Evidence map›Paper›PMID 32633875›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2020

A Gain-of-Function Mutation in KCNMA1 Causes Dystonia Spells Controlled With Stimulant Therapy.

Guohui Zhang, Rebecca A Gibson, Marie McDonald, Pengfei Liang, Po Wei Kang, Jingyi Shi, Huanghe Yang, Jianmin Cui, Mohamad A Mikati

Open access · greenAbstract readCase Reports
In one paragraph

Article in Movement disorders : official journal of the Movement Disorder Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Redox-dependent CdBiophysical journal · 2024
    Article
  4. Article
  5. Attenuating midline thalamus bursting to mitigate absence epilepsy.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  6. Review
  7. Article
  8. Article
  9. Neuronal mechanism of a BK channelopathy in absence epilepsy and dyskinesia.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  10. Article
  11. Review
  12. Impaired Pre-Motor Circuit Activity and Movement in a Drosophila Model of KCNMA1-Linked Dyskinesia.Movement disorders : official journal of the Movement Disorder Society · 2021
    Article
  13. Review
  14. 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

9 authors at 3 institutions in 1 country.

Guohui ZhangDepartment of Biomedical Engineering, Washington University in St. Louis, St. Louis, Missouri, USA.
Rebecca A GibsonDepartment of Pediatrics, Duke University Medical Center, Durham, North Carolina, USA.
Marie McDonaldDepartment of Pediatrics, Duke University Medical Center, Durham, North Carolina, USA.
Pengfei LiangDepartment of Biochemistry, Duke University Medical Center, Durham, North Carolina, USA.
Po Wei KangDepartment of Biomedical Engineering, Washington University in St. Louis, St. Louis, Missouri, USA.
Jingyi ShiDepartment of Biomedical Engineering, Washington University in St. Louis, St. Louis, Missouri, USA.
Huanghe YangDepartment of Biochemistry, Duke University Medical Center, Durham, North Carolina, USA.ORCID 0000-0001-9521-9328
Jianmin CuiDepartment of Biomedical Engineering, Washington University in St. Louis, St. Louis, Missouri, USA.ORCID 0000-0002-9198-6332
Mohamad A MikatiDepartment of Pediatrics, Duke University Medical Center, Durham, North Carolina, USA.ORCID 0000-0003-0363-8715
Washington University in St. Louis · USDuke Medical Center · USDuke University · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007171 · NIGMS · DUKE UNIVERSITY · PI KONTOS, CHRISTOPHER D · 1985 to 2021
$31.2M
Mechanism of BK Channel GatingR01HL142301 · NHLBI · WASHINGTON UNIVERSITY · PI SILVA, JONATHAN R · 2018 to 2021
$2.9M
NHLBI NIH HHS R01 HL142301NIGMS NIH HHS T32 GM007171
6 · The paper itself

Abstract

backgroundThe mutations of KCNMA1 BK-type K

objectivesTo report our clinical and biophysical characterizations of a novel de novo KCNMA1 variant, as well as an effective therapy for the patient's dystonia-atonia spells.

methodsCombination of phenotypic characterization, therapy, and biophysical characterization of the patient and her mutation.

resultsThe patient had >100 dystonia-atonia spells per day with mild cerebellar atrophy. She also had autism spectrum disorder, intellectual disability, and attention deficit hyperactivity disorder. Whole-exome sequencing identified a heterozygous de novo BK N536H mutation. Our biophysical characterization demonstrates that N536H is a gain-of-function mutation with markedly enhanced voltage-dependent activation. Remarkably, administration of dextroamphetamine completely suppressed the dystonia-atonia spells.

conclusionsBK N536H is a gain-of-function that causes dystonia and other neurological symptoms. Our stimulant therapy opens a new avenue to mitigate KCNMA1-linked movement disorders. © 2020 International Parkinson and Movement Disorder Society.

Indexed as

Autism Spectrum DisorderDystoniaIntellectual DisabilityFemaleGain of Function MutationHumansLarge-Conductance Calcium-Activated Potassium Channel alpha SubunitsMutationKCNMA1 protein, humanLarge-Conductance Calcium-Activated Potassium Channel alpha SubunitsBK channelopathydystoniaKCNMA1movement disordersstimulants

Identifiers

PMID32633875
PMCPMC7572833
OpenAlexW3040859657

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.