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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 1

Generation and confirmation of neural stem cell–specific Itpa-cKO mice.

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Generation and confirmation of neural stem cell–specific Itpa-cKO mice.
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(A) Birth ratio of the obtained mice. A total of 316 mice were obtained by the mating shown in Supplemental Figure 1D, and the ratios of the 4 genotypes in male, female, and total mice are shown. Statistical analyses were performed with Pearson’s χ2 test. Male: P = 0.55; female: P = 0.59; total: P = 0.90; ns: not significant (P > 0.05). (B) ITPA protein expression in P16 or P17 male Itpa-cKO (Itpafl/fl/Nes-Cre) and control (Itpafl/fl) mouse tissues. The ITPA protein levels in the tissue extracts from 3 Itpa-cKO and 3 control male mice were detected by Western blotting with anti-ITPA antiserum, quantified using cerebrum extract from 1 control mouse as a common standard to make a standard curve, and normalized by GAPDH levels. The ITPA expression levels in Itpa-cKO relative to those in control samples are shown for each tissue as the mean ± SD. Five micrograms of total protein of each sample was loaded in each lane. The original blot images are shown in Supplemental Figure 2. Statistical analyses were performed with Welch’s t test. P > 0.05 for each tissue. (C) Immunohistochemistry of P16 male mouse brains with anti-ITPA antibody. Images of sagittal (upper), coronal including cerebrum (middle), and coronal including cerebellum (lower) sections of paraffin-embedded brains of control male mice (left upper, Itpa+/fl/ Nes-Cre; left middle, Itpa+/fl; left lower, Itpa+/fl/Nes-Cre) and Itpa-cKO male mice (right) are shown. Scale bar: 1 mm. (D) Inosine content in RNA from brain subregions and liver. The inosine content in the total RNA samples that did not contain any small RNA molecules extracted from the cerebral cortex, cerebellum, hippocampal formation, and liver of P16 control mice (Itpafl/fl) and Itpa-cKO mice are shown as the average inosine content per 106 guanosine with standard deviations (n = 4). Statistical analyses were performed with Welch’s t test. Cerebral cortex: ****P < 0.0001; cerebellum: **P = 0.0019; hippocampal formation: ****P < 0.0001; liver: P = 0.30.

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