Literature DB >> 24814846

DEPDC5 mutations in families presenting as autosomal dominant nocturnal frontal lobe epilepsy.

Fabienne Picard1, Periklis Makrythanasis1, Vincent Navarro1, Saeko Ishida1, Julitta de Bellescize1, Dorothée Ville1, Sarah Weckhuysen1, Erwin Fosselle1, Arvid Suls1, Peter De Jonghe1, Maryline Vasselon Raina1, Gaetan Lesca1, Christel Depienne1, Isabelle An-Gourfinkel1, Mihaela Vlaicu1, Michel Baulac1, Emeline Mundwiller1, Philippe Couarch1, Romina Combi1, Luigi Ferini-Strambi1, Antonio Gambardella1, Stylianos E Antonarakis1, Eric Leguern1, Ortrud Steinlein1, Stéphanie Baulac1.   

Abstract

OBJECTIVE: To study the prevalence of DEPDC5 mutations in a series of 30 small European families with a phenotype compatible with autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE).
METHODS: Thirty unrelated families referred with ADNFLE were recruited in France, Italy, Germany, Belgium, and Norway. Whole-exome sequencing was performed in 10 probands and direct sequencing of the DEPDC5 coding sequence in 20 probands. Testing for nonsense-mediated messenger RNA decay (NMD) was performed in lymphoblastic cells.
RESULTS: Exome sequencing revealed a splice acceptor mutation (c.2355-2A>G) in DEPDC5 in the proband of a German family. In addition, 3 nonsense DEPDC5 mutations (p.Arg487*, p.Arg1087*, and p.Trp1369*) were detected in the probands of 2 French and one Belgian family. The nonsense mutations p.Arg487* and p.Arg1087* were targeted by NMD, leading to the degradation of the mutated transcripts. At the clinical level, 78% of the patients with DEPDC5 mutations were drug resistant.
CONCLUSIONS: DEPDC5 loss-of-function mutations were found in 13% of the families with a presentation of ADNFLE. The rate of drug resistance was high in patients with DEPDC5 mutations. Small ADNFLE pedigrees with DEPDC5 mutations might actually represent a part of the broader familial focal epilepsy with variable foci phenotype.
© 2014 American Academy of Neurology.

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Year:  2014        PMID: 24814846     DOI: 10.1212/WNL.0000000000000488

Source DB:  PubMed          Journal:  Neurology        ISSN: 0028-3878            Impact factor:   9.910


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