1. Aberrant Inclusion of a Poison Exon Causes Dravet Syndrome and Related SCN1A-Associated Genetic Epilepsies
- Author
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Gemma L. Carvill, Krysta L. Engel, Aishwarya Ramamurthy, J. Nicholas Cochran, Jolien Roovers, Hannah Stamberger, Nicholas Lim, Amy L. Schneider, Georgie Hollingsworth, Dylan H. Holder, Brigid M. Regan, James Lawlor, Lieven Lagae, Berten Ceulemans, E. Martina Bebin, John Nguyen, Gregory S. Barsh, Sarah Weckhuysen, Miriam Meisler, Samuel F. Berkovic, Peter De Jonghe, Ingrid E. Scheffer, Richard M. Myers, Gregory M. Cooper, Heather C. Mefford, Pasquale Striano, Federico Zara, Ingo Helbig, Rikke S. Møller, Sarah von Spiczak, Hiltrud Muhle, Hande Caglayan, Katalin Sterbova, Dana Craiu, Dorota Hoffman, Anna-Elina Lehesjoki, Kaja Selmer, Christel Depienne, Johannes Lemke, Carla Marini, Renzo Guerrini, Bernd Neubauer, Tiina Talvik, Eric Leguern, Peter de Jonghe, and EuroEPINOMICS Rare Epilepsy Syndro
- Subjects
0301 basic medicine ,Male ,SPLICE VARIANTS ,PROTEIN ,Epilepsies, Myoclonic ,Sodium Channels ,Transcriptome ,Epilepsy ,Exon ,poison exon ,0302 clinical medicine ,SCN1A ,NEURONAL SODIUM-CHANNEL ,BRAIN ,Child ,Genetics (clinical) ,Exome sequencing ,Genetics ,Genetics & Heredity ,noncoding ,Exons ,Middle Aged ,genome sequencing ,Female ,REGULATOR ,Life Sciences & Biomedicine ,Adult ,Biology ,03 medical and health sciences ,alternative splicing ,Dravet syndrome ,Report ,medicine ,Humans ,Gene ,Science & Technology ,variant interpretation ,Alternative splicing ,epilepsy ,Genetic Variation ,medicine.disease ,NAV1.1 Voltage-Gated Sodium Channel ,030104 developmental biology ,DE-NOVO MUTATIONS ,Neurodevelopmental Disorders ,Human genome ,Human medicine ,030217 neurology & neurosurgery - Abstract
Developmental and epileptic encephalopathies (DEEs) are a group of severe epilepsies characterized by refractory seizures and developmental impairment. Sequencing approaches have identified causal genetic variants in only about 50% of individuals with DEEs.1-3 This suggests that unknown genetic etiologies exist, potentially in the ∼98% of human genomes not covered by exome sequencing (ES). Here we describe seven likely pathogenic variants in regions outside of the annotated coding exons of the most frequently implicated epilepsy gene, SCN1A, encoding the alpha-1 sodium channel subunit. We provide evidence that five of these variants promote inclusion of a "poison" exon that leads to reduced amounts of full-length SCN1A protein. This mechanism is likely to be broadly relevant to human disease; transcriptome studies have revealed hundreds of poison exons,4,5 including some present within genes encoding other sodium channels and in genes involved in neurodevelopment more broadly.6 Future research on the mechanisms that govern neuronal-specific splicing behavior might allow researchers to co-opt this system for RNA therapeutics. ispartof: AMERICAN JOURNAL OF HUMAN GENETICS vol:103 issue:6 pages:1022-1029 ispartof: location:United States status: published
- Published
- 2018