摘要:Dravet syndrome (DS) is an intractable form of childhood epilepsy that occurs in infancy. More than 80% of all patients have a heterozygous abnormality in the
SCN1A gene, which encodes a subunit of Na
+ channels in the brain. However, the detailed pathogenesis of DS remains unclear. This study investigated the synaptic pathogenesis of this disease in terms of excitatory/inhibitory balance using a mouse model of DS. We show that excitatory postsynaptic currents were similar between
Scn1a knock-in neurons (
Scn1a
+/− neurons) and wild-type neurons, but inhibitory postsynaptic currents were significantly lower in
Scn1a
+/− neurons. Moreover, both the vesicular release probability and the number of inhibitory synapses were significantly lower in
Scn1a
+/− neurons compared with wild-type neurons. There was no proportional increase in inhibitory postsynaptic current amplitude in response to increased extracellular Ca
2+ concentrations. Our study revealed that the number of inhibitory synapses is significantly reduced in
Scn1a
+/− neurons, while the sensitivity of inhibitory synapses to extracellular Ca
2+ concentrations is markedly increased. These data suggest that Ca
2+ tethering in inhibitory nerve terminals may be disturbed following the synaptic burst, likely leading to epileptic symptoms.