Modeling Dravet syndrome using induced pluripotent stem cells (iPSCs) and directly converted neurons
- PMID: 23773995
- DOI: 10.1093/hmg/ddt275
Modeling Dravet syndrome using induced pluripotent stem cells (iPSCs) and directly converted neurons
Abstract
Severe myoclonic epilepsy of infancy (SMEI, also known as Dravet syndrome) and genetic epilepsy with febrile seizures plus (mild febrile seizures) can both arise due to mutations of SCN1A, the gene encoding alpha 1 pore-forming subunit of the Nav1.1 voltage-gated sodium channel. Owing to the inaccessibility of patient brain neurons, the precise mechanism of mild febrile seizures and SMEI remains elusive, and there is no effective pharmacotherapy. Induced pluripotent stem cells (iPSCs) and induced neurons (iNs) have been successfully generated from patients and applied for modeling various neuronal diseases. In this study, we established iPSC lines from one SMEI patient and one mild febrile seizures patient, respectively. Functional glutamatergic neurons were subsequently differentiated from these iPSCs. Electrophysiological analysis of patient iPSC-derived glutamatergic neurons revealed a hyperexcitable state of enlarged and persistent sodium channel activation, more intensive evoked action potentials and typical epileptic spontaneous action potentials. In consistent with the severity of the symptoms, the hyperexcitability of the neurons derived from SMEI patient was more serious than that of mild febrile seizures patient. Furthermore, the hyperexcitability of the neurons can be alleviated by treatment with phenytoin, a conventional antiepileptic drug. In parallel, iNs were directly converted from patient fibroblasts which also showed a delayed inactivation of sodium channels. Our results demonstrate that both iPSC-derived neurons and iNs from mild febrile seizures and SMEI patients exhibited a hyperexcitable state. More importantly, patient iPSC-derived neurons can recapitulate the neuronal pathophysiology and respond to drug treatment, indicating that these neurons can be potentially used for screening appropriate drugs for personalized therapies.
Similar articles
-
A missense mutation in SCN1A in brothers with severe myoclonic epilepsy in infancy (SMEI) inherited from a father with febrile seizures.Brain Dev. 2005 Sep;27(6):424-30. doi: 10.1016/j.braindev.2004.11.005. Epub 2005 Jan 12. Brain Dev. 2005. PMID: 16122630
-
Genetic epilepsies with febrile seizures plus: clinical spectrum of Polish patients with SCN1A mutation - preliminary report.Dev Period Med. 2014 Oct-Dec;18(4):426-31. Dev Period Med. 2014. PMID: 25874779
-
Partial epilepsy with antecedent febrile seizures and seizure aggravation by antiepileptic drugs: associated with loss of function of Na(v) 1.1.Epilepsia. 2010 Sep;51(9):1669-78. doi: 10.1111/j.1528-1167.2010.02645.x. Epub 2010 Jun 7. Epilepsia. 2010. PMID: 20550552
-
Dravet syndrome or genetic (generalized) epilepsy with febrile seizures plus?Brain Dev. 2009 May;31(5):394-400. doi: 10.1016/j.braindev.2009.01.001. Epub 2009 Feb 8. Brain Dev. 2009. PMID: 19203856 Review.
-
[Severe myoclonic epilepsy in infancy (Dravet's syndrome). Some genetic aspects].Rev Neurol. 2003 Jul 1-15;37(1):60-3. Rev Neurol. 2003. PMID: 12861511 Review. Spanish.
Cited by
-
Establishment and characterization of ZJUCHi003: an induced pluripotent stem cell line from a patient with Temple-Baraitser/Zimmermann-Laband syndrome carrying KCNH1 c.1070G > A (p.R357Q) variant.Hum Cell. 2024 May;37(3):832-839. doi: 10.1007/s13577-024-01031-8. Epub 2024 Feb 19. Hum Cell. 2024. PMID: 38372889
-
Corticohippocampal circuit dysfunction in a mouse model of Dravet syndrome.Elife. 2022 Feb 25;11:e69293. doi: 10.7554/eLife.69293. Elife. 2022. PMID: 35212623 Free PMC article.
-
Of fish and men.Epilepsy Curr. 2014 Mar;14(2):97-8. doi: 10.5698/1535-7597-14.2.97. Epilepsy Curr. 2014. PMID: 24872791 Free PMC article. No abstract available.
-
Stem cells on the brain: modeling neurodevelopmental and neurodegenerative diseases using human induced pluripotent stem cells.J Neurogenet. 2014 Mar-Jun;28(1-2):5-29. doi: 10.3109/01677063.2014.881358. Epub 2014 Mar 17. J Neurogenet. 2014. PMID: 24628482 Free PMC article. Review.
-
Examining the Characteristics and Applications of Mesenchymal, Induced Pluripotent, and Embryonic Stem Cells for Tissue Engineering Approaches across the Germ Layers.Pharmaceuticals (Basel). 2020 Oct 26;13(11):344. doi: 10.3390/ph13110344. Pharmaceuticals (Basel). 2020. PMID: 33114710 Free PMC article. Review.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Molecular Biology Databases