<i>SPTAN1</i>-associated developmental and epileptic encephalopathy

T. V. Kozhanova, S. S. Zhilina, T. I. Meshcheryakova, E. G. Lukyanova, E. S. Bolshakova, S. O. Ayvazyan, K. V. Osipova, P. A. Vlasov, A. I. Krapivkin, N. N. Zavadenko
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Abstract

The article presents the clinical cases of 6 patients with epilepsy, psychomotor and speech developmental delay. The heterozygous variants of the nucleotide sequence in SPTAN1 gene were detected by whole exome sequencing. Mutations in SPTAN1 gene have been described in patients with developmental and epileptic encephalopathy 5 (ОMIM: 613477). The clinical history, electroencephalographic and magnetic resonance imaging data of our patients are similar in children with variants in SPTAN1 gene described previously. It was shown that variants in SPTAN1 gene located closer to the C-terminal region are associated with a more severe phenotype, whereas the variants near the N-region – with a milder course of the disease without structural brain anomalies. However, further research is necessary in the future to better understand genotype-phenotypic correlations in SPTAN1 -associated encephalopathy.
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<i>SPTAN1</i>相关发育性和癫痫性脑病
本文报道6例癫痫、精神运动和语言发育迟缓患者的临床情况。采用全外显子组测序方法检测SPTAN1基因核苷酸序列的杂合变异。SPTAN1基因突变已在发育性和癫痫性脑病患者中被描述5 (ОMIM: 613477)。我们患者的临床病史、脑电图和磁共振成像数据与前面描述的SPTAN1基因变异儿童相似。研究表明,靠近c端区域的SPTAN1基因变异与更严重的表型相关,而靠近n区的变异则与病程较轻的疾病相关,没有结构性的大脑异常。然而,未来需要进一步的研究来更好地了解SPTAN1相关脑病的基因型-表型相关性。
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