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Molecular analysis and anticonvulsant therapy in two patients with glucose transporter 1 deficiency syndrome : A successful use of zonisamide for controlling the seizures

https://asahikawa-med.repo.nii.ac.jp/records/1327
https://asahikawa-med.repo.nii.ac.jp/records/1327
dc73fe11-cf9b-4e5d-ac19-7d6ee0d81324
名前 / ファイル ライセンス アクション
1598.pdf 1598.pdf (232.2 kB)
Item type 学術雑誌論文 / Journal Article_02(1)
公開日 2009-03-11
タイトル
タイトル Molecular analysis and anticonvulsant therapy in two patients with glucose transporter 1 deficiency syndrome : A successful use of zonisamide for controlling the seizures
言語 en
言語
言語 eng
資源タイプ
資源タイプ journal article
著者 高橋, 悟

× 高橋, 悟

高橋, 悟

ja-Kana タカハシ, サトル

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Ohinata, J

× Ohinata, J

Ohinata, J

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Suzuki, N

× Suzuki, N

Suzuki, N

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Amamiya, S

× Amamiya, S

Amamiya, S

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Kajihama, A

× Kajihama, A

Kajihama, A

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Sugai, R

× Sugai, R

Sugai, R

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Araki, A

× Araki, A

Araki, A

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Fujieda, K

× Fujieda, K

Fujieda, K

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Tanaka, H

× Tanaka, H

Tanaka, H

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著者 ローマ字
Takahashi, Satoru
書誌情報 Epilepsy Research

巻 80, 号 1, p. 18-22, 発行日 2008-07-01
ISSN
収録物識別子タイプ ISSN
収録物識別子 0920-1211
DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 10.1016/j.eplepsyres.2008.03.010
リンクURL
内容記述タイプ Other
内容記述 http://dx.doi.org/10.1016/j.eplepsyres.2008.03.010 | http://dx.doi.org/10.1016/j.eplepsyres.2008.03.010
抄録
内容記述タイプ Abstract
内容記述 Glucose transporter 1 (GLUT1) deficiency syndrome is caused by a deficit in glucose transport to the brain during the pre- and postnatal periods. Here we report two cases of GLUT1 deficiency syndrome diagnosed on the basis of clinical features, reduced GLUT1 activities, and mutations in the GLUT1 gene. Patient 1 had a novel heterozygous 1-bp insertion in exon 7 that resulted in a shift of the reading frame and the introduction of a premature stop codon at amino acid position 380. His clinical phenotype appeared to be more severe than that of Patient 2 who had a missense mutation in exon 8 resulting in an arginine-to-tryptophan substitution at amino acid position 333. Patient 1 had no meaningful words and could not walk unassisted, while Patient 2 could speak and walk unassisted. Both the patients developed seizures of various types that have been successfully treated with zonisamide. Although several antiepileptic drugs, including barbiturates, diazepam, chloralhydrate, and valproic acid, have been shown to inhibit GLUT1 function, the present study demonstrated no inhibitory effect of zonisamide on GLUT-1-mediated glucose transport. Our data suggested that zonisamide might be preferable if add-on anticonvulsant therapy is required to control the seizures in patients with this disorder.
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資源タイプ text
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ID(XooNIps)
18455367
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