Genome-wide mega-analysis identifies 16 loci and highlights diverse biological mechanisms in the common epilepsies
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Published version
Author(s)
The International League Against Epilepsy Consortium on Complex Epilepsies
Type
Journal Article
Abstract
The epilepsies affect around 65 million people worldwide and have a substantial missing heritability component. We report a genome-wide mega-analysis involving 15,212 individuals with epilepsy and 29,677 controls, which reveals 16 genome-wide significant loci, of which 11 are novel. Using various prioritization criteria, we pinpoint the 21 most likely epilepsy genes at these loci, with the majority in genetic generalized epilepsies. These genes have diverse biological functions, including coding for ion-channel subunits, transcription factors and a vitamin-B6 metabolism enzyme. Converging evidence shows that the common variants associated with epilepsy play a role in epigenetic regulation of gene expression in the brain. The results show an enrichment for monogenic epilepsy genes as well as known targets of antiepileptic drugs. Using SNP-based heritability analyses we disentangle both the unique and overlapping genetic basis to seven different epilepsy subtypes. Together, these findings provide leads for epilepsy therapies based on underlying pathophysiology.
Date Issued
2018-12
Date Acceptance
2018-10-30
Citation
Nature Communications, 2018, 9 (1)
ISSN
2041-1723
Publisher
Nature Research (part of Springer Nature)
Journal / Book Title
Nature Communications
Volume
9
Issue
1
Copyright Statement
© 2018 The Author(s). This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Sponsor
Wellcome Trust
GlaxoSmithKline Services Unlimited
Commission of the European Communities
Medical Research Council (MRC)
Imperial College Healthcare NHS Trust- BRC Funding
Grant Number
066056/Z/01/Z
COL27373
279062
P35076
RDA03
Subjects
MD Multidisciplinary
Publication Status
Published
Article Number
5269
Date Publish Online
2018-12-10