PMID- 21269290 OWN - NLM STAT- MEDLINE DCOM- 20110509 LR - 20211020 IS - 1528-1167 (Electronic) IS - 0013-9580 (Print) IS - 0013-9580 (Linking) VI - 52 IP - 3 DP - 2011 Mar TI - Epilepsy and the new cytogenetics. PG - 423-32 LID - 10.1111/j.1528-1167.2010.02932.x [doi] AB - We set out to review the extent to which molecular karyotyping has overtaken conventional cytogenetics in applications related to epilepsy. Multiplex ligase-dependent probe amplification (MLPA) targeted to predetermined regions such as SCN1A and KCNQ2 has been effectively applied over the last half a decade, and oligonucleotide array comparative genome hybridization (array CGH) is now well established for genome-wide exploration of microchromosomal variation. Array CGH is applicable to the characterization of lesions present in both sporadic and familial epilepsy, especially where clinical features of affected cases depart from established syndromes. Copy number variants (CNVs) associated with epilepsy and a range of other syndromes and conditions can be recurrent due to nonallelic homologous recombination in regions of segmental duplication. The most common of the recurrent microdeletions associated with generalized epilepsy are typically seen at a frequency of approximately 1% at 15q13.3, 16p13.11, and 15q11.2, sites that also confer susceptibility for intellectual disability, autism, and schizophrenia. Incomplete penetrance and variable expressivity confound the established rules of cytogenetics for determining the pathogenicity for novel CNVs; however, as knowledge is gained for each of the recurrent CNVs, this is translated to genetic counseling. CNVs play a significant role in the susceptibility profile for epilepsies, with complex genetics and their comorbidities both from the "hotspots" defined by segmental duplication and elsewhere in the genome where their location and size are often novel. CI - Wiley Periodicals, Inc. (c) 2011 International League Against Epilepsy. FAU - Mulley, John C AU - Mulley JC AD - Department of Genetic Medicine, Directorate of Genetics and Molecular Pathology, SA Pathology at Women's and Children's Hospital, Adelaide, South Australia, Australia. john.mulley@health.sa.gov.au FAU - Mefford, Heather C AU - Mefford HC LA - eng GR - R01 NS069605/NS/NINDS NIH HHS/United States GR - R01 NS069605-01/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20110126 PL - United States TA - Epilepsia JT - Epilepsia JID - 2983306R RN - 0 (KCNQ2 Potassium Channel) RN - 0 (KCNQ2 protein, human) RN - 0 (NAV1.1 Voltage-Gated Sodium Channel) RN - 0 (Nerve Tissue Proteins) RN - 0 (Receptors, Nicotinic) RN - 0 (SCN1A protein, human) RN - 0 (Sodium Channels) RN - 0 (nicotinic acetylcholine receptor alpha4 subunit) SB - IM MH - Chromosome Banding MH - Chromosome Deletion MH - Chromosome Duplication MH - Chromosomes, Human, Pair 15/genetics MH - Chromosomes, Human, Pair 16/genetics MH - Comorbidity MH - Comparative Genomic Hybridization MH - *Cytogenetic Analysis MH - DNA Copy Number Variations/genetics MH - Epilepsy/*genetics MH - Exons/genetics MH - Gene Frequency/genetics MH - Genetic Counseling MH - Genetic Predisposition to Disease/genetics MH - Genome-Wide Association Study MH - Genotype MH - Humans MH - Intellectual Disability/genetics MH - KCNQ2 Potassium Channel/genetics MH - *Karyotyping MH - NAV1.1 Voltage-Gated Sodium Channel MH - Nerve Tissue Proteins/genetics MH - Phenotype MH - Receptors, Nicotinic/genetics MH - Sodium Channels/genetics MH - Syndrome PMC - PMC3079368 MID - NIHMS252252 COIS- Disclosure: Neither author has a conflict of interest to disclose. We confirm that we have read the Journal's position on issues involved in ethical publication and affirm that this report is consistent with those guidelines. EDAT- 2011/01/29 06:00 MHDA- 2011/05/10 06:00 PMCR- 2012/03/01 CRDT- 2011/01/29 06:00 PHST- 2011/01/29 06:00 [entrez] PHST- 2011/01/29 06:00 [pubmed] PHST- 2011/05/10 06:00 [medline] PHST- 2012/03/01 00:00 [pmc-release] AID - 10.1111/j.1528-1167.2010.02932.x [doi] PST - ppublish SO - Epilepsia. 2011 Mar;52(3):423-32. doi: 10.1111/j.1528-1167.2010.02932.x. Epub 2011 Jan 26.