Abstract:Objective To investigate the association between SCN1A rs3812718 polymorphism and generalized epilepsy with febrile seizures plus (GEFS+), and to provide potential molecular targets for the diagnosis and treatment of GEFS+.Methods The iPLEX technique in the MassARRAY system was used to determine SCN1A rs3812718 polymorphism, genotype frequency, and allele frequency in 50 patients with GEFS+ and 50 healthy controls.Results As for the frequencies of CC, CT, and TT genotypes in SCN1A rs3812718, there was a significant difference in the frequency of TT genotype between the GEFS+ group and the control group (P < 0.05). There was also a significant difference in the frequency of T allele between the two groups (P < 0.05). Compared with those carrying CC genotype or C allele, the individuals with CT genotype, TT genotype or T allele had a higher risk of developing GEFS+ (CT/CC:OR=4.05, 95% CI:1.04-15.69; TT/CC:OR=30.60, 95% CI:6.46-144.85; T/C:OR=4.64, 95% CI:2.54-8.48).Conclusions SCN1A rs3812718 polymorphism is a risk factor for GEFS+, and the population carrying T allele may have an increased risk of GEFS+.
A Qi-Ling,WANG Bo,CHEN Guang-Fu et al. Association between SCN1A rs3812718 polymorphism and generalized epilepsy with febrile seizures plus[J]. CJCP, 2018, 20(2): 130-133.
Le Gal F, Salzmann A, Crespel A, et al. Replication of association between a SCN1A splice variant and febrile seizures[J]. Epilepsia, 2011, 52(10):e135-138.
[4]
Wieser HG, Blume WT, Fish D, et al. ILAE Commission Report. Proposal for a new classification of outcome with respect to epileptic seizures following epilepsy surgery[J]. Epihpsia, 2001, 42(2):282-286.
[5]
Camfield P1, Camfield C1. Febrile seizures and genetic epilepsy with febrile seizures plus (GEFS+)[J]. Epileptic Disord, 2015, 17(2):124-133.
[6]
Gauthier AC, Manganas LN, MattsonRH. A novel inherited SCN1A mutation associated with GEFS+ in benign and encephalopathic epilepsy[J]. J Clin Neurosci, 2017, 40:82-84.
[7]
Binini N, Sancini G, Villa C, et al. Identification of two mutations in cis in the SCN1A gene in a family showing genetic epilepsy with febrile seizures plus (GEFS+) and idiopathic generalized epilepsy (IGE)[J]. Brain Res, 2017, 1677:26-32.
Malacarne M, Madia F, Gennaro E, et al. Lack of SCN1A mutations in familial febrile seizures[J]. Epilepsia, 2002, 43(5):559-562.
[10]
Barela AJ, Waddy SP, Lickfett JG, et al. An epilepsy mutation in the sodium channel SCNlA that decreases channel excitability[J]. Nerosci, 2006, 26(10):2714-2723.
Kumari R, Lakhan R, Kumar S, et al. SCN1AIVS5-91G>A polymorphism is associated with susceptibility to epilepsy but not with drug responsiveness[J]. Biochimie, 2013, 95(6):1350-1353.
[13]
Tang L, Lu X, Tao Y, et al. SCN1A rs3812718 polymorphism and susceptibility to epilepsy with febrile seizures:a meta-analysis[J]. Gene, 2014, 1533(1):26-31.