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Unlocking the Secrets of Epilepsy: New Research Identifies Key Genes and Potential Treatment Pathways

Epilepsy, a neurological disorder characterized by recurrent seizures, affects millions of people worldwide. For many, current medications provide little relief, leaving them with a debilitating and unpredictable condition. However, new research led by scientists at UTHealth Houston offers renewed hope for those living with epilepsy. This groundbreaking study, published in Nature Communications, has identified two previously unknown genes linked to the disorder, opening doors to improved diagnosis and potential new treatments.

The research team, led by Dr. Dennis Lal, meticulously analyzed brain tissue samples from 1,386 individuals undergoing epilepsy surgery. They focused on “somatic variants,” which are DNA changes that occur after conception and are only present in the brain. This approach allowed them to pinpoint specific genetic mutations in the genes DYRK1A and EGFR that contribute to epileptic seizures.

“Discovering these genes not only helps us better understand the biology behind epilepsy but also reveals specific traits in tissues, making them valuable tools for diagnosing the condition,” explained Dr. Lal. This is particularly crucial for patients with drug-resistant epilepsy, as identifying the specific genetic cause could lead to more personalized and effective treatment strategies.  

In addition to these two novel genes, the research confirmed four known gene-disease associations and provided evidence for eight more. This comprehensive analysis significantly expands our understanding of the genetic underpinnings of epilepsy.

Perhaps most excitingly, the study revealed a surprising connection between epilepsy and cancer. Many of the identified genes interact with biological pathways that are targeted by FDA-approved cancer drugs. While epileptic lesions share some genetic similarities with tumors, they differ in key ways. For example, neurons, the affected cells in epilepsy, do not replicate like cancer cells. This crucial distinction opens up the possibility of repurposing existing cancer medications for epilepsy treatment, offering a potential fast track to new therapies.

“For those with epilepsy, their caregivers, and health care providers, our research represents a step closer to understanding epilepsy at its most fundamental level while improving patients’ quality of life,” said Dr. Lal.

This research marks a significant advancement in the field of epilepsy. By identifying new genes, potential diagnostic markers, and possible treatment avenues, it offers hope for a future where epilepsy is better understood and more effectively managed.

Source: UT Health Houston, January 6, 2025

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