ARL5A

gene
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Summary

ARL5A (ARF like GTPase 5A, HGNC:696) is a protein-coding gene on chromosome 2q23.3, encoding ADP-ribosylation factor-like protein 5A (Q9Y689). Lacks ADP-ribosylation enhancing activity.

The protein encoded by this gene belongs to the ARF family of GTP-binding proteins. With its distinctive nuclear/nucleolar localization and interaction with HP1alpha, the protein is developmentally regulated and may play a role(s) in nuclear dynamics and/or signaling cascades during embryonic development. Alternative splicing results in multiple transcript variants encoding different isoforms. This gene has multiple pseudogenes.

Source: NCBI Gene 26225 — RefSeq curated summary.

At a glance

  • GWAS associations: 1
  • Clinical variants (ClinVar): 34 total — 2 pathogenic, 1 likely-pathogenic
  • MANE Select transcript: NM_012097

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:696
Approved symbolARL5A
NameARF like GTPase 5A
Location2q23.3
Locus typegene with protein product
StatusApproved
Ensembl geneENSG00000162980
Ensembl biotypeprotein_coding
OMIM608960
Entrez26225

Gene structure

Transcript identifiers

Ensembl transcripts: 9 — 4 protein_coding, 3 protein_coding_CDS_not_defined, 2 nonsense_mediated_decay

ENST00000295087, ENST00000428992, ENST00000446896, ENST00000458140, ENST00000487723, ENST00000487818, ENST00000495604, ENST00000899623, ENST00000899624

RefSeq mRNA: 3 — MANE Select: NM_012097 NM_001037174, NM_012097, NM_177985

CCDS: CCDS2195, CCDS46425

Canonical transcript exons

ENST00000295087 — 6 exons

ExonStartEnd
ENSE00001070294151812357151812440
ENSE00001364904151828131151828421
ENSE00001827771151798797151803324
ENSE00003545881151806821151806972
ENSE00003598930151814169151814316
ENSE00003611645151815139151815199

Expression profiles

Bgee: expression breadth ubiquitous, 260 present calls, max score 96.90.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 37.3913 / max 234.9255, expressed in 1820 samples.

FANTOM5 promoters (2 alternative TSS)

Promoter IDTPM avgSamples expressed
3129221.30261804
3129316.08871806

Top tissues by expression

260 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
calcaneal tendonUBERON:000370196.90gold quality
nippleUBERON:000203096.10gold quality
upper arm skinUBERON:000426396.02gold quality
tendonUBERON:000004395.54gold quality
penisUBERON:000098995.50gold quality
saphenous veinUBERON:000731895.13gold quality
adrenal tissueUBERON:001830394.71gold quality
tendon of biceps brachiiUBERON:000818894.41gold quality
mammalian vulvaUBERON:000099793.88gold quality
oviduct epitheliumUBERON:000480493.85gold quality
monocyteCL:000057693.75gold quality
endothelial cellCL:000011593.40gold quality
corpus callosumUBERON:000233693.36gold quality
leukocyteCL:000073893.33gold quality
visceral pleuraUBERON:000240193.33gold quality
superior surface of tongueUBERON:000737192.87gold quality
parietal pleuraUBERON:000240092.43gold quality
skeletal muscle tissue of rectus abdominisUBERON:000451191.68gold quality
buccal mucosa cellCL:000233691.56gold quality
layer of synovial tissueUBERON:000761691.39gold quality
pericardiumUBERON:000240791.25gold quality
gingival epitheliumUBERON:000194991.21gold quality
synovial jointUBERON:000221790.87gold quality
renal medullaUBERON:000036290.65gold quality
hindlimb stylopod muscleUBERON:000425290.55gold quality
pylorusUBERON:000116690.54gold quality
gingivaUBERON:000182890.47gold quality
cerebellar vermisUBERON:000472090.29gold quality
muscle of legUBERON:000138390.27gold quality
smooth muscle tissueUBERON:000113590.21gold quality

Single-cell (SCXA)

Detected in 2 experiment(s), a significant marker in 2.

ExperimentMarker?Max mean expression
E-ANND-3yes16.71
E-MTAB-10042yes7.97

Regulation

Is transcription factor: no

miRNA regulators (miRDB)

174 targeting ARL5A, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-4795-3P100.0074.624024
HSA-MIR-200B-3P100.0073.312693
HSA-MIR-200C-3P100.0073.352685
HSA-MIR-429100.0073.442698
HSA-MIR-340-5P100.0072.504437
HSA-MIR-126-5P100.0072.713180
HSA-MIR-5692A100.0074.406850
HSA-MIR-6867-5P100.0082.213464
HSA-MIR-3924100.0072.092394
HSA-MIR-4262100.0073.263931
HSA-MIR-3613-3P100.0076.367965
HSA-MIR-1277-5P100.0073.955056
HSA-MIR-656-3P100.0072.152788
HSA-MIR-5692B100.0071.322622
HSA-MIR-5692C100.0071.322622
HSA-MIR-3163100.0077.238605
HSA-LET-7A-3P100.0074.033932
HSA-LET-7B-3P100.0074.083913
HSA-LET-7F-1-3P100.0074.023928
HSA-MIR-98-3P100.0074.083907
HSA-MIR-366299.9973.825684
HSA-MIR-450099.9972.722367
HSA-MIR-181A-5P99.9972.962995
HSA-MIR-181B-5P99.9972.972996
HSA-MIR-181C-5P99.9972.952996
HSA-MIR-181D-5P99.9973.042997
HSA-MIR-548C-3P99.9974.017587
HSA-MIR-480399.9871.993117
HSA-MIR-477599.9875.006394
HSA-MIR-4789-5P99.9870.762721

Literature-anchored findings (GeneRIF, showing 5)

  • developmentally regulated ARL5, with its distinctive nuclear/nucleolar localization and interaction with HP1alpha, may play a role(s) in nuclear dynamics and/or signaling cascades during embryonic development (PMID:12414990)
  • crystal structure (PMID:15896705)
  • microRNA-202-3p inhibits cell proliferation by targeting ADP-ribosylation factor-like 5A in human colorectal carcinoma. (PMID:24327274)
  • Arl5, an ARF-like family small GTPase, interacts with Ragulator in an amino acid-regulated manner and both Arl5 and its effector, the Golgi-associated retrograde protein complex (GARP), are required for the AA-stimulated trafficking. (PMID:30478271)
  • The ARFRP1 functions upstream of two other ARL GTPases, ARL1 and ARL5, which in turn recruit golgins and GARP, respectively, to the trans-Golgi network (TGN). (PMID:31575603)

Cross-species orthologs

3 orthologs

OrganismSymbolGene ID
danio_rerioarl5aENSDARG00000018627
mus_musculusArl5aENSMUSG00000036093
rattus_norvegicusArl5aENSRNOG00000006839

Paralogs (30): ARF5 (ENSG00000004059), SAR1A (ENSG00000079332), ARFRP1 (ENSG00000101246), TRIM23 (ENSG00000113595), ARL6 (ENSG00000113966), ARL1 (ENSG00000120805), ARL4A (ENSG00000122644), ARL8B (ENSG00000134108), ARF3 (ENSG00000134287), ARL3 (ENSG00000138175), ARL5C (ENSG00000141748), ARF1 (ENSG00000143761), ARL8A (ENSG00000143862), ARL11 (ENSG00000152213), SAR1B (ENSG00000152700), ARF6 (ENSG00000165527), ARL5B (ENSG00000165997), ARF4 (ENSG00000168374), ARL13B (ENSG00000169379), ARL13A (ENSG00000174225), ARL10 (ENSG00000175414), ARL4D (ENSG00000175906), ARL14 (ENSG00000179674), ARL15 (ENSG00000185305), ARL17A (ENSG00000185829), ARL4C (ENSG00000188042), ARL9 (ENSG00000196503), ARL2 (ENSG00000213465), ARL16 (ENSG00000214087), ARL17B (ENSG00000228696)

Protein

Protein identifiers

ADP-ribosylation factor-like protein 5AQ9Y689 (reviewed: Q9Y689)

All UniProt accessions (2): Q9Y689, F8WER2

UniProt curated annotations — full annotation on UniProt →

Function. Lacks ADP-ribosylation enhancing activity.

Similarity. Belongs to the small GTPase superfamily. Arf family.

Isoforms (2)

UniProt IDNamesCanonical?
Q9Y689-11yes
Q9Y689-22

RefSeq proteins (3): NP_001032251, NP_036229, NP_817114 (=MANE)

Domains & families (InterPro)

IDNameType
IPR005225Small_GTP-bdDomain
IPR006689Small_GTPase_ARF/SARFamily
IPR024156Small_GTPase_ARFFamily
IPR027417P-loop_NTPaseHomologous_superfamily

Pfam: PF00025

UniProt features (27 total): helix 9, strand 8, binding site 4, turn 2, initiator methionine 1, chain 1, lipid moiety-binding region 1, splice variant 1

Structure

Experimental structures (PDB)

4 structures.

PDBMethodResolution (Å)
2H17X-RAY DIFFRACTION1.7
1ZJ6X-RAY DIFFRACTION2
2H16X-RAY DIFFRACTION2
1Z6YX-RAY DIFFRACTION2.4

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q9Y689-F191.580.82

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Ligand- & substrate-binding residues (4): 23–30; 66–70; 125–128; 159

Post-translational modifications (1): 2

Function

Pathways and Gene Ontology

Reactome pathways

0 pathways

MSigDB gene sets: 249 (showing top): BUYTAERT_PHOTODYNAMIC_THERAPY_STRESS_DN, GOBP_INTRACELLULAR_PROTEIN_TRANSPORT, ATACCTC_MIR202, GOBP_VESICLE_MEDIATED_TRANSPORT, CHANDRAN_METASTASIS_DN, GOLDRATH_ANTIGEN_RESPONSE, WEI_MYCN_TARGETS_WITH_E_BOX, MARTINEZ_RB1_TARGETS_UP, GOCC_TRANS_GOLGI_NETWORK, MILI_PSEUDOPODIA_HAPTOTAXIS_UP, GOBP_PROTEIN_LOCALIZATION_TO_GOLGI_APPARATUS, DODD_NASOPHARYNGEAL_CARCINOMA_UP, GOBP_PROTEIN_LOCALIZATION_TO_ORGANELLE, GOBP_LOCALIZATION_WITHIN_MEMBRANE, MARTINEZ_RB1_AND_TP53_TARGETS_UP

GO Biological Process (3): intracellular protein transport (GO:0006886), vesicle-mediated transport (GO:0016192), protein localization to Golgi membrane (GO:1903292)

GO Molecular Function (3): GTPase activity (GO:0003924), GTP binding (GO:0005525), nucleotide binding (GO:0000166)

GO Cellular Component (2): cytoplasm (GO:0005737), trans-Golgi network (GO:0005802)

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
intracellular protein localization1
protein transport1
intracellular transport1
transport1
cellular process1
protein localization to Golgi apparatus1
protein localization to membrane1
ribonucleoside triphosphate phosphatase activity1
guanyl ribonucleotide binding1
purine ribonucleoside triphosphate binding1
nucleoside phosphate binding1
heterocyclic compound binding1
intracellular anatomical structure1
cellular anatomical structure1
Golgi apparatus subcompartment1

Protein interactions and networks

STRING

2337 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
ARL5AVPS54Q9P1Q0625
ARL5ACDKN2AP42771532
ARL5AVPS51Q9UID3489
ARL5ARASL12Q9NYN1475
ARL5AVPS53Q5VIR6473
ARL5ASYS1Q8N2H4453
ARL5AVPS50Q96JG6446
ARL5AVPS52Q8N1B4445
ARL5AARFGAP3Q9NP61412
ARL5ASLCO6A1Q86UG4407
ARL5AGOLGA1Q92805381
ARL5AGOLGA4Q13439380
ARL5ANOC3LQ8WTT2378
ARL5AANKRD13CQ8N6S4369
ARL5ARASL11BQ9BPW5358

IntAct

4 interactions, top by confidence:

ABTypeScore
S1PR2PALM3psi-mi:“MI:0914”(association)0.530
ARL5APHKA2psi-mi:“MI:0915”(physical association)0.400
HLA-Cpsi-mi:“MI:0914”(association)0.350
ARL5BRAD21psi-mi:“MI:0914”(association)0.350

BioGRID (120): ARL5A (Affinity Capture-RNA), ARL5B (Negative Genetic), HSP90AB1 (Negative Genetic), RAB2A (Negative Genetic), ARL5A (Negative Genetic), SEC24A (Negative Genetic), TRAPPC12 (Negative Genetic), RAB1B (Negative Genetic), SEC24B (Negative Genetic), SEC23IP (Negative Genetic), TBL1XR1 (Negative Genetic), SEC31A (Negative Genetic), TRAPPC13 (Negative Genetic), B3GNT2 (Negative Genetic), CUL4A (Negative Genetic)

ESM2 similar proteins: A4D1S5, A6NH57, O45379, O59781, O88848, P25160, P25378, P34212, P38116, P40994, P51152, P51646, Q02804, Q0IIM2, Q13795, Q18510, Q2KJ96, Q32LJ2, Q3SXC5, Q54E92, Q54HK2, Q54I24, Q54JJ3, Q54V41, Q54V47, Q54Y14, Q54YV7, Q55AD9, Q5JT25, Q5M9P8, Q5R4G5, Q5R579, Q5RCQ6, Q60Z38, Q61DE0, Q63055, Q6P068, Q6P3A9, Q80ZU0, Q8BXL7

Diamond homologs: A6NH57, B5FYQ0, O00909, O23778, O48649, O48920, P0CM16, P0CM17, P0DH91, P11076, P18085, P19146, P22274, P25160, P26990, P26991, P34212, P34727, P36397, P36405, P36406, P36407, P36579, P37996, P38116, P40616, P40940, P40945, P40946, P40994, P49076, P49702, P51643, P51644, P51645, P51646, P51821, P51822, P51823, P51824

SIGNOR signaling

0 interactions.

Disease & clinical

Clinical variants and AI predictions

ClinVar

34 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic2
Likely pathogenic1
Uncertain significance24
Likely benign0
Benign0

Top pathogenic / likely-pathogenic (3)

Variant IDHGVSClassification
2424064NC_000002.11:g.(?152466303)(152955525_?)delPathogenic
833295NC_000002.12:g.(?151485750)(151957616_?)delPathogenic
562665GRCh37/hg19 2q23.2-23.3(chr2:150134077-154848282)x1Likely pathogenic

SpliceAI

946 predictions. Top by Δscore:

VariantEffectΔscore
2:151806819:ACC:Adonor_gain1.0000
2:151806820:CCC:Cdonor_gain1.0000
2:151806820:CCCCT:Cdonor_gain1.0000
2:151812353:TTAC:Tdonor_loss1.0000
2:151812356:C:CGdonor_loss1.0000
2:151812437:CAAA:Cacceptor_gain1.0000
2:151812438:AAAC:Aacceptor_loss1.0000
2:151812439:AA:Aacceptor_gain1.0000
2:151812439:AAC:Aacceptor_loss1.0000
2:151812440:AC:Aacceptor_loss1.0000
2:151812441:C:CCacceptor_gain1.0000
2:151812441:CTAAA:Cacceptor_loss1.0000
2:151814168:CCT:Cdonor_gain1.0000
2:151814312:TAGAA:Tacceptor_gain1.0000
2:151814317:C:CCacceptor_gain1.0000
2:151815134:CTT:Cdonor_loss1.0000
2:151815135:TTACA:Tdonor_loss1.0000
2:151815136:TACA:Tdonor_loss1.0000
2:151815137:A:ACdonor_gain1.0000
2:151815137:ACAA:Adonor_loss1.0000
2:151815138:C:CCdonor_gain1.0000
2:151815138:CA:Cdonor_gain1.0000
2:151815138:CAA:Cdonor_gain1.0000
2:151815138:CAAT:Cdonor_gain1.0000
2:151815138:CAATT:Cdonor_gain1.0000
2:151815200:C:CCacceptor_gain1.0000
2:151803321:CAAT:Cacceptor_gain0.9900
2:151806814:GTCTT:Gdonor_loss0.9900
2:151806815:TCTTA:Tdonor_loss0.9900
2:151806816:CTTAC:Cdonor_loss0.9900

AlphaMissense

1188 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
2:151806934:T:AK126N1.000
2:151806934:T:GK126N1.000
2:151806935:T:AK126I1.000
2:151814227:T:GD66A1.000
2:151815157:G:AT30I1.000
2:151815164:C:AG28W1.000
2:151806841:G:CC157W0.999
2:151806935:T:GK126T0.999
2:151806936:T:CK126E0.999
2:151806941:G:TA124D0.999
2:151812427:A:TV90D0.999
2:151814195:A:GW77R0.999
2:151814195:A:TW77R0.999
2:151814227:T:AD66V0.999
2:151814227:T:CD66G0.999
2:151814228:C:GD66H0.999
2:151814231:A:GW65R0.999
2:151814231:A:TW65R0.999
2:151814278:C:TG49E0.999
2:151815160:T:AK29I0.999
2:151815161:T:GK29Q0.999
2:151815163:C:AG28V0.999
2:151815163:C:TG28E0.999
2:151815164:C:GG28R0.999
2:151815164:C:TG28R0.999
2:151815178:C:TG23E0.999
2:151815179:C:AG23W0.999
2:151815179:C:GG23R0.999
2:151815179:C:TG23R0.999
2:151806836:G:TA159D0.998

dbSNP variants (sampled 300 via entrez): RS1000148491 (2:151825691 G>A), RS1000238548 (2:151800027 T>C), RS1000288134 (2:151830314 A>G), RS1000483717 (2:151800349 C>A,T), RS1000534599 (2:151824799 A>G), RS1000716246 (2:151800011 C>T), RS1000774209 (2:151801587 A>G), RS1000853691 (2:151815236 A>G), RS1000915064 (2:151821095 A>C), RS1001116903 (2:151826900 T>C,G), RS1001165399 (2:151801206 CCACTA>C), RS1001230467 (2:151804173 T>C), RS1001326116 (2:151800779 G>A), RS1001386927 (2:151809852 C>T), RS1001481657 (2:151809516 C>G)

Disease associations

OMIM: gene MIM:608960 | disease phenotypes: MIM:256030, MIM:600669

GenCC curated gene-disease

Mondo (2): nemaline myopathy 2 (MONDO:0009725), idiopathic generalized epilepsy (MONDO:0005579)

Orphanet (0):

HPO phenotypes

0 total (0 of 0 shown, HPO-id order):

GWAS associations

1 associations (top):

StudyTraitp-value
GCST003469_11Response to cognitive-behavioural therapy in anxiety disorder4.000000e-06

EFO canonical traits (1, from GWAS)

EFO IDTrait name
EFO:0007820cognitive behavioural therapy

MeSH disease descriptors (2)

DescriptorNameTree numbers
C562694Epilepsy, Idiopathic Generalized (supp.)
C538349Nemaline Myopathy 2 (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: no

PharmGKB: 1 entry (VIP=true, CPIC=false)

CTD chemical–gene interactions

34 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
Valproic Acidaffects cotreatment, decreases expression3
sodium arseniteaffects cotreatment, increases abundance, increases expression, decreases expression2
Arsenicdecreases expression, increases abundance, affects cotreatment, increases expression2
Cyclosporinedecreases expression2
aristolochic acid Idecreases expression1
triphenyl phosphateaffects expression1
sodium arsenatedecreases expression, increases abundance1
manganese chlorideaffects cotreatment, increases abundance, increases expression1
ochratoxin Adecreases expression1
aflatoxin B2increases methylation1
isobutyl alcoholaffects cotreatment, decreases expression, increases abundance1
4-(5-benzo(1,3)dioxol-5-yl-4-pyridin-2-yl-1H-imidazol-2-yl)benzamideaffects cotreatment, decreases expression1
dorsomorphinaffects cotreatment, decreases expression1
jinfukangdecreases expression1
Air Pollutantsdecreases expression, increases abundance1
Benzo(a)pyreneaffects methylation1
Coaldecreases expression, increases abundance1
Demecolcinedecreases expression1
Doxorubicindecreases expression1
Formaldehydedecreases expression1
Gasolineaffects cotreatment, decreases expression, increases abundance1
Hydrogen Peroxideincreases expression1
Leadaffects splicing1
Manganeseincreases expression, affects cotreatment, increases abundance1
Methyl Methanesulfonatedecreases expression1
Polycyclic Aromatic Hydrocarbonsdecreases expression, increases abundance, affects cotreatment1
Potassium Dichromatedecreases expression1
Seleniumdecreases expression1
Smokedecreases expression, increases abundance1
Vincristinedecreases expression1

Clinical trials (associated diseases)

21 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT03590197PHASE4COMPLETEDEffect of Melatonin on Seizure Outcome, Neuronal Damage and Quality of Life in Patients With Generalized Epilepsy
NCT03940326PHASE4COMPLETEDLevetiracetam Versus Valproate in Idiopathic Generalized Tonic-clonic Seizures
NCT00150735PHASE3COMPLETEDMonotherapy With Levetiracetam in Newly Diagnosed Patients Suffering From Epilepsy
NCT00150748PHASE3COMPLETEDLong Term Follow up Treatment With Levetiracetam in Subjects of 4 Years and Older With Generalized Epilepsy
NCT03678753PHASE3COMPLETEDRandomized, Double-Blind Study to Evaluate Efficacy and Safety of Cenobamate Adjunctive Therapy in PGTC Seizures
NCT05147571PHASE3ACTIVE_NOT_RECRUITINGRNS System NAUTILUS Study
NCT06908356PHASE2RECRUITINGAn Open Label Trial to Evaluate the Efficacy and Safety of PRAX-628 in Adults With Focal Onset or Tonic-Clonic Seizures
NCT06425159PHASE2/PHASE3TERMINATEDA Study to Determine if BHV-7000 is Effective and Safe in Adults With Idiopathic Generalized Epilepsy With Generalized Tonic-clonic Seizures
NCT00001325Not specifiedCOMPLETEDMetabolic Abnormalities in Children With Epilepsy
NCT00916903Not specifiedTERMINATEDGenetic Disease Gene Identification
NCT01311440Not specifiedCOMPLETEDModified Atkins Diet Treatment for Adults With Drug-resistant Epilepsy
NCT01432821Not specifiedCOMPLETEDBlinking and Yawning in Epilepsy: The Role of Dopamine
NCT03368469Not specifiedWITHDRAWNTranscranial Direct Current Stimulation (tDCS) in Children and Adolescents With Epilepsy and Depression
NCT03457961Not specifiedUNKNOWNPost-market Study of AMPA Receptor Antagonists for Epilepsy Patients in Hong Kong
NCT03955432Not specifiedTERMINATEDLong-term Cardiac Monitoring in Epilepsy
NCT04252846Not specifiedCOMPLETEDA Study to Investigate Dosage, Effectiveness, and Safety of Perampanel When Used as First Add-on Therapy in Participants >=12 Years With Partial Onset Seizures With or Without Secondary Generalization or With Primary Generalized Tonic-Clonic Seizures Associated With Idiopathic Generalized Epilepsy
NCT04965571Not specifiedCOMPLETEDClinical Features and Outcome of Wilson’s Disease With Generalized Epilepsy in Chinese Patients
NCT05374928Not specifiedACTIVE_NOT_RECRUITINGHuman Epilepsy Project 3
NCT05530109Not specifiedTERMINATEDStudy of Attentional Disorders in Patients Suffering From Idiopathic Generalized Epilepsy.
NCT06388174Not specifiedRECRUITINGIdiopathic Generalized Epilepsy Syndromes
NCT06797791Not specifiedCOMPLETEDAssessment of Multifocal Continuous Theta Burst Transcranial Magnetic Stimulation (cTBS) Effects in Generalized Epilepsy Patients.