Approximately 10% of “de novo” SCN1Amutations causing Dravet syndrome are inherited from undetected parental mosaicism

演讲日期: 

星期一, 九月 7, 2015

演讲地点: 

31st International Epilepsy Congress, Istanbul, Turkey

演讲资料文件: 

The majority of children with Dravet syndrome (DS) are caused by de novo SCN1A mutations. To investigate the origin of the mutations, we developed and applied a new method that combined deep amplicon resequencing with a Bayesian model to detect and quantify allelic fractions with improved sensitivity. Of 174 SCN1A mutations in DS probands which were considered “de novo” by Sanger sequencing, we identified 15 cases (8.6%) of parental mosaicism. We identified another five cases of parental mosaicism that were also detectable by Sanger sequencing. Fraction of mutant alleles in the 20 cases of parental mosaicism ranged from 1.1% to 32.6%. Thirteen (65% of 20) mutations originated paternally and seven (35% of 20) maternally. Twelve (60% of 20) mosaic parents did not have any epileptic symptoms. Their mutant allelic fractions were significantly lower than those in mosaic parents with epileptic symptoms (P = 0.016). We identified mosaicism with varied allelic fractions in blood, saliva, urine, hair follicle, oral epithelium, and semen, demonstrating that postzygotic mutations could affect multiple somatic cells as well as germ cells. Our results suggest that more sensitive tools for detecting lowlevel mosaicism in parents of families with seemingly “de novo” mutations will allow for better informed genetic counseling. It is one of the platform presentations in platform session Genetics 2 at the 31th International Epilepsy Congress held in Istabnul on 05-09 Sep 2015.