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Targeted next-generation sequencing provides novel clues for associated epilepsy and cardiac conduction disorder/SUDEP

Sudden unexpected death in epilepsy is an unpredicted condition in patients with a diagnosis of epilepsy, and autopsy does not conclusively identify cause of death. Although the pathophysiological mechanisms that underlie this entity remain unknown, the fact that epilepsy can affect cardiac function...

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Published in:PloS one 2017-12, Vol.12 (12), p.e0189618-e0189618
Main Authors: Coll, Monica, Striano, Pasquale, Ferrer-Costa, Carles, Campuzano, Oscar, Matés, Jesús, Del Olmo, Bernat, Iglesias, Anna, Pérez-Serra, Alexandra, Mademont, Irene, Picó, Ferran, Oliva, Antonio, Brugada, Ramon
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cited_by cdi_FETCH-LOGICAL-c692t-9c1dc6b715a056aacd636b5a562dc13780fb0782343338a881d0a00ee29cd9ef3
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creator Coll, Monica
Striano, Pasquale
Ferrer-Costa, Carles
Campuzano, Oscar
Matés, Jesús
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Iglesias, Anna
Pérez-Serra, Alexandra
Mademont, Irene
Picó, Ferran
Oliva, Antonio
Brugada, Ramon
description Sudden unexpected death in epilepsy is an unpredicted condition in patients with a diagnosis of epilepsy, and autopsy does not conclusively identify cause of death. Although the pathophysiological mechanisms that underlie this entity remain unknown, the fact that epilepsy can affect cardiac function is not surprising. The genetic factors involving ion channels co-expressed in the heart and brain and other candidate genes have been previously described. In the present study, 20 epilepsy patients with personal or family history of heart rhythm disturbance/cardiac arrhythmias/sudden death were sequenced using a custom re-sequencing panel. Twenty-six relatives were genetically analysed to ascertain the family segregation in ten individuals. Four subjects revealed variants with positive genotype-phenotype segregation: four missense variants in the CDKL5, CNTNAP2, GRIN2A and ADGRV1 genes and one copy number variant in KCNQ1. The potential pathogenic role of variants in new candidate genes will need further studies in larger cohorts, and the evaluation of the potential pathogenic role in the cardio-cerebral mechanisms requires in vivo/in vitro studies. In addition to family segregation, evaluation of the potential pathogenic roles of these variants in cardio-cerebral mechanisms by in vivo/in vitro studies should also be performed. The potential pathogenic role of variants in new candidate genes will need further studies in larger cohorts.
doi_str_mv 10.1371/journal.pone.0189618
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identifier ISSN: 1932-6203
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1932-6203
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source Publicly Available Content Database (Proquest) (PQ_SDU_P3); NCBI_PubMed Central(免费)
subjects Autopsies
Autopsy
Biology
Biology and Life Sciences
Brain
Cardiac arrhythmia
Conduction
Copy number
Death
Diagnosis
DNA sequencing
Drownings
Epilepsy
Evaluation
Genes
Genetic aspects
Genetic factors
Genetics
Genomics
Heart
Heart diseases
Hospitals
In vivo methods and tests
Ion channels
KCNQ1 protein
Legal medicine
Long QT syndrome
Maternal & child health
Medicine and Health Sciences
Mortality
Mutation
Patients
Physical Sciences
Potassium channels (voltage-gated)
Research and analysis methods
Studies
Sudden death
title Targeted next-generation sequencing provides novel clues for associated epilepsy and cardiac conduction disorder/SUDEP
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