# Dissecting the Developmental and Epileptic Components of Encephalopathy in DEE

> **NIH NIH R01** · BAYLOR COLLEGE OF MEDICINE · 2024 · $46,798

## Abstract

Project Summary/Abstract of Parent Grant 1-R01 NS131399-01
In patients with developmental and epileptic encephalopathies (DEEs), early life seizures and intellectual
disability are frequently accompanied by disturbances in arousal/sleep, communication/social reciprocity,
feeding and/or sensory integration. These neurobehavioral comorbidities are hypothesized to reflect a synergy
of two independent but intertwined processes: (i) an inciting lesion (genetic or structural) capable of itself altering
neurodevelopmental trajectories, and (ii) periods of frequent seizures, particularly early in life, that further
exacerbate developmental delays. In many patients, behavioral deterioration may begin prior to seizure onset
and may persist despite complete seizure control (or spontaneous remission). With whole exome sequencing,
we now recognize a rapidly expanding list of genetic DEEs, which have lent to genetically informed mouse
models that are critically poised to develop the urgently needed precision therapies that extend beyond seizure
control. Today’s models are actively revealing novel mechanistic insights into molecular and circuit-level
pathophysiology, thanks to the latest advances in genome manipulation and measurements of omics, functional
connectivity and calcium imaging, as well as continued ergonomic improvements in rodent electro-
encephalography. In contrast, there have been few technical and conceptual innovations within preclinical
assays for neurobehavioral impairment, leaving the field reliant on behavioral batteries that may be confounded
by primary disturbances in sleep/arousal, seizure recency, motor deficits and human olfactory interference. In
this application, we apply the latest advances in homecage instrumentation and automated video-tracking to
define endpoints for DEE-related neurobehavioral impairment that are derived under experimenter-free
conditions (remote behavioral telemetry). We describe a mouse model of DEE with early life seizures that
displays a robust multifaceted behavioral syndrome with core features of hyperactivity and insomnia. Using this
model system, this proposal tests the central hypothesis of genetic DEE, that the neurobehavioral consequences
of the causative genetic lesion can be dissociated from the behavioral aftereffects of recurrent early life seizures.
In Aim 1, we examine a transcription factor that is activated by seizures in the hippocampus, and which is known
to shape a range of emotional and cognitive behaviors. In Aim 2, we test the importance of early life seizures by
comparing behavioral and epileptic consequences of an early versus late genetic ablation. In Aim 3, we connect
hyperactivity and insomnia in our mutant mice to primary disruptions in 5h ultradian rhythms of activity, and test
whether pharmacological or behavioral interventions to restore ultradian rhythms exert therapeutic benefits. In
the short term, these experiments will build molecular and circuit-level insights while deliv...

## Key facts

- **NIH application ID:** 11090153
- **Project number:** 3R01NS131399-02S1
- **Recipient organization:** BAYLOR COLLEGE OF MEDICINE
- **Principal Investigator:** Vaishnav Krishnan
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $46,798
- **Award type:** 3
- **Project period:** 2024-07-01 → 2026-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/11090153

## Citation

> US National Institutes of Health, RePORTER application 11090153, Dissecting the Developmental and Epileptic Components of Encephalopathy in DEE (3R01NS131399-02S1). Retrieved via AI Analytics 2026-05-21 from https://api.ai-analytics.org/grant/nih/11090153. Licensed CC0.

---

*[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*
