PMID- 25204757 OWN - NLM STAT- MEDLINE DCOM- 20150601 LR - 20220331 IS - 2190-3883 (Electronic) IS - 1234-1983 (Linking) VI - 56 IP - 1 DP - 2015 Feb TI - Epilepsy and mental retardation restricted to females: X-linked epileptic infantile encephalopathy of unusual inheritance. PG - 49-56 LID - 10.1007/s13353-014-0243-8 [doi] AB - Epilepsy in females with mental retardation (EFMR) is a rare early infantile epileptic encephalopathy (EIEE), phenotypically resembling Dravet syndrome (DS). It is characterised by a variable degree of intellectual deficits and epilepsy. EFMR is caused by heterozygous mutations in the PCDH19 gene (locus Xq22.1) encoding protocadherin-19, a protein that is highly expressed during brain development. The protein is involved in cell adhesion and probably plays an important role in neuronal migration and formation of synaptic connections. EFMR is considered X-linked of variable mutations' penetrance. Mutations in the PCDH19 gene mainly arise de novo, but if inherited, they show a unique pattern of transmission. Females with heterozygous mutations are affected, while hemizygous males are not, regardless of mutation carriage. This singular mode might be explained by cell interference as a pathogenic molecular mechanism leading to neuronal dysfunction. Recently, PCDH19-related EIEE turned out to be more frequent than initially thought, contributing to around 16% of cases (25% in female groups) in the SCN1A-negative DS-like patients. Therefore, the PCDH19 gene is now estimated to be the second, after SCN1A, most clinically relevant gene in epilepsy. FAU - Duszyc, Kinga AU - Duszyc K AD - Department of Medical Genetics, Institute of Mother and Child, Kasprzaka 17A, 01-211, Warsaw, Poland. FAU - Terczynska, Iwona AU - Terczynska I FAU - Hoffman-Zacharska, Dorota AU - Hoffman-Zacharska D LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20140910 PL - England TA - J Appl Genet JT - Journal of applied genetics JID - 9514582 RN - 0 (Cadherins) RN - 0 (PCDH19 protein, human) RN - 0 (Protocadherins) RN - Infantile Epileptic-Dyskinetic Encephalopathy SB - IM MH - Aicardi Syndrome/*genetics MH - Cadherins/genetics MH - Epilepsy/*genetics MH - Female MH - Humans MH - *Inheritance Patterns MH - Intellectual Disability/*genetics MH - Male MH - Pedigree MH - Protocadherins MH - Spasms, Infantile/*genetics EDAT- 2014/09/11 06:00 MHDA- 2015/06/02 06:00 CRDT- 2014/09/11 06:00 PHST- 2014/07/13 00:00 [received] PHST- 2014/08/14 00:00 [accepted] PHST- 2014/08/12 00:00 [revised] PHST- 2014/09/11 06:00 [entrez] PHST- 2014/09/11 06:00 [pubmed] PHST- 2015/06/02 06:00 [medline] AID - 10.1007/s13353-014-0243-8 [doi] PST - ppublish SO - J Appl Genet. 2015 Feb;56(1):49-56. doi: 10.1007/s13353-014-0243-8. Epub 2014 Sep 10.