KCNC2 variants of uncertain significance are also associated to various forms of epilepsy

Recently, de novo variants in KCNC2, coding for the potassium channel subunit KV3.2, have been described as causative for various forms of epilepsy including genetic generalized epilepsy (GGE) and developmental and epileptic encephalopathy (DEE). Here, we report the functional characteristics of thr...

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Main Authors: Simone Seiffert, Manuela Pendziwiat, Ulrike B. S. Hedrich, Ingo Helbig, Yvonne Weber, Niklas Schwarz
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1212079/full
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author Simone Seiffert
Simone Seiffert
Manuela Pendziwiat
Manuela Pendziwiat
Ulrike B. S. Hedrich
Ingo Helbig
Ingo Helbig
Ingo Helbig
Ingo Helbig
Ingo Helbig
Yvonne Weber
Yvonne Weber
Niklas Schwarz
author_facet Simone Seiffert
Simone Seiffert
Manuela Pendziwiat
Manuela Pendziwiat
Ulrike B. S. Hedrich
Ingo Helbig
Ingo Helbig
Ingo Helbig
Ingo Helbig
Ingo Helbig
Yvonne Weber
Yvonne Weber
Niklas Schwarz
author_sort Simone Seiffert
collection DOAJ
description Recently, de novo variants in KCNC2, coding for the potassium channel subunit KV3.2, have been described as causative for various forms of epilepsy including genetic generalized epilepsy (GGE) and developmental and epileptic encephalopathy (DEE). Here, we report the functional characteristics of three additional KCNC2 variants of uncertain significance and one variant classified as pathogenic. Electrophysiological studies were performed in Xenopus laevis oocytes. The data presented here support that KCNC2 variants with uncertain significance may also be causative for various forms of epilepsy, as they show changes in the current amplitude and activation and deactivation kinetics of the channel, depending on the variant. In addition, we investigated the effect of valproic acid on KV3.2, as several patients carrying pathogenic variants in the KCNC2 gene achieved significant seizure reduction or seizure freedom with this drug. However, in our electrophysiological investigations, no change on the behavior of KV3.2 channels could be observed, suggesting that the therapeutic effect of VPA may be explained by other mechanisms.
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spelling doaj.art-f35535cc4a4a40148a114289331ac4de2023-06-09T05:13:56ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-06-011410.3389/fneur.2023.12120791212079KCNC2 variants of uncertain significance are also associated to various forms of epilepsySimone Seiffert0Simone Seiffert1Manuela Pendziwiat2Manuela Pendziwiat3Ulrike B. S. Hedrich4Ingo Helbig5Ingo Helbig6Ingo Helbig7Ingo Helbig8Ingo Helbig9Yvonne Weber10Yvonne Weber11Niklas Schwarz12Department of Human Genetics, University Hospital Ulm, Ulm, GermanyDepartment of Neurology and Epileptology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, GermanyInstitute of Clinical Molecular Biology, Christian-Albrechts-University of Kiel, Kiel, GermanyDepartment of Neuropediatrics, University Medical Center Schleswig-Holstein, Christian-Albrechts-University, Kiel, GermanyDepartment of Neurology and Epileptology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, GermanyDepartment of Neuropediatrics, University Medical Center Schleswig-Holstein, Christian-Albrechts-University, Kiel, GermanyDivision of Neurology, Children’s Hospital of Philadelphia, Philadelphia, PA, United StatesThe Epilepsy NeuroGenetics Initiative (ENGIN), Children's Hospital of Philadelphia, Philadelphia, PA, United StatesDepartment of Biomedical and Health Informatics (DBHi), Children’s Hospital of Philadelphia, Philadelphia, PA, United StatesDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Neurology and Epileptology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, GermanyDepartment of Epileptology and Neurology, University of Aachen, Aachen, GermanyDepartment of Neurology and Epileptology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, GermanyRecently, de novo variants in KCNC2, coding for the potassium channel subunit KV3.2, have been described as causative for various forms of epilepsy including genetic generalized epilepsy (GGE) and developmental and epileptic encephalopathy (DEE). Here, we report the functional characteristics of three additional KCNC2 variants of uncertain significance and one variant classified as pathogenic. Electrophysiological studies were performed in Xenopus laevis oocytes. The data presented here support that KCNC2 variants with uncertain significance may also be causative for various forms of epilepsy, as they show changes in the current amplitude and activation and deactivation kinetics of the channel, depending on the variant. In addition, we investigated the effect of valproic acid on KV3.2, as several patients carrying pathogenic variants in the KCNC2 gene achieved significant seizure reduction or seizure freedom with this drug. However, in our electrophysiological investigations, no change on the behavior of KV3.2 channels could be observed, suggesting that the therapeutic effect of VPA may be explained by other mechanisms.https://www.frontiersin.org/articles/10.3389/fneur.2023.1212079/fullpotassium channeldevelopmental and epileptic encephalopathyKCNC2 electrophysiologyfunctional analysisprecision medicine
spellingShingle Simone Seiffert
Simone Seiffert
Manuela Pendziwiat
Manuela Pendziwiat
Ulrike B. S. Hedrich
Ingo Helbig
Ingo Helbig
Ingo Helbig
Ingo Helbig
Ingo Helbig
Yvonne Weber
Yvonne Weber
Niklas Schwarz
KCNC2 variants of uncertain significance are also associated to various forms of epilepsy
Frontiers in Neurology
potassium channel
developmental and epileptic encephalopathy
KCNC2 electrophysiology
functional analysis
precision medicine
title KCNC2 variants of uncertain significance are also associated to various forms of epilepsy
title_full KCNC2 variants of uncertain significance are also associated to various forms of epilepsy
title_fullStr KCNC2 variants of uncertain significance are also associated to various forms of epilepsy
title_full_unstemmed KCNC2 variants of uncertain significance are also associated to various forms of epilepsy
title_short KCNC2 variants of uncertain significance are also associated to various forms of epilepsy
title_sort kcnc2 variants of uncertain significance are also associated to various forms of epilepsy
topic potassium channel
developmental and epileptic encephalopathy
KCNC2 electrophysiology
functional analysis
precision medicine
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1212079/full
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