Functional evidence for SCN8A splice-donor variant c.4419+1 A > G causing loss of function
Takashi Shibata1, Tomoyuki Akiyama2, Takuma Harasaki3
1Department of Pediatric Neurology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences and Okayama University Hospital, Okayama, Japan. shibat-t@okayama-u.ac.jp.
None:
We report a child with severe developmental and epileptic encephalopathy carrying a rare SCN8A splice‑site variant. Although its pathogenicity was initially unclear, a minigene assay demonstrated aberrant splicing, indicating a loss‑of‑function mechanism. Integrated clinical, genetic and functional evidence classified the variant as pathogenic, underscoring the importance of splicing assays for interpreting rare SCN8A variants.
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