Abstract
Febrile seizures affect 2-4% of all children(1) and have a strong genetic component(2). Recurrent mutations in three main genes (SCN1A, SCN1B and GABRG2)(3-5) have been identified that cause febrile seizures with or without epilepsy. Here we report the identification of mutations in STX1B, encoding syntaxin-1B(6), that are associated with both febrile seizures and epilepsy. Whole-exome sequencing in independent large pedigrees(7,8) identified cosegregating STX1B mutations predicted to cause an early truncation or an in-frame insertion or deletion. Three additional nonsense or missense mutations and a de novo microdeletion encompassing STX1B were then identified in 449 familial or sporadic cases. Video and local field potential analyses of zebrafish larvae with antisense knockdown of stx1b showed seizure-like behavior and epileptiform discharges that were highly sensitive to increased temperature. Wild-type human syntaxin-1B but not a mutated protein rescued the effects of stx1b knockdown in zebrafish. Our results thus implicate STX1B and the presynaptic release machinery in fever-associated epilepsy syndromes.
Original language | English |
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Pages (from-to) | 1327-1332 |
Number of pages | 6 |
Journal | Nature Genetics |
Volume | 46 |
Issue number | 12 |
DOIs | |
Publication status | Published - Dec 2014 |
Keywords
- PAROXYSMAL KINESIGENIC DYSKINESIA
- SYNAPTIC VESICLE FUSION
- DE-NOVO MUTATIONS
- FEBRILE SEIZURES
- INFANTILE CONVULSIONS
- GENERALIZED EPILEPSY
- PRRT2 MUTATIONS
- GENERATION
- DISORDERS
- ZEBRAFISH