medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: June 11, 2024
Abstract
Epilepsy,
a
prevalent
neurodevelopmental
disorder
in
children,
is
often
accompanied
by
detrimental
psychological
consequences
and
other
comorbidities.
We
performed
exome
sequencing
on
963
patient-parent
trios,
revealing
differences
genetic
epidemiology
between
Chinese
European
epilepsy
cohorts.
The
diagnostic
yield
for
known
genes
was
40%.
Pathogenic
variants
were
most
commonly
found
SCN1A,
KCNQ2,
DEPDC5.
Additionally,
we
identified
15
novel
monogenic
candidates
at
least
two
patients
diagnosed
with
developmental
epileptic
encephalopathy,
non-acquired
focal
epilepsy,
or
generalized
including
ADCY2,
BCAR3,
CDC45,
CHRNG,
CRTC2,
CSMD1,
CSMD2,
KDM6B,
KIF1B,
PLEKHM3,
PPP4R1,
RASGRP2,
SGSM2,
SYNE1
,
ZFHX3
.
Aside
from
ADCY2
which
implicated
the
GABAergic
synapse
pathway
based
KEGG
analysis,
these
do
not
belong
to
pathways.
Local
field
potential
recordings
zebrafish
calcium
imaging
experiments
validated
associations
11
of
genes,
excluding
those
unsuitable
functional
analyses.
Furthermore,
that
CRTC2
overexpression
leads
hippocampal
neuronal
hyperactivity
using
multi-electrode
arrays
electrophysiology.
have
documented
first-line
medications
prescribed
harboring
candidate
genes.
This
study
expands
our
understanding
underpinnings
provides
opportunities
early
diagnosis
personalized
medicine
approaches.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: March 26, 2024
Objective:
Cognitive
impairment
is
prevalent
among
individuals
with
epilepsy,
and
it
possible
that
genetic
factors
can
underlie
this
relationship.
Here,
we
investigated
the
potential
shared
basis
of
common
epilepsies
general
cognitive
ability
(COG).
Methods:
We
applied
linkage
disequilibrium
score
(LDSC)
regression,
MiXeR
conjunctional
false
discovery
rate
(conjFDR)
to
analyze
different
aspects
overlap
between
COG
epilepsies.
used
largest
available
genome–wide
association
study
data
on
(
n
=
269,867)
27,559
cases,
42,436
controls),
including
broad
phenotypes
′all
epilepsy
′,
focal
generalized
(GGE),
as
well
specific
subtypes.
functionally
annotated
identified
loci
using
a
variety
biological
resources
validated
results
in
independent
samples.
Results:
Using
MiXeR,
(11.2k
variants)
was
estimated
be
almost
four
times
more
polygenic
than
epilepsy′,
GGE,
juvenile
myoclonic
(JME),
childhood
absence
(CAE)
(2.5k
—
2.9k
variants).
The
other
were
insufficiently
powered
for
analysis.
show
extensive
significant
negative
correlations
(-0.23
-0.04).
share
variants
both
GGE
2.3k
JME
CAE.
conjFDR,
66
distinct
epilepsies,
novel
associations
(27),
epilepsy′
(5),
(5)
CAE
(5).
implicated
genes
significantly
expressed
multiple
brain
regions.
samples
(COG:
p
1.0
×
10
-14
;
epilepsy′:
5.6
-3
).
Significance:
Our
demonstrates
substantial
identifies
overlapping
genomic
loci.
Enhancing
our
understanding
relationship
may
lead
development
comorbidity–targeted
treatments.
Neurology Genetics,
Journal Year:
2024,
Volume and Issue:
10(3)
Published: May 29, 2024
Epilepsies
are
associated
with
differences
in
cortical
thickness
(TH)
and
surface
area
(SA).
However,
the
mechanisms
underlying
these
relationships
remain
elusive.
We
investigated
extent
to
which
phenotypes
share
genetic
influences.
Neurodevelopmental
psychiatric
disorders
(NPDs)
like
attention
deficit
hyperactivity
disorder
(ADHD),
autism
spectrum
(ASD),
and
schizophrenia,
affect
millions
of
people
worldwide.
Despite
recent
progress
in
NPD
research,
much
remains
to
be
discovered
about
their
underpinnings,
therapeutic
targets,
effects
biological
sex
age.
Risk
factors
influencing
brain
development
signalling
include
prenatal
inflammation
genetic
variation.
This
dissertation
aimed
build
upon
these
findings
by
combining
behavioural,
molecular,
neuromorphological
investigations
mouse
models
such
risk
factors,
i.e.
maternal
immune
activation
(MIA),
neuron-specific
overexpression
(OE)
the
cytoplasmatic
isoforms
RNA-binding
protein
RBFOX1,
neuronal
deletion
small
Ras
GTPase
DIRAS2.
Maternal
infections
during
pregnancy
pose
an
increased
for
NPDs
offspring.
While
viral-like
MIA
has
been
previously
established
elsewhere,
this
study
was
first
our
institution
implement
model.
I
validated
NPD-relevant
deficits
anxiety-
depression-like
behaviours,
as
well
dose-
sex-specific
social
offspring
following
early
gestation.
Proteomic
analyses
embryonic
adult
hippocampal
(HPC)
synaptoneurosomes
highlighted
novel
known
targets
affected
MIA.
Analysis
dataset
implicated
neurodevelopmental
disruptions
lipid,
polysaccharide,
glycoprotein
metabolism,
important
proper
membrane
function,
signalling,
myelination,
NPD-pertinent
sequelae.
In
adulthood,
observed
changes
encompassed
transmembrane
trafficking
intracellular
apoptosis,
cytoskeletal
organisation
pathways.
Importantly,
50
proteins
altered
HPC
were
enriched
synaptic
vesicle
cycle.
A
persistently
upregulated
cluster
formed
a
functional
network
involved
presynaptic
downregulated
embryos
but
adults
correlated
with
deficits.
49/50
genes
encoding
significantly
associated
NPD-
comorbidity-relevant
traits
human
phenome-wise
association
data
phenotypes.
These
highlight
future
intervention
at-risk
individuals.
MIA-evoked
neuroarchitecture
prefrontal
cortex
(PFC)
male
female
mice
sex-
region-specific
alterations
dendritic
spine
morphology,
possibly
underlining
behavioural
To
further
investigate
NPDs,
performed
based
on
implications
RBFOX1’s
pleiotropic
role
neuropsychiatric
previous
preclinical
findings.
Cytoplasmatic
OE
which
affects
stability
translation
thousands
used
disseminate
its
morphology
behaviour.
RBFOX1
length
branching
PFC
led
both
HPC.
Due
ASD-like
endophenotypes
Rbfox1
KO
importance
gene
×
environment
susceptibility,
probed
interaction
low-dose
Both
alone
loss
perinatal
period.
Preliminary
suggested
that
might
increase
anhedonia-like
behaviours.
Morphological
density
reduced
complexity.
post-mortem
dorsolateral
older
did
not
reveal
significant
common
variant
abundance.
expand
risks,
evaluated
homo-
(KO)
or
heterozygous
(HET)
Diras2
novel,
DIRAS2’s
function
is
largely
unknown,
it
ADHD
humans
neurodevelopment
vitro.
mice,
there
subtle
behaviour,
more
pronounced
males,
keeping
data.
had
subtly
improved
cognitive
performance,
while
HET
exhibited
behaviours
line
core
symptoms,
e.g.
earning
difficulties
(females),
response
inhibition
(males),
suggesting
dose-sensitivity
sex-specificity.
The
morphological
revealed
multiple
aberrations
PFC,
HPC,
amygdala
males.
KOs
exclusively
opposite
those
HETs
NPD-like
Region-
genotype-specific
expression
Diras1
six
relevant
regions
females,
also
revealing
differences
survival
regulator
mTOR,
underlie
differences.
conclusion,
partial
knockdown
resembled
each
other
core,
NPD-associated
phenotypes,
full
differed
from
those.
My
suggest
complex
sex-dependent
relationships
between
interventions,
whose
influences
converge
onto
molecular
An
assessment
putative
overlap,
available
proteomic
three
linked
via
downstream
interactions,
upstream
regulators.
Future
studies
should
distinct
shared
aspects
MIA,
DIRAS2
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: June 11, 2024
Abstract
Epilepsy,
a
prevalent
neurodevelopmental
disorder
in
children,
is
often
accompanied
by
detrimental
psychological
consequences
and
other
comorbidities.
We
performed
exome
sequencing
on
963
patient-parent
trios,
revealing
differences
genetic
epidemiology
between
Chinese
European
epilepsy
cohorts.
The
diagnostic
yield
for
known
genes
was
40%.
Pathogenic
variants
were
most
commonly
found
SCN1A,
KCNQ2,
DEPDC5.
Additionally,
we
identified
15
novel
monogenic
candidates
at
least
two
patients
diagnosed
with
developmental
epileptic
encephalopathy,
non-acquired
focal
epilepsy,
or
generalized
including
ADCY2,
BCAR3,
CDC45,
CHRNG,
CRTC2,
CSMD1,
CSMD2,
KDM6B,
KIF1B,
PLEKHM3,
PPP4R1,
RASGRP2,
SGSM2,
SYNE1
,
ZFHX3
.
Aside
from
ADCY2
which
implicated
the
GABAergic
synapse
pathway
based
KEGG
analysis,
these
do
not
belong
to
pathways.
Local
field
potential
recordings
zebrafish
calcium
imaging
experiments
validated
associations
11
of
genes,
excluding
those
unsuitable
functional
analyses.
Furthermore,
that
CRTC2
overexpression
leads
hippocampal
neuronal
hyperactivity
using
multi-electrode
arrays
electrophysiology.
have
documented
first-line
medications
prescribed
harboring
candidate
genes.
This
study
expands
our
understanding
underpinnings
provides
opportunities
early
diagnosis
personalized
medicine
approaches.