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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 2

Growth retardation and early death of neural stem cell–specific Itpa-cKO mice.

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Growth retardation and early death of neural stem cell–specific Itpa-cKO...
(A) Itpa-cKO mice died about 3 weeks after birth. The survival curves during 60 days after birth are shown as a Kaplan-Meier plot. Itpa-cKO mice, solid line; other ITPA-proficient control mice, broken lines. Statistical analyses were performed using the Log rank test with Bonferroni’s adjustment; Itpafl/fl/Nes-Cre (Itpa-cKO, 10 female and 11 male) vs. Itpa+/fl (8 female and 6 male), P < 0.0001 (Bonferroni-adjusted P < 0.001); Itpa-cKO vs. Itpa+/fl/Nes-Cre (10 female and 12 male), P < 0.0001 (Bonferroni-adjusted P < 0.001); Itpa-cKO vs. Itpafl/fl (12 female and 13 male), P < 0.0001 (Bonferroni-adjusted P < 0.001). (B) Small body size of Itpa-cKO mice. Images of Itpa-cKO (Itpafl/fl/Nes-Cre) and control (Itpafl/fl) P16 male mice are shown. Scale bar: 1 cm. (C) Postnatal growth delay. Medians of body weight of each genotype group of female (F) and male (M) mice on P0, P8, and P16 are shown. Detailed data of each group and results of their statistical analysis are shown in D and Supplemental Figure 4A. (D) Body weight on P16. The body weights of control (male: n = 37, female: n = 52) and Itpa-cKO (male: n = 15, female: n = 16) mice on postnatal day 16 are 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, male P < 0.0001, and female P < 0.0001; Steel-Dwass test, male, Itpafl/fl/Nes-Cre (Itpa-cKO) vs. Itpa+/fl ***P = 0.0001, Itpa-cKO vs. Itpafl/fl ####P < 0.0001, Itpa-cKO vs. Itpa+/fl/Nes-Cre ****P < 0.0001, Female, Itpafl/fl/Nes-Cre (Itpa-cKO) vs. Itpa+/fl ****P < 0.0001, Itpa-cKO vs. Itpafl /fl ####P < 0.0001, Itpa-cKO vs. Itpa+/fl/Nes-Cre *P = 0.015. (E) Weight ratio of brain to body on P16. The weight ratio of the brain to the body of control and Itpa-cKO mice on P16 are shown as box plots. Kruskal-Wallis test, male P = 0.1308, and female P = 0.0726.

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