抑制性中间神经元中钠通道 Nav1.1 的特异性缺失导致 Dravet 综合征小鼠模型发生癫痫发作和过早死亡。
Specific deletion of NaV1.1 sodium channels in inhibitory interneurons causes seizures and premature death in a mouse model of Dravet syndrome.
机构信息
Department of Pharmacology, University of Washington, Seattle, WA 98195, USA.
出版信息
Proc Natl Acad Sci U S A. 2012 Sep 4;109(36):14646-51. doi: 10.1073/pnas.1211591109. Epub 2012 Aug 20.
Heterozygous loss-of-function mutations in the brain sodium channel Na(V)1.1 cause Dravet syndrome (DS), a pharmacoresistant infantile-onset epilepsy syndrome with comorbidities of cognitive impairment and premature death. Previous studies using a mouse model of DS revealed reduced sodium currents and impaired excitability in GABAergic interneurons in the hippocampus, leading to the hypothesis that impaired excitability of GABAergic inhibitory neurons is the cause of epilepsy and premature death in DS. However, other classes of GABAergic interneurons are less impaired, so the direct cause of hyperexcitability, epilepsy, and premature death has remained unresolved. We generated a floxed Scn1a mouse line and used the Cre-Lox method driven by an enhancer from the Dlx1,2 locus for conditional deletion of Scn1a in forebrain GABAergic neurons. Immunocytochemical studies demonstrated selective loss of Na(V)1.1 channels in GABAergic interneurons in cerebral cortex and hippocampus. Mice with this deletion died prematurely following generalized tonic-clonic seizures, and they were equally susceptible to thermal induction of seizures as mice with global deletion of Scn1a. Evidently, loss of Na(V)1.1 channels in forebrain GABAergic neurons is both necessary and sufficient to cause epilepsy and premature death in DS.
脑钠通道 Na(V)1.1 的杂合性失活突变导致 Dravet 综合征(DS),这是一种抗药性婴儿期起病的癫痫综合征,伴有认知障碍和早逝等并发症。先前使用 DS 小鼠模型的研究表明,海马 GABA 能中间神经元的钠离子电流减少和兴奋性受损,导致 GABA 能抑制性神经元兴奋性受损是 DS 癫痫和早逝的原因的假说。然而,其他 GABA 能中间神经元受损程度较低,因此兴奋性过高、癫痫和早逝的直接原因仍未解决。我们生成了一个 floxed Scn1a 小鼠品系,并使用来自 Dlx1,2 基因座的增强子驱动的 Cre-Lox 方法,对大脑 GABA 能神经元中的 Scn1a 进行条件性缺失。免疫细胞化学研究表明,Na(V)1.1 通道在大脑皮层和海马的 GABA 能中间神经元中选择性缺失。具有这种缺失的小鼠在全身性强直阵挛性癫痫发作后过早死亡,并且它们对热诱导的癫痫发作与全身性缺失 Scn1a 的小鼠同样易感。显然,大脑 GABA 能神经元中 Na(V)1.1 通道的缺失既是 DS 癫痫和早逝的必要条件,也是充分条件。