Novel mutations consolidate KCTD7 as a progressive myoclonus epilepsy gene
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Novel mutations consolidate KCTD7 as a progressive myoclonus epilepsy gene. / Kousi, Maria; Anttila, Verneri; Schulz, Angela; Calafato, Stella; Jakkula, Eveliina; Riesch, Erik; Myllykangas, Liisa; Kalimo, Hannu; Topçu, Meral; Gökben, Sarenur; Alehan, Fusun; Lemke, Johannes R; Alber, Michael; Palotie, Aarno; Kopra, Outi; Lehesjoki, Anna-Elina.
in: J MED GENET, Jahrgang 49, Nr. 6, 01.06.2012, S. 391-9.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Novel mutations consolidate KCTD7 as a progressive myoclonus epilepsy gene
AU - Kousi, Maria
AU - Anttila, Verneri
AU - Schulz, Angela
AU - Calafato, Stella
AU - Jakkula, Eveliina
AU - Riesch, Erik
AU - Myllykangas, Liisa
AU - Kalimo, Hannu
AU - Topçu, Meral
AU - Gökben, Sarenur
AU - Alehan, Fusun
AU - Lemke, Johannes R
AU - Alber, Michael
AU - Palotie, Aarno
AU - Kopra, Outi
AU - Lehesjoki, Anna-Elina
PY - 2012/6/1
Y1 - 2012/6/1
N2 - BACKGROUND: The progressive myoclonus epilepsies (PMEs) comprise a group of clinically and genetically heterogeneous disorders characterised by myoclonus, epilepsy, and neurological deterioration. This study aimed to identify the underlying gene(s) in childhood onset PME patients with unknown molecular genetic background.METHODS: Homozygosity mapping was applied on genome-wide single nucleotide polymorphism data of 18 Turkish patients. The potassium channel tetramerisation domain-containing 7 (KCTD7) gene, previously associated with PME in a single inbred family, was screened for mutations. The spatiotemporal expression of KCTD7 was assessed in cellular cultures and mouse brain tissue.RESULTS: Overlapping homozygosity in 8/18 patients defined a 1.5 Mb segment on 7q11.21 as the major candidate locus. Screening of the positional candidate gene KCTD7 revealed homozygous missense mutations in two of the eight cases. Screening of KCTD7 in a further 132 PME patients revealed four additional mutations (two missense, one in-frame deletion, and one frameshift-causing) in five families. Eight patients presented with myoclonus and epilepsy and one with ataxia, the mean age of onset being 19 months. Within 2 years after onset, progressive loss of mental and motor skills ensued leading to severe dementia and motor handicap. KCTD7 showed cytosolic localisation and predominant neuronal expression, with widespread expression throughout the brain. None of three polypeptides carrying patient missense mutations affected the subcellular distribution of KCTD7.DISCUSSION: These data confirm the causality of KCTD7 defects in PME, and imply that KCTD7 mutation screening should be considered in PME patients with onset around 2 years of age followed by rapid mental and motor deterioration.
AB - BACKGROUND: The progressive myoclonus epilepsies (PMEs) comprise a group of clinically and genetically heterogeneous disorders characterised by myoclonus, epilepsy, and neurological deterioration. This study aimed to identify the underlying gene(s) in childhood onset PME patients with unknown molecular genetic background.METHODS: Homozygosity mapping was applied on genome-wide single nucleotide polymorphism data of 18 Turkish patients. The potassium channel tetramerisation domain-containing 7 (KCTD7) gene, previously associated with PME in a single inbred family, was screened for mutations. The spatiotemporal expression of KCTD7 was assessed in cellular cultures and mouse brain tissue.RESULTS: Overlapping homozygosity in 8/18 patients defined a 1.5 Mb segment on 7q11.21 as the major candidate locus. Screening of the positional candidate gene KCTD7 revealed homozygous missense mutations in two of the eight cases. Screening of KCTD7 in a further 132 PME patients revealed four additional mutations (two missense, one in-frame deletion, and one frameshift-causing) in five families. Eight patients presented with myoclonus and epilepsy and one with ataxia, the mean age of onset being 19 months. Within 2 years after onset, progressive loss of mental and motor skills ensued leading to severe dementia and motor handicap. KCTD7 showed cytosolic localisation and predominant neuronal expression, with widespread expression throughout the brain. None of three polypeptides carrying patient missense mutations affected the subcellular distribution of KCTD7.DISCUSSION: These data confirm the causality of KCTD7 defects in PME, and imply that KCTD7 mutation screening should be considered in PME patients with onset around 2 years of age followed by rapid mental and motor deterioration.
KW - Animals
KW - Blotting, Western
KW - Brain Chemistry
KW - Cells, Cultured
KW - Chromosome Mapping
KW - Homozygote
KW - Humans
KW - Intracellular Space
KW - Mice
KW - Microscopy, Fluorescence
KW - Mutation
KW - Myoclonic Epilepsies, Progressive
KW - Pedigree
KW - Phenotype
KW - Polymorphism, Single Nucleotide
KW - Potassium Channels
KW - Sequence Analysis, DNA
KW - Turkey
U2 - 10.1136/jmedgenet-2012-100859
DO - 10.1136/jmedgenet-2012-100859
M3 - SCORING: Journal article
C2 - 22693283
VL - 49
SP - 391
EP - 399
JO - J MED GENET
JF - J MED GENET
SN - 0022-2593
IS - 6
ER -