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BASIC SCIENCE SEMINARS IN NEUROLOGY SECTION EDITOR: HASSAN M. FATHALLAH-SHAYKH, MD Alfred L. George, Jr, MD pilepsy is a common, paroxysmal, and heterogeneous neurological disorder. Many fac- tors, including complex genetic influences, contribute to the pathogenesis of epilepsy. However, several epilepsy syndromes are caused by mutations in single genes (Table). E Most epilepsy-associated genes that have been identified within the past 5 years en- code ion channels. This review illustrates the progress in defining the molecular basis of inherited epilepsies and highlights conditions caused by dysfunctional ion channels. Ion channels may be broadly classified as dreds. The use of genetic linkage analysis voltage or ligand gated, depending on has become the traditional approach to whether the primary stimulus for their ac- search for genes responsible for Mende- tivity is a change in local membrane po- lian disorders (ie, caused by a single gene), tential or a chemical messenger (eg, neu- an approach called positional cloning. In rotransmitter). The role of ion channels positional cloning, once linkage is estab- in neuronal excitability is well estab- lished with a chromosomal region that har- lished, and the identification of muta- bors the disease-causing gene, the next tions in neuronal ion channel genes
JAMA Neurology – American Medical Association
Published: Apr 1, 2004
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