2013
DOI: 10.1212/wnl.0b013e3182a8411a
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Vitamin B 6 –responsive epilepsy due to inherited GPI deficiency

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Cited by 88 publications
(110 citation statements)
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“…The only other genetically defined disorder in which a high plasma to CSF PLP ratio has been documented is hypophosphatasia due to mutations in alkaline phosphatase (ALPL). Defects in GPI anchor biosynthesis can also cause B 6 -responsive epilepsy (Kuki et al 2013) due to a decrease of the membrane-associated tissue non-specific alkaline phosphatase required to allow PLP to enter the brain. No potentially pathogenic variants were found in these genes.…”
Section: Discussionmentioning
confidence: 99%
“…The only other genetically defined disorder in which a high plasma to CSF PLP ratio has been documented is hypophosphatasia due to mutations in alkaline phosphatase (ALPL). Defects in GPI anchor biosynthesis can also cause B 6 -responsive epilepsy (Kuki et al 2013) due to a decrease of the membrane-associated tissue non-specific alkaline phosphatase required to allow PLP to enter the brain. No potentially pathogenic variants were found in these genes.…”
Section: Discussionmentioning
confidence: 99%
“…Patients with hypophosphatasia, caused by a mutation in the tissue non-specific alkaline phosphatase ( TNAP ) gene, also suffer from seizures, the mechanism of which was analysed using TNAP knockout mice 18. Membrane permeable pyridoxine treatment was very effective for treating intractable seizures in some cases with IGD 19 20. Additionally, an abnormally high intensity region in the brain stem on T2 MRI was a common characteristic among recent IGD cases 20.…”
Section: Discussionmentioning
confidence: 99%
“…Membrane permeable pyridoxine treatment was very effective for treating intractable seizures in some cases with IGD 19 20. Additionally, an abnormally high intensity region in the brain stem on T2 MRI was a common characteristic among recent IGD cases 20. If we regard the response to pyridoxine treatment and the characteristic findings in brain MRI as clues, we can screen patients using FACS analysis of their peripheral blood.…”
Section: Discussionmentioning
confidence: 99%
“…CD16 and several other GPI-APs were significantly decreased on granulocytes as determined by flow cytometry, showing the usefulness of flow-cytometric determination of CD16 levels on blood granulocytes in the diagnosis of IGDs. 70) HPMRS caused by PIGV and PIGO mutations are termed HPMRS type 1 and HPMRS type 2 (HPMRS1 and HPMRS2), respectively.…”
Section: Gpi Deficiencies Caused By Somatic and Germline Mutations Inmentioning
confidence: 99%