Dogra Deepika, Phan Van Anh, Zhang Sinan, Gavrilovici Cezar, DiMarzo Nadia, Narang Ankita, Ibhazehiebo Kingsley, Kurrasch Deborah M
Department of Medical Genetics, University of Calgary, Calgary, Alberta, Canada.
Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta, Canada.
PLoS Biol. 2025 Apr 10;23(4):e3002499. doi: 10.1371/journal.pbio.3002499. eCollection 2025 Apr.
SLC13A5 encodes a citrate transporter highly expressed in the brain and is important for regulating intra- and extracellular citrate levels. Mutations in this gene cause rare infantile epilepsy characterized by lifelong seizures, developmental delays, behavioral deficits, poor motor progression, and language impairments. SLC13A5 individuals respond poorly to treatment options; yet drug discovery programs are limited due to a paucity of animal models that phenocopy human symptoms. Here, we used CRISPR/Cas9 to create loss-of-function mutations in slc13a5a and slc13a5b, the zebrafish paralogs to human SLC13A5. slc13a5 mutant larvae showed cognitive dysfunction and sleep disturbances, consistent with SLC13A5 individuals. These mutants also exhibited fewer neurons and a concomitant increase in apoptosis across the optic tectum, a region important for sensory processing. Further, slc13a5 mutants displayed hallmark features of epilepsy, including an imbalance in glutamatergic and GABAergic excitatory-inhibitory gene expression, increased fosab expression, disrupted neurometabolism, and neuronal hyperexcitation as measured in vivo by extracellular field recordings and live calcium imaging. Mechanistically, we tested the involvement of NMDA signaling and zinc chelation in slc13a5 mutant epilepsy-like phenotypes. Slc13a5 protein co-localizes with excitatory NMDA receptors in wild-type zebrafish and NMDA receptor expression is upregulated in the brain of slc13a5 mutant larvae. Additionally, low levels of zinc are found in the plasma membrane of slc13a5 mutants. NMDA receptor suppression and ZnCl2 treatment in slc13a5 mutant larvae rescued neurometabolic and hyperexcitable calcium events, as well as behavioral defects. These data provide empirical evidence in support of the hypothesis that excess extracellular citrate over-chelates the zinc ions needed to regulate NMDA receptor function, leading to sustained channel opening and an exaggerated excitatory response that manifests as seizures. These data show the utility of slc13a5 mutant zebrafish for studying SLC13A5 epilepsy and open new avenues for drug discovery.
SLC13A5编码一种在大脑中高度表达的柠檬酸转运体,对调节细胞内和细胞外的柠檬酸水平至关重要。该基因突变会导致罕见的婴儿癫痫,其特征为终身癫痫发作、发育迟缓、行为缺陷、运动进展不佳和语言障碍。患有SLC13A5相关疾病的个体对治疗方案反应不佳;然而,由于缺乏能模拟人类症状的动物模型,药物研发项目受到限制。在此,我们使用CRISPR/Cas9技术在斑马鱼的slc13a5a和slc13a5b基因中创建功能缺失突变,这两个基因是人类SLC13A5的斑马鱼同源基因。slc13a5突变体幼虫表现出认知功能障碍和睡眠障碍,这与患有SLC13A5相关疾病的个体一致。这些突变体在视顶盖中还表现出神经元数量减少以及细胞凋亡随之增加,视顶盖是一个对感觉处理很重要的区域。此外,slc13a5突变体表现出癫痫的典型特征,包括谷氨酸能和γ-氨基丁酸能兴奋性-抑制性基因表达失衡、fosab表达增加、神经代谢紊乱以及通过细胞外场记录和实时钙成像在体内测量的神经元过度兴奋。从机制上讲,我们测试了NMDA信号传导和锌螯合在slc13a5突变体癫痫样表型中的作用。在野生型斑马鱼中,Slc13a5蛋白与兴奋性NMDA受体共定位,并且在slc13a5突变体幼虫的大脑中NMDA受体表达上调。此外,在slc13a5突变体的质膜中发现锌含量较低。对slc13a5突变体幼虫进行NMDA受体抑制和ZnCl2处理可挽救神经代谢和过度兴奋的钙事件以及行为缺陷。这些数据为以下假设提供了实证支持:细胞外柠檬酸过量会过度螯合调节NMDA受体功能所需的锌离子,导致通道持续开放和过度的兴奋性反应,表现为癫痫发作。这些数据显示了slc13a5突变体斑马鱼在研究SLC13A5癫痫方面的实用性,并为药物研发开辟了新途径。