Genetic variants in the DEP domain containing 5 (DEPDC5) are one of the most common causes of inheritable drug-resistant temporal focal epilepsy. Epilepsies caused by DEPDC5 variants are often associated with brain malformations and sudden unexplained death in epilepsy (SUDEP). It has been reported that the DEPDC5 genes regulates cell growth via rapamycin complex 1 (mTORC1) pathways. Though several animal models showed knockout of the DEPDC5 causes epilepsy, the underlying mechanism(s) by which DEPDC5 variants cause neuronal excitations remains unelucidated in human cells. To examine whether knockout of DEPDC5 causes abnormal excitations in human iPS cell (iPSC)-induced neurons, DEPDC5 was knocked out using CRISPR-Cas9 gene editing methods. Expression of DEPDC5 peptides was confirmed by a mass spectroscopy. Then, the cells were differentiated into neurons by Dual Smad Inhibition. Spontaneous cellular excitation was evaluated by Ca2+-imaging (AquaCosmos/Ratio imaging system, Hamamatsu Photonics). DNA sequencing of the DEPDC5-knockout cells showed a truncated change, c.251_258delCTTTGGGG:(p.Gly15Glyfs*5), in one allele. The DEPDC5 peptides encoded by exon 7 were decreased to less than half in the DEPDC5-knockout cells compared to the wild type (WT) cells. Ca2+-imaging showed abnormal Ca2+ bursts in neurons derived from the DEPDC5-knockout cells, while the WT cells did not show any abnormal Ca2+ waves. These results indicate that haploinsuffciency of DEPDC5 can cause abnormal excitation in human iPSC-induced neurons. Currently, we are planning to further investigate cellular excitations in iPSC-induced cardiomyocytes to dissect underlying mechanisms of SUDEP. This work was supported in part by a Grant-in-Aid for Scientific Research (C) [grant number 18K08900 and 21K08135 (to T.A.)] and a Grant-in-Aid for Young Scientists [grant number 22K15694 (to Y.H.)] from the Japan Society for the Promotion of Science. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.
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