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一名儿科患者中钠电压门控通道α亚基2和Pumilio同源物1基因的杂合突变:病例报告

Heterozygous Mutation of Sodium Voltage-Gated Channel Alpha Subunit 2 and Pumilio Homolog 1 Genes in a Pediatric Patient: A Case Report.

作者信息

Al-Sharif Fawzia, Attiah Feryal O, AlKhateeb Nada A, Taher Hussein O, Alamer Mohammed F, Gazzaz Raneem Y, Ba Sahel Muayad O, Alsharif Rena M

机构信息

Pediatrics, Saudi German Hospital Jeddah, Jeddah, SAU.

Medicine, King Abdulaziz University Hospital, Jeddah, SAU.

出版信息

Cureus. 2022 Oct 22;14(10):e30577. doi: 10.7759/cureus.30577. eCollection 2022 Oct.

Abstract

Epilepsy is a neurological condition brought on by recurrent and spontaneous seizures in patients with hypersynchronous neuronal ensemble activity. These spontaneous seizures appear to be brought on by increased neuronal excitability and synaptic synchronization. The development of neuronal hyperexcitability and acquiring epilepsy is still poorly understood. Cell differentiation and development might be related to the pumilio RNA-binding family member 1 (Pumilio 1 ()). Complete deficiency of this gene causes misregulation of the proteins involved in the control of neuronal excitability. Furthermore, the voltage-gated sodium channels alpha subunit 2 () triggers action potentials in brain neurons, and a variety of severe hereditary epilepsy syndromes are caused by their mutation. Here, we present a rare case of a seven-year-old female with co-occurrence of two genetic mutations in the pumilio homolog 1 () and sodium voltage-gated channel alpha subunit 2 ().

摘要

癫痫是一种神经系统疾病,由神经元同步活动过度的患者反复自发癫痫发作引起。这些自发癫痫发作似乎是由神经元兴奋性增加和突触同步化导致的。神经元过度兴奋和患癫痫的发展过程仍知之甚少。细胞分化和发育可能与pumilio RNA结合家族成员1(Pumilio 1,PUM1)有关。该基因的完全缺失会导致参与控制神经元兴奋性的蛋白质调控异常。此外,电压门控钠通道α亚基2(SCN2A)可触发脑神经元的动作电位,其突变会导致多种严重的遗传性癫痫综合征。在此,我们报告一例罕见的七岁女性病例,其pumilio同源物1(PMID)和钠电压门控通道α亚基2(SCN2A)同时发生两种基因突变。

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Pumilio2-deficient mice show a predisposition for epilepsy.Pumilio2 缺陷小鼠表现出癫痫易感性。
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CaMKII modulates sodium current in neurons from epileptic mutant mice.CaMKII 调节癫痫突变小鼠神经元中的钠电流。
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本文引用的文献

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Clinical Evaluation of Levetiracetam in the Treatment of Epilepsy.左乙拉西坦治疗癫痫的临床评价。
J Healthc Eng. 2022 Apr 5;2022:3789516. doi: 10.1155/2022/3789516. eCollection 2022.
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