Evidence map›Paper›PMID 40307383›Full record

ArticleNature neuroscience2025

Single-cell genotyping and transcriptomic profiling of mosaic focal cortical dysplasia.

Sara Baldassari, Esther Klingler, Lucia Gomez Teijeiro, Marion Doladilhe, Corentin Raoux, Sergi Roig-Puiggros, Sara Bizzotto, Jeanne Couturier, Alice Gilbert, Lina Sami and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in Nature neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02890641 (Genetic and Electrophysiologic Study in Focal Drug-resistant Epilepsies), which is not on this map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
–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.

NCT02890641 recruitingnot on this map

Genetic and Electrophysiologic Study in Focal Drug-resistant Epilepsies

TypeobservationalSponsorFondation Ophtalmologique Adolphe de RothschildRan2015 to 2031Enrolled450ConditionsDrug-resistant Focal Epilepsies in Pediatric PopulationArmsSampling of blood, frozen resected tissues, and cerebrospinal fluid (CSF)
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Origins and timing of somatic variants in the brain.Current opinion in genetics & development · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Sara Baldassari *Institut du Cerveau-Paris Brain Institute-ICM, Sorbonne Université, Inserm, CNRS, Hôpital de la Pitié Salpêtrière, Paris, France.ORCID http://orcid.org/0000-0003-4851-2796
Esther Klingler *VIB-KU Leuven Center for Brain & Disease Research, Leuven, Belgium.
Lucia Gomez TeijeiroDepartment of Basic Neurosciences, University of Geneva, Geneva, Switzerland.
Marion DoladilheInstitut du Cerveau-Paris Brain Institute-ICM, Sorbonne Université, Inserm, CNRS, Hôpital de la Pitié Salpêtrière, Paris, France.
Corentin RaouxInstitut du Cerveau-Paris Brain Institute-ICM, Sorbonne Université, Inserm, CNRS, Hôpital de la Pitié Salpêtrière, Paris, France.
Sergi Roig-PuiggrosDepartment of Basic Neurosciences, University of Geneva, Geneva, Switzerland.ORCID http://orcid.org/0000-0001-5909-218X
Sara BizzottoInstitut du Cerveau-Paris Brain Institute-ICM, Sorbonne Université, Inserm, CNRS, Hôpital de la Pitié Salpêtrière, Paris, France.ORCID http://orcid.org/0000-0001-6644-0306
Jeanne CouturierInstitut du Cerveau-Paris Brain Institute-ICM, Sorbonne Université, Inserm, CNRS, Hôpital de la Pitié Salpêtrière, Paris, France.
Alice GilbertInstitut du Cerveau-Paris Brain Institute-ICM, Sorbonne Université, Inserm, CNRS, Hôpital de la Pitié Salpêtrière, Paris, France.
Lina SamiInstitut du Cerveau-Paris Brain Institute-ICM, Sorbonne Université, Inserm, CNRS, Hôpital de la Pitié Salpêtrière, Paris, France.
Théo RibierreInstitut du Cerveau-Paris Brain Institute-ICM, Sorbonne Université, Inserm, CNRS, Hôpital de la Pitié Salpêtrière, Paris, France.ORCID http://orcid.org/0000-0002-5003-0991
Eleonora AronicaDepartment of (Neuro)Pathology, Amsterdam UMC, University of Amsterdam, Amsterdam Neuroscience, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-3542-3770
Homa Adle-BiassetteUniversité Paris Cité, Inserm, NeuroDiderot, Paris, France.
Mathilde ChipauxPediatric Neurosurgery Department, CCMR Epilepsies Rares, European Reference Network EpiCare Member, Rothschild Foundation Hospital, Paris, France.
Denis JabaudonDepartment of Basic Neurosciences, University of Geneva, Geneva, Switzerland.ORCID http://orcid.org/0000-0003-2438-4769
Stéphanie BaulacInstitut du Cerveau-Paris Brain Institute-ICM, Sorbonne Université, Inserm, CNRS, Hôpital de la Pitié Salpêtrière, Paris, France. stephanie.baulac@icm-institute.org.ORCID http://orcid.org/0000-0001-6430-4693

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Focal cortical dysplasia type II (FCDII) is a cortical malformation causing refractory epilepsy. FCDII arises from developmental somatic activating mutations in mTOR pathway genes, leading to focal cortical dyslamination and abnormal cytomegalic cells. Which cell types carry pathogenic mutations and how they affect cell-type-specific transcriptional programs remain unknown. In the present study, we combined several single-nucleus genotyping and transcriptomics approaches with spatial resolution in surgical cortical specimens from patients with genetically mosaic FCDII. Mutations were detected in distinct cell types, including glutamatergic neurons and astrocytes, and a small fraction of mutated cells exhibited cytomegalic features. Moreover, we identified cell-type-specific transcriptional dysregulations in both mutated and nonmutated FCDII cells, including synapse- and neurodevelopment-related pathways, that may account for epilepsy and dysregulation of mitochondrial metabolism pathways in cytomegalic cells. Together, these findings reveal cell-autonomous and non-cell-autonomous features of FCDII that may be leveraged for precision medicine.

Indexed as

Malformations of Cortical DevelopmentMalformations of Cortical Development, Group ITranscriptomeAdultAstrocytesChildChild, PreschoolEpilepsyFemaleFocal Cortical DysplasiaGene Expression ProfilingGenotypeHumansMaleMosaicismMutation

Identifiers

PMID40307383
PMCPMC12081288

What Socratic holds

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Registered trials

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 Socratic graph.