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<mods:namePart>Lerche, Holger (Prof. Dr.)</mods:namePart>
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<mods:namePart>Haag, Carolin</mods:namePart>
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<mods:abstract>Synaptic vesicle release is a highly coordinated process that forms the basis for fast and&#xd;
efficient neuronal communication. The complex interplay of several presynaptic proteins&#xd;
fine-tunes the orchestration of the vesicle release machinery. Consequently, dysfunction&#xd;
of any single protein within this reaction chain can have detrimental consequences&#xd;
for synaptic transmission, ultimately disrupting the brain’s excitation/inhibition balance&#xd;
and manifesting as the clinical symptom of an epileptic seizure. Pathogenic variants&#xd;
in STX1B, encoding the presynaptic SNARE protein syntaxin-1B, have been associated&#xd;
with various epilepsy syndromes. To better understand the underlying pathophysiological&#xd;
mechanisms, the effects of STX1B variants have been investigated in different animal&#xd;
models. However, previous studies are constrained by the absence of phenotypic penetrance in the heterozygous state that reflects the patient’s condition, limiting their ability to accurately model the associated human neurological disorder.&#xd;
To more closely mimic the patient scenario, this thesis investigated the effect of STX1B&#xd;
variants in a human model system using induced pluripotent stem cells (iPSCs). For&#xd;
the generation of patient-derived cell lines, skin fibroblasts from individuals carrying&#xd;
pathogenic variants in the STX1B gene (G226R and InDel) were reprogrammed into&#xd;
iPSCs. An additional variant of interest (V216E) was inserted into a healthy control&#xd;
line by CRISPR/Cas9 gene editing. Leveraging the fast NGN2-based conversion of&#xd;
iPSCs into neurons, the variant-induced synaptic dysfunctions were electrophysiologically&#xd;
investigated at both network as well as single-cell level, with the latter allowing in-depth&#xd;
analysis of synapse function. While the three variants under investigation exhibit distinct&#xd;
synaptic dysfunctions of varying severity at the single-cell level, they eventually converge&#xd;
on a shared network phenotype, which is manifested by an increased burst and spike rate.&#xd;
Morphological and transcriptomic analyses point towards the implication of secondary&#xd;
mechanisms, initially triggered by the primary synaptic dysfunction, to be causative for a&#xd;
hyperexcitable network state. In addition, the large InDel variant negatively affects the&#xd;
syntaxin-1B protein levels, possibly due to protein instability. While the precise mechanisms linking primary synaptic dysfunction to the altered network&#xd;
state remain to be elucidated, this study provides novel interesting insights into the&#xd;
pathophysiology of STX1B-related synaptopathies, thereby paving the way for future&#xd;
complementary studies in more complex model systems.</mods:abstract>
<mods:abstract>Die Dissertation ist gesperrt bis zum 08. Oktober 2027 !</mods:abstract>
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<mods:title>Unravelling the role of the STX1B gene in genetic epilepsy syndromes using human induced pluripotent stem cells</mods:title>
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<mods:genre>PhDThesis</mods:genre>
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