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Novel NALCN variant: altered respiratory and circadian rhythm, anesthetic sensitivity.


ABSTRACT: The sodium leak channel, a Na+-permeable, nonselective cation channel, is widely expressed in the nervous system, contributing a basal Na+-leak conductance and regulating neuronal excitability. A 3-year-old girl, heterozygous for a de novo missense mutation in NALCN (c.956C>T; p.Ala319Val) predicted to be deleterious, presented from birth with: stimulus-induced, episodic contractures of the limbs and face with associated respiratory distress; distal arthrogryposis; severe axial hypotonia; and severe global developmental delay (CLIFAHDD syndrome). In infancy, she manifested a reversed sleep-wake rhythm, nocturnal life-threatening respiratory rhythm disturbances with central apnea. Sevoflurane sensitivity caused respiratory depression and cardiac arrest.

SUBMITTER: Lozic B 

PROVIDER: S-EPMC5099533 | biostudies-literature | 2016 Nov

REPOSITORIES: biostudies-literature

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Novel <i>NALCN</i> variant: altered respiratory and circadian rhythm, anesthetic sensitivity.

Lozic Bernarda B   Johansson Stefan S   Lovric Kojundzic Sanja S   Markic Josko J   Knappskog Per Morten PM   Hahn Angelika F AF   Boman Helge H  

Annals of clinical and translational neurology 20161011 11


The sodium leak channel, a Na<sup>+</sup>-permeable, nonselective cation channel, is widely expressed in the nervous system, contributing a basal Na<sup>+</sup>-leak conductance and regulating neuronal excitability. A 3-year-old girl, heterozygous for a de novo missense mutation in <i>NALCN</i> (c.956C>T; p.Ala319Val) predicted to be deleterious, presented from birth with: stimulus-induced, episodic contractures of the limbs and face with associated respiratory distress; distal arthrogryposis; s  ...[more]

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