Molecular Correlates of Age-Dependent Seizures in an Inherited Neonatal-Infantile Epilepsy

Autor/inn/en	Liao, Yunxiang; Deprez, Liesbet; Maljevic, Snezana; Pitsch, Julika; Claes, Lieve; Hristova, Dimitrina; Jordanova, Albena; Ala-Mello, Sirpa; Bellan-Koch, Astrid; Blazevic, Dragica; Schubert, Simone; Thomas, Evan A.; Petrou, Steven; Becker, Albert J.; De Jonghe, Peter; Lerche, Holger
Titel	Molecular Correlates of Age-Dependent Seizures in an Inherited Neonatal-Infantile Epilepsy
Quelle	In: Brain, 133 (2010) 5, S.1403-1414 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0006-8950
DOI	10.1093/brain/awq057
Schlagwörter	Epilepsy; Seizures; Chemistry; Neonates; Molecular Structure; Correlation; Age; Genetics; Animals; Brain Hemisphere Functions + Suchen Sie Ihr Suchwort? Epilepsie; Anfallsleiden; Chemie; Neugeborenes Kind; Korrelation; Alter; Lebensalter; Humangenetik; Animal; Tier; Tiere
Abstract	Many idiopathic epilepsy syndromes have a characteristic age dependence, the underlying molecular mechanisms of which are largely unknown. Here we propose a mechanism that can explain that epileptic spells in benign familial neonatal-infantile seizures occur almost exclusively during the first days to months of life. Benign familial neonatal-infantile seizures are caused by mutations in the gene "SCN2A" encoding the voltage-gated Na[superscript +] channel Na[subscript V]1.2. We identified two novel "SCN2A" mutations causing benign familial neonatal-infantile seizures and analysed the functional consequences of these mutations in a neonatal and an adult splice variant of the human Na[superscript +] channel Na[subscript V]1.2 expressed heterologously in tsA201 cells together with beta1 and beta2 subunits. We found significant gating changes leading to a gain-of-function, such as an increased persistent Na[superscript +] current, accelerated recovery from fast inactivation or altered voltage-dependence of steady-state activation. Those were restricted to the neonatal splice variant for one mutation, but more pronounced for the adult form for the other, suggesting that a differential developmental splicing does not provide a general explanation for seizure remission. We therefore analysed the developmental expression of Na[subscript V]1.2 and of another voltage-gated Na[superscript +] channel, Na[subscript V]1.6, using immunohistochemistry and real-time reverse transcription-polymerase chain reaction in mouse brain slices. We found that Na[subscript V]1.2 channels are expressed early in development at axon initial segments of principal neurons in the hippocampus and cortex, but their expression is diminished and they are gradually replaced as the dominant channel type by Na[subscript V]1.6 during maturation. This finding provides a plausible explanation for the transient expression of seizures that occur due to a gain-of-function of mutant Na[subscript V]1.2 channels. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10