Role of SOX2 mutations in human hippocampal malformations and epilepsy

Sisodiya, Sanjay M. and Ragge, NK and Cavalleri, GL and Hever, A and Lorenz, Birgit and Schneider, A and Williamson, KA and Stevens, JM and Free, SL and Thompson, PJ and van Heyningen, V and FitzPatrick, DR (2006) Role of SOX2 mutations in human hippocampal malformations and epilepsy. EPILEPSIA, 47 (3). pp. 534-542. ISSN 0013-9580,

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Abstract

Purpose: Seizures are noted in a significant proportion of cases of de novo, heterozygous, loss-of-function mutations in SOX2, ascertained because of severe bilateral eye malformations. We wished to determine the underlying cerebral phenotype in SOX2 mutation and to test the candidacy of SOX2 as a gene contributing to human epilepsies. Methods: We examined high-resolution MRI scans in four patients with SOX2 mutations, two of whom had seizures. We determined the Sox2 expression pattern in developing murine brain. We searched for SOX2 mutation in 24 patients with typical hippocampal sclerosis and for common variations in SOX2 in 655 patients without eye disease but with epilepsy, including 91 patients with febrile seizures, 93 with hippocampal sclerosis, and 258 with temporal lobe epilepsy. Results: Striking hippocampal and parahippocampal malformations were seen in all cases, with a history of febrile seizures or epilepsy in two of four cases. The Sox2 expression pattern in developing mouse brain supports the pattern of malformations observed. Mutation screening in patients with epilepsy did not reveal any abnormalities in SOX2. No associations were found between any clinical epilepsy phenotype and common variation in SOX2. Conclusions: SOX2 haploinsufficiency causes mesial temporal malformation in humans, making SOX2 dysfunction a candidate mechanism for mesial temporal abnormalities associated with chronic epilepsy. However, although mutation of SOX2 in humans causes hippocampal malformation, SOX2 mutation or variation is unlikely to contribute commonly to mesial temporal lobe epilepsy or its structural (hippocampal sclerosis) or historic (febrile seizures) associations in humans.

Item Type: Article
Uncontrolled Keywords: TEMPORAL-LOBE EPILEPSY; PERIVENTRICULAR NODULAR HETEROTOPIA; REGULATORY SEQUENCES; FEBRILE CONVULSIONS; GENE-EXPRESSION; CEREBRAL-CORTEX; MOUSE-BRAIN; SCLEROSIS; ANOPHTHALMIA; MIGRATION; brain malformation; epilepsy; SOX2; hippocampal sclerosis
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Abteilung für Pädiatrische Ophthalmologie, Strabismologie und Ophthalmogenetik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 18 Feb 2021 10:16
Last Modified: 18 Feb 2021 10:16
URI: https://pred.uni-regensburg.de/id/eprint/34834

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