Neuronal deletion of Wwox, associated with WOREE syndrome, causes epilepsy and myelin defects

  • Srinivasarao Repudi
  • , Daniel J. Steinberg
  • , Nimrod Elazar
  • , Vanessa L. Breton
  • , Mark S. Aquilino
  • , Afifa Saleem
  • , Sara Abu-Swai
  • , Anna Vainshtein
  • , Yael Eshed-Eisenbach
  • , Bharath Vijayaragavan
  • , Oded Behar
  • , Jacob J. Hanna
  • , Elior Peles
  • , Peter L. Carlen
  • , Rami I. Aqeilan*
  • *Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

WWOX-related epileptic encephalopathy (WOREE) syndrome caused by human germline bi-allelic mutations in WWOX is a neurodevelopmental disorder characterized by intractable epilepsy, severe developmental delay, ataxia and premature death at the age of 2-4 years. The underlying mechanisms of WWOX actions are poorly understood. In the current study, we show that specific neuronal deletion of murine Wwox produces phenotypes typical of the Wwox-null mutation leading to brain hyperexcitability, intractable epilepsy, ataxia and postnatal lethality. A significant decrease in transcript levels of genes involved in myelination was observed in mouse cortex and hippocampus. Wwox-mutant mice exhibited reduced maturation of oligodendrocytes, reduced myelinated axons and impaired axonal conductivity. Brain hyperexcitability and hypomyelination were also revealed in human brain organoids with a WWOX deletion. These findings provide cellular and molecular evidence for myelination defects and hyperexcitability in the WOREE syndrome linked to neuronal function of WWOX.

Original languageEnglish
Pages (from-to)3061-3077
Number of pages17
JournalBrain
Volume144
Issue number10
DOIs
StatePublished - 1 Oct 2021

Bibliographical note

Publisher Copyright:
© 2021 The Author(s) (2021). Published by Oxford University Press on behalf of the Guarantors of Brain. All rights reserved.

Keywords

  • Brain organoids
  • Electrophysiology
  • Hypomyelination
  • Seizures
  • WOREE syndrome

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