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Publication : Dysregulation of REV-ERBα impairs GABAergic function and promotes epileptic seizures in preclinical models.

First Author  Zhang T Year  2021
Journal  Nat Commun Volume  12
Issue  1 Pages  1216
PubMed ID  33619249 Mgi Jnum  J:303938
Mgi Id  MGI:6515075 Doi  10.1038/s41467-021-21477-w
Citation  Zhang T, et al. (2021) Dysregulation of REV-ERBalpha impairs GABAergic function and promotes epileptic seizures in preclinical models. Nat Commun 12(1):1216
abstractText  To design potentially more effective therapies, we need to further understand the mechanisms underlying epilepsy. Here, we uncover the role of Rev-erbalpha in circadian regulation of epileptic seizures. We first show up-regulation of REV-ERBalpha/Rev-erbalpha in brain tissues from patients with epilepsy and a mouse model. Ablation or pharmacological modulation of Rev-erbalpha in mice decreases the susceptibility to acute and chronic seizures, and abolishes diurnal rhythmicity in seizure severity, whereas activation of Rev-erbalpha increases the animal susceptibility. Rev-erbalpha ablation or antagonism also leads to prolonged spontaneous inhibitory postsynaptic currents and elevated frequency in the mouse hippocampus, indicating enhanced GABAergic signaling. We also identify the transporters Slc6a1 and Slc6a11 as regulators of Rev-erbalpha-mediated clearance of GABA. Mechanistically, Rev-erbalpha promotes the expressions of Slc6a1 and Slc6a11 through transcriptional repression of E4bp4. Our findings propose Rev-erbalpha as a regulator of synaptic function at the crosstalk between pathways regulating the circadian clock and epilepsy.
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