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  • Helbig, K. L. (author)

De Novo Pathogenic Variants in CACNA1E Cause Developmental and Epileptic Encephalopathy with Contractures, Macrocephaly, and Dyskinesias

  • Article/chapterEnglish2018

Publisher, publication year, extent ...

  • Elsevier BV,2018

Numbers

  • LIBRIS-ID:oai:gup.ub.gu.se/273681
  • https://gup.ub.gu.se/publication/273681URI
  • https://doi.org/10.1016/j.ajhg.2018.09.006DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:139492388URI

Supplementary language notes

  • Language:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Developmental and epileptic encephalopathies (DEEs) are severe neurodevelopmental disorders often beginning in infancy or early childhood that are characterized by intractable seizures, abundant epileptiform activity on EEG, and developmental impairment or regression. CACNA1E is highly expressed in the central nervous system and encodes the alpha(1)-subunit of the voltage-gated Ca(V)2.3 channel, which conducts high voltage-activated R-type calcium currents that initiate synaptic transmission. Using next-generation sequencing techniques, we identified de novo CACNA1E variants in 30 individuals with DEE, characterized by refractory infantile-onset seizures, severe hypotonia, and profound developmental impairment, often with congenital contractures, macrocephaly, hyperkinetic movement disorders, and early death. Most of the 14, partially recurring, variants cluster within the cytoplasmic ends of all four S6 segments, which form the presumed Ca(V)2.3 channel activation gate. Functional analysis of several S6 variants revealed consistent gain-of-function effects comprising facilitated voltage-dependent activation and slowed inactivation. Another variant located in the domain II S4-S5 linker results in facilitated activation and increased current density. Five participants achieved seizure freedom on the anti-epileptic drug topiramate, which blocks R-type calcium channels. We establish pathogenic variants in CACNA1E as a cause of DEEs and suggest facilitated R-type calcium currents as a disease mechanism for human epilepsy and developmental disorders.

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Lauerer, R. J. (author)
  • Bahr, J. C. (author)
  • Souza, I. A. (author)
  • Myers, C. T. (author)
  • Uysal, B. (author)
  • Schwarz, N. (author)
  • Gandini, M. A. (author)
  • Huang, S. (author)
  • Keren, B. (author)
  • Mignot, C. (author)
  • Afenjar, A. (author)
  • de Villemeur, T. B. (author)
  • Heron, D. (author)
  • Nava, C. (author)
  • Valence, S. (author)
  • Buratti, J. (author)
  • Fagerberg, C. R. (author)
  • Soerensen, K. P. (author)
  • Kibaek, M. (author)
  • Kamsteeg, E. J. (author)
  • Koolen, D. A. (author)
  • Gunning, B. (author)
  • Schelhaas, H. J. (author)
  • Kruer, M. C. (author)
  • Fox, J. (author)
  • Bakhtiari, S. (author)
  • Jarrar, R. (author)
  • Padilla-Lopez, S. (author)
  • Lindstrom, K. (author)
  • Jin, S. C. (author)
  • Zeng, X. (author)
  • Bilguvar, K. (author)
  • Papavasileiou, A. (author)
  • Xin, Q. H. (author)
  • Zhu, Changlian,1964Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Institute of Neuroscience and Physiology(Swepub:gu)xzhuch (author)
  • Boysen, K. (author)
  • Vairo, F. (author)
  • Lanpher, B. C. (author)
  • Klee, E. W. (author)
  • Tillema, J. M. (author)
  • Payne, E. T. (author)
  • Cousin, M. A. (author)
  • Kruisselbrink, T. M. (author)
  • Wick, M. J. (author)
  • Baker, J. (author)
  • Haan, E. (author)
  • Smith, N. (author)
  • Corbett, M. A. (author)
  • MacLennan, A. H. (author)
  • Gecz, J. (author)
  • Biskup, S. (author)
  • Goldmann, E. (author)
  • Rodan, L. H. (author)
  • Kichula, E. (author)
  • Segal, E. (author)
  • Jackson, K. E. (author)
  • Asamoah, A. (author)
  • Dimmock, D. (author)
  • McCarrier, J. (author)
  • Botto, L. D. (author)
  • Filloux, F. (author)
  • Tvrdik, T. (author)
  • Cascino, G. D. (author)
  • Klingerman, S. (author)
  • Neumann, C. (author)
  • Wang, R. (author)
  • Jacobsen, J. C. (author)
  • Nolan, M. A. (author)
  • Snell, R. G. (author)
  • Lehnert, K. (author)
  • Sadleir, L. G. (author)
  • Anderlid, B. M.Karolinska Institutet (author)
  • Kvarnung, M.Karolinska Institutet (author)
  • Guerrini, R. (author)
  • Friez, M. J. (author)
  • Lyons, M. J. (author)
  • Leonhard, J. (author)
  • Kringlen, G. (author)
  • Casas, K. (author)
  • El Achkar, C. M. (author)
  • Smith, L. A. (author)
  • Rotenberg, A. (author)
  • Poduri, A. (author)
  • Sanchis-Juan, A. (author)
  • Carss, K. J. (author)
  • Rankin, J. (author)
  • Zeman, A. (author)
  • Raymond, F. L. (author)
  • Blyth, M. (author)
  • Kerr, B. (author)
  • Ruiz, K. (author)
  • Urquhart, J. (author)
  • Hughes, I. (author)
  • Banka, S. (author)
  • Hedrich, U. B. S. (author)
  • Scheffer, I. E. (author)
  • Helbig, I. (author)
  • Zamponi, G. W. (author)
  • Lerche, H. (author)
  • Mefford, H. C. (author)
  • Deciphering Dev Disorders, Study (author)
  • Göteborgs universitetInstitutionen för neurovetenskap och fysiologi (creator_code:org_t)

Related titles

  • In:American Journal of Human Genetics: Elsevier BV103:5, s. 666-6780002-92971537-6605

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By the author/editor
Helbig, K. L.
Lauerer, R. J.
Bahr, J. C.
Souza, I. A.
Myers, C. T.
Uysal, B.
show more...
Schwarz, N.
Gandini, M. A.
Huang, S.
Keren, B.
Mignot, C.
Afenjar, A.
de Villemeur, T. ...
Heron, D.
Nava, C.
Valence, S.
Buratti, J.
Fagerberg, C. R.
Soerensen, K. P.
Kibaek, M.
Kamsteeg, E. J.
Koolen, D. A.
Gunning, B.
Schelhaas, H. J.
Kruer, M. C.
Fox, J.
Bakhtiari, S.
Jarrar, R.
Padilla-Lopez, S ...
Lindstrom, K.
Jin, S. C.
Zeng, X.
Bilguvar, K.
Papavasileiou, A ...
Xin, Q. H.
Zhu, Changlian, ...
Boysen, K.
Vairo, F.
Lanpher, B. C.
Klee, E. W.
Tillema, J. M.
Payne, E. T.
Cousin, M. A.
Kruisselbrink, T ...
Wick, M. J.
Baker, J.
Haan, E.
Smith, N.
Corbett, M. A.
MacLennan, A. H.
Gecz, J.
Biskup, S.
Goldmann, E.
Rodan, L. H.
Kichula, E.
Segal, E.
Jackson, K. E.
Asamoah, A.
Dimmock, D.
McCarrier, J.
Botto, L. D.
Filloux, F.
Tvrdik, T.
Cascino, G. D.
Klingerman, S.
Neumann, C.
Wang, R.
Jacobsen, J. C.
Nolan, M. A.
Snell, R. G.
Lehnert, K.
Sadleir, L. G.
Anderlid, B. M.
Kvarnung, M.
Guerrini, R.
Friez, M. J.
Lyons, M. J.
Leonhard, J.
Kringlen, G.
Casas, K.
El Achkar, C. M.
Smith, L. A.
Rotenberg, A.
Poduri, A.
Sanchis-Juan, A.
Carss, K. J.
Rankin, J.
Zeman, A.
Raymond, F. L.
Blyth, M.
Kerr, B.
Ruiz, K.
Urquhart, J.
Hughes, I.
Banka, S.
Hedrich, U. B. S ...
Scheffer, I. E.
Helbig, I.
Zamponi, G. W.
Lerche, H.
Mefford, H. C.
Deciphering Dev ...
show less...
About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Neurology
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Basic Medicine
and Medical Genetics
Articles in the publication
American Journal ...
By the university
University of Gothenburg
Karolinska Institutet

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