Evidence map›Paper›PMID 34693554›Full record

ArticleAnnals of neurology2022

Cardiac Investigations in Sudden Unexpected Death in DEPDC5-Related Epilepsy.

Alexandre Bacq, Delphine Roussel, Thomas Bonduelle, Sara Zagaglia, Marina Maletic, Théo Ribierre, Homa Adle-Biassette, Cécile Marchal, Mélanie Jennesson, Isabelle An and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.5field-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

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
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  9. Ictal and Postictal Central Apnea inNeurology. Genetics · 2024
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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

15 authors at 7 institutions in 4 countries.

Alexandre BacqSorbonne University, Paris Brain Institute (ICM), Inserm, CNRS, AP-HP, Pitié-Salpêtrière Hospital, Paris, France.ORCID 0000-0003-0179-145X
Delphine RousselSorbonne University, Paris Brain Institute (ICM), Inserm, CNRS, AP-HP, Pitié-Salpêtrière Hospital, Paris, France.
Thomas BonduelleSorbonne University, Paris Brain Institute (ICM), Inserm, CNRS, AP-HP, Pitié-Salpêtrière Hospital, Paris, France.
Sara ZagagliaDepartment of Clinical and Experimental Epilepsy, University College London Queen Square Institute of Neurology, London, UK.ORCID 0000-0003-3508-3523
Marina MaleticSorbonne University, Paris Brain Institute (ICM), Inserm, CNRS, AP-HP, Pitié-Salpêtrière Hospital, Paris, France.
Théo RibierreSorbonne University, Paris Brain Institute (ICM), Inserm, CNRS, AP-HP, Pitié-Salpêtrière Hospital, Paris, France.
Homa Adle-BiassettePathological Anatomy Department, University of Paris, AP-HP, Lariboisière Hospital, DMU, DREAM, UMR 1141, INSERM, Paris, France.
Cécile MarchalEpilepsy and Neurology Department, Bordeaux University Hospital Center, Bordeaux, France.
Mélanie JennessonDepartment of Pediatrics, American Memorial Hospital, Reims University Hospital Center, Reims, France.
Isabelle AnEpileptology Unit and Reference Center of Rare Epilepsies, Pitié-Salpêtrière Hospital, AP-HP, Paris, France.
Genomics England Research Consortium
Fabienne PicardEEG and Epilepsy Unit, Department of Clinical Neurosciences, University Hospitals and Faculty of Medicine of Geneva, Geneva, Switzerland.ORCID 0000-0001-9120-1761
Vincent NavarroSorbonne University, Paris Brain Institute (ICM), Inserm, CNRS, AP-HP, Pitié-Salpêtrière Hospital, Paris, France.ORCID 0000-0003-0077-8114
Sanjay M SisodiyaDepartment of Clinical and Experimental Epilepsy, University College London Queen Square Institute of Neurology, London, UK.
Stéphanie BaulacSorbonne University, Paris Brain Institute (ICM), Inserm, CNRS, AP-HP, Pitié-Salpêtrière Hospital, Paris, France.ORCID 0000-0001-6430-4693
Centre National de la Recherche Scientifique · FRNational Hospital for Neurology and Neurosurgery · GBBordeaux Population Health · FRCentre Hospitalier Universitaire de Reims · FRInserm · FRSorbonne Université · FRUniversity of Geneva · CH

Funding

European Research Council 682345Medical Research Council MC_EX_MR/M009203/1Medical Research Council MC_PC_14089Medical Research Council MR/M009203/1Wellcome Trust
6 · The paper itself

Abstract

objectiveGermline loss-of-function mutations in DEPDC5, and in its binding partners (NPRL2/3) of the mammalian target of rapamycin (mTOR) repressor GATOR1 complex, cause focal epilepsies and increase the risk of sudden unexpected death in epilepsy (SUDEP). Here, we asked whether DEPDC5 haploinsufficiency predisposes to primary cardiac defects that could contribute to SUDEP and therefore impact the clinical management of patients at high risk of SUDEP.

methodsClinical cardiac investigations were performed in 16 patients with pathogenic variants in DEPDC5, NPRL2, or NPRL3. Two novel Depdc5 mouse strains, a human HA-tagged Depdc5 strain and a Depdc5 heterozygous knockout with a neuron-specific deletion of the second allele (Depdc5

resultsHolter, echocardiographic, and electrocardiographic (ECG) examinations provided no evidence for altered clinical cardiac function in the patient cohort, of whom 3 DEPDC5 patients succumbed to SUDEP and 6 had a family history of SUDEP. There was no cardiac injury at autopsy in a postmortem DEPDC5 SUDEP case. The HA-tagged Depdc5 mouse revealed expression of Depdc5 in the brain, heart, and lungs. Simultaneous electroencephalographic-ECG records on Depdc5

interpretationMouse and human data show neither structural nor functional cardiac damage that might underlie a primary contribution to SUDEP in the spectrum of DEPDC5-related epilepsies. ANN NEUROL 2022;91:101-116.

Indexed as

HeartAdolescentAdultAnimalsElectrocardiographyElectroencephalographyEpilepsies, PartialFemaleGTPase-Activating ProteinsHumansMaleMiceMiddle AgedMutationSudden Unexpected Death in EpilepsyTumor Suppressor ProteinsDEPDC5 protein, humanDepdc5 protein, mouseGTPase-Activating ProteinsNPRL2 protein, humanNPRL3 protein, humanTumor Suppressor Proteins

Identifiers

PMID34693554
PMCPMC9299146
OpenAlexW3208769964

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.