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Genetic epilepsy syndromes

Gene: CLN6

Amber List (moderate evidence)

CLN6 (CLN6, transmembrane ER protein)
EnsemblGeneIds (GRCh38): ENSG00000128973
EnsemblGeneIds (GRCh37): ENSG00000128973
OMIM: 606725, Gene2Phenotype
CLN6 is in 17 panels

6 reviews

Rebecca Foulger (Genomics England curator)

I don't know

PMID:30561534. Berkovic et al., 2019 report phenotypes of patients with CLN6 pathogenic variants from 13 unrelated families (homozygous in 4 families and compound het in 9 families). The typical presentation was progressive myoclonus epilepsy with debilitating myoclonic seizures and relatively infrequent tonic-clonic seizures.
Created: 28 Oct 2019, 12:16 p.m. | Last Modified: 28 Oct 2019, 12:16 p.m.
Panel Version: 1.398
PMID:31216804. Zhang et al. 2019 identify the pathogenic gene variants and clinical phenotype features of 26 children with progressive myoclonic epilepsy. 1 patient had a variant in CLN6 (full English text not available).
Created: 28 Oct 2019, 11:29 a.m. | Last Modified: 28 Oct 2019, 11:29 a.m.
Panel Version: 1.394
Additional case in PMID:31029456 (Matsumoto et al., 2019) of Japanese boy with a homozygous C.794_976del variant p. (Ser265del) in CLN6. Symptoms include focal seizures.
Created: 28 Oct 2019, 11:25 a.m. | Last Modified: 28 Oct 2019, 11:25 a.m.
Panel Version: 1.394
Comment on list classification: Updated rating from Red to Amber based on Amber review by Tracy Lester and PMID:21549341 (Arsov et al., 2011) where seizures are a consistent feature across families.
Created: 22 Oct 2019, 9:50 a.m. | Last Modified: 22 Oct 2019, 9:50 a.m.
Panel Version: 1.377
Review and rating collated by Tracy Lester (Oxford Medical Genetics Laboratories Oxford University Hospitals NHS Foundation Trust, 2019_02_06) on behalf of Wessex and West Midlands GLH for GMS Neurology specialist test group, for Clinical Indication R59 'Early onset or syndromic epilepsy'. Review contributors: John Taylor and Helen Lord. Suggested gene rating: Amber.
Created: 6 Aug 2019, 8:38 p.m. | Last Modified: 6 Aug 2019, 8:38 p.m.
Panel Version: 1.189

Tracy Lester (Genetics laboratory, Oxford UK)

I don't know

Could neuronal Ceroid-Lipofuscinoses be tested through a different referral pathway? AR neuronal ceroid lipofuscinosis 6 - clinical course includes seizures. Another type is known as Kufs type (adult onset) of which there is an A and B sub-type - A is characterised by myoclonic epilepsy and B is characterised by dementia. Arsov et al, 2011 - 3 families with AR Kufs disease - hom or compound het mutations in CLN6 - mutations then found in 4 additional families with Kuffs disease - yielding a total of 9 different pathogenic mutations. All patients from the 7 families had progressive myoclonic epilepsy followed by dementia - consistent with type A.
Created: 6 Aug 2019, 8:31 p.m. | Last Modified: 6 Aug 2019, 8:31 p.m.
Panel Version: 1.188

Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal

Phenotypes
Ceroid lipofuscinosis neuronal, 6, 601780; Ceroid lipofuscinosis, neuronal Kufs type adult onset, 204300

Publications

Amy McTague (UCL Institute of Child Health)

Red List (low evidence)

Natalie Trump (NHS - Great Ormond Street Hospital)

Red List (low evidence)

Manju Kurian (UCL-Institute of Child Health)

Red List (low evidence)

Richard Scott (North Thames GMC/UCL)

Red List (low evidence)

History Filter Activity

28 Oct 2019, Gel status: 2

Set publications

Rebecca Foulger (Genomics England curator)

Publications for gene: CLN6 were set to 21549341; 31029456; 31216804

28 Oct 2019, Gel status: 2

Set publications

Rebecca Foulger (Genomics England curator)

Publications for gene: CLN6 were set to 21549341; 31029456

28 Oct 2019, Gel status: 2

Set publications

Rebecca Foulger (Genomics England curator)

Publications for gene: CLN6 were set to 21549341

22 Oct 2019, Gel status: 2

Entity classified by Genomics England curator

Rebecca Foulger (Genomics England curator)

Gene: cln6 has been classified as Amber List (Moderate Evidence).

21 Oct 2019, Gel status: 1

Set mode of inheritance

Rebecca Foulger (Genomics England curator)

Mode of inheritance for gene: CLN6 was changed from to BIALLELIC, autosomal or pseudoautosomal

21 Oct 2019, Gel status: 1

Set publications

Rebecca Foulger (Genomics England curator)

Publications for gene: CLN6 were set to

6 Aug 2019, Gel status: 1

Added New Source

Rebecca Foulger (Genomics England curator)

Source Wessex and West Midlands GLH was added to CLN6.

6 Aug 2019, Gel status: 1

Added New Source

Rebecca Foulger (Genomics England curator)

Source NHS GMS was added to CLN6.

9 Jan 2019, Gel status: 1

Set Phenotypes

Louise Daugherty (Genomics England Curator)

Phenotypes for gene: CLN6 were changed from to Ceroid lipofuscinosis, neuronal, 6, 601780; Ceroid lipofuscinosis, neuronal, Kufs type, adult onset, 204300

11 Dec 2018, Gel status: 1

Panel promoted to version 1.0

Sarah Leigh (Genomics England Curator)

Sarah Leigh: Associated with phenotypes in

4 Apr 2018, Gel status: 1

Added New Source

Sarah Leigh (Genomics England Curator)

CLN6 was added to Genetic Epilepsy Syndromes panel. Sources: Expert,Expert Review Red

4 Apr 2018, Gel status: 1

Created

Sarah Leigh (Genomics England Curator)

CLN6 was created by Sarah Leigh