Evidence map›Paper›PMID 32750235›Full record

ArticleAnnals of clinical and translational neurology2020

Functional and pharmacological evaluation of a novel SCN2A variant linked to early-onset epilepsy.

Scott K Adney, John J Millichap, Jean-Marc DeKeyser, Tatiana Abramova, Christopher H Thompson, Alfred L George

Open access · goldAbstract readCase Reports
In one paragraph

Article in Annals of clinical and translational neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Excitatory Dysfunction and Phenotypic Rescue in a Human Neuronal Model ofbioRxiv : the preprint server for biology · 2026
    Article
  5. Review
  6. Article
  7. DecipheringArXiv · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Epilepsy-associatedbioRxiv : the preprint server for biology · 2023
    Article
  12. Functional analysis of a novelFrontiers in molecular neuroscience · 2023
    Article
  13. Article
  14. Article
  15. 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

6 authors at 1 institution in 1 country.

Scott K AdneyKen and Ruth Davee Department of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, 60611, USA.ORCID 0000-0001-8743-5944
John J MillichapDepartment of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, 60611, USA.ORCID 0000-0002-0798-0131
Jean-Marc DeKeyserDepartment of Pharmacology, Feinberg School of Medicine, Northwestern University, Chicago, IL, 60611, USA.
Tatiana AbramovaDepartment of Pharmacology, Feinberg School of Medicine, Northwestern University, Chicago, IL, 60611, USA.
Christopher H ThompsonDepartment of Pharmacology, Feinberg School of Medicine, Northwestern University, Chicago, IL, 60611, USA.
Alfred L GeorgeDepartment of Pharmacology, Feinberg School of Medicine, Northwestern University, Chicago, IL, 60611, USA.ORCID 0000-0002-3993-966X
Northwestern University · US

Funding

Project 3 - Development and investigation of murine models of channelopathy-associated epilepsyU54NS108874 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GEORGE, ALFRED L. · 2018 to 2022
$12.1M
Research Education Program for Trainees in NeurologyR25NS070695 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KESSLER, JOHN A, SIMUNI, TANYA · 2010 to 2023
$1.4M
NINDS NIH HHS R25-NS070695NINDS NIH HHS U54 NS108874NINDS NIH HHS U54-NS108874
6 · The paper itself

Abstract

objectiveWe identified a novel de novo SCN2A variant (M1879T) associated with infantile-onset epilepsy that responded dramatically to sodium channel blocker antiepileptic drugs. We analyzed the functional and pharmacological consequences of this variant to establish pathogenicity, and to correlate genotype with phenotype and clinical drug response.

methodsThe clinical and genetic features of an infant boy with epilepsy are presented. We investigated the effect of the variant using heterologously expressed recombinant human Na

resultsThe M1879T variant caused disturbances in channel inactivation including substantially depolarized voltage dependence of inactivation, slower time course of inactivation, and enhanced resurgent current that collectively represent a gain-of-function. Carbamazepine partially normalized the voltage dependence of inactivation and produced use-dependent block of the variant channel at high pulsing frequencies. Carbamazepine also suppresses resurgent current conducted by M1879T channels, but this effect was explained primarily by reducing the peak transient current. Molecular modeling suggests that the M1879T variant disrupts contacts with nearby residues in the C-terminal domain of the channel.

interpretationOur study demonstrates the value of conducting functional analyses of SCN2A variants of unknown significance to establish pathogenicity and genotype-phenotype correlations. We also show concordance of in vitro pharmacology using heterologous cells with the drug response observed clinically in a case of SCN2A-associated epilepsy.

Indexed as

EpilepsyAge of OnsetAnticonvulsantsCarbamazepineElectrophysiological PhenomenaGenetic Association StudiesHumansInfantMaleNAV1.2 Voltage-Gated Sodium ChannelAnticonvulsantsCarbamazepineNAV1.2 Voltage-Gated Sodium ChannelSCN2A protein, human

Identifiers

PMID32750235
PMCPMC7480906
OpenAlexW3047090044

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.