Focal DEPDC5 loss without disruption to cerebral cortical neuron migration recapitulates DEPDC5-related focal

Karenna J Groff1, Yini Liang1, Christopher Morici1

  • 1F.M. Kirby Neurobiology Center, Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

JCI Insight
|September 25, 2025
PubMed

Insights

Postnatal DEPDC5 loss causes focal cortical dysplasia (FCD) and epilepsy by hyperactivating the mTOR pathway. This occurs without disrupting cortical development, proving postnatal dysfunction is sufficient for seizure development.

Area of Science:

  • Neuroscience
  • Genetics
  • Epilepsy Research

Background:

  • Focal cortical dysplasia (FCD) is a leading cause of refractory epilepsy.
  • Pathogenic variants in mTOR pathway genes, notably DEPDC5, are linked to FCD and familial focal epilepsy.
  • Mechanisms connecting DEPDC5 mutations, mTOR signaling, and epileptogenesis in FCD remain unclear.

Purpose of the Study:

  • To determine if DEPDC5 loss-induced seizures require prenatal developmental defects or if postnatal mTORC1 dysfunction is sufficient.
  • To investigate the role of DEPDC5 in epileptogenesis through a postnatal knockout mouse model.

Main Methods:

  • Developed a postnatal focal cortical Depdc5-knockout mouse model using AAV-Cre-GFP injection in P0-1 Depdc5-floxed mice.
  • Assessed DEPDC5 levels, mTORC1 activity, cortical lamination, and pathological FCD hallmarks.
  • Evaluated seizure thresholds, seizure frequency, and seizure-induced mortality.

Main Results:

  • Postnatal DEPDC5 loss led to decreased DEPDC5 levels and age-dependent mTORC1 hyperactivation in the targeted hemisphere.
  • Cortical lamination remained intact, but FCD hallmarks (neurofilament accumulation, hypomyelination, astrogliosis, microglial activation) emerged.
  • Mice exhibited reduced seizure thresholds, increased focal seizures, and higher seizure-induced death rates.

Conclusions:

  • Postnatal DEPDC5 loss and subsequent mTOR hyperactivation are sufficient to cause epilepsy.
  • Disruption of cortical development is not required for DEPDC5-related epileptogenesis.
  • This model elucidates the role of postnatal mTORC1 dysregulation in FCD-associated epilepsy.