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Association of mitochondrial letm1 with epileptic seizures.
[wolf-hirschhorn syndrome]
Leucine
zipper-
EF-
hand
containing
transmembrane
protein
1
(
Letm
1
)
is
a
mitochondrial
protein
that
is
associated
with
seizure
attacks
in
Wolf-
Hirschhorn
syndrome
.
This
study
aimed
to
investigate
the
expression
pattern
of
Letm
1
in
patients
with
temporal
lobe
epilepsy
(
TLE
)
and
pilocarpine-induced
rat
model
of
epilepsy
,
and
to
determine
if
altered
Letm
1
leads
to
mitochondrial
dysfunction
and
increased
susceptibility
to
seizures
.
Using
immunohistochemical
,
immunofluorescent
,
western
blotting
,
and
transmission
electron
microscopic
methods
,
we
have
found
that
Letm
1
was
significantly
decreased
in
TLE
patients
,
and
gradually
decreased
in
experimental
rats
from
1
to
7
days
after
onset
of
seizures
.
Letm
1
knock-down
by
a
lentivirus
bearing
LV-Letm
1
-
sh
resulted
in
mitochondrial
swelling
and
decreased
expression
of
Letm
1
target
protein
mitochondrially
encoded
cytochrome
B
(
MT-CYB
)
.
Behavioral
study
revealed
that
inhibition
of
Letm
1
caused
early
onset
of
the
first
seizure
,
increased
seizure
frequency
,
and
duration
.
However
,
administration
of
Letm
1
homolog
nigericin
failed
to
prevent
epilepsy
.
These
results
indicate
that
inhibition
of
Letm
1
and
mitochondrial
dysfunctions
contributes
to
the
development
of
epileptic
seizures
.
Appropriate
Letm
1
level
may
be
critical
for
maintaining
normal
neuronal
functions
.
Diseases
Validation
Diseases presenting
"epilepsy"
symptom
22q11.2 deletion syndrome
adrenomyeloneuropathy
alexander disease
canavan disease
classical phenylketonuria
cohen syndrome
cowden syndrome
familial hypocalciuric hypercalcemia
gm1 gangliosidosis
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
homocystinuria without methylmalonic aciduria
kabuki syndrome
locked-in syndrome
lymphangioleiomyomatosis
monosomy 21
neonatal adrenoleukodystrophy
pendred syndrome
phenylketonuria
proteus syndrome
pyruvate dehydrogenase deficiency
sneddon syndrome
wolf-hirschhorn syndrome
zellweger syndrome
This symptom has already been validated