Helbig Ingo
Division of Neurology, The Children's Hospital of Philadelphia, Philadelphia, USA.
Prog Brain Res. 2014;213:253-78. doi: 10.1016/B978-0-444-63326-2.00013-2.
Technical advances in the last decade have finally enabled researchers to identify epilepsy-associated genetic variants by querying virtually the entire genome. In the first decade of the twenty-first century, this technical revolution began with the advent of array comparative genomic hybridization and single nucleotide polymorphism arrays. These technologies made it possible for the first time to screen for common genetic variants and rare small deletions and duplications, referred to as microdeletions and microduplications. More recently, the repertoire of technologies has expanded to exome-wide and genome-wide sequencing approaches. These technologies led to a virtual explosion of gene identifications both in familial cases and in rare severe epilepsies, referred to as epileptic encephalopathies. This chapter aims to provide an overview of the achievements of these new technologies and the challenges that the field is currently facing.
过去十年的技术进步终于使研究人员能够通过查询几乎整个基因组来识别与癫痫相关的基因变异。在21世纪的第一个十年,这场技术革命始于阵列比较基因组杂交和单核苷酸多态性阵列的出现。这些技术首次使筛查常见基因变异以及罕见的小缺失和重复(即微缺失和微重复)成为可能。最近,技术种类已扩展到全外显子组和全基因组测序方法。这些技术导致在家族性病例和罕见的严重癫痫(即癫痫性脑病)中基因识别数量几乎呈爆炸式增长。本章旨在概述这些新技术所取得的成就以及该领域目前面临的挑战。