Evidence map›Paper›PMID 34002374›Full record

ArticleEpilepsia2021

Shared genetic basis between genetic generalized epilepsy and background electroencephalographic oscillations.

Remi Stevelink, Jurjen J Luykx, Bochao D Lin, Costin Leu, Dennis Lal, Alexander W Smith, Dick Schijven, Johannes A Carpay, Koen Rademaker, Roiza A Rodrigues Baldez and 7 more

Abstract read
In one paragraph

Article in Epilepsia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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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

17 authors.

Remi StevelinkDepartment of Genetics, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.ORCID 0000-0003-0214-7965
Jurjen J LuykxDepartment of Psychiatry, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Bochao D LinDepartment of Psychiatry, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Costin LeuBroad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, Massachussets, USA.
Dennis LalBroad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, Massachussets, USA.
Alexander W SmithBroad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, Massachussets, USA.
Dick SchijvenDepartment of Psychiatry, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Johannes A CarpayDepartment of Neurology, Tergooi Hospital, Hilversum, the Netherlands.
Koen RademakerDepartment of Psychiatry, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Roiza A Rodrigues BaldezClinical Research Laboratory on Neuroinfectious Diseases, Evandro Chagas Clinical Research Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Orrin DevinskyComprehensive Epilepsy Center, New York University School of Medicine, New York, New York, USA.ORCID 0000-0003-0044-4632
Kees P J BraunDepartment of Neurology, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Floor E JansenDepartment of Neurology, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Dirk J A SmitPsychiatry Department, Amsterdam Neuroscience, Amsterdam Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Bobby P C KoelemanDepartment of Genetics, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
International League Against Epilepsy Consortium on Complex Epilepsies
Epi25 Collaborative

Funding

The Ohio State University Center for clinical and Translational ScienceUL1TR001070 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2013 to 2017
$22.6M
Genetic Study of Common Forms of EpilepsyR01NS064154 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI BUONO, RUSSELL J, HAKONARSON, HAKON · 2009 to 2010
$1.8M
FOLATE AND NEURAL TUBE DEFECTS-275033348N01HD033348 · NICHD · THE HEALTH RESEARCH BOARD · 2003 to 2004
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Department of Health 08-08-SCCDepartment of Health P31753NCATS NIH HHS UL1 TR001070NICHD NIH HHS N01 HD033348NINDS NIH HHS R01 NS064154Wellcome Trust 084730Wellcome Trust WT066056
6 · The paper itself

Abstract

objectiveParoxysmal epileptiform abnormalities on electroencephalography (EEG) are the hallmark of epilepsies, but it is uncertain to what extent epilepsy and background EEG oscillations share neurobiological underpinnings. Here, we aimed to assess the genetic correlation between epilepsy and background EEG oscillations.

methodsConfounding factors, including the heterogeneous etiology of epilepsies and medication effects, hamper studies on background brain activity in people with epilepsy. To overcome this limitation, we compared genetic data from a genome-wide association study (GWAS) on epilepsy (n = 12 803 people with epilepsy and 24 218 controls) with that from a GWAS on background EEG (n = 8425 subjects without epilepsy), in which background EEG oscillation power was quantified in four different frequency bands: alpha, beta, delta, and theta. We replicated our findings in an independent epilepsy replication dataset (n = 4851 people with epilepsy and 20 428 controls). To assess the genetic overlap between these phenotypes, we performed genetic correlation analyses using linkage disequilibrium score regression, polygenic risk scores, and Mendelian randomization analyses.

resultsOur analyses show strong genetic correlations of genetic generalized epilepsy (GGE) with background EEG oscillations, primarily in the beta frequency band. Furthermore, we show that subjects with higher beta and theta polygenic risk scores have a significantly higher risk of having generalized epilepsy. Mendelian randomization analyses suggest a causal effect of GGE genetic liability on beta oscillations. SIGNIFICANCE: Our results point to shared biological mechanisms underlying background EEG oscillations and the susceptibility for GGE, opening avenues to investigate the clinical utility of background EEG oscillations in the diagnostic workup of epilepsy.

Indexed as

ElectroencephalographyAdultAlgorithmsBeta RhythmCohort StudiesDatabases, FactualEpilepsy, GeneralizedGenome-Wide Association StudyHumansLinkage DisequilibriumMendelian Randomization AnalysisRisk AssessmentTheta Rhythmbeta powerEEGgeneralized epilepsyGGEoscillationsPRS

Identifiers

PMID34002374
PMCPMC8672363

What OpenQuestion holds

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LicenceCC BY
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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.