Hill Sophie F, Jafar-Nejad Paymaan, Rigo Frank, Meisler Miriam H
Neuroscience Graduate Program, University of Michigan, Ann Arbor, MI, United States.
Department of Human Genetics, University of Michigan, Ann Arbor, MI, United States.
Front Neurosci. 2023 Oct 13;17:1282201. doi: 10.3389/fnins.2023.1282201. eCollection 2023.
Developmental and epileptic encephalopathies (DEEs) are severe seizure disorders with inadequate treatment options. Gain- or loss-of-function mutations of neuronal ion channel genes, including potassium channels and voltage-gated sodium channels, are common causes of DEE. We previously demonstrated that reduced expression of the sodium channel gene is therapeutic in mouse models of sodium and potassium channel mutations. In the current study, we tested whether reducing expression of the potassium channel gene would be therapeutic in mice with mutation of the sodium channel genes or . A antisense oligonucleotide (ASO) prolonged survival of both and mutant mice, suggesting a modulatory effect for KCNT1 on the balance between excitation and inhibition. The cation channel blocker quinidine was not effective in prolonging survival of the mutant. Our results implicate as a therapeutic target for treatment of and epilepsy.
发育性和癫痫性脑病(DEEs)是严重的癫痫疾病,治疗选择有限。包括钾通道和电压门控钠通道在内的神经元离子通道基因的功能获得或丧失突变是DEE的常见病因。我们之前证明,钠通道基因表达降低在钠通道和钾通道突变的小鼠模型中具有治疗作用。在本研究中,我们测试了降低钾通道基因的表达在钠通道基因或突变的小鼠中是否具有治疗作用。一种反义寡核苷酸(ASO)延长了和突变小鼠的存活时间,提示KCNT1对兴奋与抑制平衡具有调节作用。阳离子通道阻滞剂奎尼丁在延长突变小鼠存活时间方面无效。我们的结果表明是治疗和癫痫的一个治疗靶点。