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De novo KCNB1 mutations in epileptic encephalopathy
Author(s) -
Torkamani Ali,
Bersell Kevin,
Jorge Benjamin S.,
Bjork Robert L.,
Friedman Jennifer R.,
Bloss Cinnamon S.,
Cohen Julie,
Gupta Siddharth,
Naidu Sakkubai,
Vanoye Carlos G.,
George Alfred L.,
Kearney Jennifer A.
Publication year - 2014
Publication title -
annals of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.764
H-Index - 296
eISSN - 1531-8249
pISSN - 0364-5134
DOI - 10.1002/ana.24263
Subject(s) - missense mutation , exome sequencing , epilepsy , genetics , biology , encephalopathy , mutation , loss function , medicine , phenotype , neuroscience , gene
Objective Numerous studies have demonstrated increased load of de novo copy number variants or single nucleotide variants in individuals with neurodevelopmental disorders, including epileptic encephalopathies, intellectual disability, and autism. Methods We searched for de novo mutations in a family quartet with a sporadic case of epileptic encephalopathy with no known etiology to determine the underlying cause using high‐coverage whole exome sequencing (WES) and lower‐coverage whole genome sequencing. Mutations in additional patients were identified by WES. The effect of mutations on protein function was assessed in a heterologous expression system. Results We identified a de novo missense mutation in KCNB1 that encodes the K V 2.1 voltage‐gated potassium channel. Functional studies demonstrated a deleterious effect of the mutation on K V 2.1 function leading to a loss of ion selectivity and gain of a depolarizing inward cation conductance. Subsequently, we identified 2 additional patients with epileptic encephalopathy and de novo KCNB1 missense mutations that cause a similar pattern of K V 2.1 dysfunction. Interpretation Our genetic and functional evidence demonstrate that KCNB1 mutation can result in early onset epileptic encephalopathy. This expands the locus heterogeneity associated with epileptic encephalopathies and suggests that clinical WES may be useful for diagnosis of epileptic encephalopathies of unknown etiology. Ann Neurol 2014;76:529–540

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