2020
DOI: 10.1038/s41439-020-00131-9
|View full text |Cite
|
Sign up to set email alerts
|

Hemizygous FLNA variant in West syndrome without periventricular nodular heterotopia

Abstract: Pathogenic FLNA variants can be identified in patients with seizures accompanied by periventricular nodular heterotopia (PVNH). It is unusual to find FLNA aberrations in epileptic patients without PVNH on brain imaging. We report a boy with cryptogenic West syndrome followed by refractory seizures and psychomotor delay. We performed whole-exome sequencing and identified a de novo missense variant in FLNA. It is noteworthy that this patient showed no PVNH. As no other pathogenic variants were found in epilepsy-… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1

Citation Types

0
4
0

Year Published

2023
2023
2024
2024

Publication Types

Select...
5
1

Relationship

0
6

Authors

Journals

citations
Cited by 6 publications
(4 citation statements)
references
References 22 publications
(35 reference statements)
0
4
0
Order By: Relevance
“…PDZD2 also contributes to the functional expression of Nav1.8 ion channel, which is encoded by SCN10A , a QRV enriched gene in NAFE 52 Another gene with shorter distance to known epilepsy genes, FLNA , has itself been associated with epilepsy and seizure disorders 5 . FLNA is also known to interact with HCN1 channels during neuronal excitability modulation in the mature brain 53 . Additionally, FLNA also controls ECM remodeling by regulating metalloproteinase activity and hence ECM degradation 54 Based on the enrichment of ECM genes, we suggest that especially for NAFE, genetic variants which may impact ECM morphology could lead to imbalance in excitatory and inhibitory signals 55 and hence underlie epileptogenesis.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…PDZD2 also contributes to the functional expression of Nav1.8 ion channel, which is encoded by SCN10A , a QRV enriched gene in NAFE 52 Another gene with shorter distance to known epilepsy genes, FLNA , has itself been associated with epilepsy and seizure disorders 5 . FLNA is also known to interact with HCN1 channels during neuronal excitability modulation in the mature brain 53 . Additionally, FLNA also controls ECM remodeling by regulating metalloproteinase activity and hence ECM degradation 54 Based on the enrichment of ECM genes, we suggest that especially for NAFE, genetic variants which may impact ECM morphology could lead to imbalance in excitatory and inhibitory signals 55 and hence underlie epileptogenesis.…”
Section: Discussionmentioning
confidence: 99%
“…Another gene with shorter distance to known epilepsy genes, FLNA , has itself been associated with epilepsy and seizure disorders 5 . FLNA is also known to interact with HCN1 channels during neuronal excitability modulation in the mature brain 53 . Additionally, FLNA also controls ECM remodeling by regulating metalloproteinase activity and hence ECM degradation 54 .…”
Section: Discussionmentioning
confidence: 99%
“…Consequently, robust FLNa binding curtails integrin-dependent cell migration by impeding transient membrane protrusion and cell polarization [21]. Furthermore, loss-of-function mutations in FLNa are implicated in impaired neural cell migration in response to microenvironmental cues, along with the development of vascular system defects [22][23][24][25][26].…”
Section: Filamin a And Its Functionsmentioning
confidence: 99%
“…FLNA is located in the q28 region of the X chromosome [ 1 , 2 ]. It encodes a widely expressed filamentous protein that acts on intracellular actin binding, and is involved in cell migration, mechano sensing, and cell signaling [ 3 ].…”
Section: Introductionmentioning
confidence: 99%