Early-Onset Absence Epilepsy Caused by Mutations in the Glucose Transporter GLUT1

被引:198
作者
Suls, Arvid
Mullen, Saul A. [1 ]
Weber, Yvonne G. [2 ]
Verhaert, Kristien [3 ]
Ceulemans, Berten [3 ,4 ]
Guerrini, Renzo [5 ]
Wuttke, Thomas V. [2 ,6 ]
Salvo-Vargas, Alberto [2 ,6 ]
Deprez, Liesbet
Claes, Lieve R. F.
Jordanova, Albena
Berkovic, Samuel F. [1 ]
Lerche, Holger [2 ,6 ]
De Jonghe, Peter [2 ]
Scheffer, Ingrid E. [1 ,7 ]
机构
[1] Univ Melbourne, Dept Med, Epilepsy Res Ctr, Melbourne, Vic, Australia
[2] Univ Ulm, Neurol Clin, Ulm, Germany
[3] Univ Antwerp, Div Neurol & Child Neurol, Univ Antwerp Hosp, B-2020 Antwerp, Belgium
[4] Epilepsy Ctr Children & Youth, Pulderbos, Belgium
[5] Univ Florence, Dept Neurol & Neurosurg, Childrens Hosp A Meyer, Florence, Italy
[6] Univ Ulm, Inst Appl Physiol, Ulm, Germany
[7] Univ Melbourne, Royal Melbourne Hosp, Dept Paediat, Melbourne, Vic 3050, Australia
关键词
BLOOD-BRAIN-BARRIER; DEFICIENCY SYNDROME; FEBRILE SEIZURES; DYSKINESIA; FEATURES;
D O I
10.1002/ana.21724
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
Absence epilepsies of childhood are heterogeneous with most cases following complex inheritance. Those cases with onset before 4 years of age represent a poorly studied subset. We screened 34 patients with early-onset absence epilepsy for mutations in SLC2A1, the gene encoding the GLUT1 glucose transporter. Mutations leading to reduced protein function were found in 12% (4/34) of patients. Two Mutations arose de novo, and two were familial. These Findings suggest GLUT1 deficiency underlies a significant proportion of early-onset absence epilepsy, which has both genetic counseling and treatment implications because the ketogenic diet is effective in GLUT1 deficiency.
引用
收藏
页码:415 / 419
页数:5
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