Generalized idiopathic epilepsies (IGE) cause 40% of all seizures and
commonly have a genetic basis. One type of IGE is Benign Familial
Neonatal Convulsions (BFNC), a dominantly inherited disorder of newborns.
A submicroscopic deletion of chromosome 20q13.3 which co-segregates with
seizures in a BFNC family has been identified. Characterization of cDNAs
spanning the deleted region identified a novel voltage-gated potassium
channel, KCNQ2, which belongs to a new KCNQ1-like class of potassium
channels. Nine other BFNC probands were shown to have KCNQ2 mutations
including three missense mutations, three frameshifts, two nonsense
mutations, and one splice site mutation. A second gene, KCNQ3, was found
in a separate BFNC family in which the mutation had been localized to
chromosome 8. A missense mutation was found in this gene in perfect
cosegregation with the BFNC phenotype in this latter family. This
demonstrates that defects in potassium channels can cause epilepsy.
Furthermore, some members of one of the BFNC families with a mutation in
KCNQ2 also exhibited rolandic epilepsy and one individual with juvenile
myoclonic epilepsy has a mutation in an alternative exon of KCNQ3.