PMID- 10355668 OWN - NLM STAT- MEDLINE DCOM- 19990615 LR - 20190513 IS - 0006-8950 (Print) IS - 0006-8950 (Linking) VI - 122 ( Pt 5) DP - 1999 May TI - A novel mutation in the human voltage-gated potassium channel gene (Kv1.1) associates with episodic ataxia type 1 and sometimes with partial epilepsy. PG - 817-25 AB - Episodic ataxia type 1 (EA1) is a rare autosomal dominant disorder characterized by brief episodes of ataxia associated with continuous interattack myokymia. Point mutations in the human voltage-gated potassium channel (Kv1.1) gene on chromosome 12p13 have recently been shown to associate with EA1. A Scottish family with EA1 harbouring a novel mutation in this gene is reported. Of the five affected individuals over three generations, two had partial epilepsy in addition to EA1. The detailed clinical, electrophysiological and molecular genetic findings are presented. The heterozygous point mutation is located at nucleotide position 677 and results in a radical amino acid substitution at a highly conserved position in the second transmembrane domain of the potassium channel. Functional studies indicated that mutant subunits exhibited a dominant negative effect on potassium channel function and would be predicted to impair neuronal repolarization. Potassium channels determine the excitability of neurons and blocking drugs are proconvulsant. A critical review of previously reported EA1 families shows an over-representation of epilepsy in family members with EA1 compared with unaffected members. These observations indicate that this mutation is pathogenic and suggest that the epilepsy in EA1 may be caused by the dysfunctional potassium channel. It is possible that such dysfunction may be relevant to other epilepsies in man. FAU - Zuberi, S M AU - Zuberi SM AD - Department of Neurology and Child Development, Royal Hospital for Sick Children, Glasgow, UK. FAU - Eunson, L H AU - Eunson LH FAU - Spauschus, A AU - Spauschus A FAU - De Silva, R AU - De Silva R FAU - Tolmie, J AU - Tolmie J FAU - Wood, N W AU - Wood NW FAU - McWilliam, R C AU - McWilliam RC FAU - Stephenson, J B AU - Stephenson JB FAU - Kullmann, D M AU - Kullmann DM FAU - Hanna, M G AU - Hanna MG LA - eng GR - Wellcome Trust/United Kingdom PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Brain JT - Brain : a journal of neurology JID - 0372537 RN - 0 (KCNA1 protein, human) RN - 0 (Potassium Channels) RN - 0 (Potassium Channels, Voltage-Gated) RN - 147173-20-4 (Kv1.1 Potassium Channel) SB - IM EIN - Brain. 2007 Mar;130(Pt 3):879. Stephenson, J P [corrected to Stephenson, J B] EIN - Brain. 2010 May;133(Pt 5):1569 MH - Adult MH - Ataxia/*genetics MH - Child MH - Child, Preschool MH - Electroencephalography MH - Electromyography MH - Epilepsies, Partial/*genetics MH - Female MH - Humans MH - *Ion Channel Gating MH - Kv1.1 Potassium Channel MH - Male MH - Membrane Potentials/physiology MH - Middle Aged MH - Mutation MH - Pedigree MH - *Periodicity MH - Polymerase Chain Reaction MH - Potassium Channels/*genetics MH - *Potassium Channels, Voltage-Gated EDAT- 1999/06/04 00:00 MHDA- 1999/06/04 00:01 CRDT- 1999/06/04 00:00 PHST- 1999/06/04 00:00 [pubmed] PHST- 1999/06/04 00:01 [medline] PHST- 1999/06/04 00:00 [entrez] AID - 10.1093/brain/122.5.817 [doi] PST - ppublish SO - Brain. 1999 May;122 ( Pt 5):817-25. doi: 10.1093/brain/122.5.817.