Genetic Testing in Children with Developmental and Epileptic Encephalopathies: A Review of Advances in Epilepsy Genomics

Author:

Chang Yu-Tzu12ORCID,Hong Syuan-Yu234,Lin Wei-De15,Lin Chien-Heng67,Lin Sheng-Shing12,Tsai Fuu-Jen5891011ORCID,Chou I-Ching212

Affiliation:

1. School of Post Baccalaureate Chinese Medicine, China Medical University, Taichung 40447, Taiwan

2. Division of Pediatric Neurology, China Medical University Children’s Hospital, Taichung 40447, Taiwan

3. Department of Medicine, School of Medicine, China Medical University, Taichung 40447, Taiwan

4. Graduate Institute of Biomedical Sciences, China Medical University, Taichung 40447, Taiwan

5. Department of Medical Research, China Medical University Hospital, Taichung 40447, Taiwan

6. Division of Pediatric Pulmonology, China Medical University Children’s Hospital, Taichung 40447, Taiwan

7. Department of Biomedical Imaging and Radiological Science, College of Medicine, China Medial University, Taichung 40447, Taiwan

8. Division of Genetics and Metabolism, China Medical University Children’s Hospital, Taichung 40447, Taiwan

9. Department of Medical Genetics, China Medical University Hospital, Taichung 40447, Taiwan

10. School of Chinese Medicine, China Medical University, Taichung 40447, Taiwan

11. Department of Medical Laboratory Science and Biotechnology, Asia University, Taichung 40447, Taiwan

12. Graduate Institute of Integrated Medicine, China Medical University, Taichung 40447, Taiwan

Abstract

Advances in disease-related gene discovery have led to tremendous innovations in the field of epilepsy genetics. Identification of genetic mutations that cause epileptic encephalopathies has opened new avenues for the development of targeted therapies. Clinical testing using extensive gene panels, exomes, and genomes is currently accessible and has resulted in higher rates of diagnosis and better comprehension of the disease mechanisms underlying the condition. Children with developmental disabilities have a higher risk of developing epilepsy. As our understanding of the mechanisms underlying encephalopathies and epilepsies improves, there may be greater potential to develop innovative therapies tailored to an individual’s genotype. This article provides an overview of the significant progress in epilepsy genomics in recent years, with a focus on developmental and epileptic encephalopathies in children. The aim of this review is to enhance comprehension of the clinical utilization of genetic testing in this particular patient population. The development of effective and precise therapeutic strategies for epileptic encephalopathies may be facilitated by a comprehensive understanding of their molecular pathogenesis.

Funder

China Medical University

Publisher

MDPI AG

Subject

Pediatrics, Perinatology and Child Health

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