Related Experiment Video
Updated: Feb 11, 2026

Robotic-Guided Stereoelectroencephalography for Invasive Epilepsy Monitoring
Published on: June 13, 2025
DEPDC5 takes a second hit in familial focal epilepsy
Abstract:
Loss-of-function mutations in a single allele of the gene encoding DEP domain-containing 5 protein (DEPDC5) are commonly linked to familial focal epilepsy with variable foci; however, a subset of patients presents with focal cortical dysplasia that is proposed to result from a second-hit somatic mutation. In this issue of the JCI, Ribierre and colleagues provide several lines of evidence to support second-hit DEPDC5 mutations in this disorder. Moreover, the authors use in vivo, in utero electroporation combined with CRISPR-Cas9 technology to generate a murine model of the disease that recapitulates human manifestations, including cortical dysplasia-like changes, focal seizures, and sudden unexpected death. This study provides important insights into familial focal epilepsy and provides a preclinical model for evaluating potential therapies.
Insights
Second-hit mutations in DEPDC5 cause familial focal epilepsy and cortical dysplasia. Researchers developed a mouse model mimicking human symptoms, offering insights and a platform for therapy development.
Area of Science:
- Neuroscience
- Genetics
- Epilepsy Research
Background:
- Familial focal epilepsy is often linked to DEPDC5 gene mutations.
- Some patients exhibit focal cortical dysplasia, potentially due to secondary genetic events.
Purpose of the Study:
- To investigate the role of second-hit DEPDC5 mutations in focal cortical dysplasia.
- To develop and validate a preclinical model for familial focal epilepsy.
Main Methods:
- Analysis of patient data for evidence of second-hit mutations.
- CRISPR-Cas9 gene editing in a murine model.
- In vivo and in utero electroporation techniques.
Main Results:
- Evidence supporting second-hit DEPDC5 mutations in affected individuals.
- Successful generation of a mouse model exhibiting epilepsy and cortical dysplasia.
- Murine model displayed focal seizures and sudden unexpected death.
Conclusions:
- Second-hit mutations in DEPDC5 are implicated in familial focal epilepsy with cortical dysplasia.
- The developed murine model accurately reflects human disease phenotypes.
- This model serves as a valuable tool for future therapeutic strategies.
Related Concept Videos
Protein Families
Protein Families
Gene Families
Occasionally these regions can be adapted to take on new roles within the organism, becoming novel genes...
Gene Families
Family Therapy
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
Epilepsy and Seizures: Overview
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...

