Evidence

Degeneracy

Different configurations, same result.

WorkFinding
Y-chromosome mosaicism in MOGHE
(Epilepsia 2026)
A second, genomically unrelated route reaches the same lesion that SLC35A2 mosaicism produces.
Brain somatic SLC35A2 variants in MOGHE (Acta Neuropathol Commun 2021)One route into the lesion, present in a subset of patients.
1386 epileptogenic brain lesions, DYRK1A and EGFR (Nat Commun 2024)Recurrent variants including DYRK1A and EGFR across lesion types at scale.
Genomic landscape across 474 lesions (Brain 2022)The distribution of somatic variants across the surgical spectrum.

Convergence

Different routes, one measurable output.

WorkFinding
Epigenetic age acceleration in epilepsy (preprint at ResearchSquare)Epigenetic age is accelerated in epileptic brain tissue across different structural brain lesions.
DNA methylation-based classification of MCD (Acta Neuropathol 2022)One measurement separates entities that different genomic events produce.
Diagnostic intracranial EEG biomarker in MOGHE (MedRxiv)A reproducible electrophysiological correlate of the histology, present across genomic routes and effectively absent in other lesions. The shared output is functional, not only molecular.
SLC35A2 protein loss in the white matter (Acta Neuropathol 2025)A shared cellular consequence downstream of the genomic cause.
Small leucine-rich proteoglycans and the lesion environment (Nat Commun 2023)Different etiologies converge on similar changes in the mechanical properties of the tissue (stiffness), and those properties constrain what cells can do.

Standards and synthesis

Definitions and reviews the field works with.

WorkFinding
ILAE classification of focal cortical dysplasia (Epilepsia 2022)The definitions the field now uses.
Epigenetic genes and epilepsy (Nat Rev Neurol 2022)The state of the evidence linking chromatin regulation to seizures.
Neocortical development and epilepsy (Lancet Neurol 2021)The developmental frame the programme works in.

The Kobow Lab

Universitätsklinikum Erlangen
Dept. of Neuropathology
Schwabachanlage 6
91054 Erlangen, Germany

info[at]kobowlab.org
+49 (09131) 85-34782

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