PMID- 12015163 OWN - NLM STAT- MEDLINE DCOM- 20020731 LR - 20190910 IS - 0387-7604 (Print) IS - 0387-7604 (Linking) VI - 24 IP - 4 DP - 2002 Jun TI - Genetic abnormalities underlying familial epilepsy syndromes. PG - 211-22 AB - Genetic defects have been recently identified in certain inherited epilepsy syndromes in which the phenotypes are similar to common idiopathic epilepsies. Mutations in the neuronal nicotinic acetylcholine receptor 4 and 2 subunit genes have been detected in families with autosomal dominant nocturnal frontal lobe epilepsy. Both receptors are components of neuronal acetylcholine receptor, a ligand-gated ion channel in the brain. Furthermore, mutations of two K+-channel genes were also identified as the underlying genetic abnormalities of benign familial neonatal convulsions. Mutations in the voltage-gated Na+-channel 1, 2 and 1 and the gamma aminobutyric acid (GABAA) receptor 2 subunit genes were found as a cause of generalized epilepsy with febrile seizures plus, a clinical subset of febrile convulsions. Na+-channels, GABAA receptor and their auxiliaries may be involved in the pathogenesis of this subtype and even in simple febrile convulsions. Mutation of a voltage-gated K+-channel gene can cause partial seizures associated with periodic ataxia type 1 and some forms of juvenile myoclonic epilepsy and idiopathic generalized epilepsy can result from mutations of a Ca2+-channel. This line of evidence suggests the involvement of channels expressed in the brain in the pathogenesis of certain types of epilepsy. Our working hypothesis is to view certain idiopathic epilepsies as disorders of ion channels, i.e. 'channelopathies'. Such hypothesis should provide a new insight to our understanding of the genetic background of epilepsy. FAU - Hirose, Shinichi AU - Hirose S AD - Department of Pediatrics, School of Medicine, Fukuoka University, 45-1, 7-chome Nanakuma, Jonan-ku, Japan. hirose@fukuoka-u.ac.jp FAU - Okada, Motohiro AU - Okada M FAU - Yamakawa, Kazuhiro AU - Yamakawa K FAU - Sugawara, Takashi AU - Sugawara T FAU - Fukuma, Goryu AU - Fukuma G FAU - Ito, Masatoshi AU - Ito M FAU - Kaneko, Sunao AU - Kaneko S FAU - Mitsudome, Akihisa AU - Mitsudome A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - Netherlands TA - Brain Dev JT - Brain & development JID - 7909235 RN - 0 (Ion Channels) SB - IM MH - Epilepsy, Generalized/*genetics MH - Humans MH - Ion Channels/chemistry/*genetics MH - Protein Conformation MH - Seizures, Febrile/*genetics RF - 84 EDAT- 2002/05/17 10:00 MHDA- 2002/08/01 10:01 CRDT- 2002/05/17 10:00 PHST- 2002/05/17 10:00 [pubmed] PHST- 2002/08/01 10:01 [medline] PHST- 2002/05/17 10:00 [entrez] AID - S0387760402000566 [pii] AID - 10.1016/s0387-7604(02)00056-6 [doi] PST - ppublish SO - Brain Dev. 2002 Jun;24(4):211-22. doi: 10.1016/s0387-7604(02)00056-6.