Communications Biology,
Journal Year:
2018,
Volume and Issue:
1(1)
Published: July 13, 2018
Mutations
in
the
SCN2A
gene
encoding
a
voltage-gated
sodium
channel
Nav1.2
are
associated
with
epilepsies,
intellectual
disability,
and
autism.
gain-of-function
mutations
cause
early-onset
severe
while
loss-of-function
autism
milder
and/or
later-onset
epilepsies.
Here
we
show
that
both
heterozygous
Scn2a-knockout
knock-in
mice
harboring
patient-derived
nonsense
mutation
exhibit
ethosuximide-sensitive
absence-like
seizures
spike-and-wave
discharges
at
adult
stages.
Unexpectedly,
identical
reproduced
even
more
prominent
Scn2a
deletion
specifically
dorsal-telencephalic
(e.g.,
neocortical
hippocampal)
excitatory
neurons,
but
undetected
selective
inhibitory
neurons.
In
cerebral
cortex
of
wild-type
mice,
most
is
expressed
neurons
steady
increase
redistribution
from
proximal
(i.e.,
axon
initial
segments)
to
distal
axons.
These
results
indicate
pivotal
role
haplodeficiency
epilepsies
patients
mutations.
Dialogues in Clinical Neuroscience,
Journal Year:
2020,
Volume and Issue:
22(1), P. 65 - 72
Published: March 31, 2020
This
article
describes
the
history
of
diagnostic
class
neurodevelopmental
disorders
(NDDs)
up
to
DSM-5.
We
further
analyze
how
development
genetics
will
transform
classification
and
diagnosis
NDDs.
In
DSM-5,
NDDs
include
intellectual
disability
(ID),
autism
spectrum
disorder
(ASD),
attention-deficit/hyperactivity
(ADHD).
Physicians
in
German-,
French-
English-speaking
countries
(eg,
Weikard,
Georget,
Esquirol,
Down,
Asperger,
Kanner)
contributed
phenomenological
definitions
these
throughout
18th
20th
centuries.
These
categories
show
considerable
comorbidity
phenotypic
overlap.
are
one
chapters
psychiatric
nosology
most
likely
benefit
from
approach
advocated
by
National
Institute
Mental
Health's
Research
Domain
Criteria
project.
Genetic
research
supports
hypothesis
that
ID,
ASD,
ADHD,
schizophrenia,
bipolar
lie
on
a
continuum.
The
identification
recurrently
observed
copy
number
variants
disruptive
gene
ASD
CDH8,
16p11.2,
SCN2A)
led
adoption
genotype-first
characterize
individuals
at
etiological
level.
Science,
Journal Year:
2018,
Volume and Issue:
362(6420)
Published: Dec. 14, 2018
INTRODUCTION
The
DNA
of
protein-coding
genes
is
transcribed
into
mRNA,
which
translated
proteins.
“coding
genome”
describes
the
that
contains
information
to
make
these
proteins
and
represents
~1.5%
human
genome.
Newly
arising
de
novo
mutations
(variants
observed
in
a
child
but
not
either
parent)
coding
genome
contribute
numerous
childhood
developmental
disorders,
including
autism
spectrum
disorder
(ASD).
Discovery
effects
aided
by
triplet
code
enables
functional
impact
many
be
readily
deciphered.
In
contrast,
“noncoding
covers
remaining
~98.5%
includes
elements
regulate
when,
where,
what
degree
are
transcribed.
Understanding
this
noncoding
sequence
could
provide
insights
disorders
refined
control
emerging
genetic
therapies.
Yet
little
known
about
role
regions,
whether
they
most
vulnerable
disruption,
manner
encoded
RATIONALE
Whole-genome
sequencing
(WGS)
provides
opportunity
identify
majority
variation
each
individual.
By
performing
WGS
on
1902
quartet
families
affected
with
ASD,
one
unaffected
sibling
control,
their
parents,
we
identified
~67
across
child’s
To
characterize
mutations,
integrated
multiple
datasets
relating
gene
function,
implicated
neurodevelopmental
conservation
species,
epigenetic
markers,
thereby
combinatorially
defining
55,143
categories.
scope
problem—testing
for
an
excess
cases
relative
controls
category—is
challenging
because
there
more
categories
than
families.
RESULTS
Comparing
controls,
individual
overcome
challenge
detecting
association,
used
machine
learning
tools
develop
risk
score
look
This
demonstrated
contribution
ASD
from
weaker,
significant,
mutations.
signal
was
driven
promoter
region,
defined
as
2000
nucleotides
upstream
transcription
start
site
(TSS)
where
mRNA
synthesis
starts.
strongest
signals
were
species
factor
binding
sites.
Well-defined
(e.g.,
TATA-box)
usually
within
80
TSS;
however,
association
distally,
750
TSS.
CONCLUSION
We
conclude
ASD.
clearest
evidence
came
at
evolutionarily
conserved
region.
enrichment
sites,
primarily
distal
promoter,
suggests
may
disrupt
via
interaction
enhancer
rather
interfering
transcriptional
initiation
directly.
Promoter
regions
autism.
De
assigned
annotation
categories,
assessed
(ASD)
comparing
mutation
counts
controls.
A
especially
sites
or
targeted
factors.
Pharmacological Reviews,
Journal Year:
2017,
Volume and Issue:
70(1), P. 142 - 173
Published: Dec. 20, 2017
Epilepsy
is
a
common
and
serious
neurologic
disease
with
strong
genetic
component.
Genetic
studies
have
identified
an
increasing
collection
of
disease-causing
genes.
The
impact
these
discoveries
wide
reaching—from
precise
diagnosis
classification
syndromes
to
the
discovery
validation
new
drug
targets
development
disease-targeted
therapeutic
strategies.
About
25%
genes
in
epilepsy
encode
ion
channels.
Much
our
understanding
mechanisms
comes
from
work
focused
on
this
class
protein.
In
study,
we
review
genetic,
molecular,
physiologic
evidence
supporting
pathogenic
role
number
different
voltage-
ligand-activated
channels
epilepsy.
We
also
proposed
for
each
channel
highlight
targeted
Science,
Journal Year:
2019,
Volume and Issue:
363(6433), P. 1309 - 1313
Published: Feb. 15, 2019
Targeting
sodium
channels
Voltage-gated
(Na
v
)
have
been
implicated
in
cardiac
and
neurological
disorders.
There
are
many
subtypes
of
these
channels,
making
it
challenging
to
develop
specific
therapeutics.
A
core
α
subunit
is
sufficient
for
voltage
sensing
ion
conductance,
but
function
modulated
by
β
subunits
natural
toxins
that
can
either
act
as
pore
blockers
or
gating
modifiers
(see
the
Perspective
Chowdhury
Chanda).
Shen
et
al.
present
structures
Na
1.7
complex
with
both
β1
β2
animal
toxins.
Pan
structure
1.2
bound
a
toxic
peptide,
µ-conotoxin
KIIIA.
The
shows
why
KIIIA
1.2.
These
other
recently
determined
provide
framework
targeted
drug
development.
Science
,
this
issue
p.
1303
1309
;
see
also
1278
Communications Medicine,
Journal Year:
2024,
Volume and Issue:
4(1)
Published: Jan. 5, 2024
Abstract
Antisense
oligonucleotides
(ASOs)
are
incredibly
versatile
molecules
that
can
be
designed
to
specifically
target
and
modify
RNA
transcripts
slow
down
or
halt
rare
genetic
disease
progression.
They
offer
the
potential
groups
of
patients
tailored
for
individual
cases.
Nonetheless,
not
all
variants
disorders
amenable
ASO-based
treatments,
hence,
it
is
important
consider
several
factors
before
embarking
on
drug
development
journey.
Here,
we
discuss
which
have
benefit
from
a
specific
type
ASO
approach,
based
pathophysiology
pathogenic
variant
type,
as
well
those
might
suitable
therapies.
We
further
explore
additional
aspects,
such
tissues,
intervention
time
points,
clinical
benefits,
need
considered
developing
compound.
Overall,
provide
an
overview
current
potentials
limitations
therapeutics
treatment
monogenic
disorders.