Loss of Function
Phelan–McDermid Syndrome
Genotype
Shank3
Mechanism
Loss of Function
Phenotype
Social isolation, Repetitive Behavior, Cognitive impairment, Locomotor activity, Anxiety, Touch evoke response, Sleep, Seizures
Biomarker
PSD-95, GABA, BDNF, Glutamate, GFAP
Gene Expression Markers
GRIN1, GRIN2B, GRIA1, GRIA2, DRD1, DRD2, SOD1, MECP2
Physiology Changes
EEG - Reduced excitatory synaptic transmission, Reduced long-term potentiation, Disrupted gamma oscillations, Reduced spine density and maturation, Reduced REM/non-REM balance
Histology Grading Endpoint
Reduced spine density, Reduced dendritic arbor complexity, Shortened dendritic length,Microglial activation, Thinner postsynaptic densities



