Contribution of ultrarare variants in mTOR pathway genes to sporadic focal epilepsies.


Journal

Annals of clinical and translational neurology
ISSN: 2328-9503
Titre abrégé: Ann Clin Transl Neurol
Pays: United States
ID NLM: 101623278

Informations de publication

Date de publication:
03 2019
Historique:
received: 17 09 2018
revised: 07 12 2018
accepted: 08 12 2018
entrez: 27 3 2019
pubmed: 27 3 2019
medline: 27 3 2019
Statut: epublish

Résumé

We investigated the contribution to sporadic focal epilepsies (FE) of ultrarare variants in genes coding for the components of complexes regulating mechanistic Target Of Rapamycin (mTOR)complex 1 (mTORC1). We collected genetic data of 121 Italian isolated FE cases and 512 controls by Whole Exome Sequencing (WES) and single-molecule Molecular Inversion Probes (smMIPs) targeting 10 genes of the GATOR1, GATOR2, and TSC complexes. We collapsed "qualifying" variants (ultrarare and predicted to be deleterious or loss of function) across the examined genes and sought to identify their enrichment in cases compared to controls. We found eight qualifying variants in cases and nine in controls, demonstrating enrichment in FE patients ( Our findings support the contribution of ultrarare variants in genes in the mTOR pathway complexes GATOR and TSC to the risk of sporadic FE and a shared genetic basis between rare and common epilepsies. The identification of a monogenic etiology in isolated cases, most typically encountered in clinical practice, may offer to a broader community of patients the perspective of precision therapies directed by the underlying genetic cause.

Identifiants

pubmed: 30911571
doi: 10.1002/acn3.722
pii: ACN3722
pmc: PMC6414475
doi:

Substances chimiques

DEPDC5 protein, human 0
GTPase-Activating Proteins 0
Multiprotein Complexes 0
TSC1 protein, human 0
TSC2 protein, human 0
Tuberous Sclerosis Complex 1 Protein 0
Tuberous Sclerosis Complex 2 Protein 0
Mechanistic Target of Rapamycin Complex 1 EC 2.7.11.1

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Pagination

475-485

Subventions

Organisme : NINDS NIH HHS
ID : R01 NS069605
Pays : United States

Investigateurs

Amedeo Bianchi (A)
Pasquale Striano (P)
Antonio Gambardella (A)
Stefano Meletti (S)
Roberto Dilena (R)
Margherita Santucci (M)
Carla Marini (C)
Aglaia Vignoli (A)
Giuseppe Gobbi (G)
Eleonora Briatore (E)
Massimo Mastrangelo (M)

Déclaration de conflit d'intérêts

The authors report no disclosures.

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Auteurs

Tommaso Pippucci (T)

Medical Genetics Unit Polyclinic Sant'Orsola-Malpighi University Hospital Bologna Italy.

Laura Licchetta (L)

IRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy.
Department of Biomedical and Neuromotor Sciences (DIBINEM) University of Bologna Bologna Italy.

Sara Baldassari (S)

Department of Biomedical and Surgical Sciences (DIMEC) University of Bologna Bologna Italy.

Caterina Marconi (C)

Department of Biomedical and Surgical Sciences (DIMEC) University of Bologna Bologna Italy.

Monica De Luise (M)

Department of Biomedical and Surgical Sciences (DIMEC) University of Bologna Bologna Italy.

Candace Myers (C)

Division of Genetic Medicine Department of Pediatrics University of Washington Seattle Washington.

Elena Nardi (E)

Department of Statistical Sciences "Paolo Fortunati" University of Bologna Bologna Italy.

Federica Provini (F)

IRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy.
Department of Biomedical and Neuromotor Sciences (DIBINEM) University of Bologna Bologna Italy.

Cinzia Cameli (C)

Department of Pharmacy and Biotechnology University of Bologna Bologna Italy.

Raffaella Minardi (R)

IRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy.
Department of Biomedical and Neuromotor Sciences (DIBINEM) University of Bologna Bologna Italy.

Elena Bacchelli (E)

Department of Pharmacy and Biotechnology University of Bologna Bologna Italy.

Lucio Giordano (L)

Neuropsychiatric Department Spedali Civili Brescia Italy.

Giovanni Crichiutti (G)

Division of Pediatrics Department of Medicine University of Udine Udine Italy.

Giuseppe d'Orsi (G)

Epilepsy Center Clinic of Nervous System Diseases University of Foggia Riuniti Hospital Foggia Italy.

Marco Seri (M)

Medical Genetics Unit Polyclinic Sant'Orsola-Malpighi University Hospital Bologna Italy.
Department of Biomedical and Surgical Sciences (DIMEC) University of Bologna Bologna Italy.

Giuseppe Gasparre (G)

Department of Biomedical and Surgical Sciences (DIMEC) University of Bologna Bologna Italy.

Heather C Mefford (HC)

Division of Genetic Medicine Department of Pediatrics University of Washington Seattle Washington.

Paolo Tinuper (P)

IRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy.
Department of Biomedical and Neuromotor Sciences (DIBINEM) University of Bologna Bologna Italy.

Francesca Bisulli (F)

IRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy.
Department of Biomedical and Neuromotor Sciences (DIBINEM) University of Bologna Bologna Italy.

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Classifications MeSH