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Neural stem cell–specific ITPA deficiency causes neural depolarization and epilepsy
Yuichiro Koga, Daisuke Tsuchimoto, Yoshinori Hayashi, Nona Abolhassani, Yasuto Yoneshima, Kunihiko Sakumi, Hiroshi Nakanishi, Shinya Toyokuni, Yusaku Nakabeppu
Yuichiro Koga, Daisuke Tsuchimoto, Yoshinori Hayashi, Nona Abolhassani, Yasuto Yoneshima, Kunihiko Sakumi, Hiroshi Nakanishi, Shinya Toyokuni, Yusaku Nakabeppu
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Research Article Neuroscience

Neural stem cell–specific ITPA deficiency causes neural depolarization and epilepsy

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Abstract

Inosine triphosphate pyrophosphatase (ITPA) hydrolyzes inosine triphosphate (ITP) and other deaminated purine nucleotides to the corresponding nucleoside monophosphates. In humans, ITPA deficiency causes severe encephalopathy with epileptic seizure, microcephaly, and developmental retardation. In this study, we established neural stem cell–specific Itpa–conditional KO mice (Itpa-cKO mice) to clarify the effects of ITPA deficiency on the neural system. The Itpa-cKO mice showed growth retardation and died within 3 weeks of birth. We did not observe any microcephaly in the Itpa-cKO mice, although the female Itpa-cKO mice did show adrenal hypoplasia. The Itpa-cKO mice showed limb-clasping upon tail suspension and spontaneous and/or audiogenic seizure. Whole-cell patch-clamp recordings from entorhinal cortex neurons in brain slices revealed a depolarized resting membrane potential, increased firing, and frequent spontaneous miniature excitatory postsynaptic current and miniature inhibitory postsynaptic current in the Itpa-cKO mice compared with ITPA-proficient controls. Accumulated ITP or its metabolites, such as cyclic inosine monophosphates, or RNA containing inosines may cause membrane depolarization and hyperexcitability in neurons and induce the phenotype of ITPA-deficient mice, including seizure.

Authors

Yuichiro Koga, Daisuke Tsuchimoto, Yoshinori Hayashi, Nona Abolhassani, Yasuto Yoneshima, Kunihiko Sakumi, Hiroshi Nakanishi, Shinya Toyokuni, Yusaku Nakabeppu

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Figure 4

Female-specific hypoplasia of adrenal glands.

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Female-specific hypoplasia of adrenal glands.
(A) Relative volume of the...
(A) Relative volume of the adrenal gland. The relative volumes of the adrenal glands from P16 Itpa-cKO and control male and female mice were calculated as cubes of their longest diameters followed by normalization with their body weights (normalized volume of adrenal gland) and shown as box plots. Statistical analyses were performed with the Kruskal-Wallis test followed by the Steel-Dwass test for a post hoc comparison. Kruskal-Wallis test, P = 0.0005; Steel-Dwass test, control female (cont [F][n = 36]) vs. Itpa-cKO (F) (n = 16) *P = 0.0297, cont (F) vs. control male (cont [M] [n = 32]) **P = 0.0028, cont (F) vs. Itpa-cKO (M) (n = 16) ##P = 0.0056. (B) H&E staining and ITPA immunohistochemistry of the adrenal glands. Two adjacent thin sections of paraffin-embedded adrenal glands from P16 control (upper) and Itpa-cKO (lower) female mice were subjected to H&E staining (left) and immunohistochemistry with anti-ITPA. Scale bar: 200 μm. (C) Cortisol content in mouse serum. Serum samples were prepared from P16 control and Itpa-cKO male and female mice and analyzed for their cortisol contents using DetectX Cortisol Enzyme Immunoassay Kit (Arbor Assays, Ann Arbor, Michigan, USA). Statistical analyses were performed with a 1-way ANOVA, P = 0.517.

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