Zhang Tian, Chen Mingwu, Zhu Angang, Zhang Xiaoguang, Fang Tao
Department of Pediatrics, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, 230001, Anhui, China.
Department of Pediatrics, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei, 230001, Anhui, China.
Neurol Sci. 2020 Jul;41(7):1913-1917. doi: 10.1007/s10072-020-04284-x. Epub 2020 Feb 15.
Generalized epilepsy with febrile seizures plus (GEFS+) is a complex familial epilepsy syndrome. It is mainly caused by mutations in SCN1A gene, encoding type 1 voltage-gated sodium channel α-subunit (NaV1.1), and GABRA1 gene, encoding the α1 subunit of the γ-aminobutyric acid type A (GABA) receptor, while seldom related with SCN9A gene, encoding the voltage-gated sodium channel NaV1.7. In this study, we investigated a Chinese family with an autosomal dominant form of GEFS+. DNA sequencing of the whole coding region revealed a novel heterozygous nucleotide substitution (c.5873A>G) causing a missense mutation (p.Y1958C). This mutation was predicted to be deleterious by three different bioinformatics programs (The polyphen2, SIFT, and MutationTaster). Our finding reports a novel likely pathogenic SCN9A Y1958C heterozygous mutation in a Chinese family with GEFS+ and provides additional supports that SCN9A variants may be associated with human epilepsies.
热性惊厥附加症伴发的全身性癫痫(GEFS+)是一种复杂的家族性癫痫综合征。它主要由编码1型电压门控钠通道α亚基(NaV1.1)的SCN1A基因以及编码A型γ-氨基丁酸(GABA)受体α1亚基的GABRA1基因突变引起,而很少与编码电压门控钠通道NaV1.7的SCN9A基因相关。在本研究中,我们调查了一个呈常染色体显性遗传形式的GEFS+中国家系。对整个编码区进行DNA测序发现了一个新的杂合核苷酸替换(c.5873A>G),导致错义突变(p.Y1958C)。通过三种不同的生物信息学程序(polyphen2、SIFT和MutationTaster)预测该突变具有有害性。我们的研究结果报道了一个中国GEFS+家系中一种新的可能致病的SCN9A Y1958C杂合突变,并为SCN9A变异可能与人类癫痫相关提供了更多支持。