2015
DOI: 10.1093/hmg/ddv410
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SCN4Apore mutation pathogenetically contributes to autosomal dominant essential tremor and may increase susceptibility to epilepsy

Abstract: Essential tremor (ET) is the most prevalent movement disorder, affecting millions of people in the USA. Although a positive family history is one of the most important risk factors for ET, the genetic causes of ET remain unknown. In an attempt to identify genetic causes for ET, we performed whole-exome sequencing analyses in a large Spanish family with ET, in which two patients also developed epilepsy. To further assess pathogenicity, site-directed mutagenesis, mouse and human brain expression analyses, and pa… Show more

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Cited by 28 publications
(33 citation statements)
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“…The T-type calcium channel, Cav3.1, has been previously implicated in neuronal autorhythmicity [53, 54] and is thought to underlie tremors seen in Parkinson’s disease[55], enhanced physiological tremor, and in ET [56] and T-type calcium channel antagonists have been shown to reduce tremor in mouse models of ET [54, 57, 58]. The identification of CACNA1G in two ET families in the current study is consistent with recent reports of mutations in other ion channel genes in other ET families and the concept that the ETs are channelopathies [14, 15]. We previously reported the identification of a mutation in Kv9.2 ( KCNS2 ), that encodes an electrically silent voltage-gated K + channel α subunit, in a family with pure ET [15].…”
Section: Discussionsupporting
confidence: 90%
See 1 more Smart Citation
“…The T-type calcium channel, Cav3.1, has been previously implicated in neuronal autorhythmicity [53, 54] and is thought to underlie tremors seen in Parkinson’s disease[55], enhanced physiological tremor, and in ET [56] and T-type calcium channel antagonists have been shown to reduce tremor in mouse models of ET [54, 57, 58]. The identification of CACNA1G in two ET families in the current study is consistent with recent reports of mutations in other ion channel genes in other ET families and the concept that the ETs are channelopathies [14, 15]. We previously reported the identification of a mutation in Kv9.2 ( KCNS2 ), that encodes an electrically silent voltage-gated K + channel α subunit, in a family with pure ET [15].…”
Section: Discussionsupporting
confidence: 90%
“…In two families with atypical ET, mutations were also identified in genes encoding voltage-gated sodium channel alpha subunits. In a family with epilepsy and ET, a disease-segregating mutation p.(Gly1537Ser) in the SCN4A gene was identified and functional analyses demonstrated more rapid channel kinetics and altered ion selectivity, which may contribute to the phenotype of tremor and epilepsy in this family [14]. In a four generation Chinese family, with early onset familial episodic pain and ET, a gain-of-function missense mutation p.(Arg225Cys) in SCN11A was identified [60].…”
Section: Discussionmentioning
confidence: 99%
“…The protein encoded by SCN3A is a transmembrane sodium channel, which plays an important role in the neuronal function. Disruption of the functioning of such sodium channels can cause the emergence of a number of neurological diseases, including essential tremor (Bergareche et al, 2015 ), epilepsy (George, 2004 ; Helbig et al, 2008 ; Reid et al, 2009 ; Eijkelkamp et al, 2012 ; Oliva et al, 2012 ), multiple sclerosis (Waxman, 2006 ), painful neuropathy (Faber et al, 2012 ; Huang et al, 2014 ), myotonia (Jurkat-Rott et al, 2010 ; Stunnenberg et al, 2010 ) and paroxysmal myoplegia (Cannon, 2010 ). It is interesting to note that all three potentially pathogenetically significant variants have been identified by us for the first time and are located in the hydrophobic fifth segment of the SCHN3A protein that is directly responsible for ion transport.…”
Section: Discussionmentioning
confidence: 99%
“…This suggests that the cellular environment is usually not able to invert the effect of a mutation from gain to loss of function phenotypes and reciprocally. Such comparison between Nav1.4 and Nav1.5 will probably draw more and more interest, to address the challenge of interpreting and understanding pathogenicity of rare SCN4A or SCN5A variants revealed by next-generation sequencing studies (Arnold et al, 2015 ; Bergareche et al, 2015 ; Coll et al, 2015 ).…”
Section: Comparison Of Missense Mutations Are There (Dys-) Functionamentioning
confidence: 99%