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Title: Potentiating α 2 subunit containing perisomatic GABA A receptors protects against seizures in a mouse model of Dravet syndrome
Key points

Dravet syndrome mice (Scn1a+/−) demonstrate a marked strain dependence for the severity of seizures which is correlated with GABAAreceptor α2subunit expression.

The α23subunit selective positive allosteric modulator (PAM) AZD7325 potentiates inhibitory postsynaptic currents (IPSCs) specifically in perisomatic synapses.

AZD7325 demonstrates stronger effects on IPSCs in the seizure resistant mouse strain, consistent with higher α2subunit expression.

AZD7325 demonstrates seizure protective effects inScn1a+/−mice without apparent sedative effectsin vivo.

Abstract

GABAAreceptor potentiators are commonly used for the treatment of epilepsy, but it is not clear whether targeting distinct GABAAreceptor subtypes will have disproportionate benefits over adverse effects. Here we demonstrate that the α23selective positive allosteric modulator (PAM) AZD7325 preferentially potentiates hippocampal inhibitory responses at synapses proximal to the soma of CA1 neurons. The effect of AZD7325 on synaptic responses was more prominent in mice on the 129S6/SvEvTac background strain, which have been demonstrated to be seizure resistant in the model of Dravet syndrome (Scn1a+/−), and in which the α2GABAAreceptor subunits are expressed at higher levels relative to in the seizure prone C57BL/6J background strain. Consistent with this, treatment ofScn1a+/−mice with AZD7325 elevated the temperature threshold for hyperthermia‐induced seizures without apparent sedative effects. Our results in a model system indicate that selectively targeting α2is a potential therapeutic option for Dravet syndrome.

 
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NSF-PAR ID:
10458546
Author(s) / Creator(s):
 ;  ;  ;  ;  
Publisher / Repository:
Wiley-Blackwell
Date Published:
Journal Name:
The Journal of Physiology
Volume:
597
Issue:
16
ISSN:
0022-3751
Page Range / eLocation ID:
p. 4293-4307
Format(s):
Medium: X
Sponsoring Org:
National Science Foundation
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