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Antisense oligonucleotide-mediated knockdown therapy in two infants with severe KCNT1 epileptic encephalopathy - PubMed

5 hours ago
  • #antisense oligonucleotide therapy
  • #epileptic encephalopathy
  • #KCNT1
  • Investigates antisense oligonucleotide-mediated KCNT1 knockdown therapy in two infants with severe KCNT1 epileptic encephalopathy.
  • KCNT1 variants cause overactive Slack channels, increasing neuronal potassium currents by up to 40%, leading to cortical hyperexcitability and seizures.
  • Intrathecal delivery of a non-allele-specific KCNT1-targeting antisense oligonucleotide reduced seizure frequency and intensity in two 2-year-old patients.
  • Treatment was associated with ventricular enlargement or hydrocephalus in both patients, indicating a potential monitorable toxicity of intrathecal antisense oligonucleotides.