A novel null homozygous mutation confirms CACNA2D2 as a gene mutated in epileptic encephalopathy.

Contribution to epileptic encephalopathy (EE) of mutations in CACNA2D2, encoding α2δ-2 subunit of Voltage Dependent Calcium Channels, is unclear. To date only one CACNA2D2 mutation altering channel functionality has been identified in a single family. In the same family, a rare CELSR3 polymorphism a...

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Autores principales: Tommaso Pippucci, Antonia Parmeggiani, Flavia Palombo, Alessandra Maresca, Andrea Angius, Laura Crisponi, Francesco Cucca, Rocco Liguori, Maria Lucia Valentino, Marco Seri, Valerio Carelli
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:aecdf351c8ad4206b5d7427262e5fb7b2021-11-18T08:41:51ZA novel null homozygous mutation confirms CACNA2D2 as a gene mutated in epileptic encephalopathy.1932-620310.1371/journal.pone.0082154https://doaj.org/article/aecdf351c8ad4206b5d7427262e5fb7b2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24358150/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203Contribution to epileptic encephalopathy (EE) of mutations in CACNA2D2, encoding α2δ-2 subunit of Voltage Dependent Calcium Channels, is unclear. To date only one CACNA2D2 mutation altering channel functionality has been identified in a single family. In the same family, a rare CELSR3 polymorphism also segregated with disease. Involvement of CACNA2D2 in EE is therefore not confirmed, while that of CELSR3 is questionable. In a patient with epilepsy, dyskinesia, cerebellar atrophy, psychomotor delay and dysmorphic features, offspring to consanguineous parents, we performed whole exome sequencing (WES) for homozygosity mapping and mutation detection. WES identified extended autozygosity on chromosome 3, containing two novel homozygous candidate mutations: c.1295delA (p.Asn432fs) in CACNA2D2 and c.G6407A (p.Gly2136Asp) in CELSR3. Gene prioritization pointed to CACNA2D2 as the most prominent candidate gene. The WES finding in CACNA2D2 resulted to be statistically significant (p = 0.032), unlike that in CELSR3. CACNA2D2 homozygous c.1295delA essentially abolished α2δ-2 expression. In summary, we identified a novel null CACNA2D2 mutation associated to a clinical phenotype strikingly similar to the Cacna2d2 null mouse model. Molecular and statistical analyses together argued in favor of a causal contribution of CACNA2D2 mutations to EE, while suggested that finding in CELSR3, although potentially damaging, is likely incidental.Tommaso PippucciAntonia ParmeggianiFlavia PalomboAlessandra MarescaAndrea AngiusAndrea AngiusLaura CrisponiFrancesco CuccaRocco LiguoriMaria Lucia ValentinoMarco SeriValerio CarelliPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 12, p e82154 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Tommaso Pippucci
Antonia Parmeggiani
Flavia Palombo
Alessandra Maresca
Andrea Angius
Andrea Angius
Laura Crisponi
Francesco Cucca
Rocco Liguori
Maria Lucia Valentino
Marco Seri
Valerio Carelli
A novel null homozygous mutation confirms CACNA2D2 as a gene mutated in epileptic encephalopathy.
description Contribution to epileptic encephalopathy (EE) of mutations in CACNA2D2, encoding α2δ-2 subunit of Voltage Dependent Calcium Channels, is unclear. To date only one CACNA2D2 mutation altering channel functionality has been identified in a single family. In the same family, a rare CELSR3 polymorphism also segregated with disease. Involvement of CACNA2D2 in EE is therefore not confirmed, while that of CELSR3 is questionable. In a patient with epilepsy, dyskinesia, cerebellar atrophy, psychomotor delay and dysmorphic features, offspring to consanguineous parents, we performed whole exome sequencing (WES) for homozygosity mapping and mutation detection. WES identified extended autozygosity on chromosome 3, containing two novel homozygous candidate mutations: c.1295delA (p.Asn432fs) in CACNA2D2 and c.G6407A (p.Gly2136Asp) in CELSR3. Gene prioritization pointed to CACNA2D2 as the most prominent candidate gene. The WES finding in CACNA2D2 resulted to be statistically significant (p = 0.032), unlike that in CELSR3. CACNA2D2 homozygous c.1295delA essentially abolished α2δ-2 expression. In summary, we identified a novel null CACNA2D2 mutation associated to a clinical phenotype strikingly similar to the Cacna2d2 null mouse model. Molecular and statistical analyses together argued in favor of a causal contribution of CACNA2D2 mutations to EE, while suggested that finding in CELSR3, although potentially damaging, is likely incidental.
format article
author Tommaso Pippucci
Antonia Parmeggiani
Flavia Palombo
Alessandra Maresca
Andrea Angius
Andrea Angius
Laura Crisponi
Francesco Cucca
Rocco Liguori
Maria Lucia Valentino
Marco Seri
Valerio Carelli
author_facet Tommaso Pippucci
Antonia Parmeggiani
Flavia Palombo
Alessandra Maresca
Andrea Angius
Andrea Angius
Laura Crisponi
Francesco Cucca
Rocco Liguori
Maria Lucia Valentino
Marco Seri
Valerio Carelli
author_sort Tommaso Pippucci
title A novel null homozygous mutation confirms CACNA2D2 as a gene mutated in epileptic encephalopathy.
title_short A novel null homozygous mutation confirms CACNA2D2 as a gene mutated in epileptic encephalopathy.
title_full A novel null homozygous mutation confirms CACNA2D2 as a gene mutated in epileptic encephalopathy.
title_fullStr A novel null homozygous mutation confirms CACNA2D2 as a gene mutated in epileptic encephalopathy.
title_full_unstemmed A novel null homozygous mutation confirms CACNA2D2 as a gene mutated in epileptic encephalopathy.
title_sort novel null homozygous mutation confirms cacna2d2 as a gene mutated in epileptic encephalopathy.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/aecdf351c8ad4206b5d7427262e5fb7b
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