Abstract
CSNK2B, which encodes the beta subunit of casein kinase II (CK2), plays an important role in neuron morphology and synaptic transmission. Variants in CSNK2B associated with epilepsy and/or intellectual disability (ID)/developmental delay (DD) have been reported in five cases only. Among the 816 probands suspected hereditary epilepsy whose initial report of trio-based whole exome sequencing (WES) were negative, 10 de novo pathogenic or likely pathogenic variants of CSNK2B in nine probands were identified after reanalysis of their raw Trio-WES data. Six of the nine epileptic patients had ID/DD. The age of seizure onset of these nine patients with CSNK2B variants ranged from 2–12 months. Eight patients had age of seizure onset of less than 6 months. The epilepsy of most probands (8/9) was generalized tonic-clonic seizure and clustered (6/9). Most patients had normal electroencephalogram (5/9) and brain magnetic resonance image (7/9) results. Most patients (7/9) had easy-to-control seizures. Levetiracetam was the most commonly used drug in seizure-free patients (5/7). The variants detected in five patients (5/9, 55.6%) were located in the zinc-binding domain. In summary, our research provided evidence that variants in CSNK2B are associated with epilepsy with or without ID/DD. CSNK2B-related epilepsy is relatively easy to be controlled. The zinc-binding domain appears to be the hotspot region for mutation.
Highlights
Casein kinase 2 beta (CSNK2B), which encodes the beta subunit of casein kinase II (CK2), plays an important role in neuron morphology and synaptic transmission
Casein kinase 2 beta (CSNK2B) mutations associated with epilepsy and/or intellectual disability (ID)/developmental delay (DD) have only been reported in five cases[20,21,22]
Ten de novo CSNK2B variants were found in nine probands and confirmed by Sanger sequencing (Supplementary Fig. S1)
Summary
CSNK2B, which encodes the beta subunit of casein kinase II (CK2), plays an important role in neuron morphology and synaptic transmission. Variants in CSNK2B associated with epilepsy and/or intellectual disability (ID)/developmental delay (DD) have been reported in five cases only. Among the 816 probands suspected hereditary epilepsy whose initial report of trio-based whole exome sequencing (WES) were negative, 10 de novo pathogenic or likely pathogenic variants of CSNK2B in nine probands were identified after reanalysis of their raw Trio-WES data. The age of seizure onset of these nine patients with CSNK2B variants ranged from 2–12 months. Casein kinase 2 beta (CSNK2B) mutations associated with epilepsy and/or ID/DD have only been reported in five cases[20,21,22]. We reanalysed the trio-WES data among 816 families, whose probands involve patients with epilepsy with/without ID/DD and for whom the initial genetic reports were negative.
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