Evidence map›Paper›PMID 35022648›Full record

ArticleBrain : a journal of neurology2022

Genome-wide association study of febrile seizures implicates fever response and neuronal excitability genes.

Line Skotte, João Fadista, Jonas Bybjerg-Grauholm, Vivek Appadurai, Michael S Hildebrand, Thomas F Hansen, Karina Banasik, Jakob Grove, Clara Albiñana, Frank Geller and 29 more

Open access · bronzeAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
7.2field-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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Genetic Diagnosis in Epilepsy: Implications for Clinical Management.Current neurology and neuroscience reports · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Beyond the synapse: Bassoon mutations drive epilepsy through Astrocyte-Neuron crosstalk.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  12. CRISPR-edited iPSCs reveal BSN gene mutations induce neuronal hyperexcitability via astrocyte lipid accumulation.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  13. The risk of epilepsy after neonatal seizures.Developmental medicine and child neurology · 2025
    Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

39 authors at 11 institutions in 5 countries.

Line SkotteDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
João FadistaDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
Jonas Bybjerg-GrauholmDanish Centre for Neonatal Screening, Department of Congenital Disorders, Statens Serum Institut, Copenhagen, Denmark.
Vivek AppaduraiiPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.
Michael S HildebrandEpilepsy Research Centre, Department of Medicine, University of Melbourne (Austin Health), Victoria, Australia.
Thomas F HansenDanish Headache Center, Department of Neurology, Rigshospitalet-Glostrup, Denmark.ORCID 0000-0001-6703-7762
Karina BanasikNovo Nordisk Foundation Center for Protein Research, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-2489-2499
Jakob GroveiPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.
Clara AlbiñanaiPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.
Frank GellerDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
Carmen F BjurströmDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
Bjarni J VilhjálmssoniPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.
Matthew ColemanEpilepsy Research Centre, Department of Medicine, University of Melbourne (Austin Health), Victoria, Australia.
John A DamianoEpilepsy Research Centre, Department of Medicine, University of Melbourne (Austin Health), Victoria, Australia.
Rosemary BurgessEpilepsy Research Centre, Department of Medicine, University of Melbourne (Austin Health), Victoria, Australia.
Ingrid E SchefferEpilepsy Research Centre, Department of Medicine, University of Melbourne (Austin Health), Victoria, Australia.ORCID 0000-0002-2311-2174
Ole Birger Vesterager PedersenDepartment of Clinical Immunology, Zealand University Hospital, Køge, Denmark.
Christian ErikstrupDepartment of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-6551-6647
David WestergaardNovo Nordisk Foundation Center for Protein Research, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-0128-8432
Kaspar René NielsenDepartment of Clinical Immunology, Aalborg University Hospital North, Aalborg, Denmark.
Erik SørensenDepartment of Clinical Immunology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Mie Topholm BruunDepartment of Clinical Immunology, Odense University Hospital, Odense, Denmark.
Xueping LiuDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
Henrik HjalgrimDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
Tune H PersNovo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark.
Preben Bo MortenseniPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.
Ole MorsiPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.
Merete NordentoftiPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.
Julie W DreierNational Centre for Register-Based Research, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-9339-4170
Anders D BørglumiPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.
Jakob ChristensenNational Centre for Register-Based Research, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-9385-6435
David M HougaardDanish Centre for Neonatal Screening, Department of Congenital Disorders, Statens Serum Institut, Copenhagen, Denmark.
Alfonso BuiliPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.
Anders HviidDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.ORCID 0000-0002-7509-9127
Mads MelbyeDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
Henrik UllumDepartment of Clinical Immunology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Samuel F BerkovicEpilepsy Research Centre, Department of Medicine, University of Melbourne (Austin Health), Victoria, Australia.ORCID 0000-0003-4580-841X
Thomas WergeiPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.
Bjarke FeenstraDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.ORCID 0000-0003-1478-649X
Statens Serum Institut · DKAarhus University · DKThe University of Melbourne · AUUniversity of Copenhagen · DKMental Health Services · DKAarhus University Hospital · DKAalborg University Hospital · DKCopenhagen University Hospital · DKOdense University Hospital · DKRoyal Children's Hospital · AUZealand University Hospital Køge · DK

Funding

Genome-wide association study of febrile seizures following measles, mumps, rubelR01AI093697 · NIAID · STATENS SERUM INSTITUTE · PI HVIID, ANDERS · 2012 to 2015
$589k
6 · The paper itself

Abstract

Febrile seizures represent the most common type of pathological brain activity in young children and are influenced by genetic, environmental and developmental factors. In a minority of cases, febrile seizures precede later development of epilepsy. We conducted a genome-wide association study of febrile seizures in 7635 cases and 83 966 controls identifying and replicating seven new loci, all with P < 5 × 10-10. Variants at two loci were functionally related to altered expression of the fever response genes PTGER3 and IL10, and four other loci harboured genes (BSN, ERC2, GABRG2, HERC1) influencing neuronal excitability by regulating neurotransmitter release and binding, vesicular transport or membrane trafficking at the synapse. Four previously reported loci (SCN1A, SCN2A, ANO3 and 12q21.33) were all confirmed. Collectively, the seven novel and four previously reported loci explained 2.8% of the variance in liability to febrile seizures, and the single nucleotide polymorphism heritability based on all common autosomal single nucleotide polymorphisms was 10.8%. GABRG2, SCN1A and SCN2A are well-established epilepsy genes and, overall, we found positive genetic correlations with epilepsies (rg = 0.39, P = 1.68 × 10-4). Further, we found that higher polygenic risk scores for febrile seizures were associated with epilepsy and with history of hospital admission for febrile seizures. Finally, we found that polygenic risk of febrile seizures was lower in febrile seizure patients with neuropsychiatric disease compared to febrile seizure patients in a general population sample. In conclusion, this largest genetic investigation of febrile seizures to date implicates central fever response genes as well as genes affecting neuronal excitability, including several known epilepsy genes. Further functional and genetic studies based on these findings will provide important insights into the complex pathophysiological processes of seizures with and without fever.

Indexed as

EpilepsySeizures, FebrileAnoctaminsChildChild, PreschoolFeverGenome-Wide Association StudyHumansNAV1.1 Voltage-Gated Sodium ChannelANO3 protein, humanAnoctaminsNAV1.1 Voltage-Gated Sodium Channelepilepsyfebrile seizuresfever response genesgenome-wide association studyneuronal excitability genes

Identifiers

PMID35022648
PMCPMC9128543
OpenAlexW4206208408

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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.