Northern epilepsy, or progressive epilepsy with mental retardation (EPMR),
is an autosomal recessive disorder characterized by normal early developmen
t, onset of generalized tonic-clonic seizures between the ages of 5 and 10
years, and subsequent progressive mental retardation. The seizures increase
in frequency until puberty after which the epileptic activity starts to de
cline. Mental retardation begins 2-5 years after the onset of seizures and
continues through adulthood. Neuropathological findings have shown that EPM
R is a new member (CLN8) of the neuronal ceroid lipofuscinosis (NCL) group
of neurodegenerative disorders. The CLN8 gene was identified recently. It e
ncodes a 286 amino acid putative transmembrane protein with no homology to
previously known proteins. Subsequently, the homologous mouse gene (Cln8) w
as sequenced and localized to the region of the mouse genome linked to moto
r neuron degeneration, mouse mnd. Mnd is a naturally occurring mouse mutant
with intracellular autofluorescent inclusions similar to those seen in hum
an CLN8. A mutation in mnd mouse DNA was identified, indicating that mnd is
a murine model for CLN8.