Cerebellar spreading depolarization mediates paroxysmal movement disorder

Summary: Paroxysmal kinesigenic dyskinesia (PKD) is the most common paroxysmal dyskinesia, characterized by recurrent episodes of involuntary movements provoked by sudden changes in movement. Proline-rich transmembrane protein 2 (PRRT2) has been identified as the major causative gene for PKD. Here,...

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Main Authors: Bin Lu, Sen-Sen Lou, Ruo-Shui Xu, De-Lun Kong, Rong-Jie Wu, Jing Zhang, Ling Zhuang, Xue-Mei Wu, Jun-Yan He, Zhi-Ying Wu, Zhi-Qi Xiong
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:Cell Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211124721011967
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author Bin Lu
Sen-Sen Lou
Ruo-Shui Xu
De-Lun Kong
Rong-Jie Wu
Jing Zhang
Ling Zhuang
Xue-Mei Wu
Jun-Yan He
Zhi-Ying Wu
Zhi-Qi Xiong
author_facet Bin Lu
Sen-Sen Lou
Ruo-Shui Xu
De-Lun Kong
Rong-Jie Wu
Jing Zhang
Ling Zhuang
Xue-Mei Wu
Jun-Yan He
Zhi-Ying Wu
Zhi-Qi Xiong
author_sort Bin Lu
collection DOAJ
description Summary: Paroxysmal kinesigenic dyskinesia (PKD) is the most common paroxysmal dyskinesia, characterized by recurrent episodes of involuntary movements provoked by sudden changes in movement. Proline-rich transmembrane protein 2 (PRRT2) has been identified as the major causative gene for PKD. Here, we report that PRRT2 deficiency facilitates the induction of cerebellar spreading depolarization (SD) and inhibition of cerebellar SD prevents the occurrence of dyskinetic movements. Using Ca2+ imaging, we show that cerebellar SD depolarizes a large population of cerebellar granule cells and Purkinje cells in Prrt2-deficient mice. Electrophysiological recordings further reveal that cerebellar SD blocks Purkinje cell spiking and disturbs neuronal firing of the deep cerebellar nuclei (DCN). The resultant aberrant firing patterns in DCN are tightly, temporally coupled to dyskinetic episodes in Prrt2-deficient mice. Cumulatively, our findings uncover a pivotal role of cerebellar SD in paroxysmal dyskinesia, providing a potent target for treating PRRT2-related paroxysmal disorders.
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spelling doaj.art-59814c130bb5454c8662f36509a815d42022-12-21T18:43:50ZengElsevierCell Reports2211-12472021-09-013612109743Cerebellar spreading depolarization mediates paroxysmal movement disorderBin Lu0Sen-Sen Lou1Ruo-Shui Xu2De-Lun Kong3Rong-Jie Wu4Jing Zhang5Ling Zhuang6Xue-Mei Wu7Jun-Yan He8Zhi-Ying Wu9Zhi-Qi Xiong10Institute of Neuroscience, State Key Laboratory of Neuroscience, Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai 200031, ChinaInstitute of Neuroscience, State Key Laboratory of Neuroscience, Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai 200031, China; University of Chinese Academy of Sciences, Beijing 100049, ChinaInstitute of Neuroscience, State Key Laboratory of Neuroscience, Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai 200031, China; University of Chinese Academy of Sciences, Beijing 100049, ChinaInstitute of Neuroscience, State Key Laboratory of Neuroscience, Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai 200031, China; University of Chinese Academy of Sciences, Beijing 100049, China; School of Life Science and Technology, ShanghaiTech University, Shanghai 201210, ChinaInstitute of Neuroscience, State Key Laboratory of Neuroscience, Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai 200031, China; University of Chinese Academy of Sciences, Beijing 100049, China; School of Life Science and Technology, ShanghaiTech University, Shanghai 201210, ChinaInstitute of Neuroscience, State Key Laboratory of Neuroscience, Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai 200031, ChinaInstitute of Neuroscience, State Key Laboratory of Neuroscience, Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai 200031, China; University of Chinese Academy of Sciences, Beijing 100049, ChinaInstitute of Neuroscience, State Key Laboratory of Neuroscience, Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai 200031, China; University of Chinese Academy of Sciences, Beijing 100049, China; School of Life Science and Technology, ShanghaiTech University, Shanghai 201210, ChinaInstitute of Neuroscience, State Key Laboratory of Neuroscience, Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai 200031, China; University of Chinese Academy of Sciences, Beijing 100049, ChinaDepartment of Neurology and Research Center of Neurology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, ChinaInstitute of Neuroscience, State Key Laboratory of Neuroscience, Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai 200031, China; University of Chinese Academy of Sciences, Beijing 100049, China; Shanghai Center for Brain Science and Brain-Inspired Intelligence Technology, Shanghai 201210, China; Corresponding authorSummary: Paroxysmal kinesigenic dyskinesia (PKD) is the most common paroxysmal dyskinesia, characterized by recurrent episodes of involuntary movements provoked by sudden changes in movement. Proline-rich transmembrane protein 2 (PRRT2) has been identified as the major causative gene for PKD. Here, we report that PRRT2 deficiency facilitates the induction of cerebellar spreading depolarization (SD) and inhibition of cerebellar SD prevents the occurrence of dyskinetic movements. Using Ca2+ imaging, we show that cerebellar SD depolarizes a large population of cerebellar granule cells and Purkinje cells in Prrt2-deficient mice. Electrophysiological recordings further reveal that cerebellar SD blocks Purkinje cell spiking and disturbs neuronal firing of the deep cerebellar nuclei (DCN). The resultant aberrant firing patterns in DCN are tightly, temporally coupled to dyskinetic episodes in Prrt2-deficient mice. Cumulatively, our findings uncover a pivotal role of cerebellar SD in paroxysmal dyskinesia, providing a potent target for treating PRRT2-related paroxysmal disorders.http://www.sciencedirect.com/science/article/pii/S2211124721011967spreading depolarizationPRRT2Nav channelinactivationcerebellumcerebellar granule cell
spellingShingle Bin Lu
Sen-Sen Lou
Ruo-Shui Xu
De-Lun Kong
Rong-Jie Wu
Jing Zhang
Ling Zhuang
Xue-Mei Wu
Jun-Yan He
Zhi-Ying Wu
Zhi-Qi Xiong
Cerebellar spreading depolarization mediates paroxysmal movement disorder
Cell Reports
spreading depolarization
PRRT2
Nav channel
inactivation
cerebellum
cerebellar granule cell
title Cerebellar spreading depolarization mediates paroxysmal movement disorder
title_full Cerebellar spreading depolarization mediates paroxysmal movement disorder
title_fullStr Cerebellar spreading depolarization mediates paroxysmal movement disorder
title_full_unstemmed Cerebellar spreading depolarization mediates paroxysmal movement disorder
title_short Cerebellar spreading depolarization mediates paroxysmal movement disorder
title_sort cerebellar spreading depolarization mediates paroxysmal movement disorder
topic spreading depolarization
PRRT2
Nav channel
inactivation
cerebellum
cerebellar granule cell
url http://www.sciencedirect.com/science/article/pii/S2211124721011967
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