Novel NALCN variant: altered respiratory and circadian rhythm, anesthetic sensitivity

被引:23
作者
Lozic, Bernarda [1 ]
Johansson, Stefan [2 ,3 ]
Kojundzic, Sanja Lovric [4 ]
Markic, Josko [1 ]
Knappskog, Per Morten [3 ,5 ]
Hahn, Angelika F. [6 ]
Boman, Helge [3 ]
机构
[1] Univ Hosp Ctr Split, Dept Pediat, Spinciceva 1, Split 21000, Croatia
[2] Univ Bergen, Dept Clin Sci, KG Jebsen Ctr Diabet Res, Bergen, Norway
[3] Haukeland Hosp, Ctr Med Genet & Mol Med, Bergen, Norway
[4] Univ Hosp Ctr Split, Dept Diagnost & Intervent Radiol, Split, Croatia
[5] Univ Bergen, KG Jebsen Ctr Res Neuropsychiat Disorders, Bergen, Norway
[6] Western Univ, London Hlth Sci Ctr, Dept Clin Neurol Sci, London, ON, Canada
关键词
SEVERE INTELLECTUAL DISABILITY; NEURONAL EXCITABILITY; CHANNEL COMPLEX; CATION CHANNEL; SUBSTANCE-P; MUTATIONS; HYPOTONIA; ARTHROGRYPOSIS; ENCEPHALOPATHY; IMPAIRMENT;
D O I
10.1002/acn3.362
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The sodium leak channel, a Na+-permeable, nonselective cation channel, is widely expressed in the nervous system, contributing a basal Na+-leak conductance and regulating neuronal excitability. A 3-year-old girl, heterozygous for a de novo missense mutation in NALCN (c. 956C>T; p.Ala319Val) predicted to be deleterious, presented from birth with: stimulus-induced, episodic contractures of the limbs and face with associated respiratory distress; distal arthrogryposis; severe axial hypotonia; and severe global developmental delay (CLIFAHDD syndrome). In infancy, she manifested a reversed sleep-wake rhythm, nocturnal life-threatening respiratory rhythm disturbances with central apnea. Sevoflurane sensitivity caused respiratory depression and cardiac arrest.
引用
收藏
页码:876 / 883
页数:8
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