Acta Neuropathologica,
Journal Year:
2020,
Volume and Issue:
140(6), P. 881 - 891
Published: Sept. 26, 2020
Abstract
Polymicrogyria
(PMG)
is
a
developmental
cortical
malformation
characterized
by
an
excess
of
small
and
frustrane
gyration
abnormal
lamination.
PMG
frequently
associates
with
seizures.
The
molecular
pathomechanisms
underlying
development
are
not
yet
understood.
About
40
genes
have
been
associated
PMG,
copy
number
variations
also
described
in
selected
patients.
We
recently
provided
evidence
that
epilepsy-associated
structural
brain
lesions
can
be
classified
based
on
genomic
DNA
methylation
patterns.
Here,
we
analyzed
26
patients
employing
array-based
profiling
formalin-fixed
paraffin-embedded
material.
A
series
62
well-characterized
non-PMG
malformations
(focal
dysplasia
type
2a/b
hemimegalencephaly),
temporal
lobe
epilepsy,
non-epilepsy
autopsy
controls
was
used
as
reference
cohort.
Unsupervised
dimensionality
reduction
hierarchical
cluster
analysis
profiles
showed
formed
distinct
class.
Copy
from
data
identified
uniform
duplication
spanning
the
entire
long
arm
chromosome
1
7
out
patients,
which
verified
additional
fluorescence
situ
hybridization
analysis.
In
respective
cases,
about
50%
nuclei
center
lesion
were
1q
triploid.
No
chromosomal
imbalance
seen
adjacent,
architecturally
normal-appearing
tissue
indicating
mosaicism.
Clinically,
presented
unilateral
frontal
or
hemispheric
without
hemimegalencephaly,
severe
form
intractable
epilepsy
seizure
onset
first
months
life,
delay.
Our
results
show
among
other
according
to
their
profile.
One
subset
clinical
features
exhibits
1q.
Frontiers in Neuroscience,
Journal Year:
2023,
Volume and Issue:
17
Published: Aug. 4, 2023
Neuronal
migration
and
axon
growth
guidance
require
precise
control
of
microtubule
dynamics
microtubule-based
cargo
transport.
TUBB3
encodes
the
neuronal-specific
β-tubulin
isotype
III,
TUBB3,
a
component
neuronal
microtubules
expressed
throughout
life
central
peripheral
neurons.
Human
pathogenic
missense
variants
result
in
altered
function
cause
errors
either
cranial
and,
to
lesser
extent,
axons,
or
cortical
organization,
rarely
both.
Moreover,
human
KIF21A
,
which
an
anterograde
kinesin
motor
protein
that
interacts
directly
with
microtubules,
alter
can
phenocopy
variants.
Here,
we
review
reported
variants,
resulting
phenotypes,
corresponding
functional
studies
both
wildtype
mutant
proteins.
We
summarize
evidence
that,
vitro
mouse
models,
loss-of-function
microtubule-kinesin
interactions.
Lastly,
highlight
additional
might
contribute
our
understanding
relationship
between
specific
tubulin
isotypes
proteins
health
disease.
Annals of Clinical and Translational Neurology,
Journal Year:
2024,
Volume and Issue:
11(8), P. 2049 - 2062
Published: June 10, 2024
Abstract
Objective
Employing
whole‐exome
sequencing
(WES)
technology
to
investigate
the
etiology
of
infantile
epileptic
spasm
syndrome
(IESS),
and
determining
whether
different
etiologies
exhibit
phenotypic
variations,
while
elucidating
potential
associated
factors,
might
improve
short‐term
responses
first‐line
treatment.
Methods
We
retrospectively
evaluated
patients
with
IESS
admitted
for
treatment
between
January
2018
June
2023.
Clinical
differences
among
etiological
classifications
clinical
manifestations
were
analyzed.
Variable
selection
using
best
subset
method
was
performed,
followed
by
logistic
regression
analysis
identify
factors
influencing
response.
Results
A
total
577
included;
412
completed
trio‐WES.
Magnetic
resonance
imaging
abnormalities
detected
in
387
(67.1%).
Patients
as
structural
likelier
have
non‐spasms
at
initial
seizure
onset.
532
treatment;
273
received
it
first
time
our
hospital
(initial
response
rates:
30.1%
42.1%,
respectively).
The
group
had
a
lower
proportion
early‐onset
seizures
(≤3
months)
than
no‐response
(11.3%
vs.
23.7%,
p
<
0.01
11.3%
21.5%,
=
0.03,
Logistic
indicated
that
earlier
initiation
higher
likelihood
an
However,
classification
did
not
significant
impact
on
Interpretation
are
more
likely
present
non‐spasm
Early
is
crucial;
however,
may
be
less
favorable
when
occur
early
infancy.
Acta Neuropathologica,
Journal Year:
2020,
Volume and Issue:
140(6), P. 881 - 891
Published: Sept. 26, 2020
Abstract
Polymicrogyria
(PMG)
is
a
developmental
cortical
malformation
characterized
by
an
excess
of
small
and
frustrane
gyration
abnormal
lamination.
PMG
frequently
associates
with
seizures.
The
molecular
pathomechanisms
underlying
development
are
not
yet
understood.
About
40
genes
have
been
associated
PMG,
copy
number
variations
also
described
in
selected
patients.
We
recently
provided
evidence
that
epilepsy-associated
structural
brain
lesions
can
be
classified
based
on
genomic
DNA
methylation
patterns.
Here,
we
analyzed
26
patients
employing
array-based
profiling
formalin-fixed
paraffin-embedded
material.
A
series
62
well-characterized
non-PMG
malformations
(focal
dysplasia
type
2a/b
hemimegalencephaly),
temporal
lobe
epilepsy,
non-epilepsy
autopsy
controls
was
used
as
reference
cohort.
Unsupervised
dimensionality
reduction
hierarchical
cluster
analysis
profiles
showed
formed
distinct
class.
Copy
from
data
identified
uniform
duplication
spanning
the
entire
long
arm
chromosome
1
7
out
patients,
which
verified
additional
fluorescence
situ
hybridization
analysis.
In
respective
cases,
about
50%
nuclei
center
lesion
were
1q
triploid.
No
chromosomal
imbalance
seen
adjacent,
architecturally
normal-appearing
tissue
indicating
mosaicism.
Clinically,
presented
unilateral
frontal
or
hemispheric
without
hemimegalencephaly,
severe
form
intractable
epilepsy
seizure
onset
first
months
life,
delay.
Our
results
show
among
other
according
to
their
profile.
One
subset
clinical
features
exhibits
1q.