The genetic landscape of the epileptic encephalopathies of infancy and childhood

Summary Epileptic encephalopathies of infancy and childhood comprise a large, heterogeneous group of severe epilepsies characterised by several seizure types, frequent epileptiform activity on EEG, and developmental slowing or regression. The encephalopathies include many age-related electroclinical...

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Published inLancet neurology Vol. 15; no. 3; pp. 304 - 316
Main Authors McTague, Amy, MBChB, Howell, Katherine B, MBBS, Cross, J Helen, Prof, Kurian, Manju A, PhD, Scheffer, Ingrid E, Prof
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.03.2016
Elsevier Limited
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Abstract Summary Epileptic encephalopathies of infancy and childhood comprise a large, heterogeneous group of severe epilepsies characterised by several seizure types, frequent epileptiform activity on EEG, and developmental slowing or regression. The encephalopathies include many age-related electroclinical syndromes with specific seizure types and EEG features. With the molecular revolution, the number of known monogenic determinants underlying the epileptic encephalopathies has grown rapidly. De-novo dominant mutations are frequently identified; somatic mosaicism and recessive disorders are also seen. Several genes can cause one electroclinical syndrome, and, conversely, one gene might be associated with phenotypic pleiotropy. Diverse genetic causes and molecular pathways have been implicated, involving ion channels, and proteins needed for synaptic, regulatory, and developmental functions. Gene discovery provides the basis for neurobiological insights, often showing convergence of mechanistic pathways. These findings underpin the development of targeted therapies, which are essential to improve the outcome of these devastating disorders.
AbstractList Epileptic encephalopathies of infancy and childhood comprise a large, heterogeneous group of severe epilepsies characterised by several seizure types, frequent epileptiform activity on EEG, and developmental slowing or regression. The encephalopathies include many age-related electroclinical syndromes with specific seizure types and EEG features. With the molecular revolution, the number of known monogenic determinants underlying the epileptic encephalopathies has grown rapidly. De-novo dominant mutations are frequently identified; somatic mosaicism and recessive disorders are also seen. Several genes can cause one electroclinical syndrome, and, conversely, one gene might be associated with phenotypic pleiotropy. Diverse genetic causes and molecular pathways have been implicated, involving ion channels, and proteins needed for synaptic, regulatory, and developmental functions. Gene discovery provides the basis for neurobiological insights, often showing convergence of mechanistic pathways. These findings underpin the development of targeted therapies, which are essential to improve the outcome of these devastating disorders.
Summary Epileptic encephalopathies of infancy and childhood comprise a large, heterogeneous group of severe epilepsies characterised by several seizure types, frequent epileptiform activity on EEG, and developmental slowing or regression. The encephalopathies include many age-related electroclinical syndromes with specific seizure types and EEG features. With the molecular revolution, the number of known monogenic determinants underlying the epileptic encephalopathies has grown rapidly. De-novo dominant mutations are frequently identified; somatic mosaicism and recessive disorders are also seen. Several genes can cause one electroclinical syndrome, and, conversely, one gene might be associated with phenotypic pleiotropy. Diverse genetic causes and molecular pathways have been implicated, involving ion channels, and proteins needed for synaptic, regulatory, and developmental functions. Gene discovery provides the basis for neurobiological insights, often showing convergence of mechanistic pathways. These findings underpin the development of targeted therapies, which are essential to improve the outcome of these devastating disorders.
Author Cross, J Helen, Prof
Scheffer, Ingrid E, Prof
McTague, Amy, MBChB
Kurian, Manju A, PhD
Howell, Katherine B, MBBS
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  fullname: Cross, J Helen, Prof
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  fullname: Kurian, Manju A, PhD
– sequence: 5
  fullname: Scheffer, Ingrid E, Prof
BackLink https://www.ncbi.nlm.nih.gov/pubmed/26597089$$D View this record in MEDLINE/PubMed
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Snippet Summary Epileptic encephalopathies of infancy and childhood comprise a large, heterogeneous group of severe epilepsies characterised by several seizure types,...
Epileptic encephalopathies of infancy and childhood comprise a large, heterogeneous group of severe epilepsies characterised by several seizure types, frequent...
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SubjectTerms Age
Autism
Brain Diseases - etiology
Brain Diseases - genetics
Brain Diseases - physiopathology
Brain Diseases - therapy
Child
Child, Preschool
Epilepsy
Epilepsy - complications
Epilepsy - genetics
Epilepsy - physiopathology
Epilepsy - therapy
Humans
Infant
Neurology
Title The genetic landscape of the epileptic encephalopathies of infancy and childhood
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https://dx.doi.org/10.1016/S1474-4422(15)00250-1
https://www.ncbi.nlm.nih.gov/pubmed/26597089
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https://search.proquest.com/docview/1767070830
Volume 15
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