Functional Effects of Epilepsy Associated KCNT1 Mutations Suggest Pathogenesis via Aberrant Inhibitory Neuronal Activity

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  • Grigori Y. Rychkov
  • Zeeshan Shaukat
  • Chiao Xin Lim
  • Rashid Hussain
  • Ben J. Roberts
  • Claudia M. Bonardi
  • Rubboli, Guido
  • Brandon F. Meaney
  • Robyn Whitney
  • Rikke S. Møller
  • Michael G. Ricos
  • Leanne M. Dibbens

KCNT1 (K+ channel subfamily T member 1) is a sodium-activated potassium channel highly expressed in the nervous system which regulates neuronal excitability by contributing to the resting membrane potential and hyperpolarisation following a train of action potentials. Gain of function mutations in the KCNT1 gene are the cause of neurological disorders associated with different forms of epilepsy. To gain insights into the underlying pathobiology we investigated the functional effects of 9 recently published KCNT1 mutations, 4 previously studied KCNT1 mutations, and one previously unpublished KCNT1 variant of unknown significance. We analysed the properties of KCNT1 potassium currents and attempted to find a correlation between the changes in KCNT1 characteristics due to the mutations and severity of the neurological disorder they cause. KCNT1 mutations identified in patients with epilepsy were introduced into the full length human KCNT1 cDNA using quick-change site-directed mutagenesis protocol. Electrophysiological properties of different KCNT1 constructs were investigated using a heterologous expression system (HEK293T cells) and patch clamping. All mutations studied, except T314A, increased the amplitude of KCNT1 currents, and some mutations shifted the voltage dependence of KCNT1 open probability, increasing the proportion of channels open at the resting membrane potential. The T314A mutation did not affect KCNT1 current amplitude but abolished its voltage dependence. We observed a positive correlation between the severity of the neurological disorder and the KCNT1 channel open probability at resting membrane potential. This suggests that gain of function KCNT1 mutations cause epilepsy by increasing resting potassium conductance and suppressing the activity of inhibitory neurons. A reduction in action potential firing in inhibitory neurons due to excessively high resting potassium conductance leads to disinhibition of neural circuits, hyperexcitability and seizures.

OriginalsprogEngelsk
Artikelnummer15133
TidsskriftInternational Journal of Molecular Sciences
Vol/bind23
Udgave nummer23
ISSN1661-6596
DOI
StatusUdgivet - 2022

Bibliografisk note

Funding Information:
We acknowledge the following funding bodies who made this work possible: Channel 7 Children’s Research Foundation Grant 13435028 (LMD, GYR, ZS), and National and Health Medical Research Council of Australia (Senior Research Fellowship 1104718 and Project Grant 1125523 to LMD).

Publisher Copyright:
© 2022 by the authors.

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