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Developmentally regulated KCC2 phosphorylation is essential for dynamic GABA-mediated inhibition and survival.
Miho Watanabe1 (Kristopher T. Kahle2, Atsuo Fukuda1)

Despite its importance for γ-aminobutyric acid (GABA) inhibition and involvement in neurodevelopmental disease, the regulatory mechanisms of the K+/Cl cotransporter KCC2 (encoded by SLC12A5) during maturation of the central nervous system (CNS) are not entirely understood. Here, we applied quantitative phosphoproteomics to systematically map sites of KCC2 phosphorylation during CNS development in the mouse. KCC2 phosphorylation at Thr906 and Thr1007, which inhibits KCC2 activity, underwent dephosphorylation in parallel with the GABA excitatory-inhibitory sequence in vivo. Knockin mice expressing the homozygous phosphomimetic KCC2 mutations T906E/T1007E (Kcc2E/E), which prevented the normal developmentally regulated dephosphorylation of these sites, exhibited early postnatal death from respiratory arrest and a marked absence of cervical spinal neuron respiratory discharges. Kcc2E/E mice also displayed disrupted lumbar spinal neuron locomotor rhythmogenesis and touch-evoked status epilepticus associated with markedly impaired KCC2-dependent Cl extrusion. These data identify a previously unknown phosphorylation-dependent KCC2 regulatory mechanism during CNS development that is essential for dynamic GABA-mediated inhibition and survival. Our article has been selected as the cover article of Science Signaling and introduced by editorial board as “FOCUS” article.

Miho Watanabe#, Jinwei Zhang#, M. Shahid Mansuri#, Jingjing Duan, Jason K. Karimy, Eric Delpire, Seth L. Alper, Richard P. Lifton, Atsuo Fukuda*, and Kristopher T. Kahle*. Developmentally regulated KCC2 phosphorylation is essential for dynamic GABA-mediated inhibition and survival. Science Signaling.
12(603): eaaw9315, 2019.
# These authors contributed equally. *corresponding author


<Figure Legends>
Fig. 1. A postnatal decrease in neuronal Cl- concentration ([Cl-]i), dependent on the Cl--extruding K+-Cl- cotransporter (KCC2), switches GABA response from excitation to inhibition in the developmental period. We showed that regulated KCC2 phosphorylation at Thr906/Thr1007 is essential for dynamic GABA-mediated inhibition and survival. Our article has been selected as the cover article of Science Signaling.

1 Dept Neurophysiol, Hamamatsu Univ Sch Med, Hamamatsu, Japan
2 Depts Neurosurgery, Pediatrics, Cell and Mol Physiol; Centers for Mendelian Genomics, Yale Sch Med, New Haven, CT