Toxic gain function
West Syndrome
Genotype
CELF2
Mechanism
Toxic gain function
Phenotype
Hyperactivity, Seizures, Increased sensitivity to stimuli, Social isolation, Cognitive impairment, Aggression
Biomarker
Glutamate, NfL, GABA, Cortisol
Gene Expression Markers
SCN1A, GAD1, GRIN1, IL-1β, BAX, BCL2, DCX
Physiology Changes
Postural Abnormalities, EEG - High-amplitude slow waves with multifocal spikes, Alternating high-voltage bursts and flat suppression periods, Lack of normal sleep architecture
Histology Grading Endpoint
Disorganized cortical layering, Reduced synaptic density, Neuronal shrinkage and degeneration, White matter rarefaction, Astrogliosis



