新发性 SCN1A、SCN8A 和 CLCN2 突变与儿童失神癫痫。

De novo SCN1A, SCN8A, and CLCN2 mutations in childhood absence epilepsy.

机构信息

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

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

出版信息

Epilepsy Res. 2019 Aug;154:55-61. doi: 10.1016/j.eplepsyres.2019.04.005. Epub 2019 Apr 22.

Abstract

This study aimed to identify monogenic mutations from Chinese patients with childhood absence epilepsy (CAE) and summarize their characteristics. A total of 100 patients with CAE were recruited in Peking University First Hospital from 2005 to 2016 and underwent telephone and outpatient follow-up review. We used targeted disease-specific gene capture sequencing (involving 300 genes) to identify pathogenic variations for these patients. We identified three de novo epilepsy-related gene mutations, including missense mutations of SCN1A (c. 5399 T > A; p. Val1800Asp), SCN8A (c. 2371 G > T; p. Val791Phe), and CLCN2 (c. 481 G > A; p. Gly161Ser), from three patients, separately. All recruited patients presented typical CAE features and good prognosis. To date, CAE has been considered a complex disease caused by multiple susceptibility genes. In this study, we observed that 3% of typical CAE patients had a de novo mutation of a known monogenic epilepsy-related gene. Our study suggests that a significant proportion of typical CAE cases may be monogenic forms of epilepsy. For genetic generalized epilepsies, such as CAE, further studies are needed to clarify the contributions of de novo or inherited rare monogenic coding, noncoding and copy number variants.

摘要

本研究旨在从中国儿童失神癫痫(CAE)患者中鉴定单基因突变,并总结其特征。2005 年至 2016 年,我们在北京大学第一医院共招募了 100 名 CAE 患者,并进行了电话和门诊随访。我们使用针对特定疾病的基因捕获测序(涉及 300 个基因)来鉴定这些患者的致病变异。我们从三名患者中分别鉴定出三个新发性癫痫相关基因突变,包括 SCN1A(c.5399T>A;p.Val1800Asp)、SCN8A(c.2371G>T;p.Val791Phe)和 CLCN2(c.481G>A;p.Gly161Ser)的错义突变。所有入组患者均表现出典型 CAE 特征和良好预后。迄今为止,CAE 被认为是一种由多个易感基因引起的复杂疾病。在这项研究中,我们观察到 3%的典型 CAE 患者存在已知单基因癫痫相关基因的新生突变。我们的研究表明,相当一部分典型 CAE 病例可能是单基因形式的癫痫。对于遗传全面性癫痫,如 CAE,需要进一步研究来阐明新生或遗传罕见的单基因编码、非编码和拷贝数变异的贡献。

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