De novo KCNA6 variants with attenuated K V 1.6 channel deactivation in patients with epilepsy.
Vincenzo SalpietroValentina Galassi DeforieStephanie EfthymiouEmer O'ConnorAnna Marcé-GrauReza MaroofianPasquale StrianoFederico ZaraMichelle M Morrownull nullAdi ReichAmy BlevinsJúlia Sala-CorominaAndrea AccogliSara FortunaMarie AlesandriniPing Yee Billie AuNilika Shah SinghalBenjamin CogneBertrand IsidorMichael G HannaAlfons MacayaDimitri Michael KullmannHenry HouldenRoope MannikkoPublished in: Epilepsia (2022)
This is the first report of de novo nonsynonymous variants in KCNA6 associated with neurological or any clinical features. Channel variants showed a consistent effect on channel deactivation, slowing the rate of channel closure following normal activation. This specific gain-of-function feature is likely to underlie the neurological phenotype in our patients. Our data highlight KCNA6 as a novel channelopathy gene associated with early infantile epileptic phenotypes and neurodevelopmental anomalies.