In the experimental group, mean hair mercury levels, determined b

In the experimental group, mean hair mercury levels, determined before

and after the dietary methylmercury exposure and after 15-week wash-out period following the cessation of exposure, were 2.30. 8.76 and 4.90 mu g/g, respectively. The sympathovagal balance index of HRV was significantly elevated after the exposure, and decreased to the baseline level at the end of this study. Still, such changes in HRV parameters were not found in the control group with a mean hair mercury level of around 2.1 mu g/g. In conclusion, the PTWI does not appear to be safe for adult health, because methylmercury exposure CB-839 solubility dmso from fish consumption induced a temporary sympathodominant state. Rather, long-term exposure to methylmercury may pose a potential risk for cardiac events involving sympathovagal imbalance among fish-consuming populations. (C) 2009 Elsevier Inc. All rights reserved.”
“We previously reported that a human immunodeficiency virus type 1 (HIV-1) clade B envelope protein with a severely truncated V3 loop regained function after passage in tissue culture. The adapted virus, termed TA1, retained the V3 truncation, was exquisitely

sensitive to neutralization by the CD4 binding site monoclonal antibody b12 and by HIV-positive human sera, used CCR5 to enter cells, learn more and was completely resistant to small molecule CCR5 antagonists. To examine the mechanistic basis for these properties, we singly and in combination introduced each of the 5 mutations from the adapted clone TA1 into the unadapted envelope. We found that single amino acid changes in the C3 region, the V3 loop, and in the fusion peptide were responsible for imparting near-normal levels of envelope function to TA1. T342A, which resulted in the loss of a highly conserved glycosylation site in C3, played the primary role. The adaptive amino acid changes had

no impact on CCR5 antagonist resistance but made virus more sensitive to neutralization by antibodies to Tideglusib purchase the CD4 binding site, modestly enhanced affinity for CD4, and made TA1 more responsive to CD4 binding. Specifically, TA1 was triggered by soluble CD4 more readily than the parental Env and, unlike the parental Env, could mediate entry on cells that express low levels of CD4. In contrast, TA1 interacted with CCR5 less efficiently and was highly sensitive to antibodies that bind to the CCR5 N terminus and ECL2. Therefore, enhanced utilization of CD4 is one mechanism by which HIV-1 can overcome mutations in the V3 region that negatively affect CCR5 interactions.”
“Methylmercury (MeHg) is a ubiquitous environmental pollutant and has been shown to affect learning in vertebrates following relatively low exposures. Zebrafish were used to model long-term learning deficits after developmental MeHg exposure. Selenomethionine (SeMet) co-exposure was used to evaluate its role in neuroprotection.

Overall, these data suggest that patients with unilateral

Overall, these data suggest that patients with unilateral

PWD may, in fact, have a deficit in (left lateralized) temporal processing ability, however they also show that a rapid temporal processing deficit is, by itself, unable to account for this patient’s JNJ-64619178 order speech perception deficit. (C) 2010 Elsevier Ltd. All rights reserved.”
“This study explores whether brain polarization could be effective in modulating multisensory audiovisual interactions in the human brain, as measured by the ‘sound-induced flash illusion’ (Shams et al., 2000). In different sessions, healthy participants performed the task while receiving anodal, cathodal, or sham tDCS (2 mA, 8 min) to the occipital, temporal, or posterior parietal cortices. We found that up- or down-regulating cortical excitability by tDCS can facilitate or reduce audiovisual illusions, depending on the current polarity, the targeted area, and the illusory percept. Specifically, the perceptual ‘fission’ of a single flash, due to multiple beeps, was increased after anodal tDCS of the temporal cortex, and decreased after anodal stimulation of the occipital cortex. A reversal of such effects was induced by cathodal tDCS. Conversely, the perceptual ‘fusion’ of multiple flashes due to a single beep was unaffected by tDCS. This evidence adds novel clues on the cortical substrate of the generation Dorsomorphin ic50 of the sound-flash illusion, and opens new attractive possibilities

for modulating multisensory perception in humans: tDCS appears to be an effective A-1331852 manufacturer tool to modulate the conscious visual experience associated with multisensory interactions, by noninvasively shifting cortical excitability within occipital or temporal

areas. (C) 2010 Elsevier Ltd. All rights reserved.”
“In patients with right brain damage and left visual neglect, attention tends to be captured by right-sided objects and cannot easily disengage from them. While these phenomena can account for several clinical and experimental patterns of performance such as biased visual search, its role is more controversial for other neglect-related signs, such as the typical rightward shifts in horizontal line bisection. It is thus important to see whether and how attentional orienting can bias line bisection in normal participants using standard clinical bisection stimuli. In 3 experiments, we explored the Attentional Repulsion Effect (ARE, Suzuki & Cavanagh, 1997) on pre-bisected lines. Normal observers saw horizontal lines with a vertical bisection mark near the center, preceded by a cue to the left or right of the line, or by no cue. On each trial, observers indicated whether they saw the bisection mark to the left or at the right of the midpoint. We plotted the proportion of ‘seen-at-right’ responses as a function of the mark’s actual position. For uncued lines, the point of subjective equality was slightly at the left of the true center, consistent with the pseudoneglect phenomenon.

Secretion of interleukin-6 also tended to increase in aged VSMCs

Secretion of interleukin-6 also tended to increase in aged VSMCs. This age-associated proinflammatory shift in the cellular secretory phenotype was associated with an increased mitochondrial O-2(-) production and nuclear factor kappa-light-chain-enhancer of activated B cells activation. Treatment of aged VSMCs with a physiologically relevant concentration of resveratrol (1 mu M) exerted significant anti-inflammatory effects, reversing aging-induced alterations in the cellular cytokine secretion profile and inhibiting

nuclear factor kappa-light-chain-enhancer of activated B cells. Resveratrol also attenuated mitochondrial O-2(-) production and upregulated the transcriptional activity of Nrf2 in aged VSMCs. Thus, in non-human primates, cell-autonomous activation of nuclear factor kappa-light-chain-enhancer of activated B cells and expression of an inflammatory selleck kinase inhibitor secretome likely contribute to vascular inflammation in aging. Resveratrol treatment prevents the proinflammatory properties of the aged VSMC secretome, an

effect that likely contributes to the demonstrated vasoprotective action of resveratrol in animal models of aging.”
“Brain damage can sometimes render a patient persistently unresponsive and yet apparently learn more awake, admitting the possibility that the absence of overt voluntary behaviour might conceal a retained capacity for covert cognition. When given instructions to perform a cognitive task, a

minority of patients in such a so-called persistent vegetative state (PVS) has recently been found to exhibit patterns of brain activation closely matching those observed in normal subjects obeying the same instructions. These data have been widely interpreted as implying the detection of covert “”consciousness”". Here we show that this inference is not supported by the extant data because it relies on critical assumptions, obscured by conceptual unclarities, that are either untested or untestable. We set Electron transport chain out the proper grounds for ascribing psychological attributes to PVS patients from physiological evidence of any kind, and offer a perspicuous conceptual framework for future empirical studies in the field. (C) 2010 Elsevier Ltd. All rights reserved.”
“It has been common experimentally to use high frequency, tetanic, stimulation to activate metabotropic glutamate receptors (mGluRs) in cortex and thalamus. To determine what type of stimulation is actually necessary to activate mGluRs we examined the effects of varying stimulation duration and intensity on activating mGluR responses. We used a thalamocortical and an intracortical slice preparation from mice and performed whole cell recordings from neurons in the ventral posterior medial nucleus or in layer 4 of primary somatosensory cortex (S1) while electrically stimulating in layer 6 of S1.

(C) 2010 Elsevier Ireland Ltd All rights reserved “
“Human

(C) 2010 Elsevier Ireland Ltd. All rights reserved.”
“Human studies suggest that a variety of prenatal stressors are related to high risk for cognitive and behavioral abnormalities associated with psychiatric illness (Markham and Koenig, 2011). Recently, a downregulation in the expression of GABAergic www.selleckchem.com/products/EX-527.html genes (i.e., glutamic acid decarboxylase 67 and reelin) associated with DNA methyltransferase (DNMT) overexpression in GABAergic neurons has been regarded as a characteristic phenotypic component of the neuropathology of psychotic disorders (Guidotti et al., 2011).

Here, we characterized mice exposed to prenatal restraint stress (PRS) in order to study neurochemical and behavioral abnormalities

related to development of schizophrenia in the adult. Offspring born from non-stressed mothers (control mice) showed high levels of DNMT1 and 3a mRNA expression in the frontal cortex at birth, but these levels progressively decreased at post-natal days (PND) 7, 14, and 60. Offspring born from stressed mothers (PRS mice) showed increased levels of DNMTs compared to controls at all time-points studied including at birth and at PND 60. Using GAD67-GFP transgenic CFTRinh-172 mice, we established that, in both control and PRS mice, high levels of DNMT1 and 3a were preferentially expressed in GABAergic neurons of frontal cortex and hippocampus. Importantly, the overexpression of

DNMT in GABAergic neurons was associated with a decrease in reelin and GAD67 expression in PRS mice in early

and adult life. PRS mice also showed an increased binding of DNMT1 and MeCP2, and an increase in 5-methylcytosine and 5-hydroxymethylcytosine in specific CpG-rich regions of the reelin and GAD67 promoters. Thus, the epigenetic changes in PRS mice are similar to changes observed in the post-mortem brains of psychiatric patients. Behaviorally, adult PRS mice showed hyperactivity and deficits in social interaction, prepulse inhibition, and fear conditioning that were corrected by administration of valproic acid (a histone deacetylase Selleckchem Luminespib inhibitor) or clozapine (an atypical antipsychotic with DNA-demethylation activity). Taken together, these data show that prenatal stress in mice induces abnormalities in the DNA methylation network and in behaviors indicative of a schizophrenia-like phenotype. Thus, PRS mice may be a valid model for the investigation of new drugs for schizophrenia treatment targeting DNA methylation.

This article is part of the Special Issue entitled ‘Neurodevelopmental Disorders’. Published by Elsevier Ltd.”
“Avocado sunblotch viroid, peach latent mosaic viroid, chrysanthemum chlorotic mottle viroid, and eggplant latent viroid (ELVd), the four recognized members of the family Avsunviroidae, replicate through the symmetric pathway of an RNA-to-RNA rolling-circle mechanism in chloroplasts of infected cells.

Size-exclusion chromatography experiments indicated that in solut

Size-exclusion chromatography experiments indicated that in solution, full-length N Oct-3 was a monomer. Circular dichroism and intrinsic tryptophan

fluorescence showed that full-length N Oct-3 was folded, with a significant alpha-helix content probably located in its DBD. Comparison with the purified N Oct-3 DBD demonstrated that, at least in vitro, the affinity of the protein for its DNA targets was similar. This suggests that the transactivation domain of N Oct-3 was not involved in N Oct-3 DNA interaction. (C) 2008 Elsevier Inc. All rights reserved.”
“Several causative genes have been identified for both dystonia-parkinsonism and neurodegeneration with brain iron accumulation (NBIA), yet many patients do not have mutations in any of the known genes. Mutations in PKC412 mw the ATP13A2 lead

to Kufor Rakeb disease, a form of autosomal recessive juvenile parkinsonism that also features oromandibular dystonia. More recently, evidence of iron deposition in the caudate and putamen have been reported in patients with ATP13A2 mutations. We set out to determine the frequency of ATP13A2 mutations in cohorts of idiopathic NBIA and dystonia-parkinsonism. We screened for large deletions using whole genome arrays, and sequenced the entire coding region in 92 cases of NBIA and 76 cases of dystonia-parkinsonism. A number of coding and PARP inhibitor non-coding sequence 3-deazaneplanocin A order variants were identified in a heterozygous state, but none were predicted to be pathogenic based on in silico analyses. Our results indicate that ATP13A2 mutations are a rare cause of both NBIA and dystonia-parkinsonism. (C) 2012 Elsevier Ireland Ltd. All rights reserved.”
“Networking between cells is critical for proper

functioning of the cellular milieu and is mediated by cascades of highly regulated and overlapping signaling molecules. The enzyme heme oxygenase-1 (HO-1) generates three separate signaling molecules through the catalysis of heme carbon monoxide (CO), biliverdin, and iron each of which acts via distinct molecular targets to influence cell function, both proximally and distally. This review focuses on state-of-the art developments and insights into the impact of HO-1 and CO on the innate immune response, the effects of which are responsible for an ensemble of functions that help regulate complex immunological responses to bacterial sepsis and ischemia/reperfusion injury. HO-1 exemplifies an evolutionarily conserved system necessary for the cellular milieu to adapt appropriately, function properly, and ensure survival of the organism.”
“HIV CCR5 antagonists select for env gene mutations that enable virus entry via drug-bound coreceptor.

The connection between disturbed pH(i) and altered

The connection between disturbed pH(i) and altered selleck products cardiovascular function has been substantiated by a genome-wide association study showing a link between NBCn1 and human hypertension. On this basis, we here review the current evidence regarding (a) molecular mechanisms involved in pH(i) control in VSMCs and ECs of resistance arteries at rest and during contractions, (b) implications of disturbed pH(i) for resistance artery function, and (c) involvement of disturbed pH(i) in the pathogenesis of vascular disease. The current

evidence clearly implies that pH(i) of VSMCs and ECs modulates vascular function and suggests that disturbed pH(i) either consequent to disturbed regulation or due to metabolic challenges needs to be taken into consideration as a mechanistic component of artery dysfunction and disturbed blood pressure regulation. Copyright (C) 2012 S. Karger AG, Basel”
“Objective: To test whether depression is independently associated with elevated levels find more of C-reactive

protein (CRP) in a large nationwide population-based sample. Methods: Depression and CRP were assessed in 6005 Finns aged > 30 years, as part of the ongoing population-based Health 2000 Study. Depression was determined by responses to the Beck’s Depression Inventory (BDI-21) and by Composite International Diagnostic Interview (CIDI). Results: Higher scores on BDI-21 were related to higher CRP levels (beta = 0.12, p < .001) in men and (beta = 0.08, p < .001) in women. In men, but not in women, this relationship persisted after adjustment for a number of other known risk factors. In men, the more recent dysthymic disorder or at least moderate Volasertib order depressive episode defined using CIDI was related to elevated CRY levels (beta = 0.06, p = .006). Conclusions: Depressive symptoms may be partly responsible for inflammatory processes, and inflammatory processes may induce depressive symptoms in men.”
“mRNA export is a critical step in gene expression. Export of transcripts can be modulated in response to cellular signaling or stress.

Consistently, mRNA export is dysregulated in primary human specimens derived from many different forms of cancer. Aberrant expression of export factors can alter the export of specific transcripts encoding proteins involved in proliferation, survival, and oncogenesis. These specific factors, which are not used for bulk mRNA export, are obvious therapeutic targets. Indeed, given the emerging role of mRNA export in cancer, it is not surprising that efforts to target different aspects of this pathway have reached the clinical trial stage. Thus, like transcription and translation, mRNA export may also play a critical role in cancer genesis and maintenance.”
“It is well established that cholinergic modulation of functioning of neuronal networks is common in the central nervous system at all scales from neuronal columns to large nuclei. It is involved in various attentional, cognitive and behavioral performances.

duboulayi Acclimation to 15 degrees C or 25 degrees C for 6 week

duboulayi. Acclimation to 15 degrees C or 25 degrees C for 6 weeks did not affect the

prey-capture performance of M. duboulayi or the locomotor Selleck Elafibranor performance of either M. duboulayi or Enithares sp. However, acclimation to cool temperatures improved the locomotor performance of P. australiensis at both cool and warm temperatures. Thus, the interaction between M. duboulayi (predator) and P. australiensis (prey) is likely to change across seasons via differences in acclimation responses, which could directly affect their behavioural strategies and population dynamics. (C) 2012 Elsevier Ltd. All rights reserved.”
“This article reviews current data on the use of cognition enhancers as study aids in the student population. It identifies gaps and uncertainties in the knowledge required to make a balanced assessment of the need for some form WZB117 price of regulation. The review highlights the weak evidence on the prevalence of use of such drugs, especially outside the US, and the ambiguous evidence for their efficacy in a healthy population. Risks are well documented for the commonly used drugs, but poorly

appreciated by users. These include not only the side-effects of the drugs themselves, but risks associated with on-line purchase, which offers no guarantees of authenticity and which for some drugs is illegal. The case for urgent action to regulate use is often linked to the belief that new and more effective drugs are likely to appear in the near future. The evidence for this is weak. However, drugs are not the only possible route to neuroenhancement and action is needed to collect more data on the impact of existing drugs, as well as new technologies, in order to guide society in making a proportionate response to the issue.

This article is part of a Special Issue entitled ‘Cognitive Enhancers’. (C) 2012 Elsevier Ltd. All rights reserved.”
“Bullfrogs, Lithobathes catesbeianus, bearing a femoral artery cannula were held at 3 temperatures (10,20 and

30 degrees C) for 24 h. BAY 1895344 cost Changes in heart rate were recorded before and after injection of cholinergic and adrenergic antagonists. Normal heart rate doubled for each temperature increment. Adrenergic tone on the heart varied around 20% at all 3 temperatures but cholinergic tone increased from -5% to 10% between 10 and 30 degrees C. In contrast, cholinergic tone increased from 75% at 5 degrees C to 329% at 25 degrees C in Xenopus laevis. Injection of the neural tracer True Blue into the cervical vagus of the bullfrog revealed a single location for vagal preganglionic neurons (VPN) in the dorsal vagal motor nucleus (DVN), while Xenopus had 30% of its VPN in a ventro-lateral group outside the DVN. Broader comparative studies have suggested that differences in the extent of vagal tone may relate to the location of VPN in the brainstem and this may be the case in these amphibians.

Potential antidepressant and mood-stabilizing agents targeting co

Potential antidepressant and mood-stabilizing agents targeting common intracellular pathways of known monoaminergic agents and lithium/mood stabilizers are also reviewed, such as neurotrophic factors, extracellular receptor-coupled kinase (ERK) mitogen-activated

protein (MAP) kinase and the bcl-2 family LCL161 solubility dmso of proteins, and inhibitors of phosphodiesterase, glycogen synthase kinase-3, and protein kinase C. A major thrust of drug discovery in mood disorders will continue efforts to identify agents with rapid and sustained onsets of action (such as intravenous administration of ketamine), as well as identify drugs used routinely in non-psychiatric diseases for their antidepressant and mood-stabilizing properties.”
“Panic

disorder is a severe anxiety disorder characterized by susceptibility to induction of panic attacks by subthreshold interoceptive stimuli such as 0.5M sodium lactate infusions. Although studied for four decades, the mechanism of lactate sensitivity in panic disorder has not been understood. The dorsomedial hypothalamus/perifomical region (DMH/PeF) coordinates rapid mobilization of behavioral, autonomic, respiratory and endocrine responses to stress, and rats with disrupted GABA inhibition in the DMH/PeF exhibit panic-like responses to lactate, similar to panic disorder Flavopiridol concentration patients. Utilizing a variety of anatomical and pharmacological methods, we provide evidence Ulixertinib that lactate, via osmosensitive periventricular pathways, activates neurons in the compromised DMH/PeF, which relays this signal to forebrain limbic structures such as the bed nucleus of the stria terminalis to mediate

anxiety responses, and specific brainstem sympathetic and parasympathetic pathways to mediate the respiratory and cardiovascular components of the panic-like response. Acutely restoring local GABAergic tone in the DMH/PeF blocked lactate- induced panic-like responses. Autonomic panic-like responses appear to be a result of DMH/PeF-mediated mobilization of sympathetic responses (verified with atenolol) and resetting of the parasympathetically mediated baroreflex. Based on our findings, DMH/ PeF efferent targets such as the Cl adrenergic neurons, paraventricular hypothalamus, and the central amygdala are implicated in sympathetic mobilization; the nucleus of the solitary tract is implicated in baroreflex resetting; and the parabrachial nucleus is implicated in respiratory responses. These results elucidate neural circuits underlying lactate- induced panic-like responses and the involvement of both sympathetic and parasympathetic systems.”
“Objective: To compare the results of emergency open repair of acute (ruptured or symptomatic intact) abdominal aortic aneurysms with that of endovascular repair.

Methods.

Results: We identified 556 adverse events related to stone basket

Results: We identified 556 adverse events related to stone baskets. The device configuration was tipped in 48% of cases, tipless in 36%, forceps in 8% and the Stone Cone (TM) in 8%. Malfunction type included detachment of a portion of the basket in 49% of cases, breakage CB-5083 without detachment in 39% and inability to withdraw the basket in 12%. Compared to the early

period studied (1996 to 2004) there was a 3-fold increase in adverse events from 2005 to 2007 and a 6-fold increase from 2008 to 2009. Of adverse events 79% and 11% were managed by endoscopy and open surgery, respectively. Of the patients 42 experienced serious complications requiring major surgery, including ureteral reconstruction in 7, reimplantation in 4 and nephrectomy in 7.

Conclusions: With the increased use of stone baskets in the upper collecting system the number of adverse events has increased. Urologists should remain vigilant to prevent, recognize and manage these events.”
“Purpose: Management

for blunt high grade renal injury is controversial with most disagreement concerning indications for exploration. At our institution all patients are considered candidates for conservative treatment regardless of injury grade or computerized tomography appearance with clinical status the sole determinant for intervention. We define clinical factors predicting the need for emergency intervention as well the development of complications.

Materials CHIR-99021 in vivo and Methods: We analyzed the records of 117 patients with high grade renal injury (III to V) secondary to blunt trauma who presented to our institution in an 8-year period. Patients were categorized by the need for emergency intervention and, in those treated

conservatively, by complications. We generated logistic regression models to identify significant clinical predictors of each outcome.

Results: Grade III to V injury occurred in 48 (41.1%), 42 (35.9%) and 27 patients (23%), respectively. Of the 117 patients 20 (17.1%) required emergency intervention. On multivariate analysis only grade V injury (RR 4.4, 95% CI 1.9-10.5, p = 0.001) and the need for platelet transfusion (RR 8.9, 95% CI 2.1-32.1, p <0.001) significantly selleck screening library predicted the need for intervention. A total of 90 patients (82.9%) who did not require emergency intervention underwent a trial of conservative treatment, of whom 9 (9.3%) experienced complications requiring procedural intervention. On multivariate analysis only patient age (RR 1.06, 95% CI 1.02-1.1, p = 0.004) and hypotension (RR 12, 95% CI 1.9-76.7, p = 0.009) were significant predictors.

Conclusions: High grade injury can be successfully managed conservatively. However, grade V injury and the need for platelet transfusion predict the need for emergency intervention while older patient age and hypotension predict complications.

(c) 2011 Elsevier Ltd All rights reserved “
“Heterotrimeric

(c) 2011 Elsevier Ltd. All rights reserved.”
“Heterotrimeric G proteins relay signals from G protein-coupled receptors EPZ5676 supplier (GPCRs) to the interior of the cell. The signaling cascades induced by G protein activation control a wide range of cellular processes. The alpha subunit is believed to determine which G protein couples to each GPCR, and is the primary determinant of the type of signal transmitted. Several members of the G(alpha)

family have been expressed in active form in Escherichia coli. However, production levels of these proteins are limited: in most cases only similar to 10% of total G(alpha) protein expressed is active; the rest accumulates in inclusion bodies. Although G(i alpha) has been readily expressed in soluble form (to 10 mg/L), other alpha subunits are minimally soluble, and many are exclusively expressed to inclusion bodies. Previous efforts to solubilize and refold G(alpha) from inclusion bodies have not been successful. Here we did a thorough study of the characteristics of G(alpha) subunits (human G(i alpha(1)). human G(s alpha(short)), human G(11 alpha) and human G(1 alpha(cone))), NF-��B inhibitor solubilized and purified from inclusion bodies. We find that we can obtain soluble protein both by on-column and rapid-dilution techniques.

Comparison to native, soluble G(i alpha) expressed from E. coli showed that althousih the refolded G(alpha) subunits were soluble and retained partial alpha-helicity characteristic of the native, folded G(alpha) subunit, they did not bind GDP or GTP as effectively as native protein. We conclude that the refolded G(i alpha) protein has a native-like secondary structure, but is predominately in a molten globular state. (C) 2007 Elsevier Inc. All rights reserved.”
“The discovery of host-microRNA (miRNA) targets in the genomes of many vertebrate viruses indicates that the corresponding miRNAs are a part of the host’s innate antiviral defense. However, given that viruses evolve much faster than host miRNAs, it is surprising that viral variants lacking these ‘antiviral’ miRNA target sequences have not become established. We present an alternate

view that miRNAs are among the host molecules that viruses co-opt to suppress their own replication to evade immune elimination and establish a persistent infection. The why presence of host-miRNA targets in the genomes of rapidly evolving viruses probably reflects the adaptation of these viruses to the cellular miRNA milieu.”
“The two autosomal dominantly inherited neurological diseases: familial hemiplegic migraine type 2 (FHM2) and familial rapid-onset of dystonia-parkinsonism (Familial RDP) are caused by in vivo mutations of specific alpha subunits of the sodium-potassium pump (Na+/K+-ATPase). Intriguingly, patients with classical FHM2 and RDP symptoms additionally suffer from other manifestations, such as epilepsy/seizures and developmental disabilities.