PMID- 31889633 OWN - NLM STAT- MEDLINE DCOM- 20200722 LR - 20200722 IS - 1532-2130 (Electronic) IS - 1090-3798 (Linking) VI - 24 DP - 2020 Jan TI - Recent advances in treatment of epilepsy-related sodium channelopathies. PG - 123-128 LID - S1090-3798(19)30429-5 [pii] LID - 10.1016/j.ejpn.2019.12.009 [doi] AB - Voltage-gated sodium channels (VGSCs) play a crucial role in generation of action potentials. Pathogenic variants in the five human brain expressed VGSC genes, SCN1A, SCN2A, SCN3A, SCN8A and SCN1B have been associated with a spectrum of epilepsy phenotypes and neurodevelopmental disorders. In the last decade, next generation sequencing techniques have revolutionized the way we diagnose these channelopathies, which is paving the way towards precision medicine. Knowing the functional effect (Loss-of-function versus Gain-of-function) of a variant is not only important for understanding the underlying pathophysiology, but it is particularly crucial to orient therapeutic decisions. Here we provide a review of the literature dealing with treatment options in epilepsy-related sodium channelopathies, including the current and emerging medications. CI - Copyright (c) 2019 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved. FAU - Musto, Elisa AU - Musto E AD - Department of Epilepsy Genetics and Personalized Medicine, Danish Epilepsy Centre, Dianalund, Denmark; Pediatric Neurology, Department of Woman and Child Health and Public Health, Catholic University UCSC, Child Health Area, Rome, Italy. FAU - Gardella, Elena AU - Gardella E AD - Department of Epilepsy Genetics and Personalized Medicine, Danish Epilepsy Centre, Dianalund, Denmark; Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Denmark. FAU - Moller, Rikke S AU - Moller RS AD - Department of Epilepsy Genetics and Personalized Medicine, Danish Epilepsy Centre, Dianalund, Denmark; Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Denmark. Electronic address: rimo@filadelfia.dk. LA - eng PT - Journal Article PT - Review DEP - 20191218 PL - England TA - Eur J Paediatr Neurol JT - European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society JID - 9715169 RN - 0 (Voltage-Gated Sodium Channels) SB - IM CIN - Eur J Paediatr Neurol. 2020 Jan;24:7. PMID: 31980364 MH - Channelopathies/*drug therapy/*genetics MH - Epilepsy/*drug therapy/*genetics MH - Humans MH - Voltage-Gated Sodium Channels/*genetics OTO - NOTNLM OT - Epilepsy OT - SCN1A OT - SCN1B OT - SCN2A OT - SCN8A COIS- Declaration of competing interest No disclosures. EDAT- 2020/01/01 06:00 MHDA- 2020/07/23 06:00 CRDT- 2020/01/01 06:00 PHST- 2019/11/07 00:00 [received] PHST- 2019/12/06 00:00 [accepted] PHST- 2020/01/01 06:00 [pubmed] PHST- 2020/07/23 06:00 [medline] PHST- 2020/01/01 06:00 [entrez] AID - S1090-3798(19)30429-5 [pii] AID - 10.1016/j.ejpn.2019.12.009 [doi] PST - ppublish SO - Eur J Paediatr Neurol. 2020 Jan;24:123-128. doi: 10.1016/j.ejpn.2019.12.009. Epub 2019 Dec 18.