Loss of Function
Ohtahara Syndrome
Genotype
STXBP1
Mechanism
Loss of Function
Phenotype
Seizures, Locomotor dysfunction, Startle Response, Touch-evoked escape response, Sleep/Wake Disturbances, Cognitive impairment, Social isolation
Biomarker
S100B, NfL, PSD-95, GABA, GFAP, BDNF, NSE
Gene Expression Markers
STX1A, VAMP2, GAD1, GAD2, GABRA1, GABRB2, GRIN1, SCN1A
Physiology Changes
EEG - Burst-suppression pattern, Reduced long-term potentiation, Frequent spikes and sharp waves, Irregular heart rate variability, Reduced muscle tone
Histology Grading Endpoint
Disorganized cortical layering, Reduced dendritic branching and spine density, Reduction in neuronal density,Impaired myelination



