Altered synaptic functions in a humanized mouse model of down syndrome (TcMAC21): Implications for seizure

Li-Rong Shao1, Carl E Stafstrom1

  • 1Division of Pediatric Neurology, Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Epilepsy Research
|October 19, 2025
PubMed

Insights

Children with Down syndrome (DS) have higher seizure risks. This study reveals altered brain cell communication in a DS mouse model, identifying potential causes for increased seizure susceptibility in DS patients.

Area of Science:

  • Neuroscience
  • Genetics
  • Pathophysiology

Background:

  • Children with Down syndrome (DS) exhibit an elevated risk for seizures, such as infantile spasms and tonic-clonic seizures.
  • The underlying mechanisms contributing to this increased seizure susceptibility in DS remain poorly understood.
  • A novel humanized mouse model of DS (TcMAC21) displays increased infantile spasms and a heightened neocortical excitation-to-inhibition ratio.

Purpose of the Study:

  • To investigate the pathophysiology of Down syndrome (DS) related to seizure susceptibility.
  • To examine kainic acid receptor (KAR)-mediated excitation, GABAAR and GABABR-mediated inhibition, and synaptojanin 1 (SYNJ1) function in a DS mouse model.
  • To determine if triplication of genes encoding KAR, GABABR, and SYNJ1 contributes to altered neuronal function in DS.

Main Methods:

  • Whole-cell patch-clamp recordings were performed on layer V neocortical neurons from TcMAC21 mice and control euploid mice.
  • The study assessed responses to kainic acid (KA) application to evaluate KAR-mediated excitation.
  • Inhibitory postsynaptic currents (IPSCs) and excitatory postsynaptic currents (EPSCs) were analyzed to assess GABAergic inhibition and synaptic vesicle dynamics.

Main Results:

  • TcMAC21 neurons exhibited significantly larger currents in response to KA compared to control neurons, indicating enhanced KAR-mediated excitation.
  • GABAAR-mediated spontaneous IPSCs were less frequent in TcMAC21 neurons, suggesting altered inhibitory neurotransmission.
  • Excitatory postsynaptic currents (EPSCs) showed slower decay in TcMAC21 neurons, indicative of enhanced synaptic vesicle trafficking and reduced transmitter depletion.

Conclusions:

  • This study provides the first physiological evidence for gain-of-function in KAR and SYNJ1, alongside altered GABA-mediated synaptic function, in the TcMAC21 mouse model of DS.
  • These findings suggest that altered synaptic function, including enhanced excitation and modified inhibition, may underlie the increased seizure susceptibility observed in Down syndrome.
  • The identified mechanisms offer potential targets for therapeutic interventions aimed at reducing seizures in individuals with DS.