通过基因缺失剖析德雷维特综合征的表型
Dissecting the phenotypes of Dravet syndrome by gene deletion.
作者信息
Rubinstein Moran, Han Sung, Tai Chao, Westenbroek Ruth E, Hunker Avery, Scheuer Todd, Catterall William A
机构信息
Department of Pharmacology, University of Washington, Seattle, WA 98195-7280.
Department of Pharmacology, University of Washington, Seattle, WA 98195-7280
出版信息
Brain. 2015 Aug;138(Pt 8):2219-33. doi: 10.1093/brain/awv142. Epub 2015 May 27.
Neurological and psychiatric syndromes often have multiple disease traits, yet it is unknown how such multi-faceted deficits arise from single mutations. Haploinsufficiency of the voltage-gated sodium channel Nav1.1 causes Dravet syndrome, an intractable childhood-onset epilepsy with hyperactivity, cognitive deficit, autistic-like behaviours, and premature death. Deletion of Nav1.1 channels selectively impairs excitability of GABAergic interneurons. We studied mice having selective deletion of Nav1.1 in parvalbumin- or somatostatin-expressing interneurons. In brain slices, these deletions cause increased threshold for action potential generation, impaired action potential firing in trains, and reduced amplification of postsynaptic potentials in those interneurons. Selective deletion of Nav1.1 in parvalbumin- or somatostatin-expressing interneurons increases susceptibility to thermally-induced seizures, which are strikingly prolonged when Nav1.1 is deleted in both interneuron types. Mice with global haploinsufficiency of Nav1.1 display autistic-like behaviours, hyperactivity and cognitive impairment. Haploinsufficiency of Nav1.1 in parvalbumin-expressing interneurons causes autistic-like behaviours, but not hyperactivity, whereas haploinsufficiency in somatostatin-expressing interneurons causes hyperactivity without autistic-like behaviours. Heterozygous deletion in both interneuron types is required to impair long-term spatial memory in context-dependent fear conditioning, without affecting short-term spatial learning or memory. Thus, the multi-faceted phenotypes of Dravet syndrome can be genetically dissected, revealing synergy in causing epilepsy, premature death and deficits in long-term spatial memory, but interneuron-specific effects on hyperactivity and autistic-like behaviours. These results show that multiple disease traits can arise from similar functional deficits in specific interneuron types.
神经和精神综合征通常具有多种疾病特征,但尚不清楚这种多方面的缺陷是如何由单个突变产生的。电压门控钠通道Nav1.1的单倍剂量不足会导致德雷维特综合征,这是一种难治性儿童期癫痫,伴有多动、认知缺陷、自闭症样行为和过早死亡。Nav1.1通道的缺失会选择性地损害GABA能中间神经元的兴奋性。我们研究了在表达小白蛋白或生长抑素的中间神经元中选择性缺失Nav1.1的小鼠。在脑片中,这些缺失会导致动作电位产生的阈值升高、串刺激中动作电位发放受损以及这些中间神经元中突触后电位的放大减少。在表达小白蛋白或生长抑素的中间神经元中选择性缺失Nav1.1会增加对热诱导癫痫发作的易感性,当两种中间神经元类型中都缺失Nav1.1时,癫痫发作会显著延长。Nav1.1全球单倍剂量不足的小鼠表现出自闭症样行为、多动和认知障碍。在表达小白蛋白的中间神经元中Nav1.1单倍剂量不足会导致自闭症样行为,但不会导致多动,而在表达生长抑素的中间神经元中Nav1.1单倍剂量不足会导致多动但没有自闭症样行为。两种中间神经元类型中的杂合缺失是损害情境依赖性恐惧条件反射中的长期空间记忆所必需的,而不影响短期空间学习或记忆。因此,德雷维特综合征的多方面表型可以通过基因分析来揭示,显示出在导致癫痫、过早死亡和长期空间记忆缺陷方面的协同作用,但中间神经元对多动和自闭症样行为有特定影响。这些结果表明,多种疾病特征可能源于特定中间神经元类型中类似的功能缺陷。