Modeling AP2M1 developmental and epileptic encephalopathy in Drosophila

Robin A Karge1, Florian P Fischer1, Hannah Schüth1

  • 1Section of Epileptology, Department of Neurology, RWTH Aachen University, 52074 Aachen, Germany.

Disease Models & Mechanisms
|September 29, 2025
PubMed

Insights

Genetic defects in AP2M1 cause developmental and epileptic encephalopathy (DEE). Drosophila models revealed heat-sensitive paralysis and unexpected seizure resistance, suggesting neuronal development defects, not synaptic issues, underlie DEE.

Area of Science:

  • Neuroscience
  • Genetics
  • Developmental Biology

Background:

  • AP2M1 gene mutations cause developmental and epileptic encephalopathy (DEE).
  • AP2M1 encodes the μ-subunit of adaptor protein complex 2 (AP-2), crucial for clathrin-mediated endocytosis.
  • Understanding DEE mechanisms requires robust model systems.

Purpose of the Study:

  • To model AP2M1-related DEE in Drosophila melanogaster.
  • To investigate the underlying disease mechanisms of AP2M1-DEE.
  • To explore the role of AP-2µ in neuronal function and seizure susceptibility.

Main Methods:

  • Generated Drosophila models using RNA interference and CRISPR gene editing targeting the AP2M1 ortholog.
  • Assessed neuronal morphology and function, including heat-sensitive paralysis and seizure susceptibility.
  • Examined the effects of a specific human disease variant (p.Arg170Trp).

Main Results:

  • Pan-neuronal knockdown of AP-2µ caused heat-sensitive paralysis and altered dendritic morphology.
  • Affected flies exhibited resistance to antiseizure medications and reduced susceptibility to induced seizures.
  • A CRISPR-engineered fly line with the p.Arg170Trp variant showed a milder, seizure-resistant phenotype.

Conclusions:

  • Drosophila models of AP2M1-DEE display phenotypes contrasting with human presentation but consistent with other endocytosis-related genes.
  • Hyperexcitability and seizures in AP2M1-DEE may arise from widespread neuronal development defects.
  • Findings suggest a re-evaluation of direct synaptic dysfunction as the primary cause of seizures in AP2M1-DEE.

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