The landscape of epilepsy-related GATOR1 variants

Research output: Contribution to journalJournal articleResearchpeer-review


  • Sara Baldassari
  • Fabienne Picard
  • Nienke E Verbeek
  • Marjan van Kempen
  • Eva H Brilstra
  • Gaetan Lesca
  • Valerio Conti
  • Renzo Guerrini
  • Francesca Bisulli
  • Laura Licchetta
  • Tommaso Pippucci
  • Paolo Tinuper
  • Edouard Hirsch
  • Anne de Saint Martin
  • Jamel Chelly
  • Gabrielle Rudolf
  • Mathilde Chipaux
  • Sarah Ferrand-Sorbets
  • Georg Dorfmüller
  • Sanjay Sisodiya
  • Simona Balestrini
  • Natasha Schoeler
  • Laura Hernandez-Hernandez
  • S Krithika
  • Renske Oegema
  • Eveline Hagebeuk
  • Boudewijn Gunning
  • Charles Deckers
  • Bianca Berghuis
  • Ilse Wegner
  • Erik Niks
  • Floor E Jansen
  • Kees Braun
  • Daniëlle de Jong
  • Inga Talvik
  • Valentin Sander
  • Peter Uldall
  • Marie-Line Jacquemont
  • Caroline Nava
  • Eric Leguern
  • Sophie Julia
  • Antonio Gambardella
  • Giuseppe d'Orsi
  • Giovanni Crichiutti
  • Laurence Faivre
  • Veronique Darmency
  • Barbora Benova
  • Pavel Krsek
  • Arnaud Biraben
  • Anne-Sophie Lebre
  • Mélanie Jennesson
  • Shifteh Sattar
  • Cécile Marchal
  • Douglas R Nordli
  • Kristin Lindstrom
  • Pasquale Striano
  • Lysa Boissé Lomax
  • Courtney Kiss
  • Fabrice Bartolomei
  • Anne Fabienne Lepine
  • An-Sofie Schoonjans
  • Katrien Stouffs
  • Anna Jansen
  • Eleni Panagiotakaki
  • Brigitte Ricard-Mousnier
  • Julien Thevenon
  • Julitta de Bellescize
  • Hélène Catenoix
  • Thomas Dorn
  • Martin Zenker
  • Karen Müller-Schlüter
  • Ilona Krey
  • Tilman Polster
  • Markus Wolff
  • Meral Balci
  • Kevin Rostasy
  • Guillaume Achaz
  • Pia Zacher
  • Thomas Becher
  • Thomas Cloppenborg
  • Christopher J Yuskaitis
  • Sarah Weckhuysen
  • Annapurna Poduri
  • Johannes R Lemke
  • Rikke S Møller
  • Stéphanie Baulac

PURPOSE: To define the phenotypic and mutational spectrum of epilepsies related to DEPDC5, NPRL2 and NPRL3 genes encoding the GATOR1 complex, a negative regulator of the mTORC1 pathway METHODS: We analyzed clinical and genetic data of 73 novel probands (familial and sporadic) with epilepsy-related variants in GATOR1-encoding genes and proposed new guidelines for clinical interpretation of GATOR1 variants.

RESULTS: The GATOR1 seizure phenotype consisted mostly in focal seizures (e.g., hypermotor or frontal lobe seizures in 50%), with a mean age at onset of 4.4 years, often sleep-related and drug-resistant (54%), and associated with focal cortical dysplasia (20%). Infantile spasms were reported in 10% of the probands. Sudden unexpected death in epilepsy (SUDEP) occurred in 10% of the families. Novel classification framework of all 140 epilepsy-related GATOR1 variants (including the variants of this study) revealed that 68% are loss-of-function pathogenic, 14% are likely pathogenic, 15% are variants of uncertain significance and 3% are likely benign.

CONCLUSION: Our data emphasize the increasingly important role of GATOR1 genes in the pathogenesis of focal epilepsies (>180 probands to date). The GATOR1 phenotypic spectrum ranges from sporadic early-onset epilepsies with cognitive impairment comorbidities to familial focal epilepsies, and SUDEP.

Original languageEnglish
JournalGenetics In Medicine
Issue number2
Pages (from-to)398-408
Number of pages11
Publication statusPublished - Feb 2019

    Research areas

  • Adolescent, Brugada Syndrome/genetics, Child, Child, Preschool, DNA Copy Number Variations/genetics, Epilepsy/complications, Female, GTPase-Activating Proteins/genetics, Genetic Predisposition to Disease, Humans, INDEL Mutation/genetics, Infant, Infant, Newborn, Loss of Function Mutation/genetics, Male, Mechanistic Target of Rapamycin Complex 1/genetics, Multiprotein Complexes/genetics, Pedigree, Repressor Proteins/genetics, Seizures/complications, Signal Transduction/genetics, Tumor Suppressor Proteins/genetics

Number of downloads are based on statistics from Google Scholar and

No data available

ID: 234700907