Evidence map›Paper›PMID 37195288›Full record

ArticleHuman molecular genetics2023

ANK2 loss-of-function variants are associated with epilepsy, and lead to impaired axon initial segment plasticity and hyperactive network activity in hiPSC-derived neuronal networks.

Maria W A Teunissen, Elly Lewerissa, Eline J H van Hugte, Shan Wang, Charlotte W Ockeloen, David A Koolen, Rolph Pfundt, Carlo L M Marcelis, Eva Brilstra, Jennifer L Howe and 21 more

Open access · hybridAbstract read
In one paragraph

Article in Human molecular genetics, 2023. 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

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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, 23 citations in OpenAlex.

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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

31 authors at 15 institutions in 5 countries.

Maria W A TeunissenDepartment of Neurology, Maastricht University Medical Center, Maastricht, HX 6229, The Netherlands.
Elly LewerissaDepartment of Human Genetics, Radboudumc, Donders Institute for Brain, Cognition, and Behaviour, Nijmegen, HB 6500, the Netherlands.
Eline J H van HugteDepartment of Human Genetics, Radboudumc, Donders Institute for Brain, Cognition, and Behaviour, Nijmegen, HB 6500, the Netherlands.
Shan WangDepartment of Human Genetics, Radboudumc, Donders Institute for Brain, Cognition, and Behaviour, Nijmegen, HB 6500, the Netherlands.
Charlotte W OckeloenDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, GA 6525, the Netherlands.
David A KoolenDepartment of Human Genetics, Radboudumc, Donders Institute for Brain, Cognition, and Behaviour, Nijmegen, HB 6500, the Netherlands.
Rolph PfundtDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, GA 6525, the Netherlands.
Carlo L M MarcelisDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, GA 6525, the Netherlands.
Eva BrilstraDepartment of Human Genetics, University Medical Center Utrecht, Utrecht, CX 3584, The Netherlands.
Jennifer L HoweThe Centre for Applied Genomics and Genetics and Genome Biology, The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada.
Stephen W SchererThe Centre for Applied Genomics and Genetics and Genome Biology, The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada.ORCID 0000-0002-8326-1999
Xavier Le GuillouDepartment of Medical Genetics, Centre Hospitalier Universitaire de Poitiers, Poitiers 86000, France.
Frédéric BilanDepartment of Medical Genetics, Centre Hospitalier Universitaire de Poitiers, Poitiers 86000, France.
Michelle PrimianoDepartment of Clinical Genetics, Morgan Stanley Children's Hospital of New York-Presbytarian, New York, NY, 10032, USA.
Jasmin RoohiDepartment of Clinical Genetics, Morgan Stanley Children's Hospital of New York-Presbytarian, New York, NY, 10032, USA.
Amelie PitonLaboratoire de Diagnostic Génétique, Institut de Génétique Médicale d'Alsace (IGMA), Hôspitaux Universitaire de Strasbourg, Strasbourg, BP 426 67091, France.
Anne de Saint MartinInstitut de Génétique et de Biologie Moléculaire et Cellulaire, Illkirch 67400, France.
Sarah BaerInstitut de Génétique et de Biologie Moléculaire et Cellulaire, Illkirch 67400, France.
Simone SeiffertDepartment of Neurology and Epileptology, Hertie Institute for Clinical Brain Research, Tuebingen, 72076, Germany.
Konrad PlatzerInstitute of Human Genetics, University Medical Center Leipzig, Leipzig 04103, Germany.
Rami Abou JamraInstitute of Human Genetics, University Medical Center Leipzig, Leipzig 04103, Germany.
Steffen SyrbeDivision of Paediatric Epileptology, Centre for Paediatric and Adolescent Medicine, University Hospital Heidelberg, Heidelberg 69120, Germany.
Jan H DoeringDivision of Paediatric Epileptology, Centre for Paediatric and Adolescent Medicine, University Hospital Heidelberg, Heidelberg 69120, Germany.
Shenela LakhaniDepartment of neurogenetics, Weill Cornell Medicine, Brain and Mind Research Institute, New York, NY, 10065, USA.
Srishti NangiaDepartment of Pediatrics, Division of Child Neurology, New York Presbyterian Hospital-Weill Cornell Medical Center, New York, NY, 10032, USA.
Christian GilissenDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, GA 6525, the Netherlands.
R Jeroen VermeulenDepartment of Neurology, Maastricht University Medical Center, Maastricht, HX 6229, The Netherlands.
Rob P W RouhlDepartment of Neurology, Maastricht University Medical Center, Maastricht, HX 6229, The Netherlands.
Han G BrunnerAcademic Center for Epileptology Kempenhaeghe/Maastricht University Medical Center, Heeze 5591 VE, The Netherlands.
Marjolein H WillemsenDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, GA 6525, the Netherlands.
Nael Nadif KasriDepartment of Human Genetics, Radboudumc, Donders Institute for Brain, Cognition, and Behaviour, Nijmegen, HB 6500, the Netherlands.ORCID 0000-0002-7448-9289
Radboud University Nijmegen · NLInstitut de génétique et de biologie moléculaire et cellulaire · FRHeidelberg University · DELeipzig University · DEMaastricht University · NLMorgan Stanley Children's Hospital · USCentre Hospitalier Universitaire de Poitiers · FRCornell University · USHertie Institute for Clinical Brain Research · DEHospital for Sick Children · CAInserm · FRMaastricht University Medical Centre · NLNewYork–Presbyterian Hospital · USUniversity Medical Center Utrecht · NLUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo characterize a novel neurodevelopmental syndrome due to loss-of-function (LoF) variants in Ankyrin 2 (ANK2), and to explore the effects on neuronal network dynamics and homeostatic plasticity in human-induced pluripotent stem cell-derived neurons.

methodsWe collected clinical and molecular data of 12 individuals with heterozygous de novo LoF variants in ANK2. We generated a heterozygous LoF allele of ANK2 using CRISPR/Cas9 in human-induced pluripotent stem cells (hiPSCs). HiPSCs were differentiated into excitatory neurons, and we measured their spontaneous electrophysiological responses using micro-electrode arrays (MEAs). We also characterized their somatodendritic morphology and axon initial segment (AIS) structure and plasticity.

resultsWe found a broad neurodevelopmental disorder (NDD), comprising intellectual disability, autism spectrum disorders and early onset epilepsy. Using MEAs, we found that hiPSC-derived neurons with heterozygous LoF of ANK2 show a hyperactive and desynchronized neuronal network. ANK2-deficient neurons also showed increased somatodendritic structures and altered AIS structure of which its plasticity is impaired upon activity-dependent modulation.

conclusionsPhenotypic characterization of patients with de novo ANK2 LoF variants defines a novel NDD with early onset epilepsy. Our functional in vitro data of ANK2-deficient human neurons show a specific neuronal phenotype in which reduced ANKB expression leads to hyperactive and desynchronized neuronal network activity, increased somatodendritic complexity and AIS structure and impaired activity-dependent plasticity of the AIS.

Indexed as

Axon Initial SegmentEpilepsyInduced Pluripotent Stem CellsAnkyrinsHumansNeuronsANK2 protein, humanAnkyrins

Identifiers

PMID37195288
PMCPMC10321384
OpenAlexW4376871558

What OpenQuestion holds

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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.