Heterozygous loss-of-function SCN1A mutations cause Dravet syndrome, an epileptic encephalopathy of infancy that exhibits variable clinical severity. We utilized a heterozygous Scn1a knockout (Scn1a+/-) mouse model of Dravet syndrome to investigate the basis for phenotype variability. These animals exhibit strain-dependent seizure severity and survival. Scn1a+/- mice on strain 129S6/SvEvTac (129.Scn1a+/-) have no overt phenotype and normal survival compared with Scn1a+/- mice bred to C57BL/6J (F1.Scn1a+/-) that have severe epilepsy and premature lethality. We tested the hypothesis that strain differences in sodium current (INa) density in hippocampal neurons contribute to these divergent phenotypes. Whole-cell voltage-clamp recording was performed on acutely-dissociated hippocampal neurons from postnatal days 21-24 (P21-24) 129.Scn1a+/- or F1.Scn1a+/- mice and wild-type littermates. INa density was lower in GABAergic interneurons from F1.Scn1a+/- mice compared to wild-type littermates, while on the 129 strain there was no difference in GABAergic interneuron INa density between 129.Scn1a+/- mice and wild-type littermate controls. By contrast, INa density was elevated in pyramidal neurons from both 129.Scn1a+/- and F1.Scn1a+/- mice, and was correlated with more frequent spontaneous action potential firing in these neurons, as well as more sustained firing in F1.Scn1a+/- neurons. We also observed age-dependent differences in pyramidal neuron INa density between wild-type and Scn1a+/- animals. We conclude that preserved INa density in GABAergic interneurons contributes to the milder phenotype of 129.Scn1a+/- mice. Furthermore, elevated INa density in excitatory pyramidal neurons at P21-24 correlates with age-dependent onset of lethality in F1.Scn1a+/- mice. Our findings illustrate differences in hippocampal neurons that may underlie strain- and age-dependent phenotype severity in a Dravet syndrome mouse model, and emphasize a contribution of pyramidal neuron excitability. © 2014 Elsevier Inc.
Mistry, A. M., Thompson, C. H., Miller, A. R., Vanoye, C. G., George, A. L., & Kearney, J. A. (2014). Strain- and age-dependent hippocampal neuron sodium currents correlate with epilepsy severity in Dravet syndrome mice. Neurobiology of Disease, 65, 1–11. https://doi.org/10.1016/j.nbd.2014.01.006