A GABA A receptor (GABA A R) ␣1 subunit mutation, A322D (AD), causes an autosomal dominant form of juvenile myoclonic epilepsy (ADJME). Previous studies demonstrated that the mutation caused ␣1(AD) subunit misfolding and rapid degradation, reducing its total and surface expression substantially. Here, we determined the effects of the residual ␣1(AD) subunit expression on wild type GABA A R expression to determine whether the AD mutation conferred a dominant negative effect. We found that although the ␣1(AD) subunit did not substitute for wild type ␣1 subunits on the cell surface, it reduced the surface expression of ␣12␥2 and ␣32␥2 receptors by associating with the wild type subunits within the endoplasmic reticulum and preventing them from trafficking to the cell surface. The ␣1(AD) subunit reduced surface expression of ␣32␥2 receptors by a greater amount than ␣12␥2 receptors, thus altering cell surface GABA A R composition. When transfected into cultured cortical neurons, the ␣1(AD) subunit altered the time course of miniature inhibitory postsynaptic current kinetics and reduced miniature inhibitory postsynaptic current amplitudes. These findings demonstrated that, in addition to causing a heterozygous loss of function of ␣1(AD) subunits, this epilepsy mutation also elicited a modest dominant negative effect that likely shapes the epilepsy phenotype.
GABA A Rs2 are ligand-gated ion channels that provide the major source of inhibitory control to the mammalian central nervous system. Each GABA A R is a pentamer whose five subunits arise from seven subunit families that contain multiple subtype isoforms. Neurons preferentially express GABA A Rs composed of distinct combinations of subunit isoforms in different brain regions at well defined times in development (1-3).At maturity, the most prevalent GABA A R throughout the brain consists of two ␣1 subunits, two 2 subunits, and one ␥2 subunit in a 2-␣1-2-␣1-␥2 assembly (4 -6). To date, 13 autosomal dominant mutations in GABA A R subunit genes have been associated with different epilepsy syndromes (7).The missense AD mutation in the GABA A R ␣1 subunit gene (GABRA1) causes ADJME (8), a monogenic form of a common epilepsy syndrome that begins at a distinct developmental time point (adolescence) and confers myoclonic, generalized tonicclonic, and absence seizures as well as neuropsychiatric comorbidities (9). We demonstrated previously that the AD mutation, which substitutes a negatively charged aspartate for a neutral alanine within the M3 transmembrane domain, causes the ␣1(AD) subunit to misfold with altered topology (10). Cells rapidly degrade the misfolded ␣1(AD) subunit through both proteasome-and lysosome-mediated processes (10, 11). Therefore, the ␣1(AD) subunit is expressed at substantially lower levels than the wild type ␣1 subunit. GABA A Rs that do incorporate the residual, nondegraded ␣1(AD) subunits exhibit substantially altered electrophysiological properties (8,12,13). Therefore, a major consequence of heterozygous expression of the AD mutation i...