KPNA7 is a member of the Importin-α family of nuclear import receptors. KPNA7 forms a complex with importin-β and facilitates the translocation of signal-containing proteins from the cytoplasm to the nucleus. Exome sequencing of siblings with severe neurodevelopmental defects and clinical features of epilepsy identified two amino acid-altering mutations in KPNA7. Here, we show that the E344Q substitution reduces KPNA7 binding to nuclear localization signals, and that this limits KPNA7 nuclear import activity. The P339A substitution, by contrast, has little effect on KPNA7 binding to nuclear localization signals. Given the neuronal phenotype described in the two patients, we used SILAC labeling, affinity enrichment, and mass spectrometry to identify KPNA7-interacting proteins in human induced pluripotent stem cell-derived neurons. We identified heterogeneous nuclear ribonucleoproteins hnRNP R and hnRNP U as KPNA7-interacting proteins. The E344Q substitution reduced binding and KPNA7mediated import of these cargoes. The c.1030G > C allele which generates E344Q is within a predicted CTCF binding site, and we found that it reduces CTCF binding by approximately 40-fold. Our data support a role for altered neuronal expression and activity of KPNA7 in a rare type of pediatric epilepsy.The bi-directional transport of proteins and RNAs between the cytoplasm and nucleus is one of many pathways that contribute to cellular homeostasis. Dysregulation of nuclear transport has been implicated in diseases including cancer and diverse neurodegenerative disorders 1,2 . This includes disruption of pathways responsible for facilitating nuclear import of proteins that contain a nuclear localization signal (NLS). The composition and sequence of NLSs vary between proteins but consist primarily of either one (monopartite) or two (bipartite) clusters of amino acids enriched in the basic residues lysine and arginine 3,4 . Classical NLS import is mediated by Importin α (Imp-α) and Importin β (Imp-β) 5 . Imp-α functions as an adapter and makes direct contact with both an NLS sequence and Imp-β to facilitate the assembly of a heterotrimeric import complex that shuttles from the cytoplasm to the nucleus 6 . Within the nucleus, RanGTP facilitates release of the NLS containing proteins and it also promotes recycling of the import machinery to the cytoplasm, in preparation for a new round of import 7,8 .In humans, the Imp-α family, which is also known as the karyopherin α family, contains seven members (KPNA1-KPNA7) 9 . These receptors have a highly related protein architecture that includes an N-terminal Imp-β binding (IBB) domain and a super-helical core structure formed by the tandem arrangement of ten armadillo (ARM) repeats 10,11 . A subset of the ARMs are used to create the surfaces for NLS binding. ARMs 2-4 provide the major NLS binding groove for both mono-and bipartite NLS sequences, while ARMs 6-8 generate the minor NLS binding groove for binding the smaller, second cluster of basic residues in bipartite NLSs 12 . Despite the overall s...