrow Neurological Institute, Department of Neurology, Phoenix Children's Hospital, Phoenix, Arizona.
Heather C MeffordDivision of Genetic Medicine, Department of Pediatrics, Seattle, Washington.
Michael C KruerBarrow Neurological Institute, Department of Neurology, Phoenix Children's Hospital, Phoenix, Arizona.
Barrow Neurological Institute · USIstituto Giannina Gaslini · ITUniversity of Washington · USGenetic Alliance · USHarvard University · USInserm · FRInstitut thématique Génétique, génomique et bioinformatique · FRRadboud University Nijmegen · NLRoyal Children's Hospital · AUTranslational Genomics Research Institute · USUniversité Claude Bernard Lyon 1 · FRUniversity Medical Center Utrecht · NLBrooke Army Medical Center · USCentre Hospitalier Universitaire de Saint-Étienne · FRChildren's Hospital at Westmead · AUChildren's Hospital of Philadelphia · USGillette Children's Specialty Healthcare · USHospitais da Universidade de Coimbra · PTMassey University · NZNorthwestern University · US

Funding

Mechanisms of Brain Dysmorphology in MN1 C-Terminal Truncation Syndrome, a Novel Intellectual Developmental Disability Disorder P50HD103524 · NICHD · UNIVERSITY OF WASHINGTON · PI Sandra E Juul · 2020 to 2026
$9.9M
A Genomic Approach to EpilepsyR01NS069605 · NINDS · UNIVERSITY OF WASHINGTON · PI MEFFORD, HEATHER C. · 2010 to 2019
$4.9M
Genomic Insights into the Neurobiology of Cerebral PalsyR01NS106298 · NINDS · UNIVERSITY OF ARIZONA · PI KRUER, MICHAEL C · 2019 to 2023
$3.7M
An epigenomic approach to identifying noncoding mutations in epilepsyR00NS089858 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CARVILL, GEMMA LOUISE · 2016 to 2018
$744k
NICHD NIH HHS P50 HD103524NINDS NIH HHS R00 NS089858NINDS NIH HHS R01 NS069605NINDS NIH HHS R01 NS106298
6 · The paper itself

Abstract

Heterozygous de novo variants in the eukaryotic elongation factor EEF1A2 have previously been described in association with intellectual disability and epilepsy but never functionally validated. Here we report 14 new individuals with heterozygous EEF1A2 variants. We functionally validate multiple variants as protein-damaging using heterologous expression and complementation analysis. Our findings allow us to confirm multiple variants as pathogenic and broaden the phenotypic spectrum to include dystonia/choreoathetosis, and in some cases a degenerative course with cerebral and cerebellar atrophy. Pathogenic variants appear to act via a haploinsufficiency mechanism, disrupting both the protein synthesis and integrated stress response functions of EEF1A2. Our studies provide evidence that EEF1A2 is highly intolerant to variation and that de novo pathogenic variants lead to an epileptic-dyskinetic encephalopathy with both neurodevelopmental and neurodegenerative features. Developmental features may be driven by impaired synaptic protein synthesis during early brain development while progressive symptoms may be linked to an impaired ability to handle cytotoxic stressors.

Indexed as

Mutation, MissenseAdolescentAdultChildChild, PreschoolEpilepsy, GeneralizedFemaleGenetic Complementation TestHaploinsufficiencyHeterozygoteHumansMalePeptide Elongation Factor 1Protein Structure, TertiaryEEF1A2 protein, humanPeptide Elongation Factor 1de novodyskinesiaEEF1A2epilepsyyeast complementation assay

Identifiers

PMID32196822
PMCPMC7292794
OpenAlexW3011121625

What OpenQuestion holds

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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.