J Clin Neurol.  2012 Dec;8(4):271-275. 10.3988/jcn.2012.8.4.271.

Mutation Screening of the gamma-Aminobutyric Acid Type-A Receptor Subunit gamma2 Gene in Korean Patients with Childhood Absence Epilepsy

Affiliations
  • 1Department of Pediatrics, Chonnam National University Medical School, Gwangju, Korea.
  • 2Department of Neurology, Chonnam National University Medical School, Gwangju, Korea. mkkim@jnu.ac.kr
  • 3Department of Neurology, Chonnam National University Hwasun Hospital, Hwasun, Korea.
  • 4Department of Pediatrics, Mi-Rae Children's Hospital, Gwangju, Korea.
  • 5Department of Pediatrics, Kwangju Christian Hospital, Gwangju, Korea.
  • 6Department of Pediatrics, Chosun University Hospital, Gwangju, Korea.

Abstract

BACKGROUND AND PURPOSE
Since the gamma-aminobutyric acid type-A receptor subunit gamma2 gene (GABRG2) mutation was discovered in an Australian family with childhood absence epilepsy (CAE) and febrile convulsions, a few screening studies for the GABRG2 mutation have been conducted in sporadic individuals with CAE from other ethnic groups. The aim of this study was to determine whether or not the previously reported genetic mutations and single-nucleotide polymorphisms (SNPs) of GABRG2 can be reproduced in sporadic Korean individuals with CAE, compared to healthy Korean individuals.
METHODS
Thirty-five children with CAE in Chonnam National University Hospital and healthy controls (n=207) were enrolled, and the medical records of patients with CAE were reviewed. CAE was diagnosed according to the Classification and Terminology of the International League Against Epilepsy. All nine exons of GABRG2 were directly sequenced. In addition, the two SNPs found in our CAE patients were analyzed: C315T in exon 3 (E3) and C588T in exon 5 (E5). The frequencies of the two SNPs in the CAE patients were compared with data from healthy controls (for E3 and E5) and from previously reported Korean population data (only for E3).
RESULTS
No mutation of GABRG2 was found in our CAE patients. In addition, the allele and genotype frequencies of the two polymorphisms did not differ significantly between CAE patients, healthy controls, and the Korean general population (p>0.05).
CONCLUSIONS
Our study of sporadic Korean individuals with CAE found no evidence that GABRG2 contributes to the genetic basis of CAE.

Keyword

GABAA receptor gamma subunit; absence epilepsy; child

MeSH Terms

Alleles
Child
Epilepsy
Epilepsy, Absence
Ethnic Groups
Exons
gamma-Aminobutyric Acid
Genotype
Humans
Mass Screening
Medical Records
Polymorphism, Single Nucleotide
Seizures, Febrile
gamma-Aminobutyric Acid

Reference

1. Wallace RH, Marini C, Petrou S, Harkin LA, Bowser DN, Panchal RG, et al. Mutant GABAA receptor gamma2-subunit in childhood absence epilepsy and febrile seizures. Nat Genet. 2001. 28:49–52.
Article
2. Marini C, Harkin LA, Wallace RH, Mulley JC, Scheffer IE, Berkovic SF. Childhood absence epilepsy and febrile seizures: a family with a GABAA receptor mutation. Brain. 2003. 126:230–240.
Article
3. Kananura C, Haug K, Sander T, Runge U, Gu W, Hallmann K, et al. A splice-site mutation in GABRG2 associated with childhood absence epilepsy and febrile convulsions. Arch Neurol. 2002. 59:1137–1141.
Article
4. Lu J, Chen Y, Zhang Y, Pan H, Wu H, Xu K, et al. Mutation screen of the GABAA receptor gamma 2 subunit gene in Chinese patients with childhood absence epilepsy. Neurosci Lett. 2002. 332:75–78.
Article
5. Robinson R, Taske N, Sander T, Heils A, Whitehouse W, Goutières F, et al. Linkage analysis between childhood absence epilepsy and genes encoding GABAA and GABAB receptors, voltage-dependent calcium channels, and the ECA1 region on chromosome 8q. Epilepsy Res. 2002. 48:169–179.
Article
6. Lu J, Chen Y, Pan H, Zhang Y, Wu H, Xu K, et al. The gene encoding GABBR1 is not associated with childhood absence epilepsy in the Chinese Han population. Neurosci Lett. 2003. 343:151–154.
Article
7. Lu J, Pan H, Chen Y, Zhang Y, Liu X, Jiang Y, et al. Mutation screen of the gene encoding GABRB3 in Chinese patients with childhood absence epilepsy. Am J Med Genet A. 2003. 123A:197–200.
8. Kang JQ, Macdonald RL. The GABAA receptor gamma2 subunit R43Q mutation linked to childhood absence epilepsy and febrile seizures causes retention of α1β2γ2S receptors in the endoplasmic reticulum. J Neurosci. 2004. 24:8672–8677.
Article
9. Urak L, Feucht M, Fathi N, Hornik K, Fuchs K. A GABRB3 promoter haplotype associated with childhood absence epilepsy impairs transcriptional activity. Hum Mol Genet. 2006. 15:2533–2541.
Article
10. Chen Y, Lu J, Zhang Y, Pan H, Wu H, Xu K, et al. T-type calcium channel gene alpha (1G) is not associated with childhood absence epilepsy in the Chinese Han population. Neurosci Lett. 2003. 341:29–32.
Article
11. Vitko I, Chen Y, Arias JM, Shen Y, Wu XR, Perez-Reyes E. Functional characterization and neuronal modeling of the effects of childhood absence epilepsy variants of CACNA1H, a T-type calcium channel. J Neurosci. 2005. 25:4844–4855.
Article
12. Wang J, Zhang Y, Liang J, Pan H, Wu H, Xu K, et al. CACNA1I is not associated with childhood absence epilepsy in the Chinese Han population. Pediatr Neurol. 2006. 35:187–190.
Article
13. Everett KV, Chioza B, Aicardi J, Aschauer H, Brouwer O, Callenbach P, et al. Linkage and association analysis of CACNG3 in childhood absence epilepsy. Eur J Hum Genet. 2007. 15:463–472.
Article
14. Liang J, Zhang Y, Chen Y, Wang J, Pan H, Wu H, et al. Common polymorphisms in the CACNA1H gene associated with childhood absence epilepsy in Chinese Han population. Ann Hum Genet. 2007. 71:325–335.
Article
15. Kananura C, Sander T, Rajan S, Preisig-Müller R, Grzeschik KH, Daut J, et al. Tandem pore domain K(+)-channel TASK-3 (KCNK9) and idiopathic absence epilepsies. Am J Med Genet. 2002. 114:227–229.
Article
16. Holter J, Carter D, Leresche N, Crunelli V, Vincent P. A TASK3 channel (KCNK9) mutation in a genetic model of absence epilepsy. J Mol Neurosci. 2005. 25:37–51.
17. Bowser DN, Wagner DA, Czajkowski C, Cromer BA, Parker MW, Wallace RH, et al. Altered kinetics and benzodiazepine sensitivity of a GABAA receptor subunit mutation [gamma 2(R43Q)] found in human epilepsy. Proc Natl Acad Sci U S A. 2002. 99:15170–15175.
Article
18. Baulac S, Huberfeld G, Gourfinkel-An I, Mitropoulou G, Beranger A, Prud'homme JF, et al. First genetic evidence of GABAA receptor dysfunction in epilepsy: a mutation in the gamma2-subunit gene. Nat Genet. 2001. 28:46–48.
Article
19. Harkin LA, Bowser DN, Dibbens LM, Singh R, Phillips F, Wallace RH, et al. Truncation of the GABAA-receptor gamma2 subunit in a family with generalized epilepsy with febrile seizures plus. Am J Hum Genet. 2002. 70:530–536.
Article
20. Proposal for revised classification of epilepsies and epileptic syndromes. Commission on Classification and Terminology of the International League Against Epilepsy. Epilepsia. 1989. 30:389–399.
21. Meldrum BS, Rogawski MA. Molecular targets for antiepileptic drug development. Neurotherapeutics. 2007. 4:18–61.
Article
22. Macdonald RL, Kang JQ, Gallagher MJ. Mutations in GABAA receptor subunits associated with genetic epilepsies. J Physiol. 2010. 588:1861–1869.
23. Macdonald RL, Gallagher MJ, Feng HJ, Kang J. GABAA receptor epilepsy mutations. Biochem Pharmacol. 2004. 68:1497–1506.
Article
24. Tan HO, Reid CA, Single FN, Davies PJ, Chiu C, Murphy S, et al. Reduced cortical inhibition in a mouse model of familial childhood absence epilepsy. Proc Natl Acad Sci U S A. 2007. 104:17536–17541.
Article
25. Chiu C, Reid CA, Tan HO, Davies PJ, Single FN, Koukoulas I, et al. Developmental impact of a familial GABAA receptor epilepsy mutation. Ann Neurol. 2008. 64:284–293.
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