IQSEC2 mutation associated with epilepsy, intellectual disability, and autism results in hyperexcitability of patient-derived neurons and deficient synaptic transmission.


Journal

Molecular psychiatry
ISSN: 1476-5578
Titre abrégé: Mol Psychiatry
Pays: England
ID NLM: 9607835

Informations de publication

Date de publication:
12 2021
Historique:
received: 13 09 2020
accepted: 24 08 2021
revised: 09 07 2021
pubmed: 19 9 2021
medline: 15 3 2022
entrez: 18 9 2021
Statut: ppublish

Résumé

Mutations in the IQSEC2 gene are associated with drug-resistant, multifocal infantile and childhood epilepsy; autism; and severe intellectual disability (ID). We used induced pluripotent stem cell (iPSC) technology to obtain hippocampal neurons to investigate the neuropathology of IQSEC2-mediated disease. The neurons were characterized at three-time points during differentiation to assess developmental progression. We showed that immature IQSEC2 mutant dentate gyrus (DG) granule neurons were extremely hyperexcitable, exhibiting increased sodium and potassium currents compared to those of CRISPR-Cas9-corrected isogenic controls, and displayed dysregulation of genes involved in differentiation and development. Immature IQSEC2 mutant cultured neurons exhibited a marked reduction in the number of inhibitory neurons, which contributed further to hyperexcitability. As the mutant neurons aged, they became hypoexcitable, exhibiting reduced sodium and potassium currents and a reduction in the rate of synaptic and network activity, and showed dysregulation of genes involved in synaptic transmission and neuronal differentiation. Mature IQSEC2 mutant neurons were less viable than wild-type mature neurons and had reduced expression of surface AMPA receptors. Our studies provide mechanistic insights into severe infantile epilepsy and neurodevelopmental delay associated with this mutation and present a human model for studying IQSEC2 mutations in vitro.

Identifiants

pubmed: 34535765
doi: 10.1038/s41380-021-01281-0
pii: 10.1038/s41380-021-01281-0
pmc: PMC8873005
doi:

Substances chimiques

Guanine Nucleotide Exchange Factors 0
IQSEC2 protein, human 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

7498-7508

Subventions

Organisme : NINDS NIH HHS
ID : K01 NS099362
Pays : United States

Informations de copyright

© 2021. The Author(s).

Références

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Auteurs

Boris Brant (B)

Sagol Department of Neurobiology, Faculty of Natural Sciences, University of Haifa, Haifa, Israel.

Tchelet Stern (T)

Sagol Department of Neurobiology, Faculty of Natural Sciences, University of Haifa, Haifa, Israel.

Huda Adwan Shekhidem (HA)

Sagol Department of Neurobiology, Faculty of Natural Sciences, University of Haifa, Haifa, Israel.

Liron Mizrahi (L)

Sagol Department of Neurobiology, Faculty of Natural Sciences, University of Haifa, Haifa, Israel.

Idan Rosh (I)

Sagol Department of Neurobiology, Faculty of Natural Sciences, University of Haifa, Haifa, Israel.

Yam Stern (Y)

Sagol Department of Neurobiology, Faculty of Natural Sciences, University of Haifa, Haifa, Israel.

Polina Ofer (P)

Sagol Department of Neurobiology, Faculty of Natural Sciences, University of Haifa, Haifa, Israel.

Ayat Asleh (A)

Department of Neurology, Johns Hopkins University, Baltimore, MD, USA.

George K Essien Umanah (GKE)

Department of Neurology, Johns Hopkins University, Baltimore, MD, USA.

Reem Jada (R)

Technion Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

Nina S Levy (NS)

Technion Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

Andrew P Levy (AP)

Technion Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. alevy@technion.ac.il.

Shani Stern (S)

Sagol Department of Neurobiology, Faculty of Natural Sciences, University of Haifa, Haifa, Israel. sstern@univ.haifa.ac.il.

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