Epileptic Encephalopathy Caused by Mutations in the Guanine Nucleotide Exchange Factor DENND5A

Epileptic encephalopathies are a catastrophic group of epilepsies characterized by refractory seizures and cognitive arrest, often resulting from abnormal brain development. Here, we have identified an epileptic encephalopathy additionally featuring cerebral calcifications and coarse facial features...

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Veröffentlicht in:American journal of human genetics 2016-12, Vol.99 (6), p.1359-1367
Hauptverfasser: Han, Chanshuai, Alkhater, Reem, Froukh, Tawfiq, Minassian, Arakel G., Galati, Melissa, Liu, Rui Han, Fotouhi, Maryam, Sommerfeld, Julia, Alfrook, Ayman J., Marshall, Christian, Walker, Susan, Bauer, Peter, Scherer, Stephen W., Riess, Olaf, Buchert, Rebecca, Minassian, Berge A., McPherson, Peter S.
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container_end_page 1367
container_issue 6
container_start_page 1359
container_title American journal of human genetics
container_volume 99
creator Han, Chanshuai
Alkhater, Reem
Froukh, Tawfiq
Minassian, Arakel G.
Galati, Melissa
Liu, Rui Han
Fotouhi, Maryam
Sommerfeld, Julia
Alfrook, Ayman J.
Marshall, Christian
Walker, Susan
Bauer, Peter
Scherer, Stephen W.
Riess, Olaf
Buchert, Rebecca
Minassian, Berge A.
McPherson, Peter S.
description Epileptic encephalopathies are a catastrophic group of epilepsies characterized by refractory seizures and cognitive arrest, often resulting from abnormal brain development. Here, we have identified an epileptic encephalopathy additionally featuring cerebral calcifications and coarse facial features caused by recessive loss-of-function mutations in DENND5A. DENND5A contains a DENN domain, an evolutionarily ancient enzymatic module conferring guanine nucleotide exchange factor (GEF) activity to multiple proteins serving as GEFs for Rabs, which are key regulators of membrane trafficking. DENND5A is detected predominantly in neuronal tissues, and its highest levels occur during development. Knockdown of DENND5A leads to striking alterations in neuronal development. Mechanistically, these changes appear to result from upregulation of neurotrophin receptors, leading to enhanced downstream signaling. Thus, we have identified a link between a DENN domain protein and neuronal development, dysfunction of which is responsible for a form of epileptic encephalopathy.
doi_str_mv 10.1016/j.ajhg.2016.10.006
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subjects Adolescent
Animals
Brain
Brain - pathology
Child
Consanguinity
Convulsions & seizures
Epilepsy
Epilepsy - genetics
Female
Humans
Male
Mutation
Neurons
Neurons - metabolism
PC12 Cells
Pedigree
Proteins
rab GTP-Binding Proteins - genetics
Rats
title Epileptic Encephalopathy Caused by Mutations in the Guanine Nucleotide Exchange Factor DENND5A
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