Evidence map›Paper›PMID 40504113›Full record

ArticleMovement disorders clinical practice2025

ADCY5-Mosaic Variants: A Diagnosis Not to Be Missed.

Alice Innocenti, Emmanuel Roze, Florence Riant, Marie-Céline François-Heude, Bérénice Lecardonnel, Giacomo Garone, Maxime Colmard, Eline Chauvet-Piat, Anne-Cécile Chaux, Marie-Aude Spitz and 11 more

Abstract readCase Reports
In one paragraph

Article in Movement disorders clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Psychiatric Disorders and Apathy in Mixed Movement Disorders Linked to ADCY5 (MxMD-ADCY5).Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  2. Article
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

21 authors.

Alice InnocentiNeurology, Epilepsy and Movement Disorders Unit, Bambino Gesù Children's Hospital, IRCCS, Full Member of European Reference Network on Rare and Complex Epilepsies, EpiCARE, Rome, Italy.ORCID https://orcid.org/0009-0000-9096-8792
Emmanuel RozeDépartement de Neurologie, Hôpital Pitié-Salpêtrière, Paris, France.
Florence RiantService de Génétique Moléculaire Neurovasculaire, Hôpital Saint Louis, Paris, France.
Marie-Céline François-HeudeService de Neuropediatrie, CHU Montpellier, Montpellier, France.
Bérénice LecardonnelService de Neuropediatrie, CHU Montpellier, Montpellier, France.
Giacomo GaroneNeurology, Epilepsy and Movement Disorders Unit, Bambino Gesù Children's Hospital, IRCCS, Full Member of European Reference Network on Rare and Complex Epilepsies, EpiCARE, Rome, Italy.ORCID https://orcid.org/0000-0002-3029-8536
Maxime ColmardService de Neuropediatrie, CHU Montpellier, Montpellier, France.
Eline Chauvet-PiatService de Neuropediatrie, CHU Montpellier, Montpellier, France.
Anne-Cécile ChauxService de EEG Pédiatrique, CHU de Saint-Etienne, Saint-Etienne, France.
Marie-Aude SpitzService de Neuropédiatrie, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Beatrice DesnousService de Neuropédiatrie, APHM, Timone Enfant, Marseille, France.
Catherine SarretServices de Pédiatrie et Génétique Médicale, Hôpital Estaing, CHU de Clermont-Ferrand, Clermont-Ferrand, France.
Philippe DamierService de Neurologie, Nantes Université, CHU de Nantes, CIC1413, Nantes, France.ORCID https://orcid.org/0000-0003-3869-0564
Thomas WirthService de Neurologie, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Mathieu AnheimService de Neurologie, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Emilie RetailleauInstitut du Cerveau et de la Moelle Épinière, ICM, Sorbonne Université, INSERM, CNRS, APHP, Hôpital de la Pitié Salpêtrière Paris, Paris, France.ORCID https://orcid.org/0009-0000-8908-544X
Estelle ConabadyInstitut du Cerveau et de la Moelle Épinière, ICM, Sorbonne Université, INSERM, CNRS, APHP, Hôpital de la Pitié Salpêtrière Paris, Paris, France.
Caroline DubacqInstitut du Cerveau et de la Moelle Épinière, ICM, Sorbonne Université, INSERM, CNRS, APHP, Hôpital de la Pitié Salpêtrière Paris, Paris, France.
Oriane TrouillardInstitut du Cerveau et de la Moelle Épinière, ICM, Sorbonne Université, INSERM, CNRS, APHP, Hôpital de la Pitié Salpêtrière Paris, Paris, France.ORCID https://orcid.org/0000-0003-0228-0942
Aurélie MéneretDépartement de Neurologie, Hôpital Pitié-Salpêtrière, Paris, France.ORCID https://orcid.org/0000-0002-7623-1142
Agathe RoubertieService de Neuropediatrie, CHU Montpellier, Montpellier, France.

Funding

adcy5.org
6 · The paper itself

Abstract

backgroundAn increasing number of ADCY5-mosaic patients, seemingly with a milder phenotype, are being identified. However, an in-depth assessment of their clinical characteristics is lacking. CASES: We collected and analyzed data from 12 consecutive ADCY5-mosaic patients diagnosed at our center and 7 cases from the literature; 63% of the patients presented with a baseline hyperkinetic motor disorder with paroxysmal motor exacerbations; 30% had isolated paroxysmal dyskinesias (PxD). Caffeine treatment was highly effective. Developmental delay was observed in 5 patients and especially in those with persistent motor symptoms. PxD were the initial motor symptom in 70% of cases.

conclusionsADCY5-mosaic carriers may have the same phenotypic spectrum as non-mosaic carriers but with a milder clinical presentation. Isolated PxD with onset in infancy are a red flag for ADCY5-mosaic variants. Particular attention should be paid when genetic analysis of patients with this phenotype is conducted as mosaicism can be easily missed.

Indexed as

Adenylyl CyclasesMosaicismAdolescentAdultAgedChildChild, PreschoolFemaleHumansInfantMaleMiddle AgedPhenotypeYoung AdultAdenylyl Cyclasesadenylyl cyclase type VADCY5‐mosaicmixed movement disorder ADCY5 (MxMD‐ADCY5)paroxysmal dyskinesias (PxD)

Identifiers

PMID40504113
PMCPMC12625108

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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.