Evidence map›Paper›PMID 34651584›Full record

ArticleThe Journal of clinical investigation2021

Temporal manipulation of Cdkl5 reveals essential postdevelopmental functions and reversible CDKL5 deficiency disorder-related deficits.

Barbara Terzic, M Felicia Davatolhagh, Yugong Ho, Sheng Tang, Yu-Ting Liu, Zijie Xia, Yue Cui, Marc V Fuccillo, Zhaolan Zhou

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Variable expression ofProceedings of the National Academy of Sciences of the United States of America · 2024
    Pooled it
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  7. Review
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  16. Women With Genetic Epilepsies.Neurology. Genetics · 2025
    Review
  17. Article
  18. Article
  19. Article
  20. Preclinical studies of gene replacement therapy for CDKL5 deficiency disorder.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Barbara TerzicDepartment of Genetics and.
M Felicia DavatolhaghDepartment of Neuroscience, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Yugong HoDepartment of Genetics and.
Sheng TangDepartment of Genetics and.
Yu-Ting LiuDepartment of Genetics and.
Zijie XiaDepartment of Genetics and.
Yue CuiDepartment of Genetics and.
Marc V FuccilloDepartment of Neuroscience, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Zhaolan ZhouDepartment of Genetics and.
University of Pennsylvania · 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
The Intellectual and Developmental Disabilities Research Center at CHOP/PennU54HD086984 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI ROBINSON, MICHAEL BYRNE · 2016 to 2020
$6.3M
Pathogenic Studies of CDKL5 DisorderR01NS102731 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI ZHOU, ZHAOLAN · 2018 to 2022
$2.7M
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
Howard Hughes Medical InstituteNICHD NIH HHS P50 HD105354NICHD NIH HHS U54 HD086984NINDS NIH HHS F30 NS100433NINDS NIH HHS F31 NS101762NINDS NIH HHS R01 NS102731
6 · The paper itself

Abstract

CDKL5 deficiency disorder (CDD) is an early onset, neurodevelopmental syndrome associated with pathogenic variants in the X-linked gene encoding cyclin-dependent kinase-like 5 (CDKL5). CDKL5 has been implicated in neuronal synapse maturation, yet its postdevelopmental necessity and the reversibility of CDD-associated impairments remain unknown. We temporally manipulated endogenous Cdkl5 expression in male mice and found that postdevelopmental loss of CDKL5 disrupts numerous behavioral domains, hippocampal circuit communication, and dendritic spine morphology, demonstrating an indispensable role for CDKL5 in the adult brain. Accordingly, restoration of Cdkl5 after the early stages of brain development using a conditional rescue mouse model ameliorated CDD-related behavioral impairments and aberrant NMDA receptor signaling. These findings highlight the requirement of CDKL5 beyond early development, underscore the potential for disease reversal in CDD, and suggest that a broad therapeutic time window exists for potential treatment of CDD-related deficits.

Indexed as

AnimalsDendritesEpileptic SyndromesEvoked PotentialsMiceMice, Inbred C57BLProtein Serine-Threonine KinasesReceptors, N-Methyl-D-AspartateSpasms, InfantileCDKL5 protein, mouseProtein Serine-Threonine KinasesReceptors, N-Methyl-D-AspartateDevelopmentGenetic diseasesNeurological disordersNeuroscienceSynapses

Identifiers

PMID34651584
PMCPMC8516470
OpenAlexW3205703550

What OpenQuestion holds

Textmetadata
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.