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Publication : Regulation of Thalamic and Cortical Network Synchrony by Scn8a.

First Author  Makinson CD Year  2017
Journal  Neuron Volume  93
Issue  5 Pages  1165-1179.e6
PubMed ID  28238546 Mgi Jnum  J:253228
Mgi Id  MGI:6108998 Doi  10.1016/j.neuron.2017.01.031
Citation  Makinson CD, et al. (2017) Regulation of Thalamic and Cortical Network Synchrony by Scn8a. Neuron 93(5):1165-1179.e6
abstractText  Voltage-gated sodium channel (VGSC) mutations cause severe epilepsies marked by intermittent, pathological hypersynchronous brain states. Here we present two mechanisms that help to explain how mutations in one VGSC gene, Scn8a, contribute to two distinct seizure phenotypes: (1) hypoexcitation of cortical circuits leading to convulsive seizure resistance, and (2) hyperexcitation of thalamocortical circuits leading to non-convulsive absence epilepsy. We found that loss of Scn8a leads to altered RT cell intrinsic excitability and a failure in recurrent RT synaptic inhibition. We propose that these deficits cooperate to enhance thalamocortical network synchrony and generate pathological oscillations. To our knowledge, this finding is the first clear demonstration of a pathological state tied to disruption of the RT-RT synapse. Our observation that loss of a single gene in the thalamus of an adult wild-type animal is sufficient to cause spike-wave discharges is striking and represents an example of absence epilepsy of thalamic origin.
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