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[伴有热性惊厥附加症的全身性癫痫的分子遗传学进展]

[Progress in molecular genetics of generalized epilepsy with febrile seizures plus].

作者信息

Sun Hui Hui, Zhang Yue Hua

机构信息

Department of Pediatrics, Peking University First Hospital, Beijing 100034, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2008 Apr;40(2):229-33.

Abstract

Generalized epilepsy with febrile seizures plus (GEFS+) is a familial inherited epileptic syndrome characterized by phenotypic heterogeneity from the milder febrile seizures to the severest epileptic encephalopathy such as severe myoclonic epilepsy in infancy (SMEI). GEFS+ is a disorder with a genetic heterogeneity. Molecular genetics have revealed that four genes are associated with the pathogenesis of GEFS+. These include mutations in genes encoding subunits of neuronal voltage-gated sodium channels (SCN1A, SCN1B, SCN2A) and gamma(2) subunit of the gamma amino-butyric acid (GABA)(A) receptor (GABRG2). These genes have been confirmed as having a role in autosomal dominant GEFS+ families. In addition, the phenotypes of the affected members may depend on the types and locations of these gene mutations. This review states the molecular genetic progress of GEFS+ in brief.

摘要

热性惊厥附加症伴发的全身性癫痫(GEFS+)是一种家族遗传性癫痫综合征,其特征是具有表型异质性,从较轻的热性惊厥到最严重的癫痫性脑病,如婴儿严重肌阵挛性癫痫(SMEI)。GEFS+是一种具有遗传异质性的疾病。分子遗传学研究表明,有四个基因与GEFS+的发病机制相关。这些基因包括编码神经元电压门控钠通道亚基(SCN1A、SCN1B、SCN2A)的基因突变以及γ-氨基丁酸(GABA)A受体的γ(2)亚基(GABRG2)的基因突变。这些基因已被证实与常染色体显性GEFS+家族发病有关。此外,受影响成员的表型可能取决于这些基因突变的类型和位置。本文简要阐述了GEFS+的分子遗传学研究进展。

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