Comprehensive Exonic Sequencing of Hemiplegic Migraine-Related Genes in a Cohort of Suspected Probands Identifies Known and Potential Pathogenic Variants

Autor: Neven Maksemous, Omar Ibrahim, Rod A. Lea, Cassie L. Albury, Larisa M. Haupt, Bronwyn Jenkins, Benjamin Tsang, Heidi G. Sutherland, Lyn R. Griffiths, Robert A. Smith
Rok vydání: 2020
Předmět:
Zdroj: Cells
Cells, Vol 9, Iss 2368, p 2368 (2020)
Volume 9
Issue 11
ISSN: 2073-4409
Popis: Hemiplegic migraine (HM) is a rare migraine disorder with aura subtype including temporary weakness and visual, sensory, and/or speech symptoms. To date, three main genes&mdash
CACNA1A, ATP1A2, and SCN1A&mdash
have been found to cause HM. These encode ion channels or transporters, important for regulating neuronal ion balance and synaptic transmission, leading to HM being described as a channelopathy. However, <
20% of HM cases referred for genetic testing have mutations in these genes and other genes with roles in ion and solute transport, and neurotransmission has also been implicated in some HM cases. In this study, we performed whole exome sequencing for 187 suspected HM probands referred for genetic testing, but found to be negative for CACNA1A, ATP1A2, and SCN1A mutations, and applied targeted analysis of whole exome sequencing data for rare missense or potential protein-altering variants in the PRRT2, PNKD, SLC1A3, SLC2A1, SLC4A4, ATP1A3, and ATP1A4 genes. We identified known mutations and some potentially pathogenic variants in each of these genes in specific cases, suggesting that their screening improves molecular diagnosis for the disorder. However, the majority of HM patients were found not to have candidate mutations in any of the previously reported HM genes, suggesting that additional genetic factors contributing to the disorder are yet to be identified.
Databáze: OpenAIRE
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