Genetic analysis of PHOX2B in sudden unexpected death in epilepsy cases

被引:21
作者
Bagnall, Richard D. [1 ,2 ]
Crompton, Douglas E. [3 ,4 ]
Cutmore, Carina [1 ]
Regan, Brigid M. [3 ]
Berkovic, Samuel F. [4 ]
Scheffer, Ingrid E. [4 ,5 ,6 ]
Semsarian, Christopher [1 ,2 ,7 ]
机构
[1] Centenary Inst, Agnes Ginges Ctr Mol Cardiol, Sydney, NSW, Australia
[2] Univ Sydney, Sydney Med Sch, Sydney, NSW 2006, Australia
[3] Northern Hlth, Dept Neurol, Melbourne, Vic, Australia
[4] Univ Melbourne, Austin Hlth, Dept Med, Epilepsy Res Ctr, Melbourne, Vic, Australia
[5] Florey Inst Neurosci & Mental Hlth, Melbourne, Vic, Australia
[6] Univ Melbourne, Royal Childrens Hosp, Dept Paediat, Melbourne, Vic, Australia
[7] Royal Prince Alfred Hosp, Dept Cardiol, Sydney, NSW, Australia
基金
澳大利亚国家健康与医学研究理事会; 英国医学研究理事会;
关键词
CENTRAL HYPOVENTILATION SYNDROME; MUTATIONS; FRAMESHIFT; EXPANSION; LENGTH;
D O I
10.1212/WNL.0000000000000781
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: To determine the contribution of sequence variations in PHOX2B to sudden unexpected death in epilepsy (SUDEP). Methods: Patients who died of SUDEP were identified in 2 major Australian cohorts, the Epilepsy Genetics research program in Melbourne and postmortem cases at the Department of Forensic Medicine in Sydney. Coding exons of the PHOX2B gene were sequenced and a fluorescent sizing assay was used to measure the PHOX2B polyalanine repeat sequence. Results: Sequencing of 68 cases of SUDEP identified a 15-nucleotide deletion in the PHOX2B polyalanine repeat region in one case, a 16-year-old adolescent with focal dyscognitive seizures from age 5 years. This deletion was verified using a fluorescent sizing assay. Two synonymous variants were identified in 4 cases, but no PHOX2B polyalanine repeat expansion alleles or point mutations were found. Conclusions: The absence of PHOX2B polyalanine repeat expansion alleles or point mutations in 68 Australian cases of SUDEP, with one deletion of uncertain significance, shows that PHOX2B mutations are not a common risk factor for SUDEP.
引用
收藏
页码:1018 / 1021
页数:4
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