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Publication : AMPA receptor dysregulation and therapeutic interventions in a mouse model of CDKL5 Deficiency Disorder.

First Author  Yennawar M Year  2019
Journal  J Neurosci PubMed ID  30952813
Mgi Jnum  J:272922 Mgi Id  MGI:6286995
Doi  10.1523/JNEUROSCI.2041-18.2019 Citation  Yennawar M, et al. (2019) AMPA receptor dysregulation and therapeutic interventions in a mouse model of CDKL5 Deficiency Disorder. J Neurosci
abstractText  Pathogenic mutations in cyclin-dependent kinase-like 5 (CDKL5) result in CDKL5 Deficiency Disorder (CDD), a rare disease marked by early-life seizures, autistic behaviors, and intellectual disability. Although mouse models of CDD exhibit dendritic instability and alterations in synaptic scaffolding proteins, studies of glutamate receptor levels and function are limited. Here we used a novel mouse model of CDD, the Cdkl5(R59X) knock-in mouse (R59X), to investigate changes in synaptic glutamate receptor subunits and functional consequences. Male mice were used for all experiments to avoid the confounding effects of X-inactivation that would be present in female heterozygous mice. We showed that adult male R59X mice recapitulated the behavioral outcomes observed in other mouse models of CDD, including social deficits and memory and learning impairments, and exhibited decreased latency to seizure upon pentylenetetrazol (PTZ) administration. Furthermore, we observed a specific increase in GluA2-lacking AMPA receptors (AMPARs) in the adult R59X hippocampus, which is accompanied electrophysiologically by increased rectification ratio of AMPAR excitatory post-synaptic currents and elevated early-phase long-term potentiation. Finally, we showed that acute treatment with the GluA2-lacking AMPAR blocker IEM-1460 decreased AMPAR currents, and rescued social deficits, working memory impairments, and seizure behavior latency in R59X mice.Significance Statement: CDKL5 Deficiency Disorder (CDD) is a rare disease marked by autistic-like behaviors, intellectual disability, and seizures. While synaptic dysfunction has been observed in mouse models of CDD, there is limited information on how synaptic alterations contribute to behavioral and functional changes in CDD. Here we reveal elevated hippocampal GluA2-lacking AMPAR expression in a novel mouse model of CDD that is accompanied by changes in synaptic AMPAR function and plasticity. We also show for the first time that acutely targeting GluA2-lacking AMPAR dysregulation rescues core synaptic and neurobehavioral deficits in CDD.
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