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1.
bioRxiv ; 2024 Jul 02.
Article in English | MEDLINE | ID: mdl-39005470

ABSTRACT

Cartilaginous fishes (chimaeras and elasmobranchs -sharks, skates and rays) hold a key phylogenetic position to explore the origin and diversifications of jawed vertebrates. Here, we report and integrate reference genomic, transcriptomic and morphological data in the small-spotted catshark Scyliorhinus canicula to shed light on the evolution of sensory organs. We first characterise general aspects of the catshark genome, confirming the high conservation of genome organisation across cartilaginous fishes, and investigate population genomic signatures. Taking advantage of a dense sampling of transcriptomic data, we also identify gene signatures for all major organs, including chondrichthyan specializations, and evaluate expression diversifications between paralogs within major gene families involved in sensory functions. Finally, we combine these data with 3D synchrotron imaging and in situ gene expression analyses to explore chondrichthyan-specific traits and more general evolutionary trends of sensory systems. This approach brings to light, among others, novel markers of the ampullae of Lorenzini electro-sensory cells, a duplication hotspot for crystallin genes conserved in jawed vertebrates, and a new metazoan clade of the Transient-receptor potential (TRP) family. These resources and results, obtained in an experimentally tractable chondrichthyan model, open new avenues to integrate multiomics analyses for the study of elasmobranchs and jawed vertebrates.

2.
Neurology ; 77(4): 380-3, 2011 Jul 26.
Article in English | MEDLINE | ID: mdl-21753172

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.


Subject(s)
DNA Copy Number Variations/genetics , Epilepsies, Partial/genetics , Mutation , Nerve Tissue Proteins/genetics , Sodium Channels/genetics , Cadherins/genetics , Child , Child, Preschool , DNA Polymerase gamma , DNA-Directed DNA Polymerase/genetics , Epilepsies, Partial/complications , Female , Genetic Predisposition to Disease/genetics , Genetic Testing/methods , Humans , Infant , Male , Munc18 Proteins/genetics , NAV1.1 Voltage-Gated Sodium Channel , Protein Serine-Threonine Kinases/genetics , Protocadherins
3.
Neurology ; 76(17): 1514-9, 2011 Apr 26.
Article in English | MEDLINE | ID: mdl-21519002

ABSTRACT

OBJECTIVE: Two unrelated families were ascertained in which sisters had infantile onset of epilepsy and developmental delay. Mutations in the protocadherin 19 (PCDH19) gene cause epilepsy and mental retardation limited to females (EFMR). Despite both sister pairs having a PCDH19 mutation, neither parent in each family was a heterozygous carrier of the mutation. The possibility of parental mosaicism of PCDH19 mutations was investigated. METHODS: Genomic DNA from peripheral blood was obtained and sequenced for PCDH19 mutations. Parentage was confirmed by markers. RESULTS: Both sister pairs have a mutation in PCDH19. Sister pair 1 has a missense mutation, c.74T>C, L25P, while sequence analysis indicates both of their parents are negative for the mutation. Diagnostic restriction enzyme analysis detected low-level mosaicism of the mutation in their mother. Sister pair 2 are half-sisters who share a mother and each has the missense PCDH19 mutation c.1019 A>G, N340S. The sequence chromatograph of their mother shows reduced signal for the same mutation. These data indicate maternal somatic and gonadal mosaicism of the PCDH19 mutation in both sister pairs. Phenotyping is suggestive of, and PCDH19 mutation detection is diagnostic for, the disorder EFMR in the affected girls. CONCLUSIONS: We show that gonadal mosaicism of a PCDH19 mutation in a parent is an important molecular mechanism associated with the inheritance of EFMR. This should be considered when providing genetic counseling for couples who have one affected daughter as they may risk recurrence of affected daughters and having sons at risk of transmitting EFMR.


Subject(s)
Cadherins/genetics , Epilepsy/genetics , Family Health , Intellectual Disability/genetics , Parents , Polymorphism, Single Nucleotide/genetics , Adolescent , DNA Mutational Analysis , Epilepsy/complications , Female , Humans , Intellectual Disability/complications , Male , Mosaicism , Protocadherins , Recurrence , Young Adult
4.
Neurosci Lett ; 453(3): 162-5, 2009 Apr 10.
Article in English | MEDLINE | ID: mdl-19429026

ABSTRACT

Rare GABA(A) receptor gamma2 and alpha1 subunit mutations of pathogenic effect have been described segregating in families with "monogenic" epilepsies. We now report globally on the genetic variation contained within all 16 neuronal GABA(A) receptor subunit genes from the one patient cohort. The cohort consists of GEFS(+), FS, and IGE subgroups as either sporadic cases or index cases from small families, with one index case from one large IGE family. The rarity of mutations and coding variation in general across all of the subunits suggests a low tolerance for mutations affecting GABA mediated neuronal inhibition. Characterization of the broader channelopathy load associated with susceptibility to these common epilepsies mostly with complex genetics will need to be expanded beyond the family of GABA(A) receptor subunits to all families of neuronal ion channels and their interacting molecules by systematic mutation detection associated with functional investigation of their naturally occurring genetic variations.


Subject(s)
Epilepsy, Generalized/genetics , Neurons/physiology , Receptors, GABA-A/genetics , Animals , Brain/metabolism , Cohort Studies , Female , Genetic Variation , Humans , Mutation , Oocytes/physiology , Protein Subunits/genetics , Protein Subunits/physiology , Receptors, GABA-A/physiology , Xenopus laevis
6.
J Chem Phys ; 127(8): 084707, 2007 Aug 28.
Article in English | MEDLINE | ID: mdl-17764284

ABSTRACT

Epitaxial ultrathin titanium dioxide films of 0.3 to approximately 7 nm thickness on a metal single crystal substrate have been investigated by high resolution vibrational and electron spectroscopies. The data complement previous morphological data provided by scanned probe microscopy and low energy electron diffraction to provide very complete characterization of this system. The thicker films display electronic structure consistent with a stoichiometric TiO(2) phase. The thinner films appear nonstoichiometric due to band bending and charge transfer from the metal substrate, while work function measurements also show a marked thickness dependence. The vibrational spectroscopy shows three clear phonon bands at 368, 438, and 829 cm(-1) (at 273 K), which confirms a rutile structure. The phonon band intensity scales linearly with film thickness and shift slightly to lower frequencies with increasing temperature, in accord with results for single crystals.

7.
J Med Genet ; 44(12): 791-6, 2007 Dec.
Article in English | MEDLINE | ID: mdl-17675531

ABSTRACT

BACKGROUND: Benign familial neonatal seizures are most often caused by mutations in the voltage-gated potassium channel subunit gene KCNQ2. More than 60 mutations have been described in BFNS families, approximately half of which lead to protein truncation. The hypothesis of this study was that deletion or duplication of >or=1 exons of KCNQ2 could cause BFNS in cases without coding or splicing mutations. METHODS: Multiplex ligation-dependent probe amplification (MLPA) was used to test a group of 21 unrelated patients with clinical features consistent with either BFNS, benign familial neonatal-infantile seizures or sporadic neonatal seizures, for exonic deletions and duplications. RESULTS: Three deletions and one duplication mutation were identified in four familial cases and cascade testing of their available family members showed that the mutations segregated with the phenotype in each family. The junction fragment for one of the deletions was amplified by PCR and sequenced to characterise the breakpoint and verify that a deletion had occurred. CONCLUSIONS: Submicroscopic deletions or duplications of KCNQ2 are seen in a significant proportion of BFNS families: four of nine (44%) cases previously testing negative for coding or splice site mutation by sequencing KCNQ2 and KCNQ3. MLPA is an efficient second-tier testing strategy for KCNQ2 to identify pathogenic intragenic mutations not detectable by conventional DNA sequencing methods.


Subject(s)
Epilepsy, Benign Neonatal/genetics , Gene Deletion , Gene Duplication , KCNQ2 Potassium Channel/genetics , Adult , Child, Preschool , DNA Mutational Analysis , Epilepsy/genetics , Exons/genetics , Female , Humans , Infant , Infant, Newborn , KCNQ2 Potassium Channel/chemistry , KCNQ2 Potassium Channel/deficiency , Male , Middle Aged , Nucleic Acid Amplification Techniques , Pedigree , Phenotype , Polymerase Chain Reaction/methods , Sequence Analysis, DNA
8.
Neuroscience ; 148(1): 164-74, 2007 Aug 10.
Article in English | MEDLINE | ID: mdl-17629415

ABSTRACT

Two novel mutations (R85C and R85H) on the extracellular immunoglobulin-like domain of the sodium channel beta1 subunit have been identified in individuals from two families with generalized epilepsy with febrile seizures plus (GEFS+). The functional consequences of these two mutations were determined by co-expression of the human brain NaV1.2 alpha subunit with wild type or mutant beta1 subunits in human embryonic kidney (HEK)-293T cells. Patch clamp studies confirmed the regulatory role of beta1 in that relative to NaV1.2 alone the NaV1.2+beta1 currents had right-shifted voltage dependence of activation, fast and slow inactivation and reduced use dependence. In addition, the NaV1.2+beta1 current entered fast inactivation slightly faster than NaV1.2 channels alone. The beta1(R85C) subunit appears to be a complete loss of function in that none of the modulating effects of the wild type beta1 were observed when it was co-expressed with NaV1.2. Interestingly, the beta1(R85H) subunit also failed to modulate fast kinetics, however, it shifted the voltage dependence of steady state slow inactivation in the same way as the wild type beta1 subunit. Immunohistochemical studies revealed cell surface expression of the wild type beta1 subunit and undetectable levels of cell surface expression for both mutants. The functional studies suggest association of the beta1(R85H) subunit with the alpha subunit where its influence is limited to modulating steady state slow inactivation. In summary, the mutant beta1 subunits essentially fail to modulate alpha subunits which could increase neuronal excitability and underlie GEFS+ pathogenesis.


Subject(s)
Brain Chemistry/genetics , Epilepsy, Generalized/genetics , Genetic Predisposition to Disease/genetics , Mutation/genetics , Seizures, Febrile/genetics , Sodium Channels/genetics , Action Potentials/genetics , Brain/metabolism , Brain/physiopathology , Cell Line , Epilepsy, Generalized/metabolism , Epilepsy, Generalized/physiopathology , Humans , Ion Channel Gating/genetics , Membrane Potentials/genetics , NAV1.1 Voltage-Gated Sodium Channel , Nerve Tissue Proteins/genetics , Patch-Clamp Techniques , Protein Subunits/genetics , Seizures, Febrile/metabolism , Seizures, Febrile/physiopathology , Synapses/genetics , Synapses/metabolism , Synaptic Transmission/genetics , Transfection , Voltage-Gated Sodium Channel beta-1 Subunit
9.
Genes Brain Behav ; 6(7): 593-7, 2007 Oct.
Article in English | MEDLINE | ID: mdl-17559416

ABSTRACT

Approximately 40% of epilepsy has a complex genetic basis with an unknown number of susceptibility genes. The effect of each susceptibility gene acting alone is insufficient to account for seizure phenotypes, but certain numbers or combinations of variations in susceptibility genes are predicted to raise the level of neuronal hyperexcitability above a seizure threshold for a given individual in a given environment. Identities of susceptibility genes are beginning to be determined, initially by translation of knowledge gained from gene discovery in the monogenic epilepsies. This entrée into idiopathic epilepsies with complex genetics has led to the experimental validation of susceptibility variants in the first few susceptibility genes. The genetic architecture so far emerging from these results is consistent with what we have designated as a polygenic heterogeneity model for the epilepsies with complex genetics.


Subject(s)
Epilepsy/genetics , Genetic Predisposition to Disease , Models, Genetic , Genetic Variation , Humans
10.
Genes Brain Behav ; 6(8): 750-5, 2007 Nov.
Article in English | MEDLINE | ID: mdl-17331106

ABSTRACT

Photosensitive seizures occur most commonly in childhood and adolescence, usually as a manifestation of complex idiopathic generalized epilepsies (IGEs). Molecular mechanisms underlying this condition are yet to be determined because no susceptibility genes have been identified. The NEDD4-2 (Neuronally Expressed Developmentally Downregulated 4) gene encodes a ubiquitin protein ligase proposed to regulate cell surface levels of several ion channels, receptors and transporters involved in regulating neuronal excitability, including voltage-gated sodium channels (VGSCs), the most clinically relevant of the epilepsy genes. The regulation of NEDD4-2 in vivo involves complex interactions with accessory proteins in a cell type specific manner. We screened NEDD4-2 for mutations in a cohort of 253 families with IGEs. We identified three NEDD4-2 missense changes in highly conserved residues; S233L, E271A and H515P in families with photosensitive generalized epilepsy. The NEDD4-2 variants were as effective as wild-type NEDD4-2 in downregulating the VGSC subtype Na(v)1.2 when assessed in the Xenopus oocyte heterologous expression system showing that the direct interaction with the ion channel was not altered by these variants. These data raise the possibility that photosensitive epilepsy may arise from defective interaction of NEDD4-2 with as yet unidentified accessory or target proteins.


Subject(s)
Epilepsy, Generalized/genetics , Epilepsy, Reflex/genetics , Ion Channel Gating/genetics , Ubiquitin-Protein Ligases/genetics , Case-Control Studies , Chromosomes, Human, Pair 18/genetics , Cohort Studies , Endosomal Sorting Complexes Required for Transport , Epilepsy, Generalized/metabolism , Epilepsy, Reflex/metabolism , Female , Genetic Predisposition to Disease , Humans , Ion Channel Gating/physiology , Male , Mutation, Missense , Nedd4 Ubiquitin Protein Ligases , Pedigree , Sequence Deletion , Sequence Homology, Amino Acid , Sodium Channels/metabolism , Xenopus Proteins
11.
Neurology ; 67(12): 2224-6, 2006 Dec 26.
Article in English | MEDLINE | ID: mdl-17190949

ABSTRACT

Establishing an etiologic diagnosis in adults with refractory epilepsy and intellectual disability is challenging. We analyzed the phenotype of 14 adults with severe myoclonic epilepsy of infancy. This phenotype comprised heterogeneous seizure types with nocturnal generalized tonic-clonic seizures predominating, mild to severe intellectual disability, and variable motor abnormalities. The diagnosis was suggested by a characteristic evolution of clinical findings in the first years of life. Ten had mutations in SCN1A and one in GABRG2.


Subject(s)
Epilepsies, Myoclonic/diagnosis , Epilepsies, Myoclonic/genetics , Nerve Tissue Proteins/genetics , Sodium Channels/genetics , Adolescent , Adult , Diagnosis, Differential , Female , Genetic Predisposition to Disease/genetics , Genetic Testing/methods , Humans , Male , Middle Aged , Mutation , NAV1.1 Voltage-Gated Sodium Channel , Phenotype
12.
Neurology ; 67(6): 1094-5, 2006 Sep 26.
Article in English | MEDLINE | ID: mdl-17000989

ABSTRACT

We examined cases of severe myoclonic epilepsy of infancy (SMEI) for exon deletions or duplications within the sodium channel SCN1A gene by multiplex ligation-dependent probe amplification. Two of 13 patients (15%) who fulfilled the strict clinical definition of SMEI but without SCN1A coding or splicing mutations had exonic deletions of SCN1A.


Subject(s)
Epilepsies, Myoclonic/genetics , Exons/genetics , Gene Deletion , Nerve Tissue Proteins/genetics , Sodium Channels/genetics , Cohort Studies , DNA Mutational Analysis/methods , Humans , NAV1.1 Voltage-Gated Sodium Channel
13.
Neurology ; 63(6): 1090-2, 2004 Sep 28.
Article in English | MEDLINE | ID: mdl-15452306

ABSTRACT

Alteration of ATP-binding cassette subfamily B member 1 transporter (ABCB1) can plausibly cause drug-resistant epilepsy as it influences brain penetration of drugs. The CC genotype at the ABCB1 C3435T polymorphism was reported to be associated with multidrug resistance. A replication study in 401 drug-resistant and 208 drug-responsive subjects with epilepsy showed no significant association between the CC genotype and drug-resistant epilepsy. The authors suggest the initial association may have arisen by chance.


Subject(s)
ATP Binding Cassette Transporter, Subfamily B, Member 1/physiology , Anticonvulsants/pharmacology , Drug Resistance, Multiple/genetics , Epilepsy, Temporal Lobe/genetics , ATP Binding Cassette Transporter, Subfamily B, Member 1/genetics , Alleles , Amino Acid Substitution , Anticonvulsants/therapeutic use , Epilepsy, Temporal Lobe/drug therapy , Exons/genetics , Gene Frequency , Genotype , Haplotypes/genetics , Hippocampus/pathology , Mutation, Missense , Polymorphism, Genetic , Polymorphism, Single Nucleotide , Reproducibility of Results , Sclerosis , Victoria/epidemiology
14.
Neurology ; 62(7): 1115-9, 2004 Apr 13.
Article in English | MEDLINE | ID: mdl-15079010

ABSTRACT

BACKGROUND AND OBJECTIVES: A number of familial temporal lobe epilepsies (TLE) have been recently recognized. Mutations in LGI1 (leucine-rich, glioma-inactivated 1 gene) have been found in a few families with the syndrome of autosomal dominant partial epilepsy with auditory features (ADPEAF). The authors aimed to determine the spectrum of TLE phenotypes with LGI1 mutations, to study the frequency of mutations in ADPEAF, and to examine the role of LGI1 paralogs in ADPEAF without LGI1 mutations. METHODS: The authors performed a clinical and molecular analysis on 75 pedigrees comprising 54 with a variety of familial epilepsies associated with TLE and 21 sporadic TLE cases. All were studied for mutations in LGI1. ADPEAF families negative for LGI1 mutations were screened for mutations in LGI2, LGI3, and LGI4. RESULTS: Four families had ADPEAF, 22 had mesial TLE, 11 had TLE with febrile seizures, two had TLE with developmental abnormalities, and 15 had various other TLE syndromes. LGI1 mutations were found in two of four ADPEAF families, but in none of the other 50 families nor in the 21 individuals with sporadic TLE. The mutations were novel missense mutations in exons 1 (c.124T-->G; C42G) and 8 (c.1418C-->T; S473L). No mutations in LGI2, LGI3, or LGI4 were found in the other two ADPEAF families. CONCLUSION: In TLE, mutations in LGI1 are specific for ADPEAF but do not occur in all families. ADPEAF is genetically heterogeneous, but mutations in LGI2, LGI3, or LGI4 did not account for families without LGI1 mutations.


Subject(s)
Epilepsy, Partial, Sensory/genetics , Epilepsy, Temporal Lobe/genetics , Mutation, Missense , Proteins/genetics , Adult , Age of Onset , Aged , Amino Acid Sequence , Animals , Conserved Sequence , DNA Mutational Analysis , Extracellular Matrix Proteins/genetics , Family , Female , Genes, Dominant , Genetic Testing , Humans , Intracellular Signaling Peptides and Proteins , Male , Mice , Middle Aged , Molecular Sequence Data , Nerve Tissue Proteins , Pedigree , Rats , Sequence Alignment
16.
Neurology ; 61(6): 765-9, 2003 Sep 23.
Article in English | MEDLINE | ID: mdl-14504318

ABSTRACT

BACKGROUND: Mutations in SCN1A, the gene encoding the alpha1 subunit of the sodium channel, have been found in severe myoclonic epilepsy of infancy (SMEI) and generalized epilepsy with febrile seizures plus (GEFS+). Mutations in SMEI include missense, nonsense, and frameshift mutations more commonly arising de novo in affected patients. This finding is difficult to reconcile with the family history of GEFS+ in a significant proportion of patients with SMEI. Infantile spasms (IS), or West syndrome, is a severe epileptic encephalopathy that is usually symptomatic. In some cases, no etiology is found and there is a family history of epilepsy. METHOD: The authors screened SCN1A in 24 patients with SMEI and 23 with IS. RESULTS: Mutations were found in 8 of 24 (33%) SMEI patients, a frequency much lower than initial reports from Europe and Japan. One mutation near the carboxy terminus was identified in an IS patient. A family history of seizures was found in 17 of 24 patients with SMEI. CONCLUSIONS: The rate of SCN1A mutations in this cohort of SMEI patients suggests that other factors may be important in SMEI. Less severe mutations associated with GEFS+ could interact with other loci to cause SMEI in cases with a family history of GEFS+. This study extends the phenotypic heterogeneity of mutations in SCN1A to include IS.


Subject(s)
Myoclonic Epilepsy, Juvenile/genetics , Nerve Tissue Proteins/genetics , Sodium Channels/genetics , Spasms, Infantile/genetics , Amino Acid Sequence , Amino Acid Substitution , Australia , Child , Child, Preschool , Codon, Nonsense , DNA Mutational Analysis , Exons/genetics , Female , Genetic Heterogeneity , Humans , Infant , Male , Models, Molecular , Molecular Sequence Data , Mutation, Missense , NAV1.1 Voltage-Gated Sodium Channel , Nerve Tissue Proteins/chemistry , Polymorphism, Single-Stranded Conformational , Protein Structure, Tertiary , RNA Splice Sites/genetics , Seizures, Febrile/genetics , Sequence Alignment , Sequence Deletion , Sequence Homology, Amino Acid , Sodium Channels/chemistry , Structure-Activity Relationship
17.
Neurology ; 59(3): 348-56, 2002 Aug 13.
Article in English | MEDLINE | ID: mdl-12177367

ABSTRACT

OBJECTIVE: To describe a new syndrome of X-linked myoclonic epilepsy with generalized spasticity and intellectual disability (XMESID) and identify the gene defect underlying this disorder. METHODS: The authors studied a family in which six boys over two generations had intractable seizures using a validated seizure questionnaire, clinical examination, and EEG studies. Previous records and investigations were obtained. Information on seizure disorders was obtained on 271 members of the extended family. Molecular genetic analysis included linkage studies and mutational analysis using a positional candidate gene approach. RESULTS: All six affected boys had myoclonic seizures and TCS; two had infantile spasms, but only one had hypsarrhythmia. EEG studies show diffuse background slowing with slow generalized spike wave activity. All affected boys had moderate to profound intellectual disability. Hyperreflexia was observed in obligate carrier women. A late-onset progressive spastic ataxia in the matriarch raises the possibility of late clinical manifestations in obligate carriers. The disorder was mapped to Xp11.2-22.2 with a maximum lod score of 1.8. As recently reported, a missense mutation (1058C>T/P353L) was identified within the homeodomain of the novel human Aristaless related homeobox gene (ARX). CONCLUSIONS: XMESID is a rare X-linked recessive myoclonic epilepsy with spasticity and intellectual disability in boys. Hyperreflexia is found in carrier women. XMESID is associated with a missense mutation in ARX. This disorder is allelic with X-linked infantile spasms (ISSX; MIM 308350) where polyalanine tract expansions are the commonly observed molecular defect. Mutations of ARX are associated with a wide range of phenotypes; functional studies in the future may lend insights to the neurobiology of myoclonic seizures and infantile spasms.


Subject(s)
Drosophila Proteins/genetics , Epilepsies, Myoclonic/genetics , Genes, Homeobox/genetics , Genetic Linkage/genetics , Learning Disabilities/genetics , Muscle Spasticity/genetics , Mutation, Missense/genetics , X Chromosome/genetics , Adult , Aged , Child , Child, Preschool , Female , Genetic Carrier Screening , Humans , Male , Middle Aged , Pedigree
18.
Epilepsia ; 43 Suppl 5: 112-22, 2002.
Article in English | MEDLINE | ID: mdl-12121305

ABSTRACT

PURPOSE: The linkage between autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE) and neuronal nicotinic acetylcholine receptor has been strongly reinforced by the report of five distinct mutations in the two genes coding for the major brain alpha4beta2 nicotinic acetylcholine (ACh) receptors. As a first step toward understanding the basic mechanisms underlying this genetically transmissible neurologic disorder, we examined the similarities and differences of the functional properties displayed by naturally occurring mutant forms of this ligand-gated channel. METHODS: Functional studies of neuronal nicotinic ACh receptors reconstituted in Xenopus oocytes were designed to analyze the common traits displayed by the different mutations associated with ADNFLE. RESULTS: Coexpression of the control and mutated alleles harboring the alpha4S248F mutation obtained from patient DNAs yielded ACh-evoked currents of amplitude comparable to the control responses but with a higher sensitivity and desensitization to the natural agonist. Alternatively, the other mutants (alpha4L776ins3, alpha4S252L, and beta2V287M) displayed an increased ACh sensitivity without pronounced desensitization. In addition, whereas a reduction of calcium permeability was observed for the mutants (alpha4S248F and alpha4L776ins3), no significant modification of ionic selectivity could be detected in the alpha4S252L mutation. Hence increase in ACh sensitivity is the only common characteristic so far observed between the four naturally occurring mutant receptors investigated. CONCLUSIONS: Analyses of functional properties of four nAChR mutants associated with ADNFLE indicate that a gain of function of these mutant receptors may be at the origin of the neuronal network dysfunction that causes the epileptic seizures. These data are discussed in the context of our latest knowledge of the pyramidal cell function.


Subject(s)
Circadian Rhythm , Epilepsy, Temporal Lobe/genetics , Epilepsy, Temporal Lobe/physiopathology , Genes, Dominant , Mutation/physiology , Receptors, Nicotinic/genetics , Acetylcholine/pharmacology , Alleles , Animals , Electric Conductivity , Humans , Nerve Net/physiopathology , Oocytes , Receptors, Nicotinic/drug effects , Receptors, Nicotinic/metabolism , Xenopus
19.
Neurology ; 58(9): 1426-9, 2002 May 14.
Article in English | MEDLINE | ID: mdl-12011299

ABSTRACT

Generalized epilepsy with febrile seizures plus (GEFS(+)) is an important childhood genetic epilepsy syndrome with heterogeneous phenotypes, including febrile seizures (FS) and generalized epilepsies of variable severity. Forty unrelated GEFS(+) and FS patients were screened for mutations in the sodium channel beta-subunits SCN1B and SCN2B, and the second GEFS(+) family with an SCN1B mutation is described here. The family had 19 affected individuals: 16 with typical GEFS(+) phenotypes and three with other epilepsy phenotypes. Site-specific mutation within SCN1B remains a rare cause of GEFS(+), and the authors found no evidence to implicate SCN2B in this syndrome.


Subject(s)
Epilepsy, Generalized/genetics , Protein Subunits , Seizures, Febrile/genetics , Sodium Channels/genetics , Amino Acid Substitution , Child , Child, Preschool , Comorbidity , Epilepsy, Generalized/epidemiology , Female , Genetic Linkage , Genetic Markers , Genetic Testing , Haplotypes/genetics , Humans , Infant , Infant, Newborn , Male , Mutation , Nerve Tissue Proteins/genetics , Pedigree , Phenotype , Queensland/epidemiology , Seizures, Febrile/epidemiology , Voltage-Gated Sodium Channel beta-2 Subunit
20.
Brain Dev ; 23(7): 732-5, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11701287

ABSTRACT

The majority of severe epileptic encephalopathies of early childhood are symptomatic where a clear etiology is apparent. There is a small subgroup, however, where no etiology is found on imaging and metabolic studies, and genetic factors are important. Myoclonic-astatic epilepsy (MAE) and severe myoclonic epilepsy in infancy (SMEI), also known as Dravet syndrome, are epileptic encephalopathies where multiple seizure types begin in the first few years of life associated with developmental slowing. Clinical and molecular genetic studies of the families of probands with MAE and SMEI suggest a genetic basis. MAE was originally identified as part of the genetic epilepsy syndrome generalized epilepsy with febrile seizures plus (GEFS(+)). Recent clinical genetic studies suggest that SMEI forms the most severe end of the spectrum of the GEFS(+). GEFS(+) has now been associated with molecular defects in three sodium channel subunit genes and a GABA subunit gene. Molecular defects of these genes have been identified in patients with MAE and SMEI. Interestingly, the molecular defects in MAE have been found in the setting of large GEFS(+) pedigrees, whereas, more severe truncation mutations arising de novo have been identified in patients with SMEI. It is likely that future molecular studies will shed light on the interaction of a number of genes, possibly related to the same or different ion channels, which result in a severe phenotype such as MAE and SMEI.


Subject(s)
Epilepsies, Myoclonic/diagnosis , Epilepsies, Myoclonic/genetics , Epilepsy, Generalized/diagnosis , Epilepsy, Generalized/genetics , Sodium Channels/genetics , Humans , Infant , Mutation
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