Therapeutic effects of KRM-II-81, positive allosteric modulator for α2/3 subunit containing GABAA receptors, in a mouse model of Dravet syndrome

Introduction: Dravet syndrome (DS) is an intractable epilepsy syndrome concomitant with neurodevelopmental disorder that begins in infancy. DS is dominantly caused by mutations in the SCN1A gene, which encodes the α subunit of a voltage-gated Na channel. Pre-synaptic inhibitory dysfunction is regard...

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Main Authors: Sachiko Nakakubo, Yasuyoshi Hiramatsu, Takeru Goto, Syuhei Kimura, Masashi Narugami, Midori Nakajima, Yuki Ueda, Hideaki Shiraishi, Atsushi Manabe, Dishary Sharmin, James M. Cook, Kiyoshi Egawa
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Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2023.1273633/full
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author Sachiko Nakakubo
Yasuyoshi Hiramatsu
Takeru Goto
Syuhei Kimura
Masashi Narugami
Midori Nakajima
Yuki Ueda
Hideaki Shiraishi
Atsushi Manabe
Dishary Sharmin
James M. Cook
Kiyoshi Egawa
author_facet Sachiko Nakakubo
Yasuyoshi Hiramatsu
Takeru Goto
Syuhei Kimura
Masashi Narugami
Midori Nakajima
Yuki Ueda
Hideaki Shiraishi
Atsushi Manabe
Dishary Sharmin
James M. Cook
Kiyoshi Egawa
author_sort Sachiko Nakakubo
collection DOAJ
description Introduction: Dravet syndrome (DS) is an intractable epilepsy syndrome concomitant with neurodevelopmental disorder that begins in infancy. DS is dominantly caused by mutations in the SCN1A gene, which encodes the α subunit of a voltage-gated Na channel. Pre-synaptic inhibitory dysfunction is regarded as the pathophysiological mechanism, but an effective strategy for ameliorating seizures and behavioral problems is still under development. Here, we evaluated the effects of KRM-II-81, a newly developed positive allosteric modulator for α 2/3 subunit containing GABAA receptors (α2/3-GABAAR) in a mice model of DS both in vivo and at the neuronal level.Methods: We used knock-in mice carrying a heterozygous, clinically relevant SCN1A mutation (background strain: C57BL/6 J) as a model of the DS (Scn1aWT/A1783V mice), knock-in mouse strain carrying a heterozygous, clinically relevant SCN1A mutation (A1783V). Seizure threshold and locomotor activity was evaluated by using the hyperthermia-induced seizure paradigm and open filed test, respectively. Anxiety-like behavior was assessed by avoidance of the center region in locomotor activity. We estimated a sedative effect by the total distance traveled in locomotor activity and grip strength. Inhibitory post synaptic currents (IPSCs) were recorded from a hippocampal CA1 pyramidal neuron in an acutely prepared brain slice.Results: KRM-II-81 significantly increased the seizure threshold of Scn1aWT/A1783V mice in a dose-dependent manner. A low dose of KRM-II-81 specifically improved anxiety-like behavior of Scn1aWT/A1783V mice. A sedative effect was induced by relatively high dose of KRM-II-81 in Scn1aWT/A1783V mice, the dose of which was not sedative for WT mice. KRM-II-81 potentiated IPSCs by increasing its decay time kinetics. This effect was more prominent in Scn1aWT/A1783V mice.Discussion: Higher activation of α2/3-GABAAR by KRM-II-81 suggests a compensatory modification of post synaptic inhibitory function against presynaptic inhibitory dysfunction in Scn1aWT/A1783V. The increased sensitivity for KRM-II-81 may be relevant to the distinct dose-dependent effect in each paradigm of Scn1aWT/A1783V mice.Conclusion: Selective activation for α2/3-GABAAR by KRM-II-81 could be potential therapeutic strategy for treating seizures and behavioral problems in DS.
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spelling doaj.art-39e51f6b8f474a7f94e1feaa261f66f62023-10-02T15:37:33ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122023-10-011410.3389/fphar.2023.12736331273633Therapeutic effects of KRM-II-81, positive allosteric modulator for α2/3 subunit containing GABAA receptors, in a mouse model of Dravet syndromeSachiko Nakakubo0Yasuyoshi Hiramatsu1Takeru Goto2Syuhei Kimura3Masashi Narugami4Midori Nakajima5Yuki Ueda6Hideaki Shiraishi7Atsushi Manabe8Dishary Sharmin9James M. Cook10Kiyoshi Egawa11Department of Pediatrics, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, JapanDepartment of Pediatrics, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, JapanDepartment of Pediatrics, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, JapanDepartment of Pediatrics, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, JapanDepartment of Pediatrics, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, JapanDepartment of Pediatrics, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, JapanDepartment of Pediatrics, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, JapanDepartment of Pediatrics, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, JapanDepartment of Pediatrics, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, JapanDepartment of Chemistry and Biochemistry, University of Wisconsin-Milwaukee, Milwaukee, WI, United StatesDepartment of Chemistry and Biochemistry, University of Wisconsin-Milwaukee, Milwaukee, WI, United StatesDepartment of Pediatrics, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, JapanIntroduction: Dravet syndrome (DS) is an intractable epilepsy syndrome concomitant with neurodevelopmental disorder that begins in infancy. DS is dominantly caused by mutations in the SCN1A gene, which encodes the α subunit of a voltage-gated Na channel. Pre-synaptic inhibitory dysfunction is regarded as the pathophysiological mechanism, but an effective strategy for ameliorating seizures and behavioral problems is still under development. Here, we evaluated the effects of KRM-II-81, a newly developed positive allosteric modulator for α 2/3 subunit containing GABAA receptors (α2/3-GABAAR) in a mice model of DS both in vivo and at the neuronal level.Methods: We used knock-in mice carrying a heterozygous, clinically relevant SCN1A mutation (background strain: C57BL/6 J) as a model of the DS (Scn1aWT/A1783V mice), knock-in mouse strain carrying a heterozygous, clinically relevant SCN1A mutation (A1783V). Seizure threshold and locomotor activity was evaluated by using the hyperthermia-induced seizure paradigm and open filed test, respectively. Anxiety-like behavior was assessed by avoidance of the center region in locomotor activity. We estimated a sedative effect by the total distance traveled in locomotor activity and grip strength. Inhibitory post synaptic currents (IPSCs) were recorded from a hippocampal CA1 pyramidal neuron in an acutely prepared brain slice.Results: KRM-II-81 significantly increased the seizure threshold of Scn1aWT/A1783V mice in a dose-dependent manner. A low dose of KRM-II-81 specifically improved anxiety-like behavior of Scn1aWT/A1783V mice. A sedative effect was induced by relatively high dose of KRM-II-81 in Scn1aWT/A1783V mice, the dose of which was not sedative for WT mice. KRM-II-81 potentiated IPSCs by increasing its decay time kinetics. This effect was more prominent in Scn1aWT/A1783V mice.Discussion: Higher activation of α2/3-GABAAR by KRM-II-81 suggests a compensatory modification of post synaptic inhibitory function against presynaptic inhibitory dysfunction in Scn1aWT/A1783V. The increased sensitivity for KRM-II-81 may be relevant to the distinct dose-dependent effect in each paradigm of Scn1aWT/A1783V mice.Conclusion: Selective activation for α2/3-GABAAR by KRM-II-81 could be potential therapeutic strategy for treating seizures and behavioral problems in DS.https://www.frontiersin.org/articles/10.3389/fphar.2023.1273633/fullDravet syndromemouse modelantiseizurepositive allosteric modulator for α2/3 subunit containing GABA A receptoranxiolytics
spellingShingle Sachiko Nakakubo
Yasuyoshi Hiramatsu
Takeru Goto
Syuhei Kimura
Masashi Narugami
Midori Nakajima
Yuki Ueda
Hideaki Shiraishi
Atsushi Manabe
Dishary Sharmin
James M. Cook
Kiyoshi Egawa
Therapeutic effects of KRM-II-81, positive allosteric modulator for α2/3 subunit containing GABAA receptors, in a mouse model of Dravet syndrome
Frontiers in Pharmacology
Dravet syndrome
mouse model
antiseizure
positive allosteric modulator for α2/3 subunit containing GABA A receptor
anxiolytics
title Therapeutic effects of KRM-II-81, positive allosteric modulator for α2/3 subunit containing GABAA receptors, in a mouse model of Dravet syndrome
title_full Therapeutic effects of KRM-II-81, positive allosteric modulator for α2/3 subunit containing GABAA receptors, in a mouse model of Dravet syndrome
title_fullStr Therapeutic effects of KRM-II-81, positive allosteric modulator for α2/3 subunit containing GABAA receptors, in a mouse model of Dravet syndrome
title_full_unstemmed Therapeutic effects of KRM-II-81, positive allosteric modulator for α2/3 subunit containing GABAA receptors, in a mouse model of Dravet syndrome
title_short Therapeutic effects of KRM-II-81, positive allosteric modulator for α2/3 subunit containing GABAA receptors, in a mouse model of Dravet syndrome
title_sort therapeutic effects of krm ii 81 positive allosteric modulator for α2 3 subunit containing gabaa receptors in a mouse model of dravet syndrome
topic Dravet syndrome
mouse model
antiseizure
positive allosteric modulator for α2/3 subunit containing GABA A receptor
anxiolytics
url https://www.frontiersin.org/articles/10.3389/fphar.2023.1273633/full
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