Germline de novo variants in CSNK2B in Chinese patients with epilepsy

Sci Rep. 2019 Nov 29;9(1):17909. doi: 10.1038/s41598-019-53484-9.

Abstract

CSNK2B, which encodes the beta subunit of casein kinase II (CK2), plays an important role in neuron morphology and synaptic transmission. Variants in CSNK2B associated with epilepsy and/or intellectual disability (ID)/developmental delay (DD) have been reported in five cases only. Among the 816 probands suspected hereditary epilepsy whose initial report of trio-based whole exome sequencing (WES) were negative, 10 de novo pathogenic or likely pathogenic variants of CSNK2B in nine probands were identified after reanalysis of their raw Trio-WES data. Six of the nine epileptic patients had ID/DD. The age of seizure onset of these nine patients with CSNK2B variants ranged from 2-12 months. Eight patients had age of seizure onset of less than 6 months. The epilepsy of most probands (8/9) was generalized tonic-clonic seizure and clustered (6/9). Most patients had normal electroencephalogram (5/9) and brain magnetic resonance image (7/9) results. Most patients (7/9) had easy-to-control seizures. Levetiracetam was the most commonly used drug in seizure-free patients (5/7). The variants detected in five patients (5/9, 55.6%) were located in the zinc-binding domain. In summary, our research provided evidence that variants in CSNK2B are associated with epilepsy with or without ID/DD. CSNK2B-related epilepsy is relatively easy to be controlled. The zinc-binding domain appears to be the hotspot region for mutation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Binding Sites
  • Brain / diagnostic imaging
  • Brain / physiopathology
  • Casein Kinase II / chemistry
  • Casein Kinase II / genetics*
  • Casein Kinase II / metabolism
  • China
  • Developmental Disabilities / genetics*
  • Developmental Disabilities / pathology
  • Epilepsy / genetics*
  • Epilepsy / pathology
  • Exome
  • Germ-Line Mutation*
  • Humans
  • Protein Binding
  • Syndrome
  • Zinc / metabolism

Substances

  • Casein Kinase II
  • Zinc