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August 30, 2026Human GeneticsOpen Access

From targeted SCN1A analysis to whole exome sequencing: clinical utility and novel genetic findings in a Hungarian paediatric epilepsy cohort

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Authors

RSRenáta SzalaiÁTÁgnes TillKGKrisztina Galimurka

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Overview

Cohort study reveals high diagnostic utility and novel SCN1A mutations in paediatric epilepsy, highlighting the value of comprehensive genomic testing.

Key Points

  • To evaluate the clinical utility and diagnostic yield of targeted SCN1A testing alongside broader genomic strategies, including gene panels and whole exome sequencing, in paediatric-onset epilepsy.
  • Assessed 431 individuals with heterogeneous paediatric-onset epilepsy phenotypes at the University of Pécs between 2018 and 2024.
  • Conducted molecular diagnostics using Sanger sequencing, targeted epilepsy gene panels, whole exome sequencing (WES), and multiplex ligation-dependent probe amplification (MLPA) for SCN1A copy number analysis.
  • Identified 36 pathogenic or likely pathogenic SCN1A variants, including 15 novel variants not previously reported in literature.
  • Detected 9 novel variants in 12 additional epilepsy-associated genes, while WES identified 6 novel variants across 19 genes, with diagnostic yield scaling directly with the breadth of genomic interrogation.

Cite This Study

Szalai et al. (2026) studied this question.

synapsesocial.com/papers/6a93f1396c1a8fb52e79df70https://doi.org/10.1007/s00439-026-02867-w
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical utility and genetic landscape of exome sequencing in a large pediatric epilepsy cohort: Insights from a Turkish tertiary care center2026
  2. 2Characterization of 13 Novel Genetic Variants in Genes Associated with Epilepsy: Implications for Targeted Therapeutic Strategies2024 · 4 citations
  3. 3Exome Sequencing of 963 Chinese Families Identifies Novel Epilepsy Candidate Genes2024
  4. 4Identification of genetic causes in children with unexplained epilepsy based on trio‐whole exome sequencing2024 · 3 citations
  5. 5Exome Sequencing of 963 Chinese Families Identifies Novel Epilepsy Candidate Genes2024