دورية أكاديمية

Cryptogenic Epileptic Syndromes Related to SCN1A.

التفاصيل البيبلوغرافية
العنوان: Cryptogenic Epileptic Syndromes Related to SCN1A.
المؤلفون: Zucca, Claudio, Redaelli, Francesca, Epifanio, Roberta, Zanotta, Nicoletta, Romeo, Antonino, Lodi, Monica, Veggiotti, Pierangelo, Airoldi, Giovanni, Panzeri, Chris, Romaniello, Romina, De Polo, Gianni, Bonanni, Paolo, Cardinali, Simonetta, Baschirotto, Cinzia, Martorell, Loreto, Borgatti, Renato, Bresolin, Nereo, Bassi, Maria Teresa
المصدر: Archives of Neurology; Apr2008, Vol. 65 Issue 4, p489-494, 6p
مستخلص: Background: Sodium channel alpha 1 subunit gene, SCN1A, is the gene encoding the neuronal voltage-gated sodium channel α 1 subunit (Nav1.1) and is mutated in different forms of epilepsy. Mutations in this gene were observed in more than 70% of patients with severe myoclonic epilepsy of infancy (SMEI) and were also found in different types of infantile epileptic encephalopathy. Objective: To search for disease-causing mutations in SCN1A in patients with cryptogenic epileptic syndromes (ie, syndromes with an unknown cause). Design: Clinical characterization and molecular genetic analysis of a cohort of patients. Setting: University hospitals, rehabilitation centers, and molecular biology laboratories. Patients: Sixty unrelated patients with cryptogenic epileptic syndromes. Main Outcome Measures: Samples of DNA were analyzed for mutations and for large heterozygous deletions encompassing the SCN1A gene. A search for microdeletions in the SCN1A gene was also performed in the subset of patients with SMEI/SMEI-borderland who had negative results at the point mutation screening. Results: No large deletions at the SCN1A locus were found in any of the patients analyzed. In contrast, 13 different point mutations were identified in 12 patients: 10 with SMEI, 1 with generalized epilepsy with febrile seizures plus, and 1 with cryptogenic focal epilepsy. An additional search for SCN1A intragenic microdeletions in the remaining patients with SMEI/SMEI-borderland and no point mutations was also negative. Conclusions: These results confirm the role of the SCN1A gene in different types of epilepsy, including cryptogenic epileptic syndromes. However, large deletions encompassing SCN1A were not common disease-causing rearrangements in this group of epilepsies. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:00039942
DOI:10.1001/archneur.65.4.489