Genetic therapeutic advancements for Dravet Syndrome

Epilepsy Behav. 2022 Jul:132:108741. doi: 10.1016/j.yebeh.2022.108741. Epub 2022 May 30.

Abstract

Dravet Syndrome is a genetic epileptic syndrome characterized by severe and intractable seizures associated with cognitive, motor, and behavioral impairments. The disease is also linked with increased mortality mainly due to sudden unexpected death in epilepsy. Over 80% of cases are due to a de novo mutation in one allele of the SCN1A gene, which encodes the α-subunit of the voltage-gated ion channel NaV1.1. Dravet Syndrome is usually refractory to antiepileptic drugs, which only alleviate seizures to a small extent. Viral, non-viral genetic therapy, and gene editing tools are rapidly enhancing and providing new platforms for more effective, alternative medicinal treatments for Dravet syndrome. These strategies include gene supplementation, CRISPR-mediated transcriptional activation, and the use of antisense oligonucleotides. In this review, we summarize our current knowledge of novel genetic therapies that are currently under development for Dravet syndrome.

Keywords: Dravet Syndrome; Epilepsy; Gene therapy; SCN1A; Severe Myoclonic Epilepsy of Infants; Treatment.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Epilepsies, Myoclonic* / complications
  • Epilepsies, Myoclonic* / genetics
  • Epilepsies, Myoclonic* / therapy
  • Epilepsy* / complications
  • Epileptic Syndromes
  • Humans
  • Mutation / genetics
  • NAV1.1 Voltage-Gated Sodium Channel / genetics
  • Seizures / complications
  • Spasms, Infantile* / complications

Substances

  • NAV1.1 Voltage-Gated Sodium Channel

Supplementary concepts

  • CDKL5 deficiency disorder