Background Temporal lobe epilepsy is the most common type of focal epilepsy,but hereditary factors are usually overlooked.Reelin(RELN)is considered to be the second most common pathogenic gene implicated in autosomal ...Background Temporal lobe epilepsy is the most common type of focal epilepsy,but hereditary factors are usually overlooked.Reelin(RELN)is considered to be the second most common pathogenic gene implicated in autosomal dominant lateral temporal epilepsy(ADLTE).However,this mutation is not frequently discovered in the Chinese population.Additionally,there are few clinical studies regarding the connection between RELN and glioma.Case presentation The healthcare records of an 8-year-old child who experienced generalized tonic-clonic seizures(GTCS)during sleep for 7 years were retrospectively analyzed.In addition to experiencing his first seizure at the age of one,his mother also suffered from GTCS during her pregnancy,and a glioma was discovered.An investigation involving gene sequencing was conducted on the proband and his parents.He was diagnosed with ADLTE once a missense mutation in RELN(c.1799 C>T)was identified as the causal factor.The mutation was inherited from his mother.He was taking levetiracetam(500 mg twice a day)to avoid seizures,but his mother died of status epilepticus caused by glioma recurrence two years earlier.Conclusions Genetic issues should be given more consideration in cases of temporal lobe epilepsy.If the source of the seizures is determined to be inherited,anti-seizure medications should be used for prolonged periods.Furthermore,more research is required to determine whether mutations in RELN are related to the occurrence and progression of gliomas.展开更多
Objective Decline, disruption, or alterations of nicotinic cholinergic mechanisms contribute to cognitive dysfunctions like Alzheimer's disease (AD). Although amyloid-β (Aβ) aggregation is a pathological hallma...Objective Decline, disruption, or alterations of nicotinic cholinergic mechanisms contribute to cognitive dysfunctions like Alzheimer's disease (AD). Although amyloid-β (Aβ) aggregation is a pathological hallmark of AD, the mechanisms by which Aβ peptides modulate cholinergic synaptic transmission and memory loss remain obscure. This study was aimed to investigate the potential synaptic modulation by Aβ of the cholinergic synapses between olfactory receptor neurons and projection neurons (PNs) in the olfactory lobe of the fruit fly. Methods Cholinergic spontaneous and miniature excitatory postsynaptic current (mEPSC) were recorded with whole-cell patch clamp from PNs in Drosophila AD models expressing Aβ40, Aβ42, or Aβ42Arc peptides in neural tissue. Results In fly pupae (2 days before eclosion), overexpression of Aβ42 or Aβ42Arc, but not Aβ40, led to a significant decrease of mEPSC frequency, while overexpression of Aβ40, Aβ42, or Aβ42Arc had no significant effect on mEPSC amplitude. In contrast, Pavlovian olfactory associative learning and lifespan assays showed that both short-term memory and lifespan were decreased in the Drosophila models expressing Aβ40, Aβ42, or Aβ42Arc. Conclusion Both electrophysiological and behavioral results showed an effect of Aβ peptide on cholinergic synaptic transmission and suggest a possible mechanism by which Aβ peptides cause cholinergic neuron degeneration and the consequent memory loss.展开更多
文摘Background Temporal lobe epilepsy is the most common type of focal epilepsy,but hereditary factors are usually overlooked.Reelin(RELN)is considered to be the second most common pathogenic gene implicated in autosomal dominant lateral temporal epilepsy(ADLTE).However,this mutation is not frequently discovered in the Chinese population.Additionally,there are few clinical studies regarding the connection between RELN and glioma.Case presentation The healthcare records of an 8-year-old child who experienced generalized tonic-clonic seizures(GTCS)during sleep for 7 years were retrospectively analyzed.In addition to experiencing his first seizure at the age of one,his mother also suffered from GTCS during her pregnancy,and a glioma was discovered.An investigation involving gene sequencing was conducted on the proband and his parents.He was diagnosed with ADLTE once a missense mutation in RELN(c.1799 C>T)was identified as the causal factor.The mutation was inherited from his mother.He was taking levetiracetam(500 mg twice a day)to avoid seizures,but his mother died of status epilepticus caused by glioma recurrence two years earlier.Conclusions Genetic issues should be given more consideration in cases of temporal lobe epilepsy.If the source of the seizures is determined to be inherited,anti-seizure medications should be used for prolonged periods.Furthermore,more research is required to determine whether mutations in RELN are related to the occurrence and progression of gliomas.
基金supported by grants from the Department of Health of Heilongjiang Province, China (2006-228)the Educational Commission of Heilongjiang Province, China(11531096)+2 种基金the National Natural Science Foundation of China (31100819, 30970980)the Natural Science Foundation of Guangdong Province, China (S2011040002239)the China Postdoctoral Science Foundation (2010-0480805)
文摘Objective Decline, disruption, or alterations of nicotinic cholinergic mechanisms contribute to cognitive dysfunctions like Alzheimer's disease (AD). Although amyloid-β (Aβ) aggregation is a pathological hallmark of AD, the mechanisms by which Aβ peptides modulate cholinergic synaptic transmission and memory loss remain obscure. This study was aimed to investigate the potential synaptic modulation by Aβ of the cholinergic synapses between olfactory receptor neurons and projection neurons (PNs) in the olfactory lobe of the fruit fly. Methods Cholinergic spontaneous and miniature excitatory postsynaptic current (mEPSC) were recorded with whole-cell patch clamp from PNs in Drosophila AD models expressing Aβ40, Aβ42, or Aβ42Arc peptides in neural tissue. Results In fly pupae (2 days before eclosion), overexpression of Aβ42 or Aβ42Arc, but not Aβ40, led to a significant decrease of mEPSC frequency, while overexpression of Aβ40, Aβ42, or Aβ42Arc had no significant effect on mEPSC amplitude. In contrast, Pavlovian olfactory associative learning and lifespan assays showed that both short-term memory and lifespan were decreased in the Drosophila models expressing Aβ40, Aβ42, or Aβ42Arc. Conclusion Both electrophysiological and behavioral results showed an effect of Aβ peptide on cholinergic synaptic transmission and suggest a possible mechanism by which Aβ peptides cause cholinergic neuron degeneration and the consequent memory loss.