AI Article Synopsis

  • The study looked at how a gene called PTEN and its variations might be related to epilepsy in children and how their medication influences certain protein levels in the blood.
  • Researchers tested 100 kids with epilepsy and 50 kids without it, checking their genes and measuring protein levels in their blood.
  • They found that kids with epilepsy had higher levels of a protein called Wnt3a, and the medication oxcarbazepine seemed to lower these levels. The study suggested a link between the PTEN gene variation and more severe forms of epilepsy.

Article Abstract

Objective: The present study aimed at evaluating the potential contribution of Phosphatase and Tensin Homolog (PTEN) and its gene polymorphism (PTEN rs701848 T/C) in relation to Wingless/integrase-1 (Wnt) signaling in childhood epilepsy and the impact of antiepileptic medications on their serum levels.

Methods: This study included 100 children with epilepsy (50 pharmacoresistant and 50 pharmacoresponsive) and 50 matched controls. All subjects had their genotypes for the PTEN rs701848T/C polymorphism assessed using TaqMan assays and real-time PCR. By using the sandwich ELISA technique, the blood concentrations of PTEN and Wnt3a were measured.

Results: Serum Wnt3a levels in epileptic patients were significantly higher than in the control group,  < 0.001. Children with epilepsy who received oxcarbazepine had considerably lower serum Wnt3a levels than those who didn't,  < 0.001.With an AUC of 0.71, the cutoff value for diagnosing epilepsy as serum Wnt3a > 6.2 ng/mL has a sensitivity of 55% and a specificity of 80%. When compared to controls, epileptic children had considerably more (TT) genotype and less (TC and CC) genotypes,  < 0.05 for all. Epileptic children had significantly higher (T) allele frequency than controls,  = 0.006 with OR (95%CI) = 1.962(1.206-3.192). Pharmacoresistant epileptic children had significantly higher (TT) genotype compared to pharmacoresponsive type ( = 0.020).

Conclusion: We originally found a strong association between PTEN rs701848 T/C and childhood epilepsy, in particular pharmacoresistant type. Serum Wnt3a levels increased in epilepsy, but were not significantly different between different alleles of PTEN. In pharmaco-responsive children Wnt3a levels differed significantly between the different PTEN genotypes. Antiepileptics may affect Wnt3a levels.

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Source
http://dx.doi.org/10.1080/01616412.2023.2257465DOI Listing

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