Evidence map›Paper›PMID 34850743›Full record

ArticleThe Journal of clinical investigation2021

Antisense oligonucleotide therapy reduces seizures and extends life span in an SCN2A gain-of-function epilepsy model.

Melody Li, Nikola Jancovski, Paymaan Jafar-Nejad, Lisseth E Burbano, Ben Rollo, Kay Richards, Lisa Drew, Alicia Sedo, Jacqueline Heighway, Svenja Pachernegg and 10 more

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 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
9.8field-weighted citation impact, top 1% 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

62 citing papers in PubMed, 97 citations in OpenAlex.

  1. Trial
  2. Review
  3. mTORC2-NaChannels (Austin, Tex.) · 2026
    Article
  4. Review
  5. Article
  6. ACMG/AMP variant classification specifications from the ClinGen Epilepsy Sodium Channel Variant Curation Expert Panel.Genetics in medicine : official journal of the American College of Medical Genetics · 2026
    Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Genetic medicines for epilepsy: unlocking new avenues for seizure control.Frontiers in bioengineering and biotechnology · 2026
    Review
  13. Genetic therapies for neurological diseases.Pharmacological reviews · 2026
    Review
  14. Neurologist's Black Swan: Molecular Basis of Prenatal Seizures.International journal of molecular sciences · 2025
    Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Gene therapies alleviate absence epilepsy associated withbioRxiv : the preprint server for biology · 2025
    Article

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 3 institutions in 2 countries.

Melody LiFlorey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Nikola JancovskiFlorey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Paymaan Jafar-NejadIonis Pharmaceuticals, Carlsbad, California, USA.
Lisseth E BurbanoFlorey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Ben RolloFlorey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Kay RichardsFlorey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Lisa DrewFlorey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Alicia SedoFlorey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Jacqueline HeighwayFlorey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Svenja PacherneggFlorey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Armand SorianoIonis Pharmaceuticals, Carlsbad, California, USA.
Linghan JiaFlorey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Todd BlackburnFlorey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Blaine RobertsFlorey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Alex NemiroffRogCon Biosciences, Miami Beach, Florida, USA.
Kelley DalbyRogCon Biosciences, Miami Beach, Florida, USA.
Snezana MaljevicFlorey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Christopher A ReidFlorey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Frank RigoIonis Pharmaceuticals, Carlsbad, California, USA.
Steven PetrouFlorey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Florey Institute of Neuroscience and Mental Health · AUIonis Pharmaceuticals (United States) · USStat Medical Devices (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

De novo variation in SCN2A can give rise to severe childhood disorders. Biophysical gain of function in SCN2A is seen in some patients with early seizure onset developmental and epileptic encephalopathy (DEE). In these cases, targeted reduction in SCN2A expression could substantially improve clinical outcomes. We tested this theory by central administration of a gapmer antisense oligonucleotide (ASO) targeting Scn2a mRNA in a mouse model of Scn2a early seizure onset DEE (Q/+ mice). Untreated Q/+ mice presented with spontaneous seizures at P1 and did not survive beyond P30. Administration of the ASO to Q/+ mice reduced spontaneous seizures and significantly extended life span. Across a range of behavioral tests, Scn2a ASO-treated Q/+ mice were largely indistinguishable from WT mice, suggesting treatment is well tolerated. A human SCN2A gapmer ASO could likewise impact the lives of patients with SCN2A gain-of-function DEE.

Indexed as

AnimalsBehavior, AnimalBiophysicsDisease Models, AnimalElectroencephalographyEpilepsyGain of Function MutationHumansLongevityMaleMaze LearningMiceMovementMutationNAV1.2 Voltage-Gated Sodium ChannelOligonucleotides, AntisenseNAV1.2 Voltage-Gated Sodium ChannelOligonucleotides, AntisenseRNA, MessengerScn2a protein, mouseEpilepsyNeuroscience

Identifiers

PMID34850743
PMCPMC8631599
OpenAlexW3215665120

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.