Drug screening in Scn1a zebrafish mutant identifies clemizole as a potential Dravet syndrome treatment.

Drug screening in Scn1a zebrafish mutant identifies clemizole as a potential Dravet syndrome treatment.
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DOI:
10.1038/ncomms3410
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发表时间:
2013
影响因子:
16.6
通讯作者:
Hortopan, Gabriela A.
Hortopan, Gabriela A.
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Baraban, Scott C.;Dinday, Matthew T.;Hortopan, Gabriela A.

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Dravet syndrome (DS) is a catastrophic pediatric epilepsy with severe intellectual disability, impaired social development and persistent drug-resistant seizures. One of its primary monogenic causes are mutations in Nav1.1 (SCN1A), a voltage-gated sodium channel. Here we characterise zebrafish Nav1.1 (scn1Lab) mutants originally identified in a chemical mutagenesis screen. Mutants exhibit spontaneous abnormal electrographic activity, hyperactivity and convulsive behaviors. Although scn1Lab expression is reduced, microarray analysis is remarkable for the small fraction of differentially expressed genes (~3%) and lack of compensatory expression changes in other scn subunits. Ketogenic diet, diazepam, valproate, potassium bromide and stiripentol attenuate mutant seizure activity; seven other antiepileptic drugs have no effect. A phenotype-based screen of 320 compounds identifies a US Food and Drug Administration-approved compound (clemizole) that inhibits convulsive behaviors and electrographic seizures. This approach represents a new direction in modeling pediatric epilepsy and could be used to identify novel therapeutics for any monogenic epilepsy disorder.
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