A knock‐in mouse model for KCNQ2‐related epileptic encephalopathy displays spontaneous generalized seizures and cognitive impairment

Objective Early onset epileptic encephalopathy with suppression‐burst is one of the most severe epilepsy phenotypes in human patients. A significant proportion of cases have a genetic origin, and the most frequently mutated gene is KCNQ2, encoding Kv7.2, a voltage‐dependent potassium channel subunit...

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Veröffentlicht in:Epilepsia (Copenhagen) 2020-05, Vol.61 (5), p.868-878
Hauptverfasser: Milh, Mathieu, Roubertoux, Pierre, Biba, Najoua, Chavany, Julie, Spiga Ghata, Adeline, Fulachier, Camille, Collins, Stephan Christopher, Wagner, Christel, Roux, Jean‐Christophe, Yalcin, Binnaz, Félix, Marie‐Solenne, Molinari, Florence, Lenck‐Santini, Pierre‐Pascal, Villard, Laurent
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container_issue 5
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container_title Epilepsia (Copenhagen)
container_volume 61
creator Milh, Mathieu
Roubertoux, Pierre
Biba, Najoua
Chavany, Julie
Spiga Ghata, Adeline
Fulachier, Camille
Collins, Stephan Christopher
Wagner, Christel
Roux, Jean‐Christophe
Yalcin, Binnaz
Félix, Marie‐Solenne
Molinari, Florence
Lenck‐Santini, Pierre‐Pascal
Villard, Laurent
description Objective Early onset epileptic encephalopathy with suppression‐burst is one of the most severe epilepsy phenotypes in human patients. A significant proportion of cases have a genetic origin, and the most frequently mutated gene is KCNQ2, encoding Kv7.2, a voltage‐dependent potassium channel subunit, leading to so‐called KCNQ2‐related epileptic encephalopathy (KCNQ2‐REE). To study the pathophysiology of KCNQ2‐REE in detail and to provide a relevant preclinical model, we generated and described a knock‐in mouse model carrying the recurrent p.(Thr274Met) variant. Methods We introduced the p.(Thr274Met) variant by homologous recombination in embryonic stem cells, injected into C57Bl/6N blastocysts and implanted in pseudopregnant mice. Mice were then bred with 129Sv Cre‐deleter to generate heterozygous mice carrying the p.(Thr274Met), and animals were maintained on the 129Sv genetic background. We studied the development of this new model and performed in vivo electroencephalographic (EEG) recordings, neuroanatomical studies at different time points, and multiple behavioral tests. Results The Kcnq2Thr274Met/+ mice are viable and display generalized spontaneous seizures first observed between postnatal day 20 (P20) and P30. In vivo EEG recordings show that the paroxysmal events observed macroscopically are epileptic seizures. The brain of the Kcnq2Thr274Met/+ animals does not display major structural defects, similar to humans, and their body weight is normal. Kcnq2Thr274Met/+ mice have a reduced life span, with a peak of unexpected death occurring for 25% of the animals by 3 months of age. Epileptic seizures were generally not observed when animals grew older. Behavioral characterization reveals important deficits in spatial learning and memory in adults but no gross abnormality during early neurosensory development. Significance Taken together, our results indicate that we have generated a relevant model to study the pathophysiology of KCNQ2‐related epileptic encephalopathy and perform preclinical research for that devastating and currently intractable disease.
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A significant proportion of cases have a genetic origin, and the most frequently mutated gene is KCNQ2, encoding Kv7.2, a voltage‐dependent potassium channel subunit, leading to so‐called KCNQ2‐related epileptic encephalopathy (KCNQ2‐REE). To study the pathophysiology of KCNQ2‐REE in detail and to provide a relevant preclinical model, we generated and described a knock‐in mouse model carrying the recurrent p.(Thr274Met) variant. Methods We introduced the p.(Thr274Met) variant by homologous recombination in embryonic stem cells, injected into C57Bl/6N blastocysts and implanted in pseudopregnant mice. Mice were then bred with 129Sv Cre‐deleter to generate heterozygous mice carrying the p.(Thr274Met), and animals were maintained on the 129Sv genetic background. We studied the development of this new model and performed in vivo electroencephalographic (EEG) recordings, neuroanatomical studies at different time points, and multiple behavioral tests. Results The Kcnq2Thr274Met/+ mice are viable and display generalized spontaneous seizures first observed between postnatal day 20 (P20) and P30. In vivo EEG recordings show that the paroxysmal events observed macroscopically are epileptic seizures. The brain of the Kcnq2Thr274Met/+ animals does not display major structural defects, similar to humans, and their body weight is normal. Kcnq2Thr274Met/+ mice have a reduced life span, with a peak of unexpected death occurring for 25% of the animals by 3 months of age. Epileptic seizures were generally not observed when animals grew older. Behavioral characterization reveals important deficits in spatial learning and memory in adults but no gross abnormality during early neurosensory development. Significance Taken together, our results indicate that we have generated a relevant model to study the pathophysiology of KCNQ2‐related epileptic encephalopathy and perform preclinical research for that devastating and currently intractable disease.</description><identifier>ISSN: 0013-9580</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1111/epi.16494</identifier><identifier>PMID: 32239694</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Anatomy ; Blastocysts ; Body weight ; Brain architecture ; Cognitive ability ; Convulsions &amp; seizures ; EEG ; Embryo cells ; Encephalopathy ; Epilepsy ; epileptic encephalopathy ; Full Length Original Research ; Genetics ; Homologous recombination ; KCNQ2 ; KCNQ2 protein ; Life Sciences ; Life span ; mouse model ; Neurobiology ; Neurons and Cognition ; Pathophysiology ; Phenotypes ; Potassium channels (voltage-gated) ; Pseudopregnancy ; Seizures ; Spatial discrimination learning ; Spatial memory ; Stem cell transplantation ; Stem cells</subject><ispartof>Epilepsia (Copenhagen), 2020-05, Vol.61 (5), p.868-878</ispartof><rights>2020 The Authors. published by Wiley Periodicals, Inc. on behalf of International League Against Epilepsy</rights><rights>2020 The Authors. 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A significant proportion of cases have a genetic origin, and the most frequently mutated gene is KCNQ2, encoding Kv7.2, a voltage‐dependent potassium channel subunit, leading to so‐called KCNQ2‐related epileptic encephalopathy (KCNQ2‐REE). To study the pathophysiology of KCNQ2‐REE in detail and to provide a relevant preclinical model, we generated and described a knock‐in mouse model carrying the recurrent p.(Thr274Met) variant. Methods We introduced the p.(Thr274Met) variant by homologous recombination in embryonic stem cells, injected into C57Bl/6N blastocysts and implanted in pseudopregnant mice. Mice were then bred with 129Sv Cre‐deleter to generate heterozygous mice carrying the p.(Thr274Met), and animals were maintained on the 129Sv genetic background. We studied the development of this new model and performed in vivo electroencephalographic (EEG) recordings, neuroanatomical studies at different time points, and multiple behavioral tests. Results The Kcnq2Thr274Met/+ mice are viable and display generalized spontaneous seizures first observed between postnatal day 20 (P20) and P30. In vivo EEG recordings show that the paroxysmal events observed macroscopically are epileptic seizures. The brain of the Kcnq2Thr274Met/+ animals does not display major structural defects, similar to humans, and their body weight is normal. Kcnq2Thr274Met/+ mice have a reduced life span, with a peak of unexpected death occurring for 25% of the animals by 3 months of age. Epileptic seizures were generally not observed when animals grew older. Behavioral characterization reveals important deficits in spatial learning and memory in adults but no gross abnormality during early neurosensory development. 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A significant proportion of cases have a genetic origin, and the most frequently mutated gene is KCNQ2, encoding Kv7.2, a voltage‐dependent potassium channel subunit, leading to so‐called KCNQ2‐related epileptic encephalopathy (KCNQ2‐REE). To study the pathophysiology of KCNQ2‐REE in detail and to provide a relevant preclinical model, we generated and described a knock‐in mouse model carrying the recurrent p.(Thr274Met) variant. Methods We introduced the p.(Thr274Met) variant by homologous recombination in embryonic stem cells, injected into C57Bl/6N blastocysts and implanted in pseudopregnant mice. Mice were then bred with 129Sv Cre‐deleter to generate heterozygous mice carrying the p.(Thr274Met), and animals were maintained on the 129Sv genetic background. We studied the development of this new model and performed in vivo electroencephalographic (EEG) recordings, neuroanatomical studies at different time points, and multiple behavioral tests. Results The Kcnq2Thr274Met/+ mice are viable and display generalized spontaneous seizures first observed between postnatal day 20 (P20) and P30. In vivo EEG recordings show that the paroxysmal events observed macroscopically are epileptic seizures. The brain of the Kcnq2Thr274Met/+ animals does not display major structural defects, similar to humans, and their body weight is normal. Kcnq2Thr274Met/+ mice have a reduced life span, with a peak of unexpected death occurring for 25% of the animals by 3 months of age. Epileptic seizures were generally not observed when animals grew older. Behavioral characterization reveals important deficits in spatial learning and memory in adults but no gross abnormality during early neurosensory development. Significance Taken together, our results indicate that we have generated a relevant model to study the pathophysiology of KCNQ2‐related epileptic encephalopathy and perform preclinical research for that devastating and currently intractable disease.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>32239694</pmid><doi>10.1111/epi.16494</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-9013-2725</orcidid><orcidid>https://orcid.org/0000-0001-9925-9220</orcidid><orcidid>https://orcid.org/0000-0002-2454-8543</orcidid><orcidid>https://orcid.org/0000-0001-5111-7215</orcidid><orcidid>https://orcid.org/0000-0002-9721-8844</orcidid><orcidid>https://orcid.org/0000-0001-6657-5008</orcidid><orcidid>https://orcid.org/0000-0002-1924-6807</orcidid><oa>free_for_read</oa></addata></record>
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subjects Anatomy
Blastocysts
Body weight
Brain architecture
Cognitive ability
Convulsions & seizures
EEG
Embryo cells
Encephalopathy
Epilepsy
epileptic encephalopathy
Full Length Original Research
Genetics
Homologous recombination
KCNQ2
KCNQ2 protein
Life Sciences
Life span
mouse model
Neurobiology
Neurons and Cognition
Pathophysiology
Phenotypes
Potassium channels (voltage-gated)
Pseudopregnancy
Seizures
Spatial discrimination learning
Spatial memory
Stem cell transplantation
Stem cells
title A knock‐in mouse model for KCNQ2‐related epileptic encephalopathy displays spontaneous generalized seizures and cognitive impairment
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