PMID- 30427063 OWN - NLM STAT- MEDLINE DCOM- 20190318 LR - 20221207 IS - 1600-0404 (Electronic) IS - 0001-6314 (Linking) VI - 139 IP - 3 DP - 2019 Mar TI - Gap Activity TOward Rags 1 variants in Chinese people with sporadic drug-resistant focal epilepsy. PG - 247-253 LID - 10.1111/ane.13046 [doi] AB - OBJECTIVES: GATOR1 (Gap Activity TOward Rags 1) is composed of three different subunits, DEPDC5 (DEP domain-containing protein 5), NPRL2 (nitrogen permease regulator-like 2) and NPRL3 (nitrogen permease regulator-like 3), and variants in these three genes have mostly been reported in familial focal epilepsy. However, very few studies have been carried out on sporadic drug-resistant focal epilepsy patients. In this study, we aimed to identify the frequency of variants in DEPDC5, NPRL2 and NPRL3 in patients with sporadic drug-resistant focal epilepsy. MATERIALS & METHODS: One hundred and ninety-three Chinese people with sporadic drug-resistant focal epilepsy were enrolled in the study. Targeted sequencing of DEPDC5, NPRL2 and NPRL3 was applied at an average coverage depth of 2500x. RESULTS: In the 193 patients with sporadic focal epilepsy included in this study, the median age was 24.6 years with a median age at onset of 13.99 years, and 130 of these patients had identifiable structural lesions. One possibly pathogenic missense variant of DEPDC5, c.2984G>A, p.Arg995His, was found in one patient (0.52%) with hippocampal sclerosis, and one variant of unknown significance, DEPDC5 c.20A>G, p.Tyr7Cys, was found in two patients with hippocampal sclerosis (1.04%). CONCLUSIONS: Our findings suggested that DEPDC5 might be of more importance than NPRL2 or NPRL3 in Chinese epilepsy patients with sporadic drug-resistant focal epilepsy. Future research should focus on the mechanism by which the mechanistic target of rapamycin (mTOR) is involved in epileptogenesis in sporadic epilepsy. CI - (c) 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Xiong, Weixi AU - Xiong W AUID- ORCID: 0000-0001-6835-8664 AD - Department of Neurology, West China Hospital of Sichuan University, Chengdu, China. FAU - Tang, Lin AU - Tang L AD - Department of Neurology, West China Hospital of Sichuan University, Chengdu, China. FAU - Lu, Lu AU - Lu L AD - Department of Neurology, West China Hospital of Sichuan University, Chengdu, China. FAU - Zhang, Le AU - Zhang L AD - Department of Neurology, West China Hospital of Sichuan University, Chengdu, China. FAU - Xiao, Yingfeng AU - Xiao Y AD - Department of Neurology, West China Hospital of Sichuan University, Chengdu, China. FAU - Zhou, Dong AU - Zhou D AUID- ORCID: 0000-0001-7101-4125 AD - Department of Neurology, West China Hospital of Sichuan University, Chengdu, China. LA - eng SI - GENBANK/NM_001242896.1 SI - GENBANK/NM_006545 SI - GENBANK/NM_001077350 GR - 81801294/National Natural Science Foundation of China/ GR - 81420108014/National Natural Science Foundation of China/ GR - 81371529/National Natural Science Foundation of China/ GR - 2017M620427/China Postdoctoral Science Foundation/ GR - 2018SCU12038/Postdoctoral Research Foundation of Sichuan University/ PT - Journal Article DEP - 20181213 PL - Denmark TA - Acta Neurol Scand JT - Acta neurologica Scandinavica JID - 0370336 RN - 0 (DEPDC5 protein, human) RN - 0 (GTPase-Activating Proteins) RN - 0 (NPRL2 protein, human) RN - 0 (NPRL3 protein, human) RN - 0 (Repressor Proteins) RN - 0 (Tumor Suppressor Proteins) SB - IM MH - Adolescent MH - Adult MH - Asian People/genetics MH - Drug Resistant Epilepsy/*genetics MH - Female MH - GTPase-Activating Proteins/*genetics MH - Genetic Variation MH - Humans MH - Male MH - Mutation MH - Repressor Proteins/*genetics MH - Tumor Suppressor Proteins/*genetics MH - Young Adult OTO - NOTNLM OT - epilepsy OT - neurogenetics OT - seizures EDAT- 2018/11/15 06:00 MHDA- 2019/03/19 06:00 CRDT- 2018/11/15 06:00 PHST- 2018/09/05 00:00 [received] PHST- 2018/10/17 00:00 [revised] PHST- 2018/11/04 00:00 [accepted] PHST- 2018/11/15 06:00 [pubmed] PHST- 2019/03/19 06:00 [medline] PHST- 2018/11/15 06:00 [entrez] AID - 10.1111/ane.13046 [doi] PST - ppublish SO - Acta Neurol Scand. 2019 Mar;139(3):247-253. doi: 10.1111/ane.13046. Epub 2018 Dec 13.