학술논문

Mutations of PTPN23 in developmental and epileptic encephalopathy
Original Investigation
Document Type
Academic Journal
Source
Human Genetics. November 2017, Vol. 136 Issue 11-12, p1455, 7 p.
Subject
International economic relations
Genetic aspects
Prognosis
Anticonvulsants
Epilepsy -- Genetic aspects -- Prognosis
Drug resistance -- Genetic aspects -- Prognosis
Phosphatases
Language
English
ISSN
0340-6717
Abstract
Author(s): Nadine Sowada [sup.1] , Mais Omar Hashem [sup.2] , Rüstem Yilmaz [sup.1] , Muddathir Hamad [sup.3] , Naseebullah Kakar [sup.1] [sup.4] , Holger Thiele [sup.5] , Stefan T. Arold [...]
Developmental and epileptic encephalopathies (DEE) are a heterogeneous group of neurodevelopmental disorders with poor prognosis. Recent discoveries have greatly expanded the repertoire of genes that are mutated in epileptic encephalopathies and DEE, often in a de novo fashion, but in many patients, the disease remains molecularly uncharacterized. Here, we describe a new form of DEE in patients with likely deleterious biallelic variants in PTPN23. The phenotype is characterized by early onset drug-resistant epilepsy, severe and global developmental delay, microcephaly, and sometimes premature death. PTPN23 encodes a tyrosine phosphatase with strong brain expression, and its knockout in mouse is embryonically lethal. Structural modeling supports a deleterious effect of the identified alleles. Our data suggest that PTPN23 mutations cause a rare severe form of autosomal-recessive DEE in humans, a finding that requires confirmation.