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SCN8A encephalopathy: Research progress and prospects
Author(s) -
Meisler Miriam H.,
Helman Guy,
Hammer Michael F.,
Fureman Brandy E.,
Gaillard William D.,
Goldin Alan L.,
Hirose Shinichi,
Ishii Atsushi,
Kroner Barbara L.,
Lossin Christoph,
Mefford Heather C.,
Parent Jack M.,
Patel Manoj,
Schreiber John,
Stewart Randall,
Whittemore Vicky,
Wilcox Karen,
Wag Jacy L,
Pearl Phillip L.,
Vanderver Adeline,
Scheffer Ingrid E.
Publication year - 2016
Publication title -
epilepsia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.687
H-Index - 191
eISSN - 1528-1167
pISSN - 0013-9580
DOI - 10.1111/epi.13422
Subject(s) - dravet syndrome , encephalopathy , medicine , missense mutation , bioinformatics , pediatrics , genetics , epilepsy , mutation , psychiatry , biology , gene
Summary On April 21, 2015, the first SCN 8A Encephalopathy Research Group convened in Washington, DC , to assess current research into clinical and pathogenic features of the disorder and prepare an agenda for future research collaborations. The group comprised clinical and basic scientists and representatives of patient advocacy groups. SCN 8A encephalopathy is a rare disorder caused by de novo missense mutations of the sodium channel gene SCN 8A , which encodes the neuronal sodium channel Na v 1.6. Since the initial description in 2012, approximately 140 affected individuals have been reported in publications or by SCN 8A family groups. As a result, an understanding of the severe impact of SCN 8A mutations is beginning to emerge. Defining a genetic epilepsy syndrome goes beyond identification of molecular etiology. Topics discussed at this meeting included (1) comparison between mutations of SCN 8A and the SCN 1A mutations in Dravet syndrome, (2) biophysical properties of the Na v 1.6 channel, (3) electrophysiologic effects of patient mutations on channel properties, (4) cell and animal models of SCN 8A encephalopathy, (5) drug screening strategies, (6) the phenotypic spectrum of SCN 8A encephalopathy, and (7) efforts to develop a bioregistry. A panel discussion of gaps in bioregistry, biobanking, and clinical outcomes data was followed by a planning session for improved integration of clinical and basic science research. Although SCN 8A encephalopathy was identified only recently, there has been rapid progress in functional analysis and phenotypic classification. The focus is now shifting from identification of the underlying molecular cause to the development of strategies for drug screening and prioritized patient care.