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The role of common genetic variation in presumed monogenic epilepsies

Title: The role of common genetic variation in presumed monogenic epilepsies
Authors: Campbell, Ciarán; Leu, Costin; Feng, Yen-Chen Anne; Wolking, Stefan; Moreau, Claudia; Ellis, Colin; Ganesan, Shiva; Martins, Helena; Oliver, Karen; Boothman, Isabelle; Benson, Katherine; Molloy, Anne; Brody, Lawrence; Epi4K Collaborative; Genomics England Research Consortium; Michaud, Jacques L; Hamdan, Fadi F; Minassian, Berge A; Lerche, Holger; Scheffer, Ingrid E; Sisodiya, Sanjay; Girard, Simon; Cosette, Patrick; Delanty, Norman; Lal, Dennis; Cavalleri, Gianpiero L; Epi25 Collaborative
Source: EBioMedicine , 81 , Article 104098. (2022)
Publisher Information: Elsevier BV
Publication Year: 2022
Collection: University College London: UCL Discovery
Subject Terms: DEEs; Epilepsy; Genetic diagnostics; PRS
Description: BACKGROUND: The developmental and epileptic encephalopathies (DEEs) are the most severe group of epilepsies which co-present with developmental delay and intellectual disability (ID). DEEs usually occur in people without a family history of epilepsy and have emerged as primarily monogenic, with damaging rare mutations found in 50% of patients. Little is known about the genetic architecture of patients with DEEs in whom no pathogenic variant is identified. Polygenic risk scoring (PRS) is a method that measures a person's common genetic burden for a trait or condition. Here, we used PRS to test whether genetic burden for epilepsy is relevant in individuals with DEEs, and other forms of epilepsy with ID. METHODS: Genetic data on 2,759 cases with DEEs, or epilepsy with ID presumed to have a monogenic basis, and 447,760 population-matched controls were analysed. We compared PRS for 'all epilepsy', 'focal epilepsy', and 'genetic generalised epilepsy' (GGE) between cases and controls. We performed pairwise comparisons between cases stratified for identifiable rare deleterious genetic variants and controls. FINDINGS: Cases of presumed monogenic severe epilepsy had an increased PRS for 'all epilepsy' (p
Document Type: article in journal/newspaper
File Description: text
Language: English
Relation: https://discovery.ucl.ac.uk/id/eprint/10151331/
Availability: https://discovery.ucl.ac.uk/id/eprint/10151331/1/1-s2.0-S2352396422002791-main.pdf; https://discovery.ucl.ac.uk/id/eprint/10151331/
Rights: open
Accession Number: edsbas.BBB15117
Database: BASE