Evidence map›Paper›PMID 33197557›Full record

ArticleNeurobiology of disease2021

X-linked cellular mosaicism underlies age-dependent occurrence of seizure-like events in mouse models of CDKL5 deficiency disorder.

Barbara Terzic, Yue Cui, Andrew C Edmondson, Sheng Tang, Nicolas Sarmiento, Daria Zaitseva, Eric D Marsh, Douglas A Coulter, Zhaolan Zhou

Open access · goldAbstract readVideo-Audio Media
In one paragraph

Article in Neurobiology of disease, 2021. 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
4.0field-weighted citation impact, top 6% 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, 39 citations in OpenAlex.

  1. Article
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  4. Safety and efficacy of Igk-TATk-CDKL5 gene therapy in mosaic CDKL5 deficiency.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
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  5. Review
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  7. International journal of molecular sciences · 2025
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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 2 institutions in 1 country.

Barbara TerzicDepartment of Genetics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.
Yue CuiDepartment of Genetics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.
Andrew C EdmondsonDepartment of Genetics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA; Division of Human Genetics, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Sheng TangDepartment of Genetics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA; Division of Child Neurology and CHOP Research Institute, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Nicolas SarmientoDepartment of Genetics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.
Daria ZaitsevaDepartment of Genetics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.
Eric D MarshDepartments of Neuroscience, Neurology, and Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA; Division of Child Neurology and CHOP Research Institute, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Douglas A CoulterDepartments of Neuroscience, Neurology, and Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA; Division of Child Neurology and CHOP Research Institute, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Zhaolan ZhouDepartment of Genetics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA. Electronic address: zhaolan@pennmedicine.upenn.edu.
University of Pennsylvania · USChildren's Hospital of Philadelphia · US

Funding

The Intellectual and Developmental Disabilities Research Center (IDDRC) at CHOP/PennP50HD105354 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI ERIC D MARSH, ROBERT Thomas SCHULTZ · 2021 to 2026
$9.2M
MEDICAL GENETICS RESEARCH TRAINING GRANTT32GM008638 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI Rebecca Ganetzky · 1997 to 2026
$8.7M
The Intellectual and Developmental Disabilities Research Center at CHOP/PennU54HD086984 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI SCHULTZ, ROBERT THOMAS · 2016 to 2020
$6.3M
Pathogenic Studies of CDKL5 DisorderR01NS102731 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI ZHOU, ZHAOLAN · 2018 to 2022
$2.7M
Understanding the Epigenetic Mechanisms Underlying Stress-related Neuropsychiatric DisordersR01MH111719 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI ZHOU, ZHAOLAN · 2018 to 2021
$2.2M
Understanding the Epigenetic Mechanisms Underlying Stress-Related Neuropsychiatric DisordersR56MH111719 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI ZHOU, ZHAOLAN · 2017 to 2017
$586k
Investigating the role of CDKL5 in the synapseF31NS101762 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI TERZIC, BARBARA · 2017 to 2018
$89k
Investigating excitatory neuronal function across development in CDKL5 disorderF30NS100433 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI TANG, SHENG · 2017 to 2018
$81k
NICHD NIH HHS P50 HD105354NICHD NIH HHS U54 HD086984NIGMS NIH HHS T32 GM008638NIMH NIH HHS R01 MH111719NIMH NIH HHS R56 MH111719NINDS NIH HHS F30 NS100433NINDS NIH HHS F31 NS101762NINDS NIH HHS R01 NS102731
6 · The paper itself

Abstract

CDKL5 deficiency disorder (CDD) is an infantile, epileptic encephalopathy presenting with early-onset seizures, intellectual disability, motor impairment, and autistic features. The disorder has been linked to mutations in the X-linked CDKL5, and mouse models of the disease recapitulate several aspects of CDD symptomology, including learning and memory impairments, motor deficits, and autistic-like features. Although early-onset epilepsy is one of the hallmark features of CDD, evidence of spontaneous seizure activity has only recently been described in Cdkl5-deficient heterozygous female mice, but the etiology, prevalence, and sex-specificity of this phenotype remain unknown. Here, we report the first observation of disturbance-associated seizure-like events in heterozygous female mice across two independent mouse models of CDD: Cdkl5 knockout mice and CDKL5 R59X knock-in mice. We find that both the prevalence and severity of this phenotype increase with aging, with a median onset around 28 weeks of age. Similar seizure-like events are not observed in hemizygous knockout male or homozygous knockout female littermates, suggesting that X-linked cellular mosaicism is a driving factor underlying these seizure-like events. Together, these findings not only contribute to our understanding of the effects of CDKL5 loss on seizure susceptibility, but also document a novel, pre-clinical phenotype for future therapeutic investigation.

Indexed as

MosaicismAge FactorsAnimalsDisease Models, AnimalEpileptic SyndromesFemaleGene Knock-In TechniquesHeterozygoteMaleMiceMice, KnockoutPhenotypeProtein Serine-Threonine KinasesSeizuresSex FactorsSpasms, InfantileCDKL5 protein, mouseProtein Serine-Threonine KinasesCDKL5Mouse models of epilepsyNeurodevelopmental disordersSeizuresX-linked mosaicism

Identifiers

PMID33197557
PMCPMC7856307
OpenAlexW3103070654

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.