Marsh Eric D., Golden Jeffrey A.
Department of Pathology, Children’s Hospital of Philadelphia and the University of Pennsylvania School of Medicine
Mutations in the Aristaless-related homeobox gene () have been causally linked to a variety of neurological conditions, particularly, infantile spasms syndrome. is a developmentally regulated homeobox transcription factor with expression both in the ganglionic eminence and the cortical ventricular zone early in development. Postnatally, the expression pattern is restricted to GABAergic neurons in the cortex and basal ganglia. During development, functions primarily as a transcriptional repressor: modulating migration and fate specification of interneurons and controlling ventricular zone proliferation. How loss of function of leads to an epilepsy phenotype is poorly understood. Three genetically modified mice lines have been generated to address this issue. These models each develop epilepsy and all have changes in interneuron subtype patterns strongly implicating alterations of interneuron development as a cause of epilepsy. Analysis of these models will both further the molecular understanding of the function of and allow dissection of the pathophysiological properties of the related epilepsies. This chapter will review the current knowledge of the function of , the mouse models, and discuss how these models can lead to a better understanding of the role of interneuron loss in the development of epilepsy during early childhood.
无翅相关同源框基因()的突变已被证实与多种神经系统疾病存在因果关系,尤其是婴儿痉挛综合征。是一种受发育调控的同源框转录因子,在发育早期的神经节隆起和皮质脑室区均有表达。出生后,其表达模式局限于皮质和基底神经节中的γ-氨基丁酸能神经元。在发育过程中,主要作为转录抑制因子发挥作用:调节中间神经元的迁移和命运决定,并控制脑室区的增殖。目前对功能丧失如何导致癫痫表型的了解还很少。为解决这一问题,已构建了三种基因改造小鼠品系。这些模型均出现癫痫症状,且中间神经元亚型模式均有改变,强烈提示中间神经元发育异常是癫痫的病因之一。对这些模型的分析将有助于进一步从分子层面理解的功能,并剖析相关癫痫的病理生理特性。本章将综述目前关于功能的认识、小鼠模型,并讨论这些模型如何有助于更好地理解幼儿期癫痫发生过程中中间神经元缺失所起的作用。