Evidence map›Paper›PMID 36318112›Full record

ArticleEpilepsia2023

De novo KCNA6 variants with attenuated K

Vincenzo Salpietro, Valentina Galassi Deforie, Stephanie Efthymiou, Emer O'Connor, Anna Marcé-Grau, Reza Maroofian, Pasquale Striano, Federico Zara, Michelle M Morrow, SYNAPS Study Group and 15 more

Open access · hybridAbstract read
In one paragraph

Article in Epilepsia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 18 citations in OpenAlex.

  1. medRxiv : the preprint server for health sciences · 2026
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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

25 authors at 7 institutions in 6 countries.

Vincenzo SalpietroDepartment of Neuromuscular Disease, UCL Institute of Neurology, University College London, London, UK.
Valentina Galassi DeforieDepartment of Neuromuscular Disease, UCL Institute of Neurology, University College London, London, UK.ORCID 0000-0002-7123-8011
Stephanie EfthymiouDepartment of Neuromuscular Disease, UCL Institute of Neurology, University College London, London, UK.ORCID 0000-0003-4900-9877
Emer O'ConnorDepartment of Neuromuscular Disease, UCL Institute of Neurology, University College London, London, UK.
Anna Marcé-GrauDepartment of Paediatric Neurology, University Hospital Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
Reza MaroofianDepartment of Neuromuscular Disease, UCL Institute of Neurology, University College London, London, UK.
Pasquale StrianoDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, 16124 Genoa, Italy.ORCID 0000-0002-6065-1476
Federico ZaraDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, 16124 Genoa, Italy.
Michelle M MorrowGeneDx, Maryland, Gaithersburg, USA.ORCID 0000-0001-9475-0934
SYNAPS Study Group
Adi ReichGeneDx, Maryland, Gaithersburg, USA.
Amy BlevinsGeneDx, Maryland, Gaithersburg, USA.
Júlia Sala-CorominaDepartment of Paediatric Neurology, University Hospital Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
Andrea AccogliDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, 16124 Genoa, Italy.ORCID 0000-0001-8724-6721
Sara FortunaIstituto Italiano di Tecnologia (IIT), Genoa, Italy.
Marie AlesandriniNeuropediatrics Unit, Centre Hospitalier Universitaire Nantes, Nantes, France.
P Y Billie AuDepartment of Medical Genetics, Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Alberta, Calgary, Canada.ORCID 0000-0002-9533-7217
Nilika Shah SinghalDepartments of Neurology and Pediatrics, UCSF Benioff Children's Hospital, University of California, California, San Francisco, USA.
Benjamin CogneCentre Hospitalier Universitaire Nantes, Service de Génétique Médicale, Nantes, France.
Bertrand IsidorCentre Hospitalier Universitaire Nantes, Service de Génétique Médicale, Nantes, France.
Michael G HannaDepartment of Neuromuscular Disease, UCL Institute of Neurology, University College London, London, UK.
Alfons MacayaDepartment of Paediatric Neurology, University Hospital Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
Dimitri M KullmannDepartment of Clinical and Experimental Epilepsy, UCL Institute of Neurology, University College London, London, UK.ORCID 0000-0001-6696-3545
Henry HouldenDepartment of Neuromuscular Disease, UCL Institute of Neurology, University College London, London, UK.
Roope MännikköDepartment of Neuromuscular Disease, UCL Institute of Neurology, University College London, London, UK.ORCID 0000-0002-8727-9184
University College London · GBUniversitat Autònoma de Barcelona · ESCentre National de la Recherche Scientifique · FRIstituto Giannina Gaslini · ITUniversity of Calgary · CACentre Hospitalier Universitaire de Nantes · FRUniversity of L'Aquila · IT

Funding

Medical Research Council MR/L01095X/1Medical Research Council MR/S01165X/1Medical Research Council MR/V034758/1Medical Research Council MR/W005204/1Wellcome Trust 209807/Z/17/ZWellcome Trust WT093205MAWellcome Trust WT104033AIA
6 · The paper itself

Abstract

objectiveMutations in the genes encoding neuronal ion channels are a common cause of Mendelian neurological diseases. We sought to identify novel de novo sequence variants in cases with early infantile epileptic phenotypes and neurodevelopmental anomalies.

methodsFollowing clinical diagnosis, we performed whole exome sequencing of the index cases and their parents. Identified channel variants were expressed in Xenopus oocytes and their functional properties assessed using two-electrode voltage clamp.

resultsWe identified novel de novo variants in KCNA6 in four unrelated individuals variably affected with neurodevelopmental disorders and seizures with onset in the first year of life. Three of the four identified mutations affect the pore-lining S6 α-helix of K SIGNIFICANCE: This is the first report of de novo nonsynonymous variants in KCNA6 associated with neurological or any clinical features. Channel variants showed a consistent effect on channel deactivation, slowing the rate of channel closure following normal activation. This specific gain-of-function feature is likely to underlie the neurological phenotype in our patients. Our data highlight KCNA6 as a novel channelopathy gene associated with early infantile epileptic phenotypes and neurodevelopmental anomalies.

Indexed as

EpilepsyNeurodevelopmental DisordersHumansKv1.6 Potassium ChannelMutationSeizuresKCNA6 protein, humanKv1.6 Potassium ChannelKV1 Shaker channel familyneurodevelopmental disordervoltage-gated potassium channelswhole exome sequencing

Identifiers

PMID36318112
PMCPMC10108282
OpenAlexW4307787729

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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.