Authors
Perry WE Spratt, Ryan PD Alexander, Roy Ben-Shalom, Atehsa Sahagun, Henry Kyoung, Caroline M Keeshen, Stephan J Sanders, Kevin J Bender
Publication date
2021/8/3
Journal
Cell Reports
Volume
36
Issue
5
Publisher
Elsevier
Description
Loss-of-function variants in the gene SCN2A, which encodes the sodium channel NaV1.2, are strongly associated with autism spectrum disorder and intellectual disability. An estimated 20%–30% of children with these variants also suffer from epilepsy, with altered neuronal activity originating in neocortex, a region where NaV1.2 channels are expressed predominantly in excitatory pyramidal cells. This is paradoxical, as sodium channel loss in excitatory cells would be expected to dampen neocortical activity rather than promote seizure. Here, we examined pyramidal neurons lacking NaV1.2 channels and found that they were intrinsically hyperexcitable, firing high-frequency bursts of action potentials (APs) despite decrements in AP size and speed. Compartmental modeling and dynamic-clamp recordings revealed that NaV1.2 loss prevented potassium channels from properly repolarizing neurons between APs …
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