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A Variant of KCC2 from Patients with Febrile Seizures Impairs Neuronal Cl- Extrusion and Dendritic Spine Formation

Abstract

Genetic variation in SLC12A5 which encodes KCC2, the neuron-specific cation-chloride cotransporter that is essential for hyperpolarizing GABAergic signaling and formation of cortical dendritic spines, has not been reported in human disease. Screening of SLC12A5 revealed a co-segregating variant (KCC2-R952H) in an Australian family with febrile seizures. We show that KCC2-R952H reduces neuronal Cl(-) extrusion and has a compromised ability to induce dendritic spines in vivo and in vitro. Biochemical analyses indicate a reduced surface expression of KCC2-R952H which likely contributes to the functional deficits. Our data suggest that KCC2-R952H is a bona fide susceptibility variant for febrile seizures.

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References
1.
Blaesse P, Airaksinen M, Rivera C, Kaila K . Cation-chloride cotransporters and neuronal function. Neuron. 2009; 61(6):820-38. DOI: 10.1016/j.neuron.2009.03.003. View

2.
Uvarov P, Ludwig A, Markkanen M, Soni S, Hubner C, Rivera C . Coexpression and heteromerization of two neuronal K-Cl cotransporter isoforms in neonatal brain. J Biol Chem. 2009; 284(20):13696-13704. PMC: 2679471. DOI: 10.1074/jbc.M807366200. View

3.
Khalilov I, Chazal G, Chudotvorova I, Pellegrino C, Corby S, Ferrand N . Enhanced Synaptic Activity and Epileptiform Events in the Embryonic KCC2 Deficient Hippocampus. Front Cell Neurosci. 2011; 5:23. PMC: 3206525. DOI: 10.3389/fncel.2011.00023. View

4.
Jiruska P, de Curtis M, Jefferys J, Schevon C, Schiff S, Schindler K . Synchronization and desynchronization in epilepsy: controversies and hypotheses. J Physiol. 2012; 591(4):787-97. PMC: 3591697. DOI: 10.1113/jphysiol.2012.239590. View

5.
Hekmat-Scafe D, Lundy M, Ranga R, Tanouye M . Mutations in the K+/Cl- cotransporter gene kazachoc (kcc) increase seizure susceptibility in Drosophila. J Neurosci. 2006; 26(35):8943-54. PMC: 6675325. DOI: 10.1523/JNEUROSCI.4998-05.2006. View