Evidence map›Paper›PMID 41526386›Full record

ArticleNature communications2026

Cross-species evidence for a developmental origin of adult hypersomnia with loss of synaptic adhesion molecules beat-Ia/CADM2.

Kyla Mace, Amber Zimmerman, Alessandra Chesi, Fusun Doldur-Balli, Hayle Kim, Erika Almeraya Del Valle, Jeffrey B Rosa, Allan I Pack, Struan F A Grant, Matthew S Kayser

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Emerging genetics of sleep and circadian disorders.Current opinion in pediatrics · 2026
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Kyla MacePharmacology Graduate Group, Biomedical Graduate Studies, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-4548-8746
Amber ZimmermanChronobiology and Sleep Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Alessandra ChesiCenter for Spatial and Functional Genomics, Children's Hospital of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-0954-7446
Fusun Doldur-BalliDivision of Sleep Medicine, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-3614-8766
Hayle KimDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0009-0009-5635-2017
Erika Almeraya Del ValleChronobiology and Sleep Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-5071-2423
Jeffrey B RosaDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Allan I PackChronobiology and Sleep Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Struan F A GrantCenter for Spatial and Functional Genomics, Children's Hospital of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-2025-5302
Matthew S KayserChronobiology and Sleep Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. kayser@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0003-2359-4967

Funding

TRAINING PROGRAM/RESPIRATORY NEUROBIOLOGY AND SLEEPT32HL007713 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PACK, ALLAN I · 1992 to 2022
$11.9M
MicroRNAs as Biomarkers for Obstructive Sleep ApneaP01HL160471 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Allan I Pack · 2023 to 2026
$11.9M
PREDOCTORAL TRAINING PROGRAM IN PHARMACOLOGYT32GM008076 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI BLENDY, JULIE A · 1985 to 2023
$10.8M
Training in Sleep & Sleep DisordersT32HL007953 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI David Menassah Raizen, AMY M SAWYER · 2000 to 2026
$10.6M
Elucidation of Genetic Effects on Sleep and Circadian TraitsR01HL143790 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI GEHRMAN, PHILIP RICHARD, GRANT, STRUAN F A · 2018 to 2021
$3.6M
Investigating sleep regulation and function during early developmentR35NS137329 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI MATTHEW S KAYSER · 2024 to 2026
$2.6M
Building brains in our sleep: A Drosophila larval platform for examining sleep and neurogenesisDP2NS111996 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI KAYSER, MATTHEW S · 2018 to 2018
$2.4M
Variant-to-gene mapping for brain related traits and disordersR35HG011959 · NHGRI · UNIVERSITY OF PENNSYLVANIA · PI CHESI, ALESSANDRA · 2021 to 2025
$2.4M
A cross-species approach to hypersomnia genetics informed by human GWASR01NS135075 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI Alessandra Chesi · 2024 to 2026
$1.4M
Molecular and genetic analysis of the juvenile sleep stateR01NS120979 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI KAYSER, MATTHEW S · 2021 to 2023
$1.2M
NHGRI NIH HHS R35 HG011959NHLBI NIH HHS P01 HL160471NHLBI NIH HHS R01 HL143790NHLBI NIH HHS T32 HL007713NHLBI NIH HHS T32 HL007953NIGMS NIH HHS T32 GM008076NINDS NIH HHS DP2 NS111996NINDS NIH HHS R01 NS120979NINDS NIH HHS R01 NS135075NINDS NIH HHS R35 NS137329University of Pennsylvania (Penn) Linda Pechenik Montague AwardU.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) NIH DP2NS111996U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) NIH R01NS120979 (U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) NIH R35NS137329
6 · The paper itself

Abstract

Idiopathic hypersomnia (IH) is a poorly understood sleep disorder characterized by excessive daytime sleepiness despite normal nighttime sleep. Combining human genomics with behavioral and mechanistic studies in fish and flies, we uncover a role for beat-Ia/CADM2, synaptic adhesion molecules of the immunoglobulin superfamily, in excessive sleepiness. Neuronal knockdown of Drosophila beat-Ia results in sleepy flies and loss of the vertebrate ortholog of beat-Ia, CADM2, results in sleepy fish. We delineate a developmental function for beat-Ia in synaptic elaboration of neuropeptide F (NPF) neurites projecting to the suboesophageal zone (SEZ) of the fly brain. Brain connectome and experimental evidence demonstrate these NPF outputs synapse onto a subpopulation of SEZ GABAergic neurons to stabilize arousal. NPF is the Drosophila homolog of vertebrate neuropeptide Y (NPY), and an NPY receptor agonist restores sleep to normal levels in zebrafish lacking CADM2. These findings point towards NPY modulation as a treatment target for human hypersomnia.

Indexed as

Cell Adhesion MoleculesDisorders of Excessive SomnolenceDrosophila ProteinsZebrafish ProteinsAnimalsBrainDrosophila melanogasterGABAergic NeuronsHumansNeuropeptidesNeuropeptide YReceptors, Neuropeptide YSleepSynapsesZebrafishCell Adhesion MoleculesDrosophila Proteinsneuropeptide FNeuropeptidesNeuropeptide YReceptors, Neuropeptide YZebrafish Proteins

Identifiers

PMID41526386
PMCPMC12904864

What OpenQuestion holds

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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.