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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 |
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creator | 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 |
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. |
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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. 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The potential pathogenic role of variants in new candidate genes will need further studies in larger cohorts.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0189618</identifier><identifier>PMID: 29261713</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>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</subject><ispartof>PloS one, 2017-12, Vol.12 (12), p.e0189618-e0189618</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Coll et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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next-generation sequencing provides novel clues for associated epilepsy and cardiac conduction disorder/SUDEP</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-9c1dc6b715a056aacd636b5a562dc13780fb0782343338a881d0a00ee29cd9ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Autopsies</topic><topic>Autopsy</topic><topic>Biology</topic><topic>Biology and Life Sciences</topic><topic>Brain</topic><topic>Cardiac arrhythmia</topic><topic>Conduction</topic><topic>Copy number</topic><topic>Death</topic><topic>Diagnosis</topic><topic>DNA 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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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29261713</pmid><doi>10.1371/journal.pone.0189618</doi><tpages>e0189618</tpages><orcidid>https://orcid.org/0000-0002-3822-745X</orcidid><orcidid>https://orcid.org/0000-0003-1214-803X</orcidid><orcidid>https://orcid.org/0000-0001-5298-5276</orcidid><oa>free_for_read</oa></addata></record> |
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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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