Merseburg, Andrea ORCID: 0000-0003-0630-6564, Kasemir, Jacquelin, Buss, Eric W., Leroy, Felix, Bock, Tobias ORCID: 0000-0002-7734-1183, Porro, Alessandro ORCID: 0000-0003-4845-6165, Barnett, Anastasia, Troder, Simon E., Engeland, Birgit, Stockebrand, Malte, Moroni, Anna, Siegelbaum, Steven A., Isbrandt, Dirk ORCID: 0000-0002-4720-1016 and Santoro, Bina (2022). Seizures, behavioral deficits, and adverse drug responses in two new genetic mouse models of HCN1 epileptic encephalopathy. eLife, 11. CAMBRIDGE: eLIFE SCIENCES PUBL LTD. ISSN 2050-084X

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Abstract

De novo mutations in voltage- and ligand-gated channels have been associated with an increasing number of cases of developmental and epileptic encephalopathies, which often fail to respond to classic antiseizure medications. Here, we examine two knock-in mouse models replicating de novo sequence variations in the human HCN1 voltage-gated channel gene, p.G391D and p.M153I (Hcn1(G380D/+) and Hcn1(M142I/+) in mouse), associated with severe drug-resistant neonatal- and childhood-onset epilepsy, respectively. Heterozygous mice from both lines displayed spontaneous generalized tonic-clonic seizures. Animals replicating the p.G391D variant had an overall more severe phenotype, with pronounced alterations in the levels and distribution of HCN1 protein, including disrupted targeting to the axon terminals of basket cell interneurons. In line with clinical reports from patients with pathogenic HCN1 sequence variations, administration of the antiepileptic Na+ channel antagonists lamotrigine and phenytoin resulted in the paradoxical induction of seizures in both mouse lines, consistent with an impairment in inhibitory neuron function. We also show that these variants can render HCN1 channels unresponsive to classic antagonists, indicating the need to screen mutated channels to identify novel compounds with diverse mechanism of action. Our results underscore the necessity of tailoring effective therapies for specific channel gene variants, and how strongly validated animal models may provide an invaluable tool toward reaching this objective.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Merseburg, AndreaUNSPECIFIEDorcid.org/0000-0003-0630-6564UNSPECIFIED
Kasemir, JacquelinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Buss, Eric W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Leroy, FelixUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bock, TobiasUNSPECIFIEDorcid.org/0000-0002-7734-1183UNSPECIFIED
Porro, AlessandroUNSPECIFIEDorcid.org/0000-0003-4845-6165UNSPECIFIED
Barnett, AnastasiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Troder, Simon E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Engeland, BirgitUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stockebrand, MalteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Moroni, AnnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Siegelbaum, Steven A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Isbrandt, DirkUNSPECIFIEDorcid.org/0000-0002-4720-1016UNSPECIFIED
Santoro, BinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-680295
DOI: 10.7554/eLife.70826
Journal or Publication Title: eLife
Volume: 11
Date: 2022
Publisher: eLIFE SCIENCES PUBL LTD
Place of Publication: CAMBRIDGE
ISSN: 2050-084X
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
HYPERPOLARIZATION-ACTIVATED CURRENT; I-H; PYRAMIDAL NEURONS; DISTAL DENDRITES; CATION CHANNELS; DENTATE GYRUS; SUBUNITS; MICE; INTERNEURONS; EXCITABILITYMultiple languages
BiologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/68029

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