Evidence map›Paper›PMID 34161333›Full record

ArticlePLoS genetics2021

X-linked neonatal-onset epileptic encephalopathy associated with a gain-of-function variant p.R660T in GRIA3.

Jia-Hui Sun, Jiang Chen, Fernando Eduardo Ayala Valenzuela, Carolyn Brown, Diane Masser-Frye, Marilyn Jones, Leslie Patron Romero, Berardo Rinaldi, Wenhui Laura Li, Qing-Qing Li and 5 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in PLoS genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Frontiers in cellular neuroscience · 2026
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  6. Transcriptomic Profiling of Zebrafish Mutant forInternational journal of molecular sciences · 2025
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  7. Review
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  9. X-Linked Epilepsies: A Narrative Review.International journal of molecular sciences · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
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

15 authors at 11 institutions in 6 countries.

Jia-Hui SunMinistry of Education Key Laboratory of Model Animal for Disease Study, Department of Neurology, Affiliated Drum Tower Hospital, Medical School, Nanjing University, Nanjing, China.
Jiang ChenMinistry of Education Key Laboratory of Model Animal for Disease Study, Department of Neurology, Affiliated Drum Tower Hospital, Medical School, Nanjing University, Nanjing, China.
Fernando Eduardo Ayala ValenzuelaHospital Angeles Tijuana, Tijuana, México.
Carolyn BrownIllumina Inc., San Diego, California, United States of America.ORCID 0000-0003-4587-0002
Diane Masser-FryeDivision of Genetics, Department of Pediatrics, UC San Diego School of Medicine, Rady Children's Hospital, San Diego, California, United States of America.ORCID 0000-0002-1538-6941
Marilyn JonesDivision of Genetics, Department of Pediatrics, UC San Diego School of Medicine, Rady Children's Hospital, San Diego, California, United States of America.
Leslie Patron RomeroFacultad de Medicina y Psicología, Universidad Autónoma de Baja California, Tijuana, Mexico.
Berardo RinaldiFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID 0000-0001-5763-5347
Wenhui Laura LiBreakthrough Genomics Inc., Irvine, California, United States of America.
Qing-Qing LiMinistry of Education Key Laboratory of Model Animal for Disease Study, Department of Neurology, Affiliated Drum Tower Hospital, Medical School, Nanjing University, Nanjing, China.
Dan WuMinistry of Education Key Laboratory of Model Animal for Disease Study, Department of Neurology, Affiliated Drum Tower Hospital, Medical School, Nanjing University, Nanjing, China.ORCID 0000-0001-6504-0925
Benedicte GerardLaboratoires de diagnostic génétique, Institut Medical d'Alsace, Hôpitaux Universitaire de Strasbourg, Strasbourg, France.ORCID 0000-0002-0015-7425
Erin ThorpeIllumina Inc., San Diego, California, United States of America.ORCID 0000-0003-4407-5816
Allan BayatDepartment for Genetics and Personalized Medicine, Danish Epilepsy Centre, Dianalund, Denmark.ORCID 0000-0003-4986-8006
Yun Stone ShiMinistry of Education Key Laboratory of Model Animal for Disease Study, Department of Neurology, Affiliated Drum Tower Hospital, Medical School, Nanjing University, Nanjing, China.ORCID 0000-0002-8842-9818
Model Animal Research Center · CNIllumina (United States) · USUniversity of California San Diego · USBreakthrough · USFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITHôpitaux Universitaires de Strasbourg · FRNanjing Brain Hospital · CNNanjing University · CNUniversidad Autónoma de Baja California · MXUniversidad de Tijuana · MXUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The X-linked GRIA3 gene encodes the GLUA3 subunit of AMPA-type glutamate receptors. Pathogenic variants in this gene were previously reported in neurodevelopmental diseases, mostly in male patients but rarely in females. Here we report a de novo pathogenic missense variant in GRIA3 (c.1979G>C; p. R660T) identified in a 1-year-old female patient with severe epilepsy and global developmental delay. When exogenously expressed in human embryonic kidney (HEK) cells, GLUA3_R660T showed slower desensitization and deactivation kinetics compared to wildtype (wt) GLUA3 receptors. Substantial non-desensitized currents were observed with the mutant but not for wt GLUA3 with prolonged exposure to glutamate. When co-expressed with GLUA2, the decay kinetics were similarly slowed in GLUA2/A3_R660T with non-desensitized steady state currents. In cultured cerebellar granule neurons, miniature excitatory postsynaptic currents (mEPSCs) were significantly slower in R660T transfected cells than those expressing wt GLUA3. When overexpressed in hippocampal CA1 neurons by in utero electroporation, the evoked EPSCs and mEPSCs were slower in neurons expressing R660T mutant compared to those expressing wt GLUA3. Therefore our study provides functional evidence that a gain of function (GoF) variant in GRIA3 may cause epileptic encephalopathy and global developmental delay in a female subject by enhancing synaptic transmission.

Indexed as

Gain of Function MutationAmino Acid SequenceAnimalsCerebellumChild, PreschoolEgg ProteinsFemaleGene ExpressionHEK293 CellsHippocampusHumansMembrane ProteinsMiceMice, Inbred ICRModels, MolecularNeuronsCNIH1 protein, humanEgg Proteinsglutamate receptor ionotropic, AMPA 3Membrane ProteinsReceptors, AMPA

Identifiers

PMID34161333
PMCPMC8259962
OpenAlexW3177232617

What OpenQuestion holds

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LicenceCC BY
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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.