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Cardiorespiratory profiling reveals primary breathing dysfunction in Kcna1-null mice: Implications for sudden unexpected death in epilepsy
Journal article   Open access   Peer reviewed

Cardiorespiratory profiling reveals primary breathing dysfunction in Kcna1-null mice: Implications for sudden unexpected death in epilepsy

Hemangini Dhaibar, Nicole M. Gautier, Oleg Y. Chernyshev, Paari Dominic and Edward Glasscock
Neurobiology of disease, Vol.127, pp.502-511
07/01/2019
DOI: 10.1016/j.nbd.2019.04.006
PMCID: PMC6588471
PMID: 30974168
url
https://doaj.org/article/237d990f8b274677a1dd25551e700e63View
Open Access

Abstract

Sudden unexpected death in epilepsy (SUDEP) is the leading cause of epilepsy-related mortality, but the relative importance of underlying cardiac and respiratory mechanisms remains unclear. To illuminate the interactions between seizures, respiration, cardiac function, and sleep that contribute to SUDEP risk, here we developed a mouse epilepsy monitoring unit (EMU) to simultaneously record video, electroencephalography (EEG), electromyography (EMG), plethysmography, and electrocardiography (ECG) in a commonly used genetic model of SUDEP, the Kcna1 knockout (Kcna1(-/-)) mouse. During interictal periods, Kcna1(-/-) mice exhibited an abnormal absence of post-sigh apneas and a 3-fold increase in respiratory variability. During spontaneous convulsive seizures, Kcna1(-/-)mice displayed an array of aberrant breathing patterns that always preceded cardiac abnormalities. These findings support respiratory dysfunction as a primary risk factor for susceptibility to deleterious cardiorespiratory sequelae in epilepsy and reveal a new role for Kcna1(-/-)-encoded Kv1.1 channels in the regulation of basal respiratory physiology.
Life Sciences & Biomedicine Neurosciences Neurosciences & Neurology Science & Technology

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