Whole-exome sequencing of patients with juvenile myoclonic epilepsy

Background. Juvenile myoclonic epilepsy (JME) is the most common type of idiopathic generalized epilepsy with onset in adolescence and adulthood. During medical genetic counseling in probands with JME, aggravated epilepsy-related heredity is often detected. However, specific genetic variants of JME...

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Main Authors: E. E. Timechko, O. S. Shilkina, N. V. Oreshkova, V. O. Kobanenko, E. A. Osipova, N. A. Shnayder, D. V. Dmitrenko
Format: Article
Language:Russian
Published: IRBIS LLC 2022-10-01
Series:Эпилепсия и пароксизмальные состояния
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Online Access:https://www.epilepsia.su/jour/article/view/821
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author E. E. Timechko
O. S. Shilkina
N. V. Oreshkova
V. O. Kobanenko
E. A. Osipova
N. A. Shnayder
D. V. Dmitrenko
author_facet E. E. Timechko
O. S. Shilkina
N. V. Oreshkova
V. O. Kobanenko
E. A. Osipova
N. A. Shnayder
D. V. Dmitrenko
author_sort E. E. Timechko
collection DOAJ
description Background. Juvenile myoclonic epilepsy (JME) is the most common type of idiopathic generalized epilepsy with onset in adolescence and adulthood. During medical genetic counseling in probands with JME, aggravated epilepsy-related heredity is often detected. However, specific genetic variants of JME predisposition remain inconclusive. The use of contemporary methods of genetic analysis, particularly whole-exome and whole-genome sequencing, allows to detect, confirm and strengthen an association of any certain pathological phenotype with one or another pathogenic variant in a number of genes.Objective: to analyze the results of whole exome sequencing in patients with JME and seek for JME associations.Material and methods. The study included 7 patients with established JME diagnosis and 1 proband child without clinical signs of epilepsy. Whole exome sequencing was carried out by using MiSeq (Illumina, USA), bioinformatics analysis was performed on the Genomenal platform (Novel Software Systems, Russia).Results. Heterozygous carriage of pathogenic variants in the genes of recessive diseases was revealed: SACS, AHI1, CEP164, ANO10, RMND1, POMGNT1, FLG, ACTB. The analysis of the identified genetic variants in the patients examined showed no association with the clinical picture of the disease. Heterozygous missense mutations in CLCN2, EFHC1, JRK, ME2 genes and frameshift mutation in the CACNB4 gene were detected. Conclusion. In recent years, significant efforts were made to identify genes which predispose to JME. During our study, monogenic and/or polygenic pathogenic variants in patients with JME and a child of proband with JME were not identified. The high genetic heterogeneity of JME can explain numerous unsuccessful attempts to find genes predisposing to JME. Further research is necessary to confirm variants associated with potential JME. Advances in genomic technology can expand our understanding of the genetics of this pathology.
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series Эпилепсия и пароксизмальные состояния
spelling doaj-art-85f03e16fad04cdabd77f1f844b4a2e52025-08-03T19:51:23ZrusIRBIS LLCЭпилепсия и пароксизмальные состояния2077-83332311-40882022-10-0114325426610.17749/2077-8333/epi.par.con.2022.119584Whole-exome sequencing of patients with juvenile myoclonic epilepsyE. E. Timechko0O. S. Shilkina1N. V. Oreshkova2V. O. Kobanenko3E. A. Osipova4N. A. Shnayder5D. V. Dmitrenko6Voino-Yasenetsky Krasnoyarsk State Medical UniversityVoino-Yasenetsky Krasnoyarsk State Medical UniversityFederal Research Center “Krasnoyarsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences”; Institute of Fundamental Biology and Biotechnology, Siberian Federal UniversityVoino-Yasenetsky Krasnoyarsk State Medical UniversityVoino-Yasenetsky Krasnoyarsk State Medical UniversityVoino-Yasenetsky Krasnoyarsk State Medical University ; Bekhterev National Medical Research Centre for Psychiatry and NeurologyVoino-Yasenetsky Krasnoyarsk State Medical UniversityBackground. Juvenile myoclonic epilepsy (JME) is the most common type of idiopathic generalized epilepsy with onset in adolescence and adulthood. During medical genetic counseling in probands with JME, aggravated epilepsy-related heredity is often detected. However, specific genetic variants of JME predisposition remain inconclusive. The use of contemporary methods of genetic analysis, particularly whole-exome and whole-genome sequencing, allows to detect, confirm and strengthen an association of any certain pathological phenotype with one or another pathogenic variant in a number of genes.Objective: to analyze the results of whole exome sequencing in patients with JME and seek for JME associations.Material and methods. The study included 7 patients with established JME diagnosis and 1 proband child without clinical signs of epilepsy. Whole exome sequencing was carried out by using MiSeq (Illumina, USA), bioinformatics analysis was performed on the Genomenal platform (Novel Software Systems, Russia).Results. Heterozygous carriage of pathogenic variants in the genes of recessive diseases was revealed: SACS, AHI1, CEP164, ANO10, RMND1, POMGNT1, FLG, ACTB. The analysis of the identified genetic variants in the patients examined showed no association with the clinical picture of the disease. Heterozygous missense mutations in CLCN2, EFHC1, JRK, ME2 genes and frameshift mutation in the CACNB4 gene were detected. Conclusion. In recent years, significant efforts were made to identify genes which predispose to JME. During our study, monogenic and/or polygenic pathogenic variants in patients with JME and a child of proband with JME were not identified. The high genetic heterogeneity of JME can explain numerous unsuccessful attempts to find genes predisposing to JME. Further research is necessary to confirm variants associated with potential JME. Advances in genomic technology can expand our understanding of the genetics of this pathology.https://www.epilepsia.su/jour/article/view/821juvenile myoclonic epilepsygenetic generalized epilepsygenewhole exome sequencingpathogenic variant
spellingShingle E. E. Timechko
O. S. Shilkina
N. V. Oreshkova
V. O. Kobanenko
E. A. Osipova
N. A. Shnayder
D. V. Dmitrenko
Whole-exome sequencing of patients with juvenile myoclonic epilepsy
Эпилепсия и пароксизмальные состояния
juvenile myoclonic epilepsy
genetic generalized epilepsy
gene
whole exome sequencing
pathogenic variant
title Whole-exome sequencing of patients with juvenile myoclonic epilepsy
title_full Whole-exome sequencing of patients with juvenile myoclonic epilepsy
title_fullStr Whole-exome sequencing of patients with juvenile myoclonic epilepsy
title_full_unstemmed Whole-exome sequencing of patients with juvenile myoclonic epilepsy
title_short Whole-exome sequencing of patients with juvenile myoclonic epilepsy
title_sort whole exome sequencing of patients with juvenile myoclonic epilepsy
topic juvenile myoclonic epilepsy
genetic generalized epilepsy
gene
whole exome sequencing
pathogenic variant
url https://www.epilepsia.su/jour/article/view/821
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