Researchers discover source of infant epilepsy
Adelaide researchers have unlocked a 20-year mystery about a type
of epilepsy in infants. It is caused by a single mutation in one
gene. The discovery will allow for better screening, diagnosis and
prediction of the risk of seizures for sufferers of benign familial
infantile epilepsy, the researchers say. University of South
Australia research fellow Dr Susan Heron said yesterday the rare
condition occurred in about 60 Australian families. She said the
mutation was pinned to the chromosome responsible more than 15
years ago but the particular gene had been hard to identify. "It
was difficult to find because it wasn`t a gene that you would think
about linking to epilepsy," Dr Heron said. "The gene that we found
is not a type of gene that`s been known to be involved with
epilepsy before." The mutation causing the disorder adds one more
code to a 12-code sequence on chromosome 16, which affects a gene
known as PRRT2. Of 23 families previously diagnosed with benign
familial infantile epilepsy, DNA analysis found the mutation
present in 19 families. Dr Heron said children with the condition
typically suffered seizures from the age of six months to two
years. Later in life, the genetic mutation can cause a movement
disorder, characterised by sudden, startling, involuntary jerks
when the children start moving. "The children grow out of epilepsy
but they can develop a movement disorder," Dr Heron said. She said
families would now be able to have their children screened for the
mutation, with a definite diagnosis made. "If we can confirm what
they have, we can better target treatment," she said. The UniSA
researchers made the discovery in conjunction with a team at the
University of Melbourne. The work was published on Friday in the
American Journal of Human Genetics. Professor Ingrid Scheffer, from
the Melbourne team began looking at the disorder some 20 years ago.
She said it was already known the gene made a protein called
proline rich transmembrane protein 2. "That means we can home in on
what`s happening biochemically and start to develop targeted
treatments for the condition," she said.
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