De novo mutations in epileptic encephalopathies
File(s)De novo mutations in epileptic encephalopathies.pdf (763.82 KB)
Accepted version
Author(s)
Andrew S. Allen1, Samuel F. Berkovic2, Patrick Cossette3, Norman Delanty4,
Dennis Dlugos5, Evan E. Eichler6, Michael P. Epstein7, Tracy Glauser8
David B. Goldstein9
Johnson, MR
Ruben Kuzniecky12, Daniel H. Lowenstein13, Yi-Fan Lu9
Type
Journal Article
Abstract
Epileptic encephalopathies are a devastating group of severe childhood epilepsy disorders for which the cause is often unknown1. Here we report a screen for de novo mutations in patients with two classical epileptic encephalopathies: infantile spasms (n = 149) and Lennox–Gastaut syndrome (n = 115). We sequenced the exomes of 264 probands, and their parents, and confirmed 329 de novo mutations. A likelihood analysis showed a significant excess of de novo mutations in the ∼4,000 genes that are the most intolerant to functional genetic variation in the human population (P = 2.9 × 10−3). Among these are GABRB3, with de novo mutations in four patients, and ALG13, with the same de novo mutation in two patients; both genes show clear statistical evidence of association with epileptic encephalopathy. Given the relevant site-specific mutation rates, the probabilities of these outcomes occurring by chance are P = 4.1 × 10−10 and P = 7.8 × 10−12, respectively. Other genes with de novo mutations in this cohort include CACNA1A, CHD2, FLNA, GABRA1, GRIN1, GRIN2B, HNRNPU, IQSEC2, MTOR and NEDD4L. Finally, we show that the de novo mutations observed are enriched in specific gene sets including genes regulated by the fragile X protein (P < 10−8), as has been reported previously for autism spectrum disorders2.
Date Issued
2013-09-12
Date Acceptance
2013-07-09
Citation
Nature, 2013, 501, pp.217-221
ISSN
0028-0836
Publisher
Nature Publishing Group
Start Page
217
End Page
221
Journal / Book Title
Nature
Volume
501
Copyright Statement
© 2013 Macmillan Publishers Limited. All rights reserved.
Subjects
Child Development Disorders, Pervasive
Cohort Studies
Exome
Female
Fragile X Mental Retardation Protein
Genetic Predisposition to Disease
Humans
Infant
Intellectual Disability
Lennox Gastaut Syndrome
Male
Mutation
Mutation Rate
N-Acetylglucosaminyltransferases
Probability
Receptors, GABA-A
Spasms, Infantile
Epi4K Consortium
Epilepsy Phenome/Genome Project
MD Multidisciplinary
General Science & Technology
Date Publish Online
2013-08-11