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Publication : Neonatal estradiol stimulation prevents epilepsy in Arx model of X-linked infantile spasms syndrome.

First Author  Olivetti PR Year  2014
Journal  Sci Transl Med Volume  6
Issue  220 Pages  220ra12
PubMed ID  24452264 Mgi Jnum  J:213527
Mgi Id  MGI:5585234 Doi  10.1126/scitranslmed.3007231
Citation  Olivetti PR, et al. (2014) Neonatal estradiol stimulation prevents epilepsy in Arx model of X-linked infantile spasms syndrome. Sci Transl Med 6(220):220ra12
abstractText  Infantile spasms are a catastrophic form of pediatric epilepsy with inadequate treatment. In patients, mutation of ARX, a transcription factor selectively expressed in neuronal precursors and adult inhibitory interneurons, impairs cell migration and causes a major inherited subtype of the disease X-linked infantile spasms syndrome. Using an animal model, the Arx((GCG)10+7) mouse, we determined that brief estradiol (E2) administration during early postnatal development prevented spasms in infancy and seizures in adult mutants. E2 was ineffective when delivered after puberty or 30 days after birth. Early E2 treatment altered mRNA levels of three downstream targets of Arx (Shox2, Ebf3, and Lgi1) and restored depleted interneuron populations without increasing GABAergic synaptic density. Postnatal E2 treatment may induce lasting transcriptional changes that lead to enduring disease modification and could potentially serve as a therapy for inherited interneuronopathies.
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