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支持热性惊厥存在遗传异质性的证据。

Evidence favoring genetic heterogeneity for febrile convulsions.

作者信息

Racacho L J, McLachlan R S, Ebers G C, Maher J, Bulman D E

机构信息

Ottawa Hospital Research Institute, Ontario, Canada.

出版信息

Epilepsia. 2000 Feb;41(2):132-9. doi: 10.1111/j.1528-1157.2000.tb00132.x.

Abstract

PURPOSE

Two large Canadian kindreds appearing to segregate febrile convulsions as an autosomal dominant trait were evaluated for linkage to three known FC loci, as well as other epilepsy loci.

METHODS

Members of the two families were genotyped with microsatellite markers linked to the previously identified febrile convulsion loci, FEB1, FEB2, and GEFS+, and we performed two-point linkage analyses by assuming an autosomal dominant mode of inheritance.

RESULTS

We report the exclusion of the FC trait in our families to FEB1 on 8q13-21 and to a second febrile convulsion locus on 19p13. Furthermore, we also excluded the GEFS+ locus on 19q13.1 as the cause of febrile convulsions in both kindreds. Microsatellite markers linked to juvenile myoclonic epilepsy (EJM1), benign neonatal familial convulsions EBN1 and EBN2, autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE), idiopathic generalized epilepsy (EGI), progressive myoclonic epilepsy of Unverricht-Lundborg (EPM1), and partial epilepsy with auditory features (EPT), were also excluded as potential loci linked to the FC trait in our families.

CONCLUSIONS

These findings favor considerable genetic heterogeneity for febrile convulsions.

摘要

目的

对两个看似将热性惊厥作为常染色体显性性状进行分离的加拿大大家族进行评估,以确定其与三个已知的热性惊厥基因座以及其他癫痫基因座的连锁关系。

方法

使用与先前确定的热性惊厥基因座FEB1、FEB2和GEFS+相关的微卫星标记对两个家族的成员进行基因分型,并通过假设常染色体显性遗传模式进行两点连锁分析。

结果

我们报告了在我们的家族中,热性惊厥性状与8q13 - 21上的FEB1以及19p13上的第二个热性惊厥基因座不连锁。此外,我们还排除了19q13.1上的GEFS+基因座是这两个家族热性惊厥病因的可能性。与青少年肌阵挛性癫痫(EJM1)、良性新生儿家族性惊厥EBN1和EBN2、常染色体显性夜间额叶癫痫(ADNFLE)、特发性全身性癫痫(EGI)、昂韦里希特 - 伦德伯格进行性肌阵挛性癫痫(EPM1)以及具有听觉特征的部分性癫痫(EPT)相关的微卫星标记,也被排除是我们家族中与热性惊厥性状相关的潜在基因座。

结论

这些发现支持热性惊厥存在相当大的遗传异质性。

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