Mutations in STX1B, encoding a presynaptic protein, cause fever-associated epilepsy syndromes.
Julian SchubertAleksandra SiekierskaMélanie LangloisPatrick MayClément HuneauFelicitas BeckerHiltrud MuhleArvid SulsJohannes R LemkeCarolien G F de KovelHolger ThieleKathryn KonradAmit KawaliaMohammad R ToliatThomas SanderFranz RüschendorfAlmuth CaliebeInga NagelBernard KohlAngela KecskésMaxime JacminKatia HardiesSarah WeckhuysenErik RieschThomas DornEva H BrilstraStephanie BaulacRikke S MøllerHelle HjalgrimBobby P C Koelemannull nullKarin Jurkat-RottFrank Lehman-HornJared C RoachGustavo GlusmanLeroy HoodDavid J GalasBenoit MartinPeter A M de WitteSaskia BiskupPeter De JongheIngo HelbigRudi BallingPeter NürnbergAlexander D CrawfordCamila V EsguerraYvonne G WeberHolger LerchePublished in: Nature genetics (2014)
Febrile seizures affect 2-4% of all children and have a strong genetic component. Recurrent mutations in three main genes (SCN1A, SCN1B and GABRG2) have been identified that cause febrile seizures with or without epilepsy. Here we report the identification of mutations in STX1B, encoding syntaxin-1B, that are associated with both febrile seizures and epilepsy. Whole-exome sequencing in independent large pedigrees identified cosegregating STX1B mutations predicted to cause an early truncation or an in-frame insertion or deletion. Three additional nonsense or missense mutations and a de novo microdeletion encompassing STX1B were then identified in 449 familial or sporadic cases. Video and local field potential analyses of zebrafish larvae with antisense knockdown of stx1b showed seizure-like behavior and epileptiform discharges that were highly sensitive to increased temperature. Wild-type human syntaxin-1B but not a mutated protein rescued the effects of stx1b knockdown in zebrafish. Our results thus implicate STX1B and the presynaptic release machinery in fever-associated epilepsy syndromes.
Keyphrases
- temporal lobe epilepsy
- wild type
- genome wide
- endothelial cells
- urinary tract infection
- young adults
- autism spectrum disorder
- mass spectrometry
- late onset
- dna methylation
- protein protein
- small molecule
- chemotherapy induced
- amyotrophic lateral sclerosis
- human health
- liquid chromatography
- genome wide identification
- molecularly imprinted