Diagnostic Targeted Resequencing in 349 Patients with Drug-Resistant Pediatric Epilepsies Identifies Causative Mutations in 30 Different Genes

Salvatore Mangano, Francesca Ragona, Elisabetta Cesaroni, Renzo Guerrini, Laure Obino, Sandra Jacinto, Federico Melani, Anna Ardissone, Mattia Gentile, Carlo Fusco, Antonino Saporoso, Daniela Pucatti, Anna Galuppi, Ilaria Donati, Paolo Ricciardelli, Domenica Battaglia, Viola Doccini, Salvatore Mangano, Laura Chiti, Claudia BianchiniFrancesco Mari, Domenico Rutigliano, Simona Virdò, Dalila De Vita, Martino Montomoli, Sara Chiari, Chiara Offer, Katalin Sterebova, Mario Mastrangelo, Mario Mastrangelo, Gabriella Borgarello, Tiziana Pisano, Michela Salandin, Duccio Maria Cordelli, Stefania Bigoni, Elena Parrini, Dario Pruna, Elena Cellini, Nicola Specchio, Vincenzo Leuzzi, Patrizia Accorsi, Gianna Bertani, Elena Fontana, Davide Mei, Domenica Battaglia, Carmen Barba, Lucio Giordano, Carla Marini, Federico Sicca, Anna Rosati

Risultato della ricerca: Articlepeer review

77 Citazioni (Scopus)

Abstract

Targeted resequencing gene panels are used in the diagnostic setting to identify gene defects in epilepsy. We performed targeted resequencing using a 30-genes panel and a 95-genes panel in 349 patients with drug-resistant epilepsies beginning in the first years of life. We identified 71 pathogenic variants, 42 of which novel, in 30 genes, corresponding to 20.3% of the probands. In 66% of mutation positive patients, epilepsy onset occurred before the age of 6 months. The 95-genes panel allowed a genetic diagnosis in 22 (6.3%) patients that would have otherwise been missed using the 30-gene panel. About 50% of mutations were identified in genes coding for sodium and potassium channel components. SCN2A was the most frequently mutated gene followed by SCN1A, KCNQ2, STXBP1, SCN8A, CDKL5, and MECP2. Twenty-nine mutations were identified in 23 additional genes, most of them recently associated with epilepsy. Our data show that panels targeting about 100 genes represent the best cost-effective diagnostic option in pediatric drug-resistant epilepsies. They enable molecular diagnosis of atypical phenotypes, allowing to broaden phenotype-genotype correlations. Molecular diagnosis might influence patients' management and translate into better and specific treatment recommendations in some conditions.
Lingua originaleEnglish
pagine (da-a)216-225
Numero di pagine10
RivistaHuman Mutation
Volume38
Stato di pubblicazionePublished - 2017

All Science Journal Classification (ASJC) codes

  • Genetics
  • Genetics(clinical)

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