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Open AccessJournal ArticleDOI

Missense mutations in the sodium-gated potassium channel gene KCNT1 cause severe autosomal dominant nocturnal frontal lobe epilepsy

TLDR
Findings implicate the sodium-gated potassium channel complex in ADNFLE and, more broadly, in the pathogenesis of focal epilepsies.
Abstract
We performed genomic mapping of a family with autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE) and intellectual and psychiatric problems, identifying a disease-associated region on chromosome 9q34.3. Whole-exome sequencing identified a mutation in KCNT1, encoding a sodium-gated potassium channel subunit. KCNT1 mutations were identified in two additional families and a sporadic case with severe ADNFLE and psychiatric features. These findings implicate the sodium-gated potassium channel complex in ADNFLE and, more broadly, in the pathogenesis of focal epilepsies.

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Clinical Exome Sequencing for Genetic Identification of Rare Mendelian Disorders

TL;DR: Initial clinical indications for CES referrals and molecular diagnostic rates for different indications and for different test types are reported, and trio-CES was associated with higher molecular diagnostic yield than proband-Ces or traditional molecular diagnostic methods.
Journal ArticleDOI

The genetic landscape of the epileptic encephalopathies of infancy and childhood

TL;DR: Gene discovery provides the basis for neurobiological insights, often showing convergence of mechanistic pathways that underpin the development of targeted therapies, which are essential to improve the outcome of these devastating disorders.
Journal ArticleDOI

Epilepsy-associated genes.

TL;DR: This work found 977 genes that are associated with epilepsy and summarized the epilepsy-associated genes according to their function, with the goal of better characterize the association between genes and epilepsies and to further understand the mechanisms underlying epilepsy.
References
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Journal ArticleDOI

Autosomal dominant nocturnal frontal lobe epilepsy. A distinctive clinical disorder.

TL;DR: A phenotypically homogeneous group of five families from Australia, Britain and Canada, containing 47 affected individuals, was studied, and it was shown that the attacks were partial seizures with frontal lobe seizure semiology.
Journal ArticleDOI

Mechanisms of human inherited epilepsies

TL;DR: This review first introduces the epilepsy syndromes linked to mutations in the various genes and collates the genetic and functional analysis of these genes, which should allow us to understand the underlying pathology of epilepsy ultimately providing novel therapeutic strategies to complete the clinic-bench-clinic cycle.
Journal ArticleDOI

Localization of the Slack potassium channel in the rat central nervous system.

TL;DR: The subcellular and regional distribution of Slack differs from that previously reported for the Slo channel subunit and suggests that Slack may also have an autonomous role in regulating the firing properties of neurons.
Journal ArticleDOI

Epileptic nocturnal wanderings.

TL;DR: Video-polysomnographic monitoring in four patients complaining of stereotyped paroxysmal ambulation and other complex motor activities during sleep demonstrated ictal epileptic discharges at the onset of the sleepwalking episodes.
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