Targeted Treatment of Migrating Partial Seizures of Infancy with Quinidine

被引:199
作者
Bearden, David [1 ]
Strong, Alanna [2 ]
Ehnot, Jessica [3 ]
DiGiovine, Marissa [1 ]
Dlugos, Dennis [1 ]
Goldberg, Ethan M. [1 ]
机构
[1] Childrens Hosp Philadelphia, Div Neurol, Philadelphia, PA 19104 USA
[2] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
[3] Upstate Golisano Childrens Hosp, Dept Pharm, New York, NY USA
关键词
ACTIVATED POTASSIUM CHANNEL; SLACK; MUTATIONS; GAIN; GENE;
D O I
10.1002/ana.24229
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
Migrating partial seizures of infancy is an early onset epileptic encephalopathy syndrome that is typically resistant to treatment. The most common cause is a gain of function mutation in the potassium channel KCNT1. The antiarrhythmic drug quinidine is a partial antagonist of KCNT1 and hence may be a candidate drug for treatment of this condition. We report the case of a child with migrating partial seizures of infancy secondary to an activating mutation in KCNT1 treated with quinidine. Treatment with quinidine was correlated with a marked reduction in seizure frequency and improved psychomotor development.
引用
收藏
页码:457 / 461
页数:5
相关论文
共 19 条
[1]
[Anonymous], 2009, QUIN SULF
[2]
De novo gain-of-function KCNT1 channel mutations cause malignant migrating partial seizures of infancy [J].
Barcia, Giulia ;
Fleming, Matthew R. ;
Deligniere, Aline ;
Gazula, Valeswara-Rao ;
Brown, Maile R. ;
Langouet, Maeva ;
Chen, Haijun ;
Kronengold, Jack ;
Abhyankar, Avinash ;
Cilio, Roberta ;
Nitschke, Patrick ;
Kaminska, Anna ;
Boddaert, Nathalie ;
Casanova, Jean-Laurent ;
Desguerre, Isabelle ;
Munnich, Arnold ;
Dulac, Olivier ;
Kaczmarek, Leonard K. ;
Colleaux, Laurence ;
Nabbout, Rima .
NATURE GENETICS, 2012, 44 (11) :1255-1259
[3]
Amino-termini isoforms of the Slack K+ channel, regulated by alternative promoters, differentially modulate rhythmic firing and adaptation [J].
Brown, Maile R. ;
Kronengold, Jack ;
Gazula, Valeswara-Rao ;
Spilianakis, Charalampos G. ;
Flavell, Richard A. ;
von Hehn, Christian A. A. ;
Bhattacharjee, Arin ;
Kaczmarek, Leonard K. .
JOURNAL OF PHYSIOLOGY-LONDON, 2008, 586 (21) :5161-5179
[4]
Fragile X mental retardation protein controls gating of the sodium-activated potassium channel Slack [J].
Brown, Maile R. ;
Kronengold, Jack ;
Gazula, Valeswara-Rao ;
Chen, Yi ;
Strumbos, John G. ;
Sigworth, Fred J. ;
Navaratnam, Dhasakumar ;
Kaczmarek, Leonard K. .
NATURE NEUROSCIENCE, 2010, 13 (07) :819-821
[5]
MIGRATING PARTIAL SEIZURES IN INFANCY - A MALIGNANT DISORDER WITH DEVELOPMENTAL ARREST [J].
COPPOLA, G ;
PLOUIN, P ;
CHIRON, C ;
ROBAIN, O ;
DULAC, O .
EPILEPSIA, 1995, 36 (10) :1017-1024
[6]
Malignant migrating partial seizures in infancy: An epilepsy syndrome of unknown etiology [J].
Coppola, Giangennaro .
EPILEPSIA, 2009, 50 :49-51
[7]
Novel de novo SCN2A Mutation in a Child With Migrating Focal Seizures of Infancy [J].
Dhamija, Radhika ;
Wirrell, Elaine ;
Falcao, Germano ;
Kirmani, Salman ;
Wong-Kisiel, Lily C. .
PEDIATRIC NEUROLOGY, 2013, 49 (06) :486-488
[8]
Freilich ER, 2011, ARCH NEUROL-CHICAGO, V68, P665, DOI 10.1001/archneurol.2011.98
[9]
Kusuhara H, 1997, J PHARMACOL EXP THER, V283, P574
[10]
Lexi-Comp Online TM, 2014, LEX DRUGS ONL QUIN