Okada Motohiro
Department of Psychiatry, Division of Neuroscience, Graduate School of Medicine, Mie University, 2-174, Edobashi, Tsu, 814-8507 Japan.
Nihon Shinkei Seishin Yakurigaku Zasshi. 2010 Feb;30(1):9-14.
Nocturnal frontal lobe epilepsy is seen exclusively during sleep and is characterized by three distinct seizure phenotypes: paroxysmal arousals, paroxysmal dystonia, and episodic wandering. Mutations of CHRNA4, CHRNB2, or CHRNA2 genes encoding alpha4, beta2 or alpha2 subunits of neuronal nicotinic ACh receptor (nAChR) have been identified in the individuals with sporadic type NFLE and pedigrees with autosomal dominant type of NFLE (ADNFLE). In the past decade, various electrophysiological studies have analyzed the functional abnormalities of ADNFLE/NFLE mutant nAChR; however, the detailed pathogenesis of ADNFLE/NFLE has remained to be clarified. Therefore, to explore the pathogenesis of ADNFLE/NFLE, genetic animal models harboring ADNFLE mutant Chrna4 genes have recently been established. The face, construct and predictive validities have been demonstrated in a transgenic rat strain bearing the S284L mutant Chrna4 gene. The in vivo analyses of the functional abnormalities using genetic ADNFLE/NFLE animal models suggest the putative mechanisms of the ADNFLE/NFLE seizure onset during slow wave sleep.
夜间额叶癫痫仅在睡眠期间出现,其特征为三种不同的癫痫发作表型:阵发性觉醒、阵发性肌张力障碍和发作性漫游。在散发性夜间额叶癫痫患者以及常染色体显性遗传型夜间额叶癫痫(ADNFLE)家系中,已鉴定出编码神经元烟碱型乙酰胆碱受体(nAChR)α4、β2或α2亚基的CHRNA4、CHRNB2或CHRNA2基因突变。在过去十年中,各种电生理研究分析了ADNFLE/NFLE突变型nAChR的功能异常;然而,ADNFLE/NFLE的详细发病机制仍有待阐明。因此,为了探究ADNFLE/NFLE的发病机制,最近建立了携带ADNFLE突变型Chrna4基因的遗传动物模型。在携带S284L突变型Chrna4基因的转基因大鼠品系中已证实了其表面效度、结构效度和预测效度。使用遗传ADNFLE/NFLE动物模型对功能异常进行的体内分析提示了慢波睡眠期间ADNFLE/NFLE癫痫发作起始的可能机制。