Go to The Journal of Clinical Investigation
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Journal stats
  • Publication ethics
  • Publication alerts by email
  • Transfers
  • Advertising
  • Job board
  • Contact
  • Physician-Scientist Development
  • Current issue
  • Past issues
  • By specialty
    • COVID-19
    • Cardiology
    • Immunology
    • Metabolism
    • Nephrology
    • Oncology
    • Pulmonology
    • All ...
  • Videos
  • Collections
    • In-Press Preview
    • Resource and Technical Advances
    • Clinical Research and Public Health
    • Research Letters
    • Editorials
    • Perspectives
    • Physician-Scientist Development
    • Reviews
    • Top read articles

  • Current issue
  • Past issues
  • Specialties
  • In-Press Preview
  • Resource and Technical Advances
  • Clinical Research and Public Health
  • Research Letters
  • Editorials
  • Perspectives
  • Physician-Scientist Development
  • Reviews
  • Top read articles
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Journal stats
  • Publication ethics
  • Publication alerts by email
  • Transfers
  • Advertising
  • Job board
  • Contact
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
View: Text | PDF
Research Article Neuroscience

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

  • Text
  • PDF
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

×

Figure 5

Behavior analyses of Itpa-cKO mice.

Options: View larger image (or click on image) Download as PowerPoint
Behavior analyses of Itpa-cKO mice.
(A) Limb-clasping in the tail suspen...
(A) Limb-clasping in the tail suspension test. P16 Itpa-cKO female mice (right) but not control female mice (Itpafl/fl) (left) showed limb-clasping behavior in the tail suspension test. The summarized results of female and male mice are shown as component bar charts. Statistical analyses were performed with Fisher’s exact test. Female control vs. female Itpa-cKO ****P < 0.0001, male control vs. male Itpa-cKO ****P < 0.0001. (B) Audiogenic seizure induction test. Each P16 mouse was adapted in an empty plastic cage for 1 minute and then exposed to audio stress by a metal bell for 2 minutes 3 times. The mouse rested for 2 minutes between the audio stress exposures. The summarized results of female and male mice are shown as component bar charts. Statistical analyses were performed with Fisher’s exact test. Female control vs. female Itpa-cKO ****P < 0.0001, male control vs. male Itpa-cKO P = ***0.0002. (Genotypes of the controls are shown in Supplemental Table 2.) (C) Suppression of audiogenic seizure by sodium valproate treatment. Each Itpa-cKO male mouse was injected with sodium valproate (sc, 200 or 400 mg/kg body weight) or vehicle on P15 and P16 and then subjected to the audiogenic seizure test 1 hour later. The summarized results are shown as a component bar chart. Statistical analysis was performed with Cochran-Armitage trend test, P = 0.0003.

Copyright © 2026 American Society for Clinical Investigation
ISSN 2379-3708

Sign up for email alerts