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Published on: October 20, 2023
Electrophysiological Phenotype in Angelman Syndrome Differs Between Genotypes
Joel Frohlich1, Meghan T Miller2, Lynne M Bird3
1Neuroscience, Ophthalmology and Rare Diseases, Roche Innovation Center, Roche Pharma Research and Early Development, Basel, Switzerland; Center for Autism Research and Treatment, Semel Institute for Neuroscience, University of California, Los Angeles, Los Angeles.
Angelman syndrome (AS) with deletions shows distinct EEG patterns, including higher theta and lower beta power. These findings suggest non-UBE3A genes contribute to AS severity and pathophysiology.
Area of Science:
- Neuroscience
- Genetics
- Developmental Biology
Background:
- Angelman syndrome (AS) is a severe neurodevelopmental disorder.
- AS results from UBE3A gene disruptions or chromosome 15 deletions (15q11-q13).
- The pathophysiology of AS, especially in deletion cases, is not fully understood.
Purpose of the Study:
- To investigate if genes on chromosome 15, other than UBE3A, contribute to differing pathophysiology in Angelman syndrome genotypes.
- To test the hypothesis that non-UBE3A genes influence AS clinical presentation.
Main Methods:
- Compared electroencephalography (EEG) spectral power in children with AS deletion genotype (n=37), nondeletion genotype (n=21), and typically developing controls (n=48).
- Analyzed clinical EEG recordings from children aged 1-18 years.
- Focused on spectral power across various frequency bands (delta, theta, beta).
Main Results:
- Deletion genotype exhibited elevated theta power (5.3 Hz) and diminished beta power (23 Hz) compared to the nondeletion genotype.
- Both AS genotypes showed excess broadband EEG power (1-32 Hz) peaking in the delta range (2.8 Hz), more pronounced in deletion cases at younger ages.
- Significant differences in EEG oscillations were observed between AS genotypes.
Conclusions:
- Results strongly support the role of non-UBE3A genes in the pathophysiology of deletion AS.
- Hemizygosity of the GABRB3-GABRA5-GABRG3 gene cluster likely causes abnormal theta and beta EEG oscillations, contributing to a more severe AS phenotype.
- This research enhances understanding of AS pathophysiology and informs AS treatment and biomarker development.
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