Abstract
Myoclonic epilepsies with onset in infancy and childhood are clinically and etiologically heterogeneous. Although genetic factors are thought to play an important role, to date very little is known about the etiology of these disorders. We ascertained a large Italian pedigree segregating a recessive idiopathic myoclonic epilepsy that starts in early infancy as myoclonic seizures, febrile convulsions, and tonic-clonic seizures. We typed 304 microsatellite markers spanning the 22 autosomes and mapped the locus on chromosome 16p13 by linkage analysis. A maximum LOD score of 4.48 was obtained for marker D16S3027 at recombination fraction 0. Haplotype analysis placed the critical region within a 3.4-cM interval between D16S3024 and D16S423. The present report constitutes the first example of an idiopathic epilepsy that is inherited as an autosomal recessive trait.
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- Aicardi J. Myoclonic epilepsies of infancy and childhood. Adv Neurol. 1986;43:11–31. [PubMed] [Google Scholar]
- Biervert C., Schroeder B. C., Kubisch C., Berkovic S. F., Propping P., Jentsch T. J., Steinlein O. K. A potassium channel mutation in neonatal human epilepsy. Science. 1998 Jan 16;279(5349):403–406. doi: 10.1126/science.279.5349.403. [DOI] [PubMed] [Google Scholar]
- Brandt S., Jentsch T. J. ClC-6 and ClC-7 are two novel broadly expressed members of the CLC chloride channel family. FEBS Lett. 1995 Dec 11;377(1):15–20. doi: 10.1016/0014-5793(95)01298-2. [DOI] [PubMed] [Google Scholar]
- Brant S. R., Yun C. H., Donowitz M., Tse C. M. Cloning, tissue distribution, and functional analysis of the human Na+/N+ exchanger isoform, NHE3. Am J Physiol. 1995 Jul;269(1 Pt 1):C198–C206. doi: 10.1152/ajpcell.1995.269.1.C198. [DOI] [PubMed] [Google Scholar]
- Charlier C., Singh N. A., Ryan S. G., Lewis T. B., Reus B. E., Leach R. J., Leppert M. A pore mutation in a novel KQT-like potassium channel gene in an idiopathic epilepsy family. Nat Genet. 1998 Jan;18(1):53–55. doi: 10.1038/ng0198-53. [DOI] [PubMed] [Google Scholar]
- Cottingham R. W., Jr, Idury R. M., Schäffer A. A. Faster sequential genetic linkage computations. Am J Hum Genet. 1993 Jul;53(1):252–263. [PMC free article] [PubMed] [Google Scholar]
- Cox G. A., Lutz C. M., Yang C. L., Biemesderfer D., Bronson R. T., Fu A., Aronson P. S., Noebels J. L., Frankel W. N. Sodium/hydrogen exchanger gene defect in slow-wave epilepsy mutant mice. Cell. 1997 Oct 3;91(1):139–148. doi: 10.1016/s0092-8674(01)80016-7. [DOI] [PubMed] [Google Scholar]
- Dalla Bernardina B., Capovilla G., Gattoni M. B., Colamaria V., Bondavalli S., Bureau M. Epilepsie myoclonique grave de la première année. Rev Electroencephalogr Neurophysiol Clin. 1982 Apr;12(1):21–25. doi: 10.1016/s0370-4475(82)80004-x. [DOI] [PubMed] [Google Scholar]
- Dib C., Fauré S., Fizames C., Samson D., Drouot N., Vignal A., Millasseau P., Marc S., Hazan J., Seboun E. A comprehensive genetic map of the human genome based on 5,264 microsatellites. Nature. 1996 Mar 14;380(6570):152–154. doi: 10.1038/380152a0. [DOI] [PubMed] [Google Scholar]
- Dravet C., Bureau M., Genton P. Benign myoclonic epilepsy of infancy: electroclinical symptomatology and differential diagnosis from the other types of generalized epilepsy of infancy. Epilepsy Res Suppl. 1992;6:131–135. [PubMed] [Google Scholar]
- Elmslie F. V., Rees M., Williamson M. P., Kerr M., Kjeldsen M. J., Pang K. A., Sundqvist A., Friis M. L., Chadwick D., Richens A. Genetic mapping of a major susceptibility locus for juvenile myoclonic epilepsy on chromosome 15q. Hum Mol Genet. 1997 Aug;6(8):1329–1334. doi: 10.1093/hmg/6.8.1329. [DOI] [PubMed] [Google Scholar]
- Fejerman N. Myoclonies et épilepsies chez l'enfant. Rev Neurol (Paris) 1991;147(12):782–797. [PubMed] [Google Scholar]
- Fong G. C., Shah P. U., Gee M. N., Serratosa J. M., Castroviejo I. P., Khan S., Ravat S. H., Mani J., Huang Y., Zhao H. Z. Childhood absence epilepsy with tonic-clonic seizures and electroencephalogram 3-4-Hz spike and multispike-slow wave complexes: linkage to chromosome 8q24. Am J Hum Genet. 1998 Oct;63(4):1117–1129. doi: 10.1086/302066. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fujiwara T., Nakamura H., Watanabe M., Yagi K., Seino M., Nakamura H. Clinicoelectrographic concordance between monozygotic twins with severe myoclonic epilepsy in infancy. Epilepsia. 1990 May-Jun;31(3):281–286. doi: 10.1111/j.1528-1157.1990.tb05377.x. [DOI] [PubMed] [Google Scholar]
- Gennaro E., Malacarne M., Carbone I., Riggio M. C., Bianchi A., Bonanni P., Boniver C., Dalla Bernardina B., De Marco P., Giordano L. No evidence of a major locus for benign familial infantile convulsions on chromosome 19q12-q13.1. Epilepsia. 1999 Dec;40(12):1799–1803. doi: 10.1111/j.1528-1157.1999.tb01601.x. [DOI] [PubMed] [Google Scholar]
- Guipponi M., Rivier F., Vigevano F., Beck C., Crespel A., Echenne B., Lucchini P., Sebastianelli R., Baldy-Moulinier M., Malafosse A. Linkage mapping of benign familial infantile convulsions (BFIC) to chromosome 19q. Hum Mol Genet. 1997 Mar;6(3):473–477. doi: 10.1093/hmg/6.3.473. [DOI] [PubMed] [Google Scholar]
- Jeavons P. M. Nosological problems of myoclonic epilepsies in childhood and adolescence. Dev Med Child Neurol. 1977 Feb;19(1):3–8. doi: 10.1111/j.1469-8749.1977.tb08014.x. [DOI] [PubMed] [Google Scholar]
- Kedra D., Pan H. Q., Seroussi E., Fransson I., Guilbaud C., Collins J. E., Dunham I., Blennow E., Roe B. A., Piehl F. Characterization of the human synaptogyrin gene family. Hum Genet. 1998 Aug;103(2):131–141. doi: 10.1007/s004390050795. [DOI] [PubMed] [Google Scholar]
- Lathrop G. M., Lalouel J. M., Julier C., Ott J. Multilocus linkage analysis in humans: detection of linkage and estimation of recombination. Am J Hum Genet. 1985 May;37(3):482–498. [PMC free article] [PubMed] [Google Scholar]
- Lin Y., Itomi K., Takada H., Kuboda T., Okumura A., Aso K., Negoro T., Watanabe K. Benign myoclonic epilepsy in infants: video-EEG features and long-term follow-up. Neuropediatrics. 1998 Oct;29(5):268–271. doi: 10.1055/s-2007-973573. [DOI] [PubMed] [Google Scholar]
- Liu A. W., Delgado-Escueta A. V., Serratosa J. M., Alonso M. E., Medina M. T., Gee M. N., Cordova S., Zhao H. Z., Spellman J. M., Peek J. R. Juvenile myoclonic epilepsy locus in chromosome 6p21.2-p11: linkage to convulsions and electroencephalography trait. Am J Hum Genet. 1995 Aug;57(2):368–381. [PMC free article] [PubMed] [Google Scholar]
- Lombroso C. T. Early myoclonic encephalopathy, early infantile epileptic encephalopathy, and benign and severe infantile myoclonic epilepsies: a critical review and personal contributions. J Clin Neurophysiol. 1990 Jul;7(3):380–408. doi: 10.1097/00004691-199007000-00005. [DOI] [PubMed] [Google Scholar]
- Mikami M., Yasuda T., Terao A., Nakamura M., Ueno S., Tanabe H., Tanaka T., Onuma T., Goto Y., Kaneko S. Localization of a gene for benign adult familial myoclonic epilepsy to chromosome 8q23.3-q24.1. Am J Hum Genet. 1999 Sep;65(3):745–751. doi: 10.1086/302535. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Minassian B. A., Sainz J., Delgado-Escueta A. V. Genetics of myoclonic and myoclonus epilepsies. Clin Neurosci. 1995;3(4):223–235. [PubMed] [Google Scholar]
- Ottman R., Risch N., Hauser W. A., Pedley T. A., Lee J. H., Barker-Cummings C., Lustenberger A., Nagle K. J., Lee K. S., Scheuer M. L. Localization of a gene for partial epilepsy to chromosome 10q. Nat Genet. 1995 May;10(1):56–60. doi: 10.1038/ng0595-56. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Plaster N. M., Uyama E., Uchino M., Ikeda T., Flanigan K. M., Kondo I., Ptácek L. J. Genetic localization of the familial adult myoclonic epilepsy (FAME) gene to chromosome 8q24. Neurology. 1999 Oct 12;53(6):1180–1183. doi: 10.1212/wnl.53.6.1180. [DOI] [PubMed] [Google Scholar]
- Pusch M., Steinmeyer K., Koch M. C., Jentsch T. J. Mutations in dominant human myotonia congenita drastically alter the voltage dependence of the CIC-1 chloride channel. Neuron. 1995 Dec;15(6):1455–1463. doi: 10.1016/0896-6273(95)90023-3. [DOI] [PubMed] [Google Scholar]
- Rosahl T. W., Spillane D., Missler M., Herz J., Selig D. K., Wolff J. R., Hammer R. E., Malenka R. C., Südhof T. C. Essential functions of synapsins I and II in synaptic vesicle regulation. Nature. 1995 Jun 8;375(6531):488–493. doi: 10.1038/375488a0. [DOI] [PubMed] [Google Scholar]
- Schroeder B. C., Kubisch C., Stein V., Jentsch T. J. Moderate loss of function of cyclic-AMP-modulated KCNQ2/KCNQ3 K+ channels causes epilepsy. Nature. 1998 Dec 17;396(6712):687–690. doi: 10.1038/25367. [DOI] [PubMed] [Google Scholar]
- Singh N. A., Charlier C., Stauffer D., DuPont B. R., Leach R. J., Melis R., Ronen G. M., Bjerre I., Quattlebaum T., Murphy J. V. A novel potassium channel gene, KCNQ2, is mutated in an inherited epilepsy of newborns. Nat Genet. 1998 Jan;18(1):25–29. doi: 10.1038/ng0198-25. [DOI] [PubMed] [Google Scholar]
- Steinlein O. K., Mulley J. C., Propping P., Wallace R. H., Phillips H. A., Sutherland G. R., Scheffer I. E., Berkovic S. F. A missense mutation in the neuronal nicotinic acetylcholine receptor alpha 4 subunit is associated with autosomal dominant nocturnal frontal lobe epilepsy. Nat Genet. 1995 Oct;11(2):201–203. doi: 10.1038/ng1095-201. [DOI] [PubMed] [Google Scholar]
- Tournier-Lasserve E., Joutel A., Melki J., Weissenbach J., Lathrop G. M., Chabriat H., Mas J. L., Cabanis E. A., Baudrimont M., Maciazek J. Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy maps to chromosome 19q12. Nat Genet. 1993 Mar;3(3):256–259. doi: 10.1038/ng0393-256. [DOI] [PubMed] [Google Scholar]
- Wallace R. H., Wang D. W., Singh R., Scheffer I. E., George A. L., Jr, Phillips H. A., Saar K., Reis A., Johnson E. W., Sutherland G. R. Febrile seizures and generalized epilepsy associated with a mutation in the Na+-channel beta1 subunit gene SCN1B. Nat Genet. 1998 Aug;19(4):366–370. doi: 10.1038/1252. [DOI] [PubMed] [Google Scholar]
- Xiong L., Labuda M., Li D. S., Hudson T. J., Desbiens R., Patry G., Verret S., Langevin P., Mercho S., Seni M. H. Mapping of a gene determining familial partial epilepsy with variable foci to chromosome 22q11-q12. Am J Hum Genet. 1999 Dec;65(6):1698–1710. doi: 10.1086/302649. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yun C. H., Oh S., Zizak M., Steplock D., Tsao S., Tse C. M., Weinman E. J., Donowitz M. cAMP-mediated inhibition of the epithelial brush border Na+/H+ exchanger, NHE3, requires an associated regulatory protein. Proc Natl Acad Sci U S A. 1997 Apr 1;94(7):3010–3015. doi: 10.1073/pnas.94.7.3010. [DOI] [PMC free article] [PubMed] [Google Scholar]