Evidence map›Paper›PMID 32588908›Full record

ReviewJournal of inherited metabolic disease2020

Early infantile epileptic encephalopathy due to biallelic pathogenic variants in PIGQ: Report of seven new subjects and review of the literature.

Devon L Johnstone, Thi Tuyet Mai Nguyen, Jessica Zambonin, Kristin D Kernohan, Anik St-Denis, Nissan V Baratang, Taila Hartley, Michael T Geraghty, Julie Richer, Jacek Majewski and 14 more

Erratum issued Registry-linked trialOpen access · hybridAbstract readCase ReportsReview
In one paragraph

Review in Journal of inherited metabolic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02450851 (Clinical and Genetic Evaluation of Patients With Undiagnosed Disorders Through the Undiagnosed Diseases Network), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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.

NCT02450851 recruitingnot on this map

Clinical and Genetic Evaluation of Patients With Undiagnosed Disorders Through the Undiagnosed Diseases Network

TypeobservationalSponsorNational Human Genome Research Institute (NHGRI)Ran2015 to 2028Enrolled20,000ConditionsGenetic Disease
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. MED27, SLC6A7, and MPPE1 Variants in a Complex Neurodevelopmental Disorder with Severe Dystonia.Movement disorders : official journal of the Movement Disorder Society · 2022
    Article
  11. Article
  12. Review
  13. Review
  14. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 12 institutions in 7 countries.

Devon L JohnstoneChildren's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.ORCID 0000-0002-1952-5355
Thi Tuyet Mai NguyenResearch Center, CHU Sainte Justine, University of Montreal, Montreal, Quebec, Canada.ORCID 0000-0002-9572-118X
Jessica ZamboninChildren's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Kristin D KernohanChildren's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Anik St-DenisResearch Center, CHU Sainte Justine, University of Montreal, Montreal, Quebec, Canada.
Nissan V BaratangResearch Center, CHU Sainte Justine, University of Montreal, Montreal, Quebec, Canada.
Taila HartleyChildren's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Michael T GeraghtyDivision of Metabolics and Newborn Screening, Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Julie RicherDepartment of Genetics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Jacek MajewskiDepartment of Human Genetics, McGill University, Montreal, Quebec, Canada.
Eric BarekeDepartment of Human Genetics, McGill University, Montreal, Quebec, Canada.
Andrea GuerinDivision of Medical Genetics, Department of Pediatrics, Queen's University, Kingston, Ontario, Canada.ORCID 0000-0003-2941-7603
Manuela PendziwiatDepartment of Neuropediatrics, Christian-Albrechts-University of Kiel, Kiel, Germany.
Loren D M PenaDivision of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Hilde M H BraakmanDepartment of Neurology, Academic Center for Epileptology Kempenhaeghe & Maastricht University Medical Center, Heeze, The Netherlands.ORCID 0000-0001-8053-5918
Karen W GrippDivision of Medical Genetics, A. I. DuPont Hospital for Children/Nemours, Wilmington, Delaware, USA.
Andrew C EdmondsonDepartment of Pediatrics, Division of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Miao HeDepartment of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Rebecca C SpillmannDivision of Medical Genetics, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina, USA.
Erik A EklundDepartment of Pediatric Neurology, Region Skåne and Clinical Sciences, Lund University Skåne University Hospital (SUS), Lund, Sweden.
Allan BayatDepartment of Genetics and Personalized Medicine, Danish Epilepsy Centre, Dianalund, Denmark.
Hugh J McMillanDivision of Neurology, Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.ORCID 0000-0001-8927-2018
Kym M BoycottChildren's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.ORCID 0000-0003-4186-8052
Philippe M CampeauResearch Center, CHU Sainte Justine, University of Montreal, Montreal, Quebec, Canada.ORCID 0000-0001-9713-7107
Children's Hospital of Eastern Ontario · CACentre Hospitalier Universitaire Sainte-Justine · CAChildren's Hospital of Philadelphia · USMcGill University and Génome Québec Innovation Centre · CAChristian-Albrechts-Universität zu Kiel · DECincinnati Children's Hospital Medical Center · USDuke Medical Center · USDuPont (United States) · USLund University · SEQueen's University · CARadboud University Nijmegen · NLUniversity of Southern Denmark · DK

Funding

An integrated and diverse genomic medicine program for undiagnosed diseasesU01HG007672 · NHGRI · DUKE UNIVERSITY · PI SHASHI, VANDANA · 2014 to 2022
$13.4M
MEDICAL GENETICS RESEARCH TRAINING GRANTT32GM008638 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI Rebecca Ganetzky · 1997 to 2026
$8.7M
CIHR FDN-154279NHGRI NIH HHS U01 HG007672NIGMS NIH HHS T32 GM008638
6 · The paper itself

Abstract

We investigated seven children from six families to expand the phenotypic spectrum associated with an early infantile epileptic encephalopathy caused by biallelic pathogenic variants in the phosphatidylinositol glycan anchor biosynthesis class Q (PIGQ) gene. The affected children were all identified by clinical or research exome sequencing. Clinical data, including EEGs and MRIs, was comprehensively reviewed and flow cytometry and transfection experiments were performed to investigate PIGQ function. Pathogenic biallelic PIGQ variants were associated with increased mortality. Epileptic seizures, axial hypotonia, developmental delay and multiple congenital anomalies were consistently observed. Seizure onset occurred between 2.5 months and 7 months of age and varied from treatable seizures to recurrent episodes of status epilepticus. Gastrointestinal issues were common and severe, two affected individuals had midgut volvulus requiring surgical correction. Cardiac anomalies including arrythmias were observed. Flow cytometry using granulocytes and fibroblasts from affected individuals showed reduced expression of glycosylphosphatidylinositol (GPI)-anchored proteins. Transfection of wildtype PIGQ cDNA into patient fibroblasts rescued this phenotype. We expand the phenotypic spectrum of PIGQ-related disease and provide the first functional evidence in human cells of defective GPI-anchoring due to pathogenic variants in PIGQ.

Indexed as

Abnormalities, MultipleChildChild, PreschoolExome SequencingFatal OutcomeFemaleHumansInfantInfant, NewbornMaleMembrane ProteinsMuscle HypotoniaMutation, MissensePhenotypeSeizuresSpasms, InfantileMembrane ProteinsPIGQ protein, humanepileptic encephalopathyexome sequencingGPIIGDPIGQrare diseases

Identifiers

PMID32588908
PMCPMC7689772
OpenAlexW3037132511

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Registered trials

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.