1. Carvedilol inhibits neuronal hyperexcitability caused by epilepsy‐associated KCNT1 mutations.
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Di, Chang, Wu, Tong, Gao, Kai, Li, Na, Song, Huifang, Wang, Lili, Sun, Haojie, Yi, Jingyun, Zhang, Xinran, Chen, Jiexin, Shah, Mala, Jiang, Yuwu, and Huang, Zhuo
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ANTICONVULSANTS , *POTASSIUM channels , *XENOPUS laevis , *CARVEDILOL , *VALUATION of real property , *SODIUM channels , *PYRAMIDAL neurons - Abstract
Background and Purpose Experimental Approach Key Results Conclusion and Implication
KCNT1 encodes a sodium‐activated potassium channel (Slack channel), and its mutation can cause several forms of epilepsy. Traditional antiepileptic medications have limited efficacy in treating patients withKCNT1 mutations. Here, we describe one heterozygousKCNT1 mutation, M267T, in a patient with EIMFS. The pathological channel properties of this mutation and its effect on neuronal excitability were investigated. Additionally, this study aimed to develop a medication for effective prevention ofKCNT1 mutation‐induced seizures.Wild‐type or mutantKCNT1 plasmids were expressed heterologously in Xenopus laevis oocytes, and channel property assessment and drug screening were performed based on two‐electrode voltage‐clamp recordings. The single‐channel properties were investigated using the excised inside‐out patches from HEK293T cells. Through in utero electroporation, WT and M267T Slack channels were expressed in the hippocampal CA1 pyramidal neurons in male mice, followed by the examination of the electrical properties using the whole‐cell current‐clamp technique. The kainic acid‐induced epilepsy model in male mice was used to evalute the antiseizure effects of carvedilol.TheKCNT1 M267T mutation enhanced Slack channel function by increasing single‐channel open probability. Through screening 16 FDA‐approved ion channel blockers, we found that carvedilol effectively reversed the mutation‐induced gain‐of‐function channel properties. Notably, the KCNT1 M267T mutation in the mouse hippocampal CA1 pyramidal neurons affected afterhyperpolarization properties and induced neuronal hyperexcitability, which was inhibited by carvedilol. Additionally, carvedilol exhibited antiseizure effects in the kainic acid‐induced epilepsy model.Our findings suggest carvedilol as a new potential candidate for treatment of epilepsies. [ABSTRACT FROM AUTHOR]- Published
- 2024
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