2021
DOI: 10.1007/s10072-020-04961-x
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Epilepsy, status epilepticus, and hemiplegic migraine coexisting with a novel SLC4A4 mutation

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Cited by 10 publications
(3 citation statements)
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“…Here, we demonstrate that LMTK3 copurifies from the brain with KCC2, the principal mediator of Cl − extrusion employed by mature neurons, and its activity is a prerequisite for fast inhibitory neurotransmission mediated by GABA A Rs. Immunopurification coupled with quantitative mass spectroscopy revealed that LMTK3 and KCC2 exist as stable protein complexes in brain plasma membrane in an approximate stoichiometry of 2:1—stoichiometric levels of myo18, an unconventional myosin, that regulates vesicular trafficking 49 and the electrogenic Na/bicarbonate transporter SLC4A4, an epilepsy risk gene 50 copurified with LMTK3. Notably in addition to Cl − , GABA A R receptors are also permeable to bicarbonate, 51 thus, the proximity of KCC2 and SLC4A4 may allow neurons to fine-tune the polarity of GABA A R currents.…”
Section: Discussionmentioning
confidence: 99%
“…Here, we demonstrate that LMTK3 copurifies from the brain with KCC2, the principal mediator of Cl − extrusion employed by mature neurons, and its activity is a prerequisite for fast inhibitory neurotransmission mediated by GABA A Rs. Immunopurification coupled with quantitative mass spectroscopy revealed that LMTK3 and KCC2 exist as stable protein complexes in brain plasma membrane in an approximate stoichiometry of 2:1—stoichiometric levels of myo18, an unconventional myosin, that regulates vesicular trafficking 49 and the electrogenic Na/bicarbonate transporter SLC4A4, an epilepsy risk gene 50 copurified with LMTK3. Notably in addition to Cl − , GABA A R receptors are also permeable to bicarbonate, 51 thus, the proximity of KCC2 and SLC4A4 may allow neurons to fine-tune the polarity of GABA A R currents.…”
Section: Discussionmentioning
confidence: 99%
“…The SLC4A4 gene has recently been identified as the source of a condition characterized by metabolic acidosis due to renal failure to acidify urine. This disorder is caused by an abnormal function of the sodium and bicarbonate cotransporter encoded by the gene NBCe1 [ 11 ]. Expression of NBCe1 in other organs, such as the CNS, can cause extrarenal symptoms associated with the SLC4A4 mutation.…”
Section: Discussionmentioning
confidence: 99%
“…Until now, WES was typically applied to cohorts of patients with HM, testing several hundred cases in an attempt to either find causal mutations in known HM genes or novel HM genes patients that are negative for mutations in CACNA1A, ATP1A2, and SCN1A. Until now results have not led to additional (undisputed) HM genes (9)(10)(11)51,52). This may indicate that HM in mutation-negative patients may be oligogenic or polygenic, in line with the excess presence of common variants in such patients (12).…”
Section: Exome and Genome Sequencing In Migrainementioning
confidence: 99%