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Exon-disrupting deletions of NRXN1 in idiopathic generalized epilepsy.
Epilepsia 54, 256-264 (2013)
PURPOSE: Neurexins are neuronal adhesion molecules located in the presynaptic terminal, where they interact with postsynaptic neuroligins to form a transsynaptic complex required for efficient neurotransmission in the brain. Recently, deletions and point mutations of the neurexin 1 (NRXN1) gene have been associated with a broad spectrum of neuropsychiatric disorders. This study aimed to investigate if NRXN1 deletions also increase the risk of idiopathic generalized epilepsies (IGEs). METHODS: We screened for deletions involving the NRXN1 gene in 1,569 patients with IGE and 6,201 controls using high-density oligonucleotide microarrays. KEY FINDINGS: We identified exon-disrupting deletions of NRXN1 in 5 of 1,569 patients with IGE and 2 of 6,201 control individuals (p = 0.0049; odds ratio (OR) 9.91, 95% confidence interval (CI) 1.92-51.12). A complex familial segregation pattern in the IGE families was observed, suggesting that heterozygous NRXN1 deletions are susceptibility variants. Intriguingly, we identified a second large copy number variant in three of five index patients, supporting an involvement of heterogeneous susceptibility alleles in the etiology of IGE. SIGNIFICANCE: We conclude that exon-disrupting deletions of NRXN1 represent a genetic risk factor in the genetically complex predisposition of common IGE syndromes.
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
Idiopathic Generalized Epilepsy ; 1q21 ; 1 Microdeletion ; Two-hit Hypothesis ; Nrxn1; Severe Developmental Delay ; Neurodevelopmental Disease ; Increase Risk ; Schizophrenia ; Model ; Microdeletions ; Predispose ; Disorders ; Variants ; Genetics
ISSN (print) / ISBN
0013-9580
e-ISSN
1528-1167
Journal
Epilepsia
Quellenangaben
Volume: 54,
Issue: 2,
Pages: 256-264
Publisher
Wiley
Non-patent literature
Publications
Reviewing status
Peer reviewed