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Two Novel Variants in the CHRNA2 and SCN2A Genes in Italian Patients with Febrile Seizures
Radha Procopio1, Monica Gagliardi1, Mariagrazia Talarico2
1Department of Medical and Surgical Sciences, Neuroscience Research Center, Magna Graecia University, 88100 Catanzaro, Italy.
Insights
Researchers identified two new genetic variants, one in CHRNA2 and one in SCN2A, associated with febrile seizures (FSs) in Italian children. These findings shed light on the genetic underpinnings of this common epilepsy form.
Area of Science:
- Genetics
- Neurology
- Pediatrics
Background:
- Febrile seizures (FSs) are the most common epilepsy form in children aged 6 months to 5 years.
- Genetic predisposition, involving receptors and ion channels, is increasingly implicated in FSs.
- The precise genetic causes of FSs remain largely unknown.
Purpose of the Study:
- To identify novel pathogenic genetic variants in Italian patients diagnosed with febrile seizures.
- To investigate the potential role of identified variants in the etiology of FSs.
Main Methods:
- Targeted panel sequencing was employed on a cohort of 21 patients with FSs.
- In silico analysis was conducted to predict the pathogenicity of identified variants.
Main Results:
- Two novel variants were discovered segregating in two distinct families with FSs.
- A c.1021C>G (p.Leu341Val) variant was identified in the CHRNA2 gene.
- A c.140A>G (p.Glu47Gly) variant was identified in the SCN2A gene.
Conclusions:
- The CHRNA2 variant (p.Leu341Val) affects a conserved leucine in a critical channel gating segment.
- The SCN2A variant (p.Glu47Gly) impacts a conserved N-terminal domain residue, potentially affecting channel kinetics.
- Further research is necessary to fully elucidate the roles of CHRNA2 and SCN2A in febrile seizure development.
Background:
Febrile seizures (FSs) are the most common form of epilepsy in children aged between six months and five years. The exact cause is unknown, but several studies have demonstrated the importance of genetic predisposition, with increasing involvement of receptors and ion channels. The present study aims to identify novel pathogenic variants in Italian patients with FSs.
Methods:
We performed targeted panel sequencing in a cohort of 21 patients with FSs. In silico analysis was performed to predict the pathogenic role of the resulting variants.
Results:
We found two novel variants segregating in two families with FSs: c.1021C>G (p.Leu341Val) in the CHRNA2 gene and c.140A>G (p.Glu47Gly) in SCN2A.
Conclusions:
The c.1021C>G (p.Leu341Val) variant leads to a codon change of highly conserved leucine to valine at position 341 and is located in segments M3 of the subunit, which is important for channel gating. The c.140A>G (p.Glu47Gly) variant causes a substitution of glutamic acid with glycine at position 47 of the protein, which is highly conserved across the species. Moreover, it is located in the N-terminal domain, a region commonly affected in ASD, which impacts the inactivation kinetics and voltage dependence of steady-state activation. Further analyses are needed to better explain the role of CHRNA2 and SCN2A in the development of febrile seizures.
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