Key result
The novel CACNA1H p.R1282W variant identified in a child with generalized epilepsy caused a significant 2-fold increase in Cav3.2 channel current density, consistent with a pathogenic gain-of-function.
Case Report (n=1)
Absolute Event Rate: -69.8% vs -34.39%
p-value: p=<0.05
The novel R1282W missense variant in the CACNA1H gene causes a gain-of-function in Cav3.2 calcium channels, likely contributing to the pathogenesis of primary generalized epilepsy.
Does not yet support clinical use in epilepsy; hypothesis-generating for Cav3.2-targeted research.
Two paternally-inherited missense variants in CACNA1H were identified and characterized in a 6-year-old child with generalized epilepsy. Febrile and unprovoked seizures were present in this child. Both variants were expressed in cis or isolation using human recombinant Cav3.2 calcium channels in tsA-201 cells. Whole-cell patch-clamp recordings indicated that one variant (c.3844C > T; p.R1282W) caused a significant increase in current density consistent with a pathogenic gain-of-function phenotype; while the other cis-related variant (c.5294C > T; p.A1765V) had a benign profile.
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Souza et al. (2019) conducted a case report in Primary generalized epilepsy (n=1). CACNA1H missense variants (p.R1282W and p.A1765V) vs. Wild-type (WT) human Cav3.2 channels was evaluated on Peak current density (pA/pF) (p=<0.05). The novel CACNA1H p.R1282W variant identified in a child with generalized epilepsy caused a significant 2-fold increase in Cav3.2 channel current density, consistent with a pathogenic gain-of-function.
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