Sleep Deprivation Exacerbates Seizures and Diminishes GABAergic Tonic Inhibition.

Konduru, Sai Surthi; Pan, Yu-Zhen; Wallace, Eli; Pfammatter, Jesse A; Jones, Mathew V; Maganti, Rama K · Ann Neurol · 2021

basic_science · Level V

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Abstract

Patients with epilepsy report that sleep deprivation is a common trigger for breakthrough seizures. The basic mechanism of this phenomenon is unknown. In the Kv1.1<sup>-/-</sup> mouse model of epilepsy, daily sleep deprivation indeed exacerbated seizures though these effects were lost after the third day. Sleep deprivation also accelerated mortality in ~ 52% of Kv1.1<sup>-/-</sup> mice, not observed in controls. Voltage-clamp experiments on the day after recovery from sleep deprivation showed reductions in GABAergic tonic inhibition in dentate granule cells in epileptic Kv1.1<sup>-/-</sup> mice. Our results suggest that sleep deprivation is detrimental to seizures and survival, possibly due to reductions in GABAergic tonic inhibition. ANN NEUROL 2021;90:840-844.

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