期刊
NATURE GENETICS
卷 50, 期 4, 页码 581-+出版社
NATURE PUBLISHING GROUP
DOI: 10.1038/s41588-018-0067-2
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资金
- KAKENHI from the Ministry of Education, Culture, Sports, Science and Technology of Japan [22129001, 22129002]
- Ministry of Health, Welfare and Labour, Japan [H23-Jitsuyoka (Nanbyo)-Ippan-004, H26-Jitsuyoka (Nanbyo)-Ippan-080]
- Japan Agency for Medical Research and Development (AMED) [15ek0109065h0002, 16kk0205001h0001, 17kk0205001h0002, 17ek0109279h0001]
- KAKENHI from the Japan Society for the Promotion of Science [17H05085]
- Grants-in-Aid for Scientific Research [16H06279, 17K17772, 17H05085, 16K09681, 15K21731, 15H06161, 15H05871] Funding Source: KAKEN
Epilepsy is a common neurological disorder, and mutations in genes encoding ion channels or neurotransmitter receptors are frequent causes of monogenic forms of epilepsy. Here we show that abnormal expansions of TTTCA and TTTTA repeats in intron 4 of SAMD12 cause benign adult familial myoclonic epilepsy (BAFME). Single-molecule, real-time sequencing of BAC clones and nanopore sequencing of genomic DNA identified two repeat configurations in SAMD12. Intriguingly, in two families with a clinical diagnosis of BAFME in which no repeat expansions in SAMD12 were observed, we identified similar expansions of TTTCA and TTTTA repeats in introns of TNRC6A and RAPGEF2, indicating that expansions of the same repeat motifs are involved in the pathogenesis of BAFME regardless of the genes in which the expanded repeats are located. This discovery that expansions of noncoding repeats lead to neuronal dysfunction responsible for myoclonic tremor and epilepsy extends the understanding of diseases with such repeat expansion.
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