Clinical and genetic characteristics of patients with type 2 early infantile epileptic encephalopathy caused by CDKL5 gene mutations

Early infantile epileptic encephalopathies (EIEE) are a group of disorders characterized by pharmacoresistant epileptic seizures manifesting in infancy and leading to psychomotor retardation. The most common genetic variant with X-linked dominant inheritance is type 2 EIEE associated with CDKL5 gene...

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Main Authors: E. L. Dadali, I. A. Akimova, F. A. Konovalov, P. A. Shatalov, A. Yu. Krasnenko, V. V. Strelnikov, M. A. Ampleeva
Format: Article
Language:Russian
Published: ABV-press 2020-01-01
Series:Русский журнал детской неврологии
Subjects:
Online Access:https://rjdn.abvpress.ru/jour/article/view/307
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author E. L. Dadali
I. A. Akimova
F. A. Konovalov
P. A. Shatalov
A. Yu. Krasnenko
V. V. Strelnikov
M. A. Ampleeva
author_facet E. L. Dadali
I. A. Akimova
F. A. Konovalov
P. A. Shatalov
A. Yu. Krasnenko
V. V. Strelnikov
M. A. Ampleeva
author_sort E. L. Dadali
collection DOAJ
description Early infantile epileptic encephalopathies (EIEE) are a group of disorders characterized by pharmacoresistant epileptic seizures manifesting in infancy and leading to psychomotor retardation. The most common genetic variant with X-linked dominant inheritance is type 2 EIEE associated with CDKL5 gene mutations. We evaluated the prevalence of this type of EIEE among Russian patients (n = 148) with epileptic seizures manifesting in infancy and analyzed their clinical and genetic characteristics. We performed exome sequencing for all patients; 15 (10 %) of them (aged between 2 months and 5 years) were found to have CDKL5 gene mutations and were, therefore, diagnosed with type 2 EIEE. The results of correlation analysis suggest that the severity of clinical manifestations of type 2 EIEE is largely determined by the location of mutations affecting the function of the protein encoded by this gene. This is important to ensure better understanding of type 2 EIEE etiology and predict it severity in patients with different allelic variants.
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spelling doaj.art-7d166f3ebe3242d7ac29da480525e2832023-03-13T09:30:12ZrusABV-pressРусский журнал детской неврологии2073-88032412-91782020-01-01143283610.17650/2073-8803-2019-14-3-28-36210Clinical and genetic characteristics of patients with type 2 early infantile epileptic encephalopathy caused by CDKL5 gene mutationsE. L. Dadali0I. A. Akimova1F. A. Konovalov2P. A. Shatalov3A. Yu. Krasnenko4V. V. Strelnikov5M. A. Ampleeva6ФГБНУ «Медико-генетический научный центр им. акад. Н.П. Бочкова»; ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России;ФГБНУ «Медико-генетический научный центр им. акад. Н.П. Бочкова»;ООО «Геномед»;ООО «Генотек»;ООО «Генотек»;ФГБНУ «Медико-генетический научный центр им. акад. Н.П. Бочкова»;ООО «Геномед»;Early infantile epileptic encephalopathies (EIEE) are a group of disorders characterized by pharmacoresistant epileptic seizures manifesting in infancy and leading to psychomotor retardation. The most common genetic variant with X-linked dominant inheritance is type 2 EIEE associated with CDKL5 gene mutations. We evaluated the prevalence of this type of EIEE among Russian patients (n = 148) with epileptic seizures manifesting in infancy and analyzed their clinical and genetic characteristics. We performed exome sequencing for all patients; 15 (10 %) of them (aged between 2 months and 5 years) were found to have CDKL5 gene mutations and were, therefore, diagnosed with type 2 EIEE. The results of correlation analysis suggest that the severity of clinical manifestations of type 2 EIEE is largely determined by the location of mutations affecting the function of the protein encoded by this gene. This is important to ensure better understanding of type 2 EIEE etiology and predict it severity in patients with different allelic variants.https://rjdn.abvpress.ru/jour/article/view/307ранняя эпилептическая энцефалопатияэпилептические приступыcdkl5
spellingShingle E. L. Dadali
I. A. Akimova
F. A. Konovalov
P. A. Shatalov
A. Yu. Krasnenko
V. V. Strelnikov
M. A. Ampleeva
Clinical and genetic characteristics of patients with type 2 early infantile epileptic encephalopathy caused by CDKL5 gene mutations
Русский журнал детской неврологии
ранняя эпилептическая энцефалопатия
эпилептические приступы
cdkl5
title Clinical and genetic characteristics of patients with type 2 early infantile epileptic encephalopathy caused by CDKL5 gene mutations
title_full Clinical and genetic characteristics of patients with type 2 early infantile epileptic encephalopathy caused by CDKL5 gene mutations
title_fullStr Clinical and genetic characteristics of patients with type 2 early infantile epileptic encephalopathy caused by CDKL5 gene mutations
title_full_unstemmed Clinical and genetic characteristics of patients with type 2 early infantile epileptic encephalopathy caused by CDKL5 gene mutations
title_short Clinical and genetic characteristics of patients with type 2 early infantile epileptic encephalopathy caused by CDKL5 gene mutations
title_sort clinical and genetic characteristics of patients with type 2 early infantile epileptic encephalopathy caused by cdkl5 gene mutations
topic ранняя эпилептическая энцефалопатия
эпилептические приступы
cdkl5
url https://rjdn.abvpress.ru/jour/article/view/307
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