Genes, Vol. 15, Pages 266: Genetic Advancements in Infantile Epileptic Spasms Syndrome and Opportunities for Precision Medicine

Genes, Vol. 15, Pages 266: Genetic Advancements in Infantile Epileptic Spasms Syndrome and Opportunities for Precision Medicine Genes doi: 10.3390/genes15030266 Authors: Hannah E. Snyder Puneet Jain Rajesh RamachandranNair Kevin C. Jones Robyn Whitney Infantile epileptic spasms syndrome (IESS) is a devastating developmental epileptic encephalopathy (DEE) consisting of epileptic spasms, as well as one or both of developmental regression or stagnation and hypsarrhythmia on EEG. A myriad of aetiologies are associated with the development of IESS; broadly, 60% of cases are thought to be structural, metabolic or infectious in nature, with the remainder genetic or of unknown cause. Epilepsy genetics is a growing field, and over 28 copy number variants and 70 single gene pathogenic variants related to IESS have been discovered to date. While not exhaustive, some of the most commonly reported genetic aetiologies include trisomy 21 and pathogenic variants in genes such as TSC1, TSC2, CDKL5, ARX, KCNQ2, STXBP1 and SCN2A. Understanding the genetic mechanisms of IESS may provide the opportunity to better discern IESS pathophysiology and improve treatments for this condition. This narrative review presents an overview of our current understanding of IESS genetics, with an emphasis on animal models of IESS pathogenesis, the spectrum of genetic aetiologies of IESS (i.e., chromosomal disorders, single-gene disorders, trinucleotide repeat disorders and mitochondrial disorders)...
Source: Genes - Category: Genetics & Stem Cells Authors: Tags: Review Source Type: research
More News: Epilepsy | Genetics