PMID- 22050443 OWN - NLM STAT- MEDLINE DCOM- 20120125 LR - 20111205 IS - 1528-1167 (Electronic) IS - 0013-9580 (Linking) VI - 52 IP - 12 DP - 2011 Dec TI - A balanced translocation disrupts SYNGAP1 in a patient with intellectual disability, speech impairment, and epilepsy with myoclonic absences (EMA). PG - e190-3 LID - 10.1111/j.1528-1167.2011.03304.x [doi] AB - Epilepsy with myoclonic absences (EMA) is a rare form of generalized epilepsy occurring in childhood and is often difficult to treat. The underlying etiology of EMA is unknown in the majority of patients. Herein, we describe a patient with EMA and intellectual disability who carries a de novo balanced translocation: t(6;22)(p21.32;q11.21). We mapped the translocation breakpoints by fluorescence in situ hybridization (FISH), and the breakpoint at 6p21.32 was found to truncate the N-methyl-d-aspartate (NMDA)-receptor associated gene SYNGAP1. The breakpoint at 22q11.21 was within a highly variable region without known protein-coding genes. Mutations of SYNGAP1 are associated with nonsyndromal intellectual disability (NSID). Two-thirds of the patients described so far also have generalized epilepsy. This finding, together with our report, suggests that dysfunction of SYNGAP1 contributes to the development of generalized epilepsy, including EMA. CI - Wiley Periodicals, Inc. (c) 2011 International League Against Epilepsy. FAU - Klitten, Laura L AU - Klitten LL AD - Danish Epilepsy Center, Dianalund, Denmark. klitten@sund.ku.dk FAU - Moller, Rikke S AU - Moller RS FAU - Nikanorova, Marina AU - Nikanorova M FAU - Silahtaroglu, Asli AU - Silahtaroglu A FAU - Hjalgrim, Helle AU - Hjalgrim H FAU - Tommerup, Niels AU - Tommerup N LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111102 PL - United States TA - Epilepsia JT - Epilepsia JID - 2983306R RN - 0 (G-Bond) RN - 0 (Methacrylates) RN - 0 (SYNGAP1 protein, human) RN - 0 (ras GTPase-Activating Proteins) SB - IM MH - Adult MH - Chromosomes, Human, Pair 22 MH - Chromosomes, Human, Pair 6 MH - Cytogenetics MH - Epilepsies, Myoclonic/complications/*genetics MH - Humans MH - Intellectual Disability/complications/*genetics MH - Male MH - Methacrylates MH - *Mutation MH - Speech Disorders/complications/*genetics MH - Translocation, Genetic/*genetics MH - ras GTPase-Activating Proteins/*genetics EDAT- 2011/11/05 06:00 MHDA- 2012/01/26 06:00 CRDT- 2011/11/05 06:00 PHST- 2011/11/05 06:00 [entrez] PHST- 2011/11/05 06:00 [pubmed] PHST- 2012/01/26 06:00 [medline] AID - 10.1111/j.1528-1167.2011.03304.x [doi] PST - ppublish SO - Epilepsia. 2011 Dec;52(12):e190-3. doi: 10.1111/j.1528-1167.2011.03304.x. Epub 2011 Nov 2.