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De novo SCN1A mutations in migrating partial seizures of infancy

Identifieur interne : 006181 ( Main/Exploration ); précédent : 006180; suivant : 006182

De novo SCN1A mutations in migrating partial seizures of infancy

Auteurs : D. Carranza Rojo ; L. Hamiwka ; J. M. Mcmahon ; L. M. Dibbens ; T. Arsov ; A. Suls ; T. Stödberg ; K. Kelley ; E. Wirrell ; B. Appleton ; M. Mackay ; J. L. Freeman ; S. C. Yendle ; S. F. Berkovic ; T. Bienvenu ; P. De Jonghe ; D. R. Thorburn ; J. C. Mulley ; H. C. Mefford ; I. E. Scheffer

Source :

RBID : PMC:3140798

Abstract

Objective:

To determine the genetic etiology of the severe early infantile onset syndrome of malignant migrating partial seizures of infancy (MPSI).

Methods:

Fifteen unrelated children with MPSI were screened for mutations in genes associated with infantile epileptic encephalopathies: SCN1A, CDKL5, STXBP1, PCDH19, and POLG. Microarray studies were performed to identify copy number variations.

Results:

One patient had a de novo SCN1A missense mutation p.R862G that affects the voltage sensor segment of SCN1A. A second patient had a de novo 11.06 Mb deletion of chromosome 2q24.2q31.1 encompassing more than 40 genes that included SCN1A. Screening of CDKL5 (13/15 patients), STXBP1 (13/15), PCDH19 (9/11 females), and the 3 common European mutations of POLG (11/15) was negative. Pathogenic copy number variations were not detected in 11/12 cases.

Conclusion:

Epilepsies associated with SCN1A mutations range in severity from febrile seizures to severe epileptic encephalopathies including Dravet syndrome and severe infantile multifocal epilepsy. MPSI is now the most severe SCN1A phenotype described to date. While not a common cause of MPSI, SCN1A screening should now be considered in patients with this devastating epileptic encephalopathy.


Url:
DOI: 10.1212/WNL.0b013e318227046d
PubMed: 21753172
PubMed Central: 3140798


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<title xml:lang="en">De novo
<italic>SCN1A</italic>
mutations in migrating partial seizures of infancy</title>
<author>
<name sortKey="Carranza Rojo, D" sort="Carranza Rojo, D" uniqKey="Carranza Rojo D" first="D." last="Carranza Rojo">D. Carranza Rojo</name>
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<author>
<name sortKey="Hamiwka, L" sort="Hamiwka, L" uniqKey="Hamiwka L" first="L." last="Hamiwka">L. Hamiwka</name>
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<author>
<name sortKey="Mcmahon, J M" sort="Mcmahon, J M" uniqKey="Mcmahon J" first="J. M." last="Mcmahon">J. M. Mcmahon</name>
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<name sortKey="Dibbens, L M" sort="Dibbens, L M" uniqKey="Dibbens L" first="L. M." last="Dibbens">L. M. Dibbens</name>
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<title xml:lang="en" level="a" type="main">De novo
<italic>SCN1A</italic>
mutations in migrating partial seizures of infancy</title>
<author>
<name sortKey="Carranza Rojo, D" sort="Carranza Rojo, D" uniqKey="Carranza Rojo D" first="D." last="Carranza Rojo">D. Carranza Rojo</name>
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<name sortKey="Berkovic, S F" sort="Berkovic, S F" uniqKey="Berkovic S" first="S. F." last="Berkovic">S. F. Berkovic</name>
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<name sortKey="Bienvenu, T" sort="Bienvenu, T" uniqKey="Bienvenu T" first="T." last="Bienvenu">T. Bienvenu</name>
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<name sortKey="De Jonghe, P" sort="De Jonghe, P" uniqKey="De Jonghe P" first="P." last="De Jonghe">P. De Jonghe</name>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Objective:</title>
<p>To determine the genetic etiology of the severe early infantile onset syndrome of malignant migrating partial seizures of infancy (MPSI).</p>
</sec>
<sec>
<title>Methods:</title>
<p>Fifteen unrelated children with MPSI were screened for mutations in genes associated with infantile epileptic encephalopathies:
<italic>SCN1A</italic>
,
<italic>CDKL5</italic>
,
<italic>STXBP1</italic>
,
<italic>PCDH19</italic>
, and
<italic>POLG</italic>
. Microarray studies were performed to identify copy number variations.</p>
</sec>
<sec>
<title>Results:</title>
<p>One patient had a de novo
<italic>SCN1A</italic>
missense mutation p.R862G that affects the voltage sensor segment of
<italic>SCN1A</italic>
. A second patient had a de novo 11.06 Mb deletion of chromosome 2q24.2q31.1 encompassing more than 40 genes that included
<italic>SCN1A</italic>
. Screening of
<italic>CDKL5</italic>
(13/15 patients),
<italic>STXBP1</italic>
(13/15),
<italic>PCDH19</italic>
(9/11 females), and the 3 common European mutations of
<italic>POLG</italic>
(11/15) was negative. Pathogenic copy number variations were not detected in 11/12 cases.</p>
</sec>
<sec>
<title>Conclusion:</title>
<p>Epilepsies associated with
<italic>SCN1A</italic>
mutations range in severity from febrile seizures to severe epileptic encephalopathies including Dravet syndrome and severe infantile multifocal epilepsy. MPSI is now the most severe
<italic>SCN1A</italic>
phenotype described to date. While not a common cause of MPSI,
<italic>SCN1A</italic>
screening should now be considered in patients with this devastating epileptic encephalopathy.</p>
</sec>
</div>
</front>
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<name sortKey="Arsov, T" sort="Arsov, T" uniqKey="Arsov T" first="T." last="Arsov">T. Arsov</name>
<name sortKey="Berkovic, S F" sort="Berkovic, S F" uniqKey="Berkovic S" first="S. F." last="Berkovic">S. F. Berkovic</name>
<name sortKey="Bienvenu, T" sort="Bienvenu, T" uniqKey="Bienvenu T" first="T." last="Bienvenu">T. Bienvenu</name>
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<name sortKey="Kelley, K" sort="Kelley, K" uniqKey="Kelley K" first="K." last="Kelley">K. Kelley</name>
<name sortKey="Mackay, M" sort="Mackay, M" uniqKey="Mackay M" first="M." last="Mackay">M. Mackay</name>
<name sortKey="Mcmahon, J M" sort="Mcmahon, J M" uniqKey="Mcmahon J" first="J. M." last="Mcmahon">J. M. Mcmahon</name>
<name sortKey="Mefford, H C" sort="Mefford, H C" uniqKey="Mefford H" first="H. C." last="Mefford">H. C. Mefford</name>
<name sortKey="Mulley, J C" sort="Mulley, J C" uniqKey="Mulley J" first="J. C." last="Mulley">J. C. Mulley</name>
<name sortKey="Scheffer, I E" sort="Scheffer, I E" uniqKey="Scheffer I" first="I. E." last="Scheffer">I. E. Scheffer</name>
<name sortKey="Stodberg, T" sort="Stodberg, T" uniqKey="Stodberg T" first="T." last="Stödberg">T. Stödberg</name>
<name sortKey="Suls, A" sort="Suls, A" uniqKey="Suls A" first="A." last="Suls">A. Suls</name>
<name sortKey="Thorburn, D R" sort="Thorburn, D R" uniqKey="Thorburn D" first="D. R." last="Thorburn">D. R. Thorburn</name>
<name sortKey="Wirrell, E" sort="Wirrell, E" uniqKey="Wirrell E" first="E." last="Wirrell">E. Wirrell</name>
<name sortKey="Yendle, S C" sort="Yendle, S C" uniqKey="Yendle S" first="S. C." last="Yendle">S. C. Yendle</name>
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