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Genetic heterogeneity in infantile spasms

AM. Muir, CT. Myers, NT. Nguyen, J. Saykally, D. Craiu, P. De Jonghe, I. Helbig, D. Hoffman-Zacharska, R. Guerrini, AE. Lehesjoki, C. Marini, RS. Møller, J. Serratosa, K. Štěrbová, P. Striano, S. von Spiczak, S. Weckhuysen, HC. Mefford,...

. 2019 ; 156 (-) : 106181. [pub] 20190729

Language English Country Netherlands

Document type Journal Article, Research Support, Non-U.S. Gov't

Grant support
R01 NS069605 NINDS NIH HHS - United States

Infantile spasms (IS) is a developmental and epileptic encephalopathy with heterogeneous etiologies including many genetic causes. Genetic studies have identified pathogenic variants in over 30 genes as causes of IS. Many of these genetic causes are extremely rare, with only one reported incidence in an individual with IS. To better understand the genetic landscape of IS, we used targeted sequencing to screen 42 candidate IS genes and 53 established developmental and epileptic encephalopathy genes in 92 individual with IS. We identified a genetic diagnosis for 7.6% of our cohort, including pathogenic variants in KCNB1 (n = 2), GNAO1 (n = 1), STXBP1 (n = 1), SLC35A2 (n = 1), TBL1XR1 (n = 1), and KIF1A (n = 1). Our data emphasize the genetic heterogeneity of IS and will inform the diagnosis and management of individuals with this devastating disorder.

Child Neurology Department 2nd Faculty of Medicine Charles University and University Hospital Motol Prague 150 06 Czech Republic

Danish Epilepsy Centre Dianalund 4293 Denmark

Department of Clinical Neurosciences and Pediatric Neurology Clinic Carol Davila University of Medicine Al Obregia Hospital Bucharest 050474 Romania

Department of Medical Genetics Institute of Mother and Child Warsaw Poland

Department of Neurology Antwerp University Hospital Antwerp 2650 Belgium

Department of Neurology Neurology Lab and Epilepsy Unit IIS Fundación Jiménez Díaz UAM and CIBERER Madrid 28040 Spain

Department of Neuropediatrics Christian Albrechts University Kiel and University Hospital Schleswig Holstein Campus Kiel 24105 Germany

Department of Neurosciences Rehabilitation Ophthalmology Genetics Maternal and Child Health University of Genova Genova 16132 Italy

Division of Genetic Medicine Department of Pediatrics University of Washington Seattle WA 98195 USA

Division of Neurology Children's Hospital of Philadelphia Philadelphia PA 19104 USA

Folkhälsan Research Center and Medical Faculty University of Helsinki Helsinki 00290 Finland

Institute Born Bunge University of Antwerp Antwerp 2610 Belgium

Institute for Regional Health research University of Southern Denmark Odense 5230 Denmark

Institute of Genetics and Biotechnology Warsaw University Warsaw Poland

Neurogenetics Group Center for Molecular Neurology VIB University of Antwerp Antwerp 2610 Belgium

Northern German Epilepsy Center for Children and Adolescents Schwentinental Raisdorf 24223 Germany

Pediatric Neurology and Muscular Diseases Unit IRCCS Istituto G Gaslini Genova 16147 Italy

Pediatric Neurology Clinic Alexandru Obregia Hospital Bucharest Romania

Pediatric Neurology Neurogenetics and Neurobiology Unit and Laboratories A Meyer Children's Hospital University of Florence Florence 50139 Italy

References provided by Crossref.org

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$a Infantile spasms (IS) is a developmental and epileptic encephalopathy with heterogeneous etiologies including many genetic causes. Genetic studies have identified pathogenic variants in over 30 genes as causes of IS. Many of these genetic causes are extremely rare, with only one reported incidence in an individual with IS. To better understand the genetic landscape of IS, we used targeted sequencing to screen 42 candidate IS genes and 53 established developmental and epileptic encephalopathy genes in 92 individual with IS. We identified a genetic diagnosis for 7.6% of our cohort, including pathogenic variants in KCNB1 (n = 2), GNAO1 (n = 1), STXBP1 (n = 1), SLC35A2 (n = 1), TBL1XR1 (n = 1), and KIF1A (n = 1). Our data emphasize the genetic heterogeneity of IS and will inform the diagnosis and management of individuals with this devastating disorder.
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