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Routier L, Querne L, Ghostine-Ramadan G, Boulesteix J, Graïc S, Mony S, Wallois F, Bourel-Ponchel E. Predicting the Neurodevelopmental Outcome in Extremely Preterm Newborns Using a Multimodal Prognostic Model Including Brain Function Information. JAMA Netw Open 2023; 6:e231590. [PMID: 36884252 PMCID: PMC9996404 DOI: 10.1001/jamanetworkopen.2023.1590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/09/2023] Open
Abstract
IMPORTANCE Early assessment of the prognosis of preterm newborns is crucial for accurately informing parents and making treatment decisions. The currently available prognostic models rarely incorporate functional brain information from conventional electroencephalography (cEEG). OBJECTIVE To examine the performance of a multimodal model combining (1) brain function information with (2) brain structure information (cranial ultrasonography), and (3) perinatal and (4) postnatal risk factors for the prediction of death or neurodevelopmental impairment (NDI) in extremely preterm infants. DESIGN, SETTING, AND PARTICIPANTS Preterm newborns (23-28 weeks' gestational age) admitted to the neonatal intensive care unit at Amiens-Picardie University Hospital were retrospectively included (January 1, 2013, to January 1, 2018). Risk factors from the 4 categories were collected during the first 2 weeks post delivery. Neurodevelopmental impairment was assessed at age 2 years with the Denver Developmental Screening Test II. No or moderate NDI was considered a favorable outcome. Death or severe NDI was considered an adverse outcome. Data analysis was performed from August 26, 2021, to March 31, 2022. MAIN OUTCOMES AND MEASURES After the selection of variables significantly associated with outcome, 4 unimodal prognostic models (considering each category of variable independently) and 1 multimodal model (considering all variables simultaneously) were developed. After a multivariate analysis for models built with several variables, decision-tree algorithms were run on each model. The areas under the curve for decision-tree classifications of adverse vs favorable outcomes were determined for each model, compared using bootstrap tests, and corrected for type I errors. RESULTS A total of 109 newborns (58 [53.2% male]) born at a mean (SD) gestational age of 26.3 (1.1) weeks were included. Among them, 52 (47.7%) had a favorable outcome at age 2 years. The multimodal model area under the curve (91.7%; 95% CI, 86.4%-97.0%) was significantly higher than those of the unimodal models (P < .003): perinatal model (80.6%; 95% CI, 72.5%-88.7%), postnatal model (81.0%; 95% CI, 72.6%-89.4%), brain structure model (cranial ultrasonography) (76.6%; 95% CI, 67.8%-85.3%), and brain function model (cEEG) (78.8%; 95% CI, 69.9%-87.7%). CONCLUSIONS AND RELEVANCE In this prognostic study of preterm newborns, the inclusion of brain information in a multimodal model was associated with significant improvement in the outcome prediction, which may have resulted from the complementarity of the risk factors and reflected the complexity of the mechanisms that interfered with brain maturation and led to death or NDI.
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Affiliation(s)
- Laura Routier
- INSERM UMR 1105, Research Group on Multimodal Analysis of Brain Function, University of Picardie Jules Verne, Amiens Cedex, France
- INSERM UMR 1105, Pediatric Neurophysiology Unit, Amiens-Picardie University Medical Center, Amiens Cedex, France
| | - Laurent Querne
- INSERM UMR 1105, Research Group on Multimodal Analysis of Brain Function, University of Picardie Jules Verne, Amiens Cedex, France
- Department of Pediatric Neurology, Amiens-Picardie University Medical Center, Amiens Cedex, France
| | - Ghida Ghostine-Ramadan
- INSERM UMR 1105, Research Group on Multimodal Analysis of Brain Function, University of Picardie Jules Verne, Amiens Cedex, France
- Neonatal Intensive Care Unit, Amiens-Picardie University Medical Center, Amiens Cedex, France
| | - Julie Boulesteix
- INSERM UMR 1105, Research Group on Multimodal Analysis of Brain Function, University of Picardie Jules Verne, Amiens Cedex, France
- Neonatal Intensive Care Unit, Amiens-Picardie University Medical Center, Amiens Cedex, France
| | - Solène Graïc
- INSERM UMR 1105, Research Group on Multimodal Analysis of Brain Function, University of Picardie Jules Verne, Amiens Cedex, France
- Neonatal Intensive Care Unit, Amiens-Picardie University Medical Center, Amiens Cedex, France
| | - Sandrine Mony
- INSERM UMR 1105, Research Group on Multimodal Analysis of Brain Function, University of Picardie Jules Verne, Amiens Cedex, France
- Neonatal Intensive Care Unit, Amiens-Picardie University Medical Center, Amiens Cedex, France
| | - Fabrice Wallois
- INSERM UMR 1105, Research Group on Multimodal Analysis of Brain Function, University of Picardie Jules Verne, Amiens Cedex, France
- INSERM UMR 1105, Pediatric Neurophysiology Unit, Amiens-Picardie University Medical Center, Amiens Cedex, France
| | - Emilie Bourel-Ponchel
- INSERM UMR 1105, Research Group on Multimodal Analysis of Brain Function, University of Picardie Jules Verne, Amiens Cedex, France
- INSERM UMR 1105, Pediatric Neurophysiology Unit, Amiens-Picardie University Medical Center, Amiens Cedex, France
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Saadatmehr B, Edalati M, Routier L, Mahmoudzadeh M, Safaie J, Kongolo G, Ghostine G, Wallois F, Moghimi S. Evolution of cross-frequency coupling between endogenous oscillations over the temporal cortex in very premature neonates. Cereb Cortex 2022; 33:278-289. [PMID: 35235654 PMCID: PMC10103643 DOI: 10.1093/cercor/bhac067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 01/28/2022] [Accepted: 01/29/2022] [Indexed: 01/17/2023] Open
Abstract
Temporal theta activity in coalescence with slow-wave (TTA-SW) is one of the first neurobiomarkers of the neurodevelopment of perisylvian networks in the electroencephalography (EEG). Dynamic changes in the microstructure and activity within neural networks are reflected in the EEG. Slow oscillation slope can reflect synaptic strength, and cross-frequency coupling (CFC), associated with several putative functions in adults, can reflect neural communication. Here, we investigated the evolution of CFC, in terms of SW theta phase-amplitude coupling (PAC), during the course of very early development between 25 and 32 weeks of gestational age in 23 premature neonates. We used high-resolution EEG and dipole models as spatial filters to extract the source waveforms corresponding to TTA-SW. We also carried out nonlinear phase-dependent correlation measurements to examine whether the characteristics of the SW slopes are associated with TTA-SW coupling. We show that neurodevelopment leads to temporal accumulation of the SW theta PAC toward the trough of SW. Steepness of the negative going slope of SW determined the degree of this coupling. Systematic modulation of SW-TTA CFC during development is a signature of the complex development of local cortico-cortical perisylvian networks and distant thalamo-cortical neural circuits driving this nested activity over the perisylvian networks.
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Affiliation(s)
- Bahar Saadatmehr
- Inserm UMR1105, Groupe de Recherches sur l'Analyse Multimodale de la Fonction Cérébrale, CURS, Avenue Laennec, 80036 Amiens Cedex, France
| | - Mohammadreza Edalati
- Inserm UMR1105, Groupe de Recherches sur l'Analyse Multimodale de la Fonction Cérébrale, CURS, Avenue Laennec, 80036 Amiens Cedex, France
| | - Laura Routier
- Inserm UMR1105, Groupe de Recherches sur l'Analyse Multimodale de la Fonction Cérébrale, CURS, Avenue Laennec, 80036 Amiens Cedex, France.,Inserm UMR1105, EFSN Pédiatriques, CHU Amiens sud, Avenue Laennec, 80054 Amiens Cedex, France
| | - Mahdi Mahmoudzadeh
- Inserm UMR1105, Groupe de Recherches sur l'Analyse Multimodale de la Fonction Cérébrale, CURS, Avenue Laennec, 80036 Amiens Cedex, France.,Inserm UMR1105, EFSN Pédiatriques, CHU Amiens sud, Avenue Laennec, 80054 Amiens Cedex, France
| | - Javad Safaie
- Electrical Engineering Department, Ferdowsi University of Mashhad, 9177948974 Mashhad, Iran
| | - Guy Kongolo
- Inserm UMR1105, Groupe de Recherches sur l'Analyse Multimodale de la Fonction Cérébrale, CURS, Avenue Laennec, 80036 Amiens Cedex, France.,Inserm UMR1105, NICU, CHU Amiens sud, Avenue Laennec, 80054 Amiens Cedex, France
| | - Ghida Ghostine
- Inserm UMR1105, Groupe de Recherches sur l'Analyse Multimodale de la Fonction Cérébrale, CURS, Avenue Laennec, 80036 Amiens Cedex, France.,Inserm UMR1105, NICU, CHU Amiens sud, Avenue Laennec, 80054 Amiens Cedex, France
| | - Fabrice Wallois
- Inserm UMR1105, Groupe de Recherches sur l'Analyse Multimodale de la Fonction Cérébrale, CURS, Avenue Laennec, 80036 Amiens Cedex, France.,Inserm UMR1105, EFSN Pédiatriques, CHU Amiens sud, Avenue Laennec, 80054 Amiens Cedex, France
| | - Sahar Moghimi
- Inserm UMR1105, Groupe de Recherches sur l'Analyse Multimodale de la Fonction Cérébrale, CURS, Avenue Laennec, 80036 Amiens Cedex, France.,Inserm UMR1105, EFSN Pédiatriques, CHU Amiens sud, Avenue Laennec, 80054 Amiens Cedex, France
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Routier L, Mahmoudzadeh M, Panzani M, Saadatmehr B, Gondry J, Bourel-Ponchel E, Moghimi S, Wallois F. The frontal sharp transient in newborns: An endogenous neurobiomarker concomitant to the physiological and critical transitional period around delivery? Cereb Cortex 2022; 33:4026-4039. [PMID: 36066405 PMCID: PMC10068298 DOI: 10.1093/cercor/bhac324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 07/21/2022] [Accepted: 07/22/2022] [Indexed: 11/13/2022] Open
Abstract
The frontal sharp transient (FST) consists of transient electrical activity recorded around the transitional period from the in to ex utero environment. Although its positive predictive value is assumed, nothing is known about its functionality or origin. The objectives were (i) to define its characteristics and (ii) to develop functional hypothesis. The 128-channels high-resolution electroencephalograms of 20 healthy newborns (37.1-41.6 weeks) were studied. The morphological and time-frequency characteristics of 418 FSTs were analyzed. The source localization of the FSTs was obtained using a finite element head model (5 layers and fontanels) and various source localization methods (distributed and dipolar). The characteristics (duration, slopes, and amplitude) and the localization of FSTs were not modulated by the huge developmental neuronal processes that occur during the very last period of gestation. The sources were located beneath the ventral median part of the frontal lobe around the interhemispheric fissure, suggesting that the olfactory bulbs and orbitofrontal cortex, essential in olfaction and the mother-infant attachment relationship, are likely candidates for the generation of FSTs. FSTs may contribute to the implementation of the functionalities of brain structures involved in the higher-order processing necessary for survival ahead of delivery, with a genetic fingerprint.
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Affiliation(s)
- Laura Routier
- GRAMFC, INSERM UMR-S 1105, CURS, University of Picardie Jules Verne, rue René Laennec, 80054 Amiens, Cedex 1, France.,Pediatric Clinical Neurophysiology Department, Amiens-Picardie University Hospital, 1 rond-point du Professeur Christian Cabrol, 80054 Amiens, France
| | - Mahdi Mahmoudzadeh
- GRAMFC, INSERM UMR-S 1105, CURS, University of Picardie Jules Verne, rue René Laennec, 80054 Amiens, Cedex 1, France
| | - Marine Panzani
- GRAMFC, INSERM UMR-S 1105, CURS, University of Picardie Jules Verne, rue René Laennec, 80054 Amiens, Cedex 1, France
| | - Bahar Saadatmehr
- GRAMFC, INSERM UMR-S 1105, CURS, University of Picardie Jules Verne, rue René Laennec, 80054 Amiens, Cedex 1, France
| | - Jean Gondry
- GRAMFC, INSERM UMR-S 1105, CURS, University of Picardie Jules Verne, rue René Laennec, 80054 Amiens, Cedex 1, France.,Maternity Department, Amiens-Picardie University Hospital, 1 rond-point du Professeur Christian Cabrol, 80054 Amiens, France
| | - Emilie Bourel-Ponchel
- GRAMFC, INSERM UMR-S 1105, CURS, University of Picardie Jules Verne, rue René Laennec, 80054 Amiens, Cedex 1, France.,Pediatric Clinical Neurophysiology Department, Amiens-Picardie University Hospital, 1 rond-point du Professeur Christian Cabrol, 80054 Amiens, France
| | - Sahar Moghimi
- GRAMFC, INSERM UMR-S 1105, CURS, University of Picardie Jules Verne, rue René Laennec, 80054 Amiens, Cedex 1, France
| | - Fabrice Wallois
- GRAMFC, INSERM UMR-S 1105, CURS, University of Picardie Jules Verne, rue René Laennec, 80054 Amiens, Cedex 1, France.,Pediatric Clinical Neurophysiology Department, Amiens-Picardie University Hospital, 1 rond-point du Professeur Christian Cabrol, 80054 Amiens, France
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Wallois F, Routier L, Heberlé C, Mahmoudzadeh M, Bourel-Ponchel E, Moghimi S. Back to basics: the neuronal substrates and mechanisms that underlie the electroencephalogram in premature neonates. Neurophysiol Clin 2020; 51:5-33. [PMID: 33162287 DOI: 10.1016/j.neucli.2020.10.006] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Revised: 10/05/2020] [Accepted: 10/05/2020] [Indexed: 02/06/2023] Open
Abstract
Electroencephalography is the only clinically available technique that can address the premature neonate normal and pathological functional development week after week. The changes in the electroencephalogram (EEG) result from gradual structural and functional modifications that arise during the last trimester of pregnancy. Here, we review the structural changes over time that underlie the establishment of functional immature neural networks, the impact of certain anatomical specificities (fontanelles, connectivity, etc.) on the EEG, limitations in EEG interpretation, and the utility of high-resolution EEG (HR-EEG) in premature newborns (a promising technique with a high degree of spatiotemporal resolution). In particular, we classify EEG features according to whether they are manifestations of endogenous generators (i.e. theta activities that coalesce with a slow wave or delta brushes) or come from a broader network. Furthermore, we review publications on EEG in premature animals because the data provide a better understanding of what is happening in premature newborns. We then discuss the results and limitations of functional connectivity analyses in premature newborns. Lastly, we report on the magnetoelectroencephalographic studies of brain activity in the fetus. A better understanding of complex interactions at various structural and functional levels during normal neurodevelopment (as assessed using electroencephalography as a benchmark method) might lead to better clinical care and monitoring for premature neonates.
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Affiliation(s)
- Fabrice Wallois
- INSERM U1105, Research Group on Multimodal Analysis of Brain Function, Jules Verne University of Picardie, Amiens, France; Service d'Explorations Fonctionnelles du Système Nerveux Pédiatrique, Amiens-Picardie Medical Center, Amiens, France.
| | - Laura Routier
- INSERM U1105, Research Group on Multimodal Analysis of Brain Function, Jules Verne University of Picardie, Amiens, France; Service d'Explorations Fonctionnelles du Système Nerveux Pédiatrique, Amiens-Picardie Medical Center, Amiens, France
| | - Claire Heberlé
- INSERM U1105, Research Group on Multimodal Analysis of Brain Function, Jules Verne University of Picardie, Amiens, France; Service d'Explorations Fonctionnelles du Système Nerveux Pédiatrique, Amiens-Picardie Medical Center, Amiens, France
| | - Mahdi Mahmoudzadeh
- INSERM U1105, Research Group on Multimodal Analysis of Brain Function, Jules Verne University of Picardie, Amiens, France; Service d'Explorations Fonctionnelles du Système Nerveux Pédiatrique, Amiens-Picardie Medical Center, Amiens, France
| | - Emilie Bourel-Ponchel
- INSERM U1105, Research Group on Multimodal Analysis of Brain Function, Jules Verne University of Picardie, Amiens, France; Service d'Explorations Fonctionnelles du Système Nerveux Pédiatrique, Amiens-Picardie Medical Center, Amiens, France
| | - Sahar Moghimi
- INSERM U1105, Research Group on Multimodal Analysis of Brain Function, Jules Verne University of Picardie, Amiens, France; Service d'Explorations Fonctionnelles du Système Nerveux Pédiatrique, Amiens-Picardie Medical Center, Amiens, France
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5
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Moghimi S, Shadkam A, Mahmoudzadeh M, Calipe O, Panzani M, Edalati M, Ghorbani M, Routier L, Wallois F. The intimate relationship between coalescent generators in very premature human newborn brains: Quantifying the coupling of nested endogenous oscillations. Hum Brain Mapp 2020; 41:4691-4703. [PMID: 33463873 PMCID: PMC7555093 DOI: 10.1002/hbm.25150] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2019] [Revised: 06/26/2020] [Accepted: 07/08/2020] [Indexed: 12/14/2022] Open
Abstract
Temporal theta slow-wave activity (TTA-SW) in premature infants is a specific neurobiomarker of the early neurodevelopment of perisylvian networks observed as early as 24 weeks of gestational age (wGA). It is present at the turning point between non-sensory driven spontaneous networks and cortical network functioning. Despite its clinical importance, the underlying mechanisms responsible for this spontaneous nested activity and its functional role have not yet been determined. The coupling between neural oscillations at different timescales is a key feature of ongoing neural activity, the characteristics of which are determined by the network structure and dynamics. The underlying mechanisms of cross-frequency coupling (CFC) are associated with several putative functions in adults. In order to show that this generic mechanism is already in place early in the course of development, we analyzed electroencephalography recordings from sleeping preterm newborns (24-27 wGA). Employing cross-frequency phase-amplitude coupling analyses, we found that TTAs were orchestrated by the SWs defined by a precise temporal relationship. Notably, TTAs were synchronized to the SW trough, and were suppressed during the SW peak. Spontaneous endogenous TTA-SWs constitute one of the very early signatures of the developing temporal neural networks with key functions, such as language and communication. The presence of a fine-tuned relationship between the slow activity and the TTA in premature neonates emphasizes the complexity and relative maturity of the intimate mechanisms that shape the CFC, the disruption of which can have severe neurodevelopmental consequences.
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Affiliation(s)
- Sahar Moghimi
- Electrical Engineering DepartmentFerdowsi University of MashhadIran
- Rayan Center for Neuroscience and BehaviorFerdowsi University of MashhadMashhadIran
- Inserm UMR1105, Groupe de Recherches sur l'Analyse Multimodale de la Fonction CérébraleCentre Universitaire de Recherches en SanteAmiens CedexFrance
| | - Azadeh Shadkam
- Electrical Engineering DepartmentFerdowsi University of MashhadIran
| | - Mahdi Mahmoudzadeh
- Inserm UMR1105, Groupe de Recherches sur l'Analyse Multimodale de la Fonction CérébraleCentre Universitaire de Recherches en SanteAmiens CedexFrance
- Inserm UMR1105, EFSN PédiatriquesCentre Hospitalier Universitaire Amiens sudAmiens CedexFrance
| | - Olivia Calipe
- Inserm UMR1105, Groupe de Recherches sur l'Analyse Multimodale de la Fonction CérébraleCentre Universitaire de Recherches en SanteAmiens CedexFrance
| | - Marine Panzani
- Inserm UMR1105, Groupe de Recherches sur l'Analyse Multimodale de la Fonction CérébraleCentre Universitaire de Recherches en SanteAmiens CedexFrance
| | - Mohammadreza Edalati
- Electrical Engineering DepartmentFerdowsi University of MashhadIran
- Inserm UMR1105, Groupe de Recherches sur l'Analyse Multimodale de la Fonction CérébraleCentre Universitaire de Recherches en SanteAmiens CedexFrance
| | - Maryam Ghorbani
- Electrical Engineering DepartmentFerdowsi University of MashhadIran
- Rayan Center for Neuroscience and BehaviorFerdowsi University of MashhadMashhadIran
| | - Laura Routier
- Inserm UMR1105, Groupe de Recherches sur l'Analyse Multimodale de la Fonction CérébraleCentre Universitaire de Recherches en SanteAmiens CedexFrance
- Inserm UMR1105, EFSN PédiatriquesCentre Hospitalier Universitaire Amiens sudAmiens CedexFrance
| | - Fabrice Wallois
- Inserm UMR1105, Groupe de Recherches sur l'Analyse Multimodale de la Fonction CérébraleCentre Universitaire de Recherches en SanteAmiens CedexFrance
- Inserm UMR1105, EFSN PédiatriquesCentre Hospitalier Universitaire Amiens sudAmiens CedexFrance
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Abstract
The consequences of prematurity on brain functional development are numerous and diverse, and impact all brain functions at different levels. Prematurity occurs between 22 and 36 weeks of gestation. This period is marked by extreme dynamics in the physiologic maturation, structural, and functional processes. These different processes appear sequentially or simultaneously. They are dependent on genetic and/or environmental factors. Disturbance of these processes or of the fine-tuning between them, when caring for premature children, is likely to induce disturbances in the structural and functional development of the immature neural networks. These will appear as impairments in learning skills progress and are likely to have a lasting impact on the development of children born prematurely. The level of severity depends on the initial alteration, whether structural or functional. In this chapter, after having briefly reviewed the neurodevelopmental, structural, and functional processes, we describe, in a nonexhaustive manner, the impact of prematurity on the different brain, motor, sensory, and cognitive functions.
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Affiliation(s)
- Fabrice Wallois
- Research Group on Multimodal Analysis of Brain Function, Jules Verne Picardie University, Amiens, France; Department of Pediatric Functional Exploration of the Nervous System, University Hospital, Picardie, Amiens, France.
| | - Laura Routier
- Research Group on Multimodal Analysis of Brain Function, Jules Verne Picardie University, Amiens, France; Department of Pediatric Functional Exploration of the Nervous System, University Hospital, Picardie, Amiens, France
| | - Emilie Bourel-Ponchel
- Research Group on Multimodal Analysis of Brain Function, Jules Verne Picardie University, Amiens, France; Department of Pediatric Functional Exploration of the Nervous System, University Hospital, Picardie, Amiens, France
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Routier L, Verny F, Barcia G, Chemaly N, Desguerre I, Colleaux L, Nabbout R. Exome sequencing findings in 27 patients with myoclonic-atonic epilepsy: Is there a major genetic factor? Clin Genet 2019; 96:254-260. [PMID: 31170314 DOI: 10.1111/cge.13581] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2019] [Revised: 05/22/2019] [Accepted: 06/02/2019] [Indexed: 01/31/2023]
Abstract
Myoclonic-atonic epilepsy (MAE) is thought to have a genetic etiology. Mutations in CHD2, SLC2A1 and SLC6A1 genes have been reported in few patients showing often intellectual disability prior to MAE onset. We aimed to explore putative causal genetic factors in MAE. We performed array-CGH and whole-exome sequencing in 27 patients. We considered non-synonymous variants, splice acceptor, donor site mutations, and coding insertions/deletions. A gene was causal when its mutations have been already linked to epilepsy or other brain diseases or when it has a putative function in neuronal excitability or brain development. We identified candidate disease-causing variants in 11 patients (41%). Single variants were found in some known epilepsy-associated genes (namely CHD2, KCNT1, KCNA2 and STXBP1) but not in others (SLC2A1 and SLC6A1). One new candidate gene SUN1 requires further validation. MAE shows underlying genetic heterogeneity with only few cases linked to mutations in genes reported in developmental and epileptic encephalopathies.
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Affiliation(s)
- Laura Routier
- Reference Centre for Rare Epilepsies, Pediatric Neurology, Necker Enfants-Malades Hospital, Paris, France.,Pediatric Neurology, Amiens-Picardie University Hospital, Amiens, France.,GRAMFC-INSERM U1105, UPJV, Amiens, France
| | - Florine Verny
- Reference Centre for Rare Epilepsies, Pediatric Neurology, Necker Enfants-Malades Hospital, Paris, France.,INSERM UMR1163, Translational Research for Neurological Disorders, Imagine Institute, Paris-Descartes University, Paris, France
| | - Giulia Barcia
- Clinical Genetics, Necker Enfants-Malades Hospital, Paris, France
| | - Nicole Chemaly
- Reference Centre for Rare Epilepsies, Pediatric Neurology, Necker Enfants-Malades Hospital, Paris, France.,INSERM UMR1163, Translational Research for Neurological Disorders, Imagine Institute, Paris-Descartes University, Paris, France
| | - Isabelle Desguerre
- Reference Centre for Rare Epilepsies, Pediatric Neurology, Necker Enfants-Malades Hospital, Paris, France
| | - Laurence Colleaux
- INSERM UMR1163, Translational Research for Neurological Disorders, Imagine Institute, Paris-Descartes University, Paris, France
| | - Rima Nabbout
- Reference Centre for Rare Epilepsies, Pediatric Neurology, Necker Enfants-Malades Hospital, Paris, France.,INSERM UMR1163, Translational Research for Neurological Disorders, Imagine Institute, Paris-Descartes University, Paris, France
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Shadkam A, Moghimi S, Routier L, Mahmoudzadeh M, Wallois F. The intimate relationship between coalescent generators in early premature neonates. Neurophysiol Clin 2019. [DOI: 10.1016/j.neucli.2019.05.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Routier L, Mahmoudzadeh M, Panzani M, Kongolo G, Wallois F. Plasticity of neonatal neuronal networks in very premature infants: Source localization of temporal theta activity, the first endogenous neural biomarker, in temporoparietal areas. Neurophysiol Clin 2019. [DOI: 10.1016/j.neucli.2019.05.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Adebimpe A, Routier L, Wallois F. Preterm Modulation of Connectivity by Endogenous Generators: The Theta Temporal Activities in Coalescence with Slow Waves. Brain Topogr 2019; 32:762-772. [DOI: 10.1007/s10548-019-00713-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2019] [Accepted: 04/16/2019] [Indexed: 12/17/2022]
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Routier L, Mahmoudzadeh M, Panzani M, Azizollahi H, Goudjil S, Kongolo G, Wallois F. Plasticity of neonatal neuronal networks in very premature infants: Source localization of temporal theta activity, the first endogenous neural biomarker, in temporoparietal areas. Hum Brain Mapp 2017; 38:2345-2358. [PMID: 28112458 DOI: 10.1002/hbm.23521] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2016] [Revised: 01/06/2017] [Accepted: 01/08/2017] [Indexed: 01/01/2023] Open
Abstract
Temporal theta slow-wave activity (TTA-SW) in premature infants is a specific signature of the early development of temporal networks, as it is observed at the turning point between non-sensory driven spontaneous local processing and cortical network functioning. The role in development and the precise location of TTA-SW remain unknown. Previous studies have demonstrated that preterms from 28 weeks of gestational age (wGA) are able to discriminate phonemes and voice, supporting the idea of a prior genetic structural or activity-dependent fingerprint that would prepare the auditory network to compute auditory information at the onset of thalamocortical connectivity. They recorded TTA-SW in 26-32 wGA preterms. The rate of TTA-SW in response to click stimuli was evaluated using low-density EEG in 30 preterms. The sources of TTA-SW were localized by high-density EEG using different tissues conductivities, head models and mathematical models. They observed that TTA-SW is not sensory driven. Regardless of age, conductivities, head models and mathematical models, sources of TTA-SW were located adjacent to auditory and temporal junction areas. These sources become situated closer to the surface during development. TTA-SW corresponds to spontaneous transient endogenous activities independent of sensory information at this period which might participate in the implementation of auditory, language, memory, attention and or social cognition convergent and does not simply represent a general interaction between the subplate and the cortical plate. Hum Brain Mapp 38:2345-2358, 2017. © 2017 Wiley Periodicals, Inc.
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Affiliation(s)
- L Routier
- Inserm U 1105, University of Picardie Instead of Picardy, Amiens University Hospital, Amiens, France.,Pediatric Nervous System Investigation Unit, Amiens University Hospital, Amiens, France
| | - M Mahmoudzadeh
- Inserm U 1105, University of Picardie Instead of Picardy, Amiens University Hospital, Amiens, France
| | - M Panzani
- Inserm U 1105, University of Picardie Instead of Picardy, Amiens University Hospital, Amiens, France
| | - H Azizollahi
- Inserm U 1105, University of Picardie Instead of Picardy, Amiens University Hospital, Amiens, France
| | - S Goudjil
- Inserm U 1105, University of Picardie Instead of Picardy, Amiens University Hospital, Amiens, France.,NICU Amiens University Hospital, Amiens, France
| | - G Kongolo
- Inserm U 1105, University of Picardie Instead of Picardy, Amiens University Hospital, Amiens, France.,NICU Amiens University Hospital, Amiens, France
| | - F Wallois
- Inserm U 1105, University of Picardie Instead of Picardy, Amiens University Hospital, Amiens, France.,Pediatric Nervous System Investigation Unit, Amiens University Hospital, Amiens, France
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Routier L, Decker C, Le Moing A, Simonnot A, Bodin E, Braun K, Delignieres A, Berquin P. SFP P-065 – Découverte d’un hamartome hypothalamique devant des crises gélastiques et des spasmes infantiles. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)72035-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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