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A critical role for glycine transporters in hyperexcitability disorders
Journal article   Open access   Peer reviewed

A critical role for glycine transporters in hyperexcitability disorders

Robert J Harvey, E Carta, B R Pearce, S K Chung, S Supplisson, M I Rees and K Harvey
Frontiers in Molecular Neuroscience, Vol.1, 1
2008
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https://doi.org/10.3389/neuro.02.001.2008View
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Abstract

glycine transporters GlyT1 GlyT2 VIAAT hyperekplexia startle disease glycine encephalopathy
Defects in mammalian glycinergic neurotransmission result in a complex motor disorder characterized by neonatal hypertonia and an exaggerated startle reflex, known as hyperekplexia (OMIM 149400). This affects newborn children and is characterized by noise or touch-induced seizures that result in muscle stiffness and breath-holding episodes. Although rare, this disorder can have serious consequences, including brain damage and/or sudden infant death. The primary cause of hyperekplexia is missense and non-sense mutations in the glycine receptor (GlyR) α1 subunit gesubunit gene (GLRA1) on chromosome 5q33.1, although we have also discovered rare mutations in the genes encoding the GlyR β subunit (GLRB) and the GlyR clustering proteins gephyrin (GPNH) and collybistin (ARHGEF9). Recent studies of the Na+/Cl-dependent glycine transporters GlyT1 and GlyT2 using mouse knockout models and human genetics have revealed that mutations in GlyT2 are a second major cause of hyperekplexia, while the phenotype of the GlyT1 knockout mouse resembles a devastating neurological disorder known as glycine encephalopathy (OMIM 605899). These findings highlight the importance of these transporters in regulating the levels of synaptic glycine. © 2008 Harvey, Carta, Pearce, Chung, Supplisson, Rees and Harvey.

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