Detailed Mapping of a Deletion at Chromosome 5q14.3 involving MASS1/VLGR1 in a Patient with Myoclonic Epilepsy
Epilepsy is a debilitating neurological condition affecting up to 1% of people worldwide. An estimated 40% of the cases are genetically determined and for these an accurate characterisation of the underlying mutations is crucial for correct clinical diagnosis and improvements in treatment. We mapped a novel deletion at chromosome 5q14.3 in a patient with complex phenotype including severe myoclonic epilepsy and a candidate gene for myoclonic epilepsy.
Purpose: To identify candidate genes for myoclonic epilepsy. Methods: 1. Affymetrix GeneChip 100K mapping array; 2. PCR-fragment spotting microarrays; 3. DNA sequencing. Results: The patient has a 9Mb deletion at 5q14.3. The distal breakpoint is within MASS1/VLGR1 which is partially deleted. The breakpoint is located in the intron between exons 85 and 86. Conclusions: MASS1/VLGR1, a large transmembrane receptor gene, has already been identified as a candidate gene for epilepsy through a homozygous, single base pair mutation with audiogenic seizures in the Frings mouse and through association of a nonsense mutation in one family with febrile and afebrile seizures. This study provides further supportive evidence for involvement of MASS1/VLGR1 in human epilepsy.