Evidence map›Paper›PMID 42768297›Full record

ArticleAnnals of clinical and translational neurology2026

A Novel KCNA1 Variant in a Patient With Tremor and Autism Spectrum Disorder Causes Mixed LOF/GOF Defects of Kv1.1 Channels.

Juan Darío Ortigoza-Escobar, Laura Marti-Sánchez, Loreto Martorell, Giorgia Dinoi, Antonio Vittorio Buono, Annamaria De Luca, Antonella Liantonio, Paola Imbrici

Abstract readCase Reports
In one paragraph

Article in Annals of clinical and translational neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Juan Darío Ortigoza-EscobarMovement Disorders Unit, Pediatric Neurology Department, Institut de Recerca Hospital Sant Joan de Déu Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0002-6320-2641
Laura Marti-SánchezUnitat de Genòmica-NGS, Servei Diagnòstic de Laboratori, Hospital Sant Joan de Déu, Barcelona, Spain.ORCID https://orcid.org/0000-0002-5051-3053
Loreto MartorellU-703 Centre for Biomedical Research on Rare Diseases (CIBER-ER) Instituto de Salud Carlos III, Barcelona, Spain.ORCID https://orcid.org/0000-0003-0898-7332
Giorgia DinoiDepartment of Pharmacy-Drug Sciences, University of Bari "Aldo Moro", Bari, Italy.ORCID https://orcid.org/0009-0007-9250-5610
Antonio Vittorio BuonoDepartment of Pharmacy-Drug Sciences, University of Bari "Aldo Moro", Bari, Italy.ORCID https://orcid.org/0009-0007-8039-6007
Annamaria De LucaDepartment of Pharmacy-Drug Sciences, University of Bari "Aldo Moro", Bari, Italy.ORCID https://orcid.org/0000-0002-5652-7341
Antonella LiantonioDepartment of Pharmacy-Drug Sciences, University of Bari "Aldo Moro", Bari, Italy.ORCID https://orcid.org/0000-0002-4103-7577
Paola ImbriciDepartment of Pharmacy-Drug Sciences, University of Bari "Aldo Moro", Bari, Italy.ORCID https://orcid.org/0000-0001-9140-5350

Funding

Ministry of University and Research (MNESYS FORWARD project)
6 · The paper itself

Abstract

Variants in KCNA1, encoding the Kv1.1 potassium channel, cause neurological disorders including episodic ataxia and developmental and epileptic encephalopathy. We identified a novel KCNA1 variant (A401T) in a 16-year-old patient with autism spectrum disorder, borderline intellectual disability, and tremor, without episodic ataxia or epilepsy. Functional analysis in HEK293 cells showed that A401T markedly reduced potassium currents, slowed activation, and accelerated C-type inactivation, consistent with loss-of-function (LOF), while shifting channel activation to more negative potentials, indicating gain-of-function (GOF). Overall, our findings expand both the clinical and functional spectrum of KCNA1-related disorders by identifying autism spectrum disorder and tremor associated with a mixed LOF/GOF KCNA1 variant.

Indexed as

Autism Spectrum DisorderKv1.1 Potassium ChannelTremorAdolescentHEK293 CellsHumansLoss of Function MutationMaleKCNA1 protein, humanKv1.1 Potassium Channelautism spectrum disordersKCNA1Kv1.1patch clamptremorvoltage clamp

Identifiers

PMID42768297
PMCPMC13593927

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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.