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SCN8A — gene
rs121918622 — rsID
SCN1A:c.1129C>T — HGVS c.
SCN1A:p.Arg377Ter — HGVS p.
2-166179712-G-C — gnomAD
epileptic encephalopathy — phenotype
Neurogenetics Factoid of the Day
UBE3A encodes an E3 ubiquitin ligase whose paternal allele is silenced by genomic imprinting in neurons. Loss of the maternal copy causes Angelman syndrome — characterised by severe intellectual disability, absent speech, ataxia, and a characteristically happy affect. The mechanism of imprinting at the 15q11-13 locus has made Angelman syndrome a leading candidate for epigenetic unsilencing therapies including antisense oligonucleotides.
Kishino T et al. — Nat Genet, 1997Variant Interpretation Tip of the Day
Synonymous variants are commonly classified as benign (BP7) but can alter splicing by disrupting exonic splicing enhancer (ESE) sequences or creating new donor/acceptor sites. Alwa…
Clinical Pearl
The synonymous variant SMN1 c.840C>T (p.Phe280=) is pathogenic because it disrupts an ESE required for proper inclusion of exon 7 — a reminder that "synonymous = benign" is a dangerous assumption.
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Key Neurogenetics Genes
3 genes rotate every 8 hours · from a pool of 140Curated selection of genes with established roles in neurological and neurodevelopmental disorders
Kv7.5 M-channel subunit · Epileptic encephalopathy, intellectual disability
COX assembly factor · Complex IV deficiency, most common Leigh syndrome cause
Hexosaminidase A α-subunit · GM2 gangliosidosis, cherry-red spot, neurodegeneration
Glycine receptor α1 subunit · Exaggerated startle, neonatal apnoea and stiffness
BAF complex subunit · Intellectual disability, absent fifth fingernail, coarse facies
Nav1.3 sodium channel · Developmental epilepsy and cortical dysplasia
HCN2 pacemaker channel · Generalised epilepsy, febrile seizures
Kv4.2 A-type channel · Neurodevelopmental disorder with epilepsy
Cav1.3 L-type channel · Sinoatrial node dysfunction, deafness, epilepsy
Nav1.7 pain channel · Hypersensitivity or complete insensitivity to pain
Cav3.1 T-type channel · Cerebellar atrophy, epilepsy, intellectual disability
Mitochondrial tRNA-Leu(UUR) · Stroke-like episodes, myopathy (m.3243A>G)