Mutations in pre-synaptic voltage gated calcium channels can lead to familial hemiplegic migraine type 1 (FHM1). While mammalian studies indicate that the migraine brain is hyperexcitable due to enhanced excitation or reduced inhibition, the molecular and cellular mechanisms underlying this excitatory/inhibitory (E/I) imbalance are poorly understood. We identified a gain-of-function (gf) mutation in the Caenorhabditis elegans CaV2 channel α1 subunit, UNC-2, which leads to increased calcium currents. unc-2(gf) mutants exhibit hyperactivity and seizure-like motor behaviors. Expression of the unc-2 gene with FHM1 substitutions R192Q and S218L leads to hyperactivity similar to that of unc-2(gf) mutants unc-2(gf) mutants display increased cholinergicand decreased GABAergic-transmission. Moreover, we reveal that and increased cholinergic transmission in unc-2(gf) mutants leads to reduction of GABA synapses in a TAX-6/calcineurin dependent manner. Our studies provide mechanistic insight into how CaV2 gain-of-function mutations disrupt excitation-inhibition balance in the nervous system.
IntroductionMaintenance of proper brain function requires the balance of excitatory and inhibitory synaptic transmission. There is an increasing amount of evidence that the disruption of E/I balance in neural circuits is associated with neurological disorders, including autism, epilepsy and migraine (Nelson and Valakh, 2015;Vecchia and Pietrobon, 2012). Several studies have proposed that impaired inhibitory function may drive a shift in E/I balance towards excitation, and underlie the phenotypic changes observed in these disorders (Selten et al., 2018;Mainero and Louapre, 2014). While animal model studies provide support for this hypothesis, our understanding of the molecular and cellular mechanisms that lead to E/I imbalance remains limited.Mutations in the CACNA1A gene, which encodes the pore-forming α subunit of the CaV2.1 (P/Q type) voltage-gated calcium channel (VGCC), are associated with a broad spectrum of autosomal dominant neurological disorders. CaV2 VGCCs are the predominant channels in presynaptic nerve terminals, where they mediate the Ca 2+ influx that triggers the fusion of synaptic vesicles with the presynaptic membrane (Catterall, 2000;Bidaud et al., 2006). CACNA1A mutations can cause episodic ataxia type 2 (EA2), epileptic seizures and familial hemiplegic migraine type 1 (FHM1) (Pietrobon, 2010). Episodic ataxia type 2 (EA2), whose clinical features include the lack of voluntary coordination of muscle movements and epileptic seizures, is associated with a range of missense, nonsense-, and 3 splice site mutations throughout the CACNA1A gene. Familial hemiplegic migraine type 1 (FHM1), a severe variant of migraine that can co-occur with tonic-clonic seizures, has been found to be associated with missense mutations near the voltage sensors of the α1 subunit (Adams and Snutch, 2007).Electrophysiological analyses suggest that EA2 mutations lead to diminished channel functions, whereas both gain-and loss-of-channel function p...