Defining the phenotypic spectrum of SLC6A1 mutations
Summary Objective Pathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the phenotypic spectrum in a larger cohort of SCL6A1‐mutated patients. Methods We collected 24 SLC6A1 probands and 6 affected f...
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Published in | Epilepsia (Copenhagen) Vol. 59; no. 2; pp. 389 - 402 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Wiley Subscription Services, Inc
01.02.2018
Wiley |
Subjects | |
Online Access | Get full text |
ISSN | 0013-9580 1528-1167 1528-1167 |
DOI | 10.1111/epi.13986 |
Cover
Abstract | Summary
Objective
Pathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the phenotypic spectrum in a larger cohort of SCL6A1‐mutated patients.
Methods
We collected 24 SLC6A1 probands and 6 affected family members. Four previously published cases were included for further electroclinical description. In total, we reviewed the electroclinical data of 34 subjects.
Results
Cognitive development was impaired in 33/34 (97%) subjects; 28/34 had mild to moderate ID, with language impairment being the most common feature. Epilepsy was diagnosed in 31/34 cases with mean onset at 3.7 years. Cognitive assessment before epilepsy onset was available in 24/31 subjects and was normal in 25% (6/24), and consistent with mild ID in 46% (11/24) or moderate ID in 17% (4/24). Two patients had speech delay only, and 1 had severe ID. After epilepsy onset, cognition deteriorated in 46% (11/24) of cases. The most common seizure types were absence, myoclonic, and atonic seizures. Sixteen cases fulfilled the diagnostic criteria for MAE. Seven further patients had different forms of generalized epilepsy and 2 had focal epilepsy. Twenty of 31 patients became seizure‐free, with valproic acid being the most effective drug. There was no clear‐cut correlation between seizure control and cognitive outcome. Electroencephalography (EEG) findings were available in 27/31 patients showing irregular bursts of diffuse 2.5‐3.5 Hz spikes/polyspikes‐and‐slow waves in 25/31. Two patients developed an EEG pattern resembling electrical status epilepticus during sleep. Ataxia was observed in 7/34 cases. We describe 7 truncating and 18 missense variants, including 4 recurrent variants (Gly232Val, Ala288Val, Val342Met, and Gly362Arg).
Significance
Most patients carrying pathogenic SLC6A1 variants have an MAE phenotype with language delay and mild/moderate ID before epilepsy onset. However, ID alone or associated with focal epilepsy can also be observed. |
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AbstractList | Pathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the phenotypic spectrum in a larger cohort of SCL6A1-mutated patients.
We collected 24 SLC6A1 probands and 6 affected family members. Four previously published cases were included for further electroclinical description. In total, we reviewed the electroclinical data of 34 subjects.
Cognitive development was impaired in 33/34 (97%) subjects; 28/34 had mild to moderate ID, with language impairment being the most common feature. Epilepsy was diagnosed in 31/34 cases with mean onset at 3.7 years. Cognitive assessment before epilepsy onset was available in 24/31 subjects and was normal in 25% (6/24), and consistent with mild ID in 46% (11/24) or moderate ID in 17% (4/24). Two patients had speech delay only, and 1 had severe ID. After epilepsy onset, cognition deteriorated in 46% (11/24) of cases. The most common seizure types were absence, myoclonic, and atonic seizures. Sixteen cases fulfilled the diagnostic criteria for MAE. Seven further patients had different forms of generalized epilepsy and 2 had focal epilepsy. Twenty of 31 patients became seizure-free, with valproic acid being the most effective drug. There was no clear-cut correlation between seizure control and cognitive outcome. Electroencephalography (EEG) findings were available in 27/31 patients showing irregular bursts of diffuse 2.5-3.5 Hz spikes/polyspikes-and-slow waves in 25/31. Two patients developed an EEG pattern resembling electrical status epilepticus during sleep. Ataxia was observed in 7/34 cases. We describe 7 truncating and 18 missense variants, including 4 recurrent variants (Gly232Val, Ala288Val, Val342Met, and Gly362Arg).
Most patients carrying pathogenic SLC6A1 variants have an MAE phenotype with language delay and mild/moderate ID before epilepsy onset. However, ID alone or associated with focal epilepsy can also be observed. Pathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the phenotypic spectrum in a larger cohort of SCL6A1-mutated patients.OBJECTIVEPathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the phenotypic spectrum in a larger cohort of SCL6A1-mutated patients.We collected 24 SLC6A1 probands and 6 affected family members. Four previously published cases were included for further electroclinical description. In total, we reviewed the electroclinical data of 34 subjects.METHODSWe collected 24 SLC6A1 probands and 6 affected family members. Four previously published cases were included for further electroclinical description. In total, we reviewed the electroclinical data of 34 subjects.Cognitive development was impaired in 33/34 (97%) subjects; 28/34 had mild to moderate ID, with language impairment being the most common feature. Epilepsy was diagnosed in 31/34 cases with mean onset at 3.7 years. Cognitive assessment before epilepsy onset was available in 24/31 subjects and was normal in 25% (6/24), and consistent with mild ID in 46% (11/24) or moderate ID in 17% (4/24). Two patients had speech delay only, and 1 had severe ID. After epilepsy onset, cognition deteriorated in 46% (11/24) of cases. The most common seizure types were absence, myoclonic, and atonic seizures. Sixteen cases fulfilled the diagnostic criteria for MAE. Seven further patients had different forms of generalized epilepsy and 2 had focal epilepsy. Twenty of 31 patients became seizure-free, with valproic acid being the most effective drug. There was no clear-cut correlation between seizure control and cognitive outcome. Electroencephalography (EEG) findings were available in 27/31 patients showing irregular bursts of diffuse 2.5-3.5 Hz spikes/polyspikes-and-slow waves in 25/31. Two patients developed an EEG pattern resembling electrical status epilepticus during sleep. Ataxia was observed in 7/34 cases. We describe 7 truncating and 18 missense variants, including 4 recurrent variants (Gly232Val, Ala288Val, Val342Met, and Gly362Arg).RESULTSCognitive development was impaired in 33/34 (97%) subjects; 28/34 had mild to moderate ID, with language impairment being the most common feature. Epilepsy was diagnosed in 31/34 cases with mean onset at 3.7 years. Cognitive assessment before epilepsy onset was available in 24/31 subjects and was normal in 25% (6/24), and consistent with mild ID in 46% (11/24) or moderate ID in 17% (4/24). Two patients had speech delay only, and 1 had severe ID. After epilepsy onset, cognition deteriorated in 46% (11/24) of cases. The most common seizure types were absence, myoclonic, and atonic seizures. Sixteen cases fulfilled the diagnostic criteria for MAE. Seven further patients had different forms of generalized epilepsy and 2 had focal epilepsy. Twenty of 31 patients became seizure-free, with valproic acid being the most effective drug. There was no clear-cut correlation between seizure control and cognitive outcome. Electroencephalography (EEG) findings were available in 27/31 patients showing irregular bursts of diffuse 2.5-3.5 Hz spikes/polyspikes-and-slow waves in 25/31. Two patients developed an EEG pattern resembling electrical status epilepticus during sleep. Ataxia was observed in 7/34 cases. We describe 7 truncating and 18 missense variants, including 4 recurrent variants (Gly232Val, Ala288Val, Val342Met, and Gly362Arg).Most patients carrying pathogenic SLC6A1 variants have an MAE phenotype with language delay and mild/moderate ID before epilepsy onset. However, ID alone or associated with focal epilepsy can also be observed.SIGNIFICANCEMost patients carrying pathogenic SLC6A1 variants have an MAE phenotype with language delay and mild/moderate ID before epilepsy onset. However, ID alone or associated with focal epilepsy can also be observed. ObjectivePathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the phenotypic spectrum in a larger cohort of SCL6A1‐mutated patients.MethodsWe collected 24 SLC6A1 probands and 6 affected family members. Four previously published cases were included for further electroclinical description. In total, we reviewed the electroclinical data of 34 subjects.ResultsCognitive development was impaired in 33/34 (97%) subjects; 28/34 had mild to moderate ID, with language impairment being the most common feature. Epilepsy was diagnosed in 31/34 cases with mean onset at 3.7 years. Cognitive assessment before epilepsy onset was available in 24/31 subjects and was normal in 25% (6/24), and consistent with mild ID in 46% (11/24) or moderate ID in 17% (4/24). Two patients had speech delay only, and 1 had severe ID. After epilepsy onset, cognition deteriorated in 46% (11/24) of cases. The most common seizure types were absence, myoclonic, and atonic seizures. Sixteen cases fulfilled the diagnostic criteria for MAE. Seven further patients had different forms of generalized epilepsy and 2 had focal epilepsy. Twenty of 31 patients became seizure‐free, with valproic acid being the most effective drug. There was no clear‐cut correlation between seizure control and cognitive outcome. Electroencephalography (EEG) findings were available in 27/31 patients showing irregular bursts of diffuse 2.5‐3.5 Hz spikes/polyspikes‐and‐slow waves in 25/31. Two patients developed an EEG pattern resembling electrical status epilepticus during sleep. Ataxia was observed in 7/34 cases. We describe 7 truncating and 18 missense variants, including 4 recurrent variants (Gly232Val, Ala288Val, Val342Met, and Gly362Arg).SignificanceMost patients carrying pathogenic SLC6A1 variants have an MAE phenotype with language delay and mild/moderate ID before epilepsy onset. However, ID alone or associated with focal epilepsy can also be observed. Pathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the phenotypic spectrum in a larger cohort of SCL6A1-mutated patients.METHODS: We collected 24 SLC6A1 probands and 6 affected family members. Four previously published cases were included for further electroclinical description. In total, we reviewed the electroclinical data of 34 subjects.RESULTS: Cognitive development was impaired in 33/34 (97%) subjects; 28/34 had mild to moderate ID, with language impairment being the most common feature. Epilepsy was diagnosed in 31/34 cases with mean onset at 3.7 years. Cognitive assessment before epilepsy onset was available in 24/31 subjects and was normal in 25% (6/24), and consistent with mild ID in 46% (11/24) or moderate ID in 17% (4/24). Two patients had speech delay only, and 1 had severe ID. After epilepsy onset, cognition deteriorated in 46% (11/24) of cases. The most common seizure types were absence, myoclonic, and atonic seizures. Sixteen cases fulfilled the diagnostic criteria for MAE. Seven further patients had different forms of generalized epilepsy and 2 had focal epilepsy. Twenty of 31 patients became seizure-free, with valproic acid being the most effective drug. There was no clear-cut correlation between seizure control and cognitive outcome. Electroencephalography (EEG) findings were available in 27/31 patients showing irregular bursts of diffuse 2.5-3.5 Hz spikes/polyspikes-and-slow waves in 25/31. Two patients developed an EEG pattern resembling electrical status epilepticus during sleep. Ataxia was observed in 7/34 cases. We describe 7 truncating and 18 missense variants, including 4 recurrent variants (Gly232Val, Ala288Val, Val342Met, and Gly362Arg).SIGNIFICANCE: Most patients carrying pathogenic SLC6A1 variants have an MAE phenotype with language delay and mild/moderate ID before epilepsy onset. However, ID alone or associated with focal epilepsy can also be observed. Summary Objective Pathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the phenotypic spectrum in a larger cohort of SCL6A1‐mutated patients. Methods We collected 24 SLC6A1 probands and 6 affected family members. Four previously published cases were included for further electroclinical description. In total, we reviewed the electroclinical data of 34 subjects. Results Cognitive development was impaired in 33/34 (97%) subjects; 28/34 had mild to moderate ID, with language impairment being the most common feature. Epilepsy was diagnosed in 31/34 cases with mean onset at 3.7 years. Cognitive assessment before epilepsy onset was available in 24/31 subjects and was normal in 25% (6/24), and consistent with mild ID in 46% (11/24) or moderate ID in 17% (4/24). Two patients had speech delay only, and 1 had severe ID. After epilepsy onset, cognition deteriorated in 46% (11/24) of cases. The most common seizure types were absence, myoclonic, and atonic seizures. Sixteen cases fulfilled the diagnostic criteria for MAE. Seven further patients had different forms of generalized epilepsy and 2 had focal epilepsy. Twenty of 31 patients became seizure‐free, with valproic acid being the most effective drug. There was no clear‐cut correlation between seizure control and cognitive outcome. Electroencephalography (EEG) findings were available in 27/31 patients showing irregular bursts of diffuse 2.5‐3.5 Hz spikes/polyspikes‐and‐slow waves in 25/31. Two patients developed an EEG pattern resembling electrical status epilepticus during sleep. Ataxia was observed in 7/34 cases. We describe 7 truncating and 18 missense variants, including 4 recurrent variants (Gly232Val, Ala288Val, Val342Met, and Gly362Arg). Significance Most patients carrying pathogenic SLC6A1 variants have an MAE phenotype with language delay and mild/moderate ID before epilepsy onset. However, ID alone or associated with focal epilepsy can also be observed. |
Author | Gardella, Elena Merritt, J. Lawrence Reichert, Sara Chadwick Choi, Murim Carvill, Gemma L. Helbig, Ingo Chae, Jong‐Hee Myers, Candace T. Mecarelli, Oriano Nava, Caroline Christensen, Jakob Trivisano, Marina Doummar, Diane Courage, Carolina Nespeca, Mark Saint Martin, Anne Tang, Sha Møller, Rikke S. Mignot, Cyril Verhoeven, Judith S. Afenjar, Alexandra Keren, Boris Yoo, Yongjin Rubboli, Guido Hopkins, Sarah Tang, Shan Johannesen, Katrine M. Pal, Deb K. Schelhaas, Helenius J. Gleeson, Joseph G. Specchio, Nicola Lehesjoki, Anna‐Elina Shaw, Jessica E. Devinsky, Orrin Helbig, Kathrine L. Weber, Yvonne G. Abi‐Warde, Marie‐Thérèse Lesca, Gaetan Piton, Amélie Pendziwiat, Manuela Dubbs, Holly Tan, Wen‐Hann Rodan, Lance H. Striano, Pasquale Linnankivi, Tarja Schaefer, Elise Millichap, John J. Czapansky‐Beilman, Desiree Bird, Lynne M. Pisani, Laura Mefford, Heather C. Chelly, Jamel |
AuthorAffiliation | 40 Northwestern University Feinberg School of Medicine, Chicago, IL, USA 11 Claude Bernard Lyon I University, Lyon, France 41 Department of Neurology and Psychiatry, Neurophysiopathology and Neuromuscular Diseases, University of Sapeinza, Rome, Italy 15 Division of Genetic Medicine, Department of Pediatrics, University of Washington, Seattle, WA, USA 39 Epilepsy Center and Division of Neurology, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, USA 25 Department of Neuropediatrics, University Medical Center Schleswig-Holstein, Kiel, Germany 30 Department of Neurology and Epileptology, Hertie Institute for Clinical Brain Research, University of Tüebingen, Tüebingen, Germany 9 APHP, Genetic Services, Hospital Trousseau, Paris, France 12 Lyon Neuroscience Research Center, CNRS UMRS5292, INSERM U1028, Lyon, France 14 Laboratory of Genetic Diagnosis, Hôpitaux Universitaires de Strasbourg, Strasbourg, France 37 Division of Clinical Genomics, Ambry Genetics, Aliso Viejo, CA, USA 7 Refer |
AuthorAffiliation_xml | – name: 2 Institute for Regional Health Services Research, University of Southern Denmark, Odense, Denmark – name: 15 Division of Genetic Medicine, Department of Pediatrics, University of Washington, Seattle, WA, USA – name: 4 The Folkhälsan Institute of Genetics, University of Helsinki, Helsinki, Finland – name: 16 Boston Children’s Hospital, Boston, MA, USA – name: 34 Medical Genetics, Hôpitaux Universitaires de Strasbourg, Strasbourg, France – name: 43 University of Copenhagen, Copenhagen, Denmark – name: 21 Department of Biomedical Sciences, Seoul National University School of Medicine, Seoul, South Korea – name: 40 Northwestern University Feinberg School of Medicine, Chicago, IL, USA – name: 6 Department of Pediatrics, Pediatric Neurology, University Hospital of Strasbourg, Strasbourg, France – name: 11 Claude Bernard Lyon I University, Lyon, France – name: 42 Pediatric Neurology and Muscular Diseases Unit, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, and Maternal and Child Health, University of Genoa ‘G. Gaslini” Institute, Genova, Italy – name: 26 Department of Neurology, Academic Center for Epileptology, Heeze, The Netherlands – name: 20 Rady Children’s Institute for Genomic Medicine, Howard Hughes Medical Institute, University of California, San Diego, CA, USA – name: 5 Research Programs Unit, Molecular Neurology and Neuroscience Center, Helsinki, Finland – name: 27 NYU Epilepsy Center, New York, NY, USA – name: 17 Harvard Medical School, Boston, MA, USA – name: 41 Department of Neurology and Psychiatry, Neurophysiopathology and Neuromuscular Diseases, University of Sapeinza, Rome, Italy – name: 22 Department of Pediatrics, Seoul National University Children’s Hospital, Seoul National University School of Medicine, Seoul, South Korea – name: 35 Division of Neurology, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA – name: 8 Department of Genetics, Center for Rare causes of Intellectual Disabilities and UPMC Research Group “Intellectual Disabilities and Autism”, Paris, France – name: 32 Sorbonne Universities, UPMC Univ Paris 06, UMR S 1127, Inserm U 1127, CNRS UMR 7225, ICM, Paris, France – name: 39 Epilepsy Center and Division of Neurology, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, USA – name: 25 Department of Neuropediatrics, University Medical Center Schleswig-Holstein, Kiel, Germany – name: 24 Children’s Minnesota, Minneapolis, MN, USA – name: 29 Neurology Unit, Department of Neuroscience, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy – name: 1 The Danish Epilepsy Center Filadelfia, Dianalund, Denmark – name: 13 Department of Translational Medicine and Neurogenetics, Institut Génétique Biologie Moléculaire Cellulaire (IGBMC), Illkirch, France – name: 37 Division of Clinical Genomics, Ambry Genetics, Aliso Viejo, CA, USA – name: 9 APHP, Genetic Services, Hospital Trousseau, Paris, France – name: 10 Department of Genetics, Lyon University Hospitals, Lyon, France – name: 12 Lyon Neuroscience Research Center, CNRS UMRS5292, INSERM U1028, Lyon, France – name: 28 Department of Neurology, Aarhus University Hospital, Aarhus, Denmark – name: 19 Division of Neurology, Rady Children’s Hospital, University of California, San Diego, CA, USA – name: 23 Pediatric Neurology, Gillette Children’s Specialty Healthcare, Burnsville, MN, USA – name: 38 Department of Basic and Clinical Neurosciences, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UK – name: 18 Division of Genetics, Department of Pediatrics, Rady Children’s Hospital San Diego, University of California San Diego, San Diego, CA, USA – name: 31 Department of Genetics, La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France – name: 30 Department of Neurology and Epileptology, Hertie Institute for Clinical Brain Research, University of Tüebingen, Tüebingen, Germany – name: 36 Division of Clinical Genetics, Department of Pediatrics, Columbia University Medical Center, New York, NY, USA – name: 33 Assistance Publique-Hôpitaux de Paris, Neuropediatric Services, Hospital Armand Trousseau, Paris, France – name: 7 Reference Center for Rare Epilepsies, Strasbourg, France – name: 3 Department of Child Neurology, Children’s Hospital, Helsinki University Hospital Helsinki, University of Helsinki, Helsinki, Finland – name: 14 Laboratory of Genetic Diagnosis, Hôpitaux Universitaires de Strasbourg, Strasbourg, France |
Author_xml | – sequence: 1 givenname: Katrine M. surname: Johannesen fullname: Johannesen, Katrine M. organization: University of Southern Denmark – sequence: 2 givenname: Elena surname: Gardella fullname: Gardella, Elena email: elga@filadelfia.dk organization: University of Southern Denmark – sequence: 3 givenname: Tarja surname: Linnankivi fullname: Linnankivi, Tarja organization: University of Helsinki – sequence: 4 givenname: Carolina surname: Courage fullname: Courage, Carolina organization: Molecular Neurology and Neuroscience Center – sequence: 5 givenname: Anne surname: Saint Martin fullname: Saint Martin, Anne organization: Reference Center for Rare Epilepsies – sequence: 6 givenname: Anna‐Elina surname: Lehesjoki fullname: Lehesjoki, Anna‐Elina organization: Molecular Neurology and Neuroscience Center – sequence: 7 givenname: Cyril surname: Mignot fullname: Mignot, Cyril organization: Center for Rare causes of Intellectual Disabilities and UPMC Research Group “Intellectual Disabilities and Autism” – sequence: 8 givenname: Alexandra surname: Afenjar fullname: Afenjar, Alexandra organization: Hospital Trousseau – sequence: 9 givenname: Gaetan surname: Lesca fullname: Lesca, Gaetan organization: INSERM U1028 – sequence: 10 givenname: Marie‐Thérèse surname: Abi‐Warde fullname: Abi‐Warde, Marie‐Thérèse organization: Reference Center for Rare Epilepsies – sequence: 11 givenname: Jamel surname: Chelly fullname: Chelly, Jamel organization: Hôpitaux Universitaires de Strasbourg – sequence: 12 givenname: Amélie surname: Piton fullname: Piton, Amélie organization: Hôpitaux Universitaires de Strasbourg – sequence: 13 givenname: J. Lawrence surname: Merritt fullname: Merritt, J. 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Gaslini” Institute – sequence: 49 givenname: Ingo surname: Helbig fullname: Helbig, Ingo organization: The Children's Hospital of Philadelphia – sequence: 50 givenname: Guido orcidid: 0000-0002-5309-2514 surname: Rubboli fullname: Rubboli, Guido organization: University of Copenhagen – sequence: 51 givenname: Heather C. surname: Mefford fullname: Mefford, Heather C. organization: University of Washington – sequence: 52 givenname: Rikke S. surname: Møller fullname: Møller, Rikke S. email: rimo@filadelfia.dk organization: University of Southern Denmark |
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Keywords | MAE epilepsy epilepsy genetics SLC6A1 |
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References | 1992; 6 2015; 56 2013; 4 2012; 485 2015; 27 2010; 2010 2015; 18 2017; 58 2015; 40 2014; 164a 2017; 77 2015; 96 2012; 380 2007; 71 2014; 8 2001; 23 2008; 82 2003; 20 2009; 15 e_1_2_9_20_1 Doose H (e_1_2_9_16_1) 1992; 6 e_1_2_9_11_1 e_1_2_9_10_1 e_1_2_9_21_1 e_1_2_9_13_1 e_1_2_9_12_1 e_1_2_9_8_1 e_1_2_9_7_1 e_1_2_9_6_1 e_1_2_9_5_1 e_1_2_9_4_1 e_1_2_9_3_1 e_1_2_9_2_1 e_1_2_9_9_1 e_1_2_9_15_1 e_1_2_9_14_1 e_1_2_9_17_1 e_1_2_9_19_1 e_1_2_9_18_1 |
References_xml | – volume: 6 start-page: 163 year: 1992 end-page: 8 article-title: Myoclonic‐astatic epilepsy publication-title: Epilepsy Res Suppl. – volume: 20 start-page: 449 year: 2003 end-page: 61 article-title: Epileptic encephalopathies with myoclonic seizures in infants and children (severe myoclonic epilepsy and myoclonic‐astatic epilepsy) publication-title: J Clin Neurophysiol. – volume: 27 start-page: 368 year: 2015 end-page: 74 article-title: Hyperactivity and impaired attention in Gamma aminobutyric acid transporter subtype 1 gene knockout mice publication-title: Acta Neuropsychiatr – volume: 164a start-page: 3061 year: 2014 end-page: 8 article-title: 3p25.3 microdeletion of GABA transporters SLC6A1 and SLC6A11 results in intellectual disability, epilepsy and stereotypic behavior publication-title: Am J Med Genet A – volume: 485 start-page: 237 year: 2012 end-page: 41 article-title: De novo mutations revealed by whole‐exome sequencing are strongly associated with autism 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article-title: Myoclonic‐astatic epilepsy publication-title: Epilepsy Res Suppl. – ident: e_1_2_9_4_1 doi: 10.3389/fncel.2014.00161 |
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Pathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set... Pathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the... ObjectivePathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to... |
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SubjectTerms | Adolescent Adult Anticonvulsants - therapeutic use Ataxia Ataxia - complications Ataxia - genetics Ataxia - physiopathology Child Child, Preschool Cognitive ability Cohort Studies Convulsions & seizures EEG Electroencephalography Epilepsies, Myoclonic - complications Epilepsies, Myoclonic - drug therapy Epilepsies, Myoclonic - genetics Epilepsies, Myoclonic - physiopathology Epilepsies, Partial - complications Epilepsies, Partial - drug therapy Epilepsies, Partial - genetics Epilepsies, Partial - physiopathology Epilepsy epilepsy genetics Epilepsy, Generalized - complications Epilepsy, Generalized - drug therapy Epilepsy, Generalized - genetics Epilepsy, Generalized - physiopathology Female GABA Plasma Membrane Transport Proteins - genetics Genetic Association Studies Genetics Human genetics Humans Intellectual Disability - complications Intellectual Disability - genetics Intellectual Disability - physiopathology Language Language Development Disorders - complications Language Development Disorders - genetics Language Development Disorders - physiopathology Life Sciences MAE Male Mutation Mutation, Missense Neurodevelopmental Disorders - complications Neurodevelopmental Disorders - genetics Phenotype Phenotypes Seizures SLC6A1 Sleep Speech Treatment Outcome Valproic acid Valproic Acid - therapeutic use Young Adult |
Title | Defining the phenotypic spectrum of SLC6A1 mutations |
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