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Research Article
Revised

Drugs prescribed for Phelan-McDermid syndrome differentially impact sensory behaviors in shank3 zebrafish models.

[version 2; peer review: 2 approved]
PUBLISHED 27 Sep 2023
Author details Author details
OPEN PEER REVIEW
REVIEWER STATUS

Abstract

Background: Altered sensory processing is a pervasive symptom in individuals with Autism Spectrum Disorders (ASD); people with Phelan McDermid syndrome (PMS), in particular, show reduced responses to sensory stimuli. PMS is caused by deletions of the terminal end of chromosome 22 or point mutations in Shank3. People with PMS can present with an array of symptoms including ASD, epilepsy, gastrointestinal distress, and reduced responses to sensory stimuli. People with PMS are often medicated to manage behaviors like aggression and/or self-harm and/or epilepsy, and it remains unclear how these medications might impact perception/sensory processing. Here we test this using zebrafish mutant shank3ab PMS models that likewise show reduced sensory responses in a visual motor response (VMR) assay, in which increased locomotion is triggered by light to dark transitions.
Methods: We screened three medications, risperidone, lithium chloride (LiCl), and carbamazepine (CBZ), prescribed to people with PMS and one drug, 2-methyl-6-(phenylethynyl) pyridine (MPEP) tested in rodent models of PMS, for their effects on a sensory-induced behavior in two zebrafish PMS models with frameshift mutations in either the N- or C- termini. To test how pharmacological treatments affect the VMR, we exposed larvae to selected drugs for 24 hours and then quantified their locomotion during four ten-minute cycles of lights on-to-off stimuli.
Results: We found that risperidone partially normalized the VMR in shank3 models. LiCl and CBZ had no effect on the VMR in any of the three genotypes. MPEP reduced the VMR in wildtype (WT) to levels seen in shank3 models but caused no changes in either shank3 model. Finally, shank3 mutants showed resistance to the seizure-inducing drug pentylenetetrazol (PTZ), at a dosage that results in hyperactive swimming in WT zebrafish.
Conclusions: Our work shows that the effects of drugs on sensory processing are varied in ways that can be genotype- and drug-dependent.

Keywords

Shank3, Phelan-McDermid Syndrome, autism spectrum disorders, zebrafish, Risperidone, Carbamazepine, Lithium, MPEP, anti-epileptic

Revised Amendments from Version 1

This revised version of our research article is greatly improved in response to valuable reviewer feedback and provides several important clarifications. These include an explanation of "reactivity" and "activity" endpoints (in both introduction and methods sections); expanded methods describing water quality, shank3 models that include mutations in both shank3a and shank3b ohnologs; relabeling in Figures 1 & 2; and reorganization so that text and figures are integrated with tables that include all statistical analyses coming just before the references. We feel that these changes make the research more accessible and we welcome further feedback.

See the authors' detailed response to the review by Sara Moir Sarasua
See the authors' detailed response to the review by Fumihito Ono

Introduction

Altered sensory processing affects the majority (69-97%) of people with autism and is one of the core diagnostic symptoms in the Diagnostic and Statistical Manual V (Leekam et al., 2007; Tomchek and Dunn, 2007; Lane et al., 2011; Green et al., 2016; Tavassoli et al., 2016; Siper et al., 2017). Such symptoms includes hypo- and hyper-reactivity to stimuli, and sensory fixation (Robertson and Baron-Cohen, 2017). Consistent with this, genotype by symptom meta-analyses identified sensory hyporeactivity/increased-pain-tolerance in over 80% of individuals with Phelan-McDermid syndrome (PMS) (Mieses et al., 2016; Tavassoli et al., 2016; De Rubeis, 2018). PMS is a syndromic form of ASD, that can be caused by a chromosome 22 terminal deletion that encompasses the SHANK3 gene or a mutation in the SHANK3 gene specifically (Phelan and McDermid, 2012; De Rubeis, 2018). In addition to sensory hyporeactivity, SHANK3 mutations are correlated with a range of symptoms, that include epilepsy, sleep disturbances, and gastrointestinal distress (Soorya et al., 2013; De Rubeis, 2018; Frank, 2021; Smith-Hicks et al., 2021). This range of symptoms makes prescribing medications challenging (Costales and Kolevzon, 2015; Harony-Nicolas et al., 2015), with many individuals experiencing a prescription carousel: when one drug fails to maintain control of a symptom and/or side-effects become intolerable. Therefore, to achieve more effective symptom management, it is critical to better understand how medications impact the range of symptoms found in individuals with PMS.

Zebrafish provide characteristics that are ideal for studying how small molecules impact sensory-motor behaviors. Zebrafish sensory-motor circuits are established and become active a few days after fertilization because precocial behavioral development is essential for the survival of freely swimming larvae (Kimmel et al., 1974; Portugues and Engert, 2009; Fero et al., 2011; Kinkhabwala et al., 2011; Warp et al., 2012; Marques et al., 2018). Predator avoidance and prey capture require visual acuity, sensitive hearing, and multimodal sensory integration to activate the appropriate swimming circuits (Fero et al., 2011; Koyama et al., 2011). Importantly, sensory-motor deficits provide a proxy for circuit pathology, that can be used to identify neuropathological critical periods (Kozol, 2018; Sakai et al., 2018; Kozol et al., 2021). Finally, due to their small size and large clutch sizes (100-200 embryos), zebrafish can be screened in large numbers and also absorb most small molecules dissolved in the water that houses them. Therefore, zebrafish provide a vertebrate model that is poised to identify how small molecules influence sensorimotor behaviors in ASD models (Sakai et al., 2018).

To investigate how drugs impact SHANK3-associated hyporeactivity, zebrafish shank3a and shank3b (shank3ab) mutants were exposed to drugs and screened for sensorimotor behavior using a the well-established visual-motor-response (VMR) assay (Burgess and Granato, 2007). During the VMR, sudden changes in illumination from light to dark evoke abrupt increases in swimming behavior as larvae search the well for a way to return to the light (Horstick et al. 2017); we capture the abrupt response by quantifying swimming in the first 30 seconds right after the transition to dark, referred to hereafter as reactivity, but the larvae sustain their search for the full 5 minutes, referred to hereafter as activity. shank3ab mutants exhibit both hyporeactivity and sustained hypoactivity in response VMR repeated lights-on to lights-off transitions (Kozol et al., 2021). To determine the effects of small molecules on this sensorimotor deficit, we exposed larval zebrafish to the commonly prescribed medications risperidone (Nyberg et al., 1993; McDougle et al., 2005; Gencer et al., 2008; Lemmon et al., 2011), lithium chloride (LiCl) (Malhi et al., 2013; Verhoeven et al., 2013; Serret et al., 2015; Egger et al., 2017; Malhi et al., 2020), and carbamazepine (CBZ) (Mattson et al., 1992; Verhoeven et al., 2013; Jia et al., 2022). We also tested 2-methyl-6-(phenylethynyl) pyridine (MPEP), which normalized anxiety and striatal synaptic transmission in a shank3 mouse model (Wang et al., 2016). Lastly, we quantified swimming before and after exposure to pentylenetetrazole (PTZ), a drug used in animal models to better understand susceptibility to seizures, at doses that normally cause hyperactivity in wild type larvae (Baraban et al., 2005; Hoffman et al., 2016; Liu and Baraban, 2019). Results of the above experiments are summarized in the column entitled ‘effect on VMR’ in Table 1.

Table 1. Drugs used in this study are listed to the left followed by indication and target(s)/mechanism of action.

These are based on relevant references in the rightmost column. Drug effects on VMR in are based results from this study.

DrugsIndicationTarget(s)Effect on VMRReference
RisperidoneHuman
Antipsychotic; Irritability in ASD
Various/unknown
5-HT2C; 5-HT2A; D2 a1/a2 adrenergic;H1 histamine receptor antagonists; Sodium channels
No change in WT; reduced VMR reactivity and rescued VMR sustained activity in shank3ab-/- models(McDougle et al., 2005; Lemmon et al., 2011; Fallah et al., 2019; Panizzutti et al., 2021; Guber et al., 2022)
Carbamazepine CBZHuman
Anti-epileptic; Mood stabilizer
Various/unknown
Sodium channels
VMR trended reduced in shank3N & WT
No change in shank3C
(Mattson et al., 1992; Verhoeven et al., 2013; Jia et al., 2022)
LiClHuman
Mood stabilizer
Various: Dopamine; G-protein-coupled receptors; adenylate cyclase; phosphoinositide signals; MARKS, PKC, GSKb; GABANo change in any genotype(Malhi et al., 2013; Serret et al., 2015; Egger et al., 2017)
2-Methyl-6-(phenylethynyl) pyridine
MPEP
Mouse models of Fragile X, Shank3mGluR5Reduced WT VMR to shank3 levels; no change in either shank3ab-/- model(Tu et al., 1999; Tucker et al., 2006; Vucurovic et al., 2012; Wang et al., 2016)
Pentylenetetrazole PTZZebrafish/mouse seizure-inducing drugGABAA receptor antagonistInduced seizure-like activity in WT. Both shank3ab-/- models exhibit reduced response to PTZ(Baraban et al., 2005; Dhamne et al., 2017; Liu and Baraban, 2019)

Below we describe the varied ways these drugs impacted the VMR sensorimotor behavior, from having no effect to suppressing or enhancing the VMR in a shank3-genotype-specific manner.

Methods

Ethics, fish maintenance and husbandry

Zebrafish were housed and maintained at 28°C in system-water on a 14:10 hour circadian light:dark cycle in the zebrafish core facility at the University of Miami where they were fed twice a day using a combination of dry fish food and brine shrimp. The water in which the adult fish are housed are tested for pH and conductivity by probes that are always sampling, ‘system water’. System water is tap water that goes through a water softener, a charcoal filter, and reverse osmosis membranes to make the water less hard/alkaline, remove contaminants and ions respectively. This purified water is stored on a 100 gallon storage tank and used for 10% daily water exchanges that are controlled by a solenoid. pH 7.0-8.1 and conductivity 350-800 µS are kept within range by two dosers, one with sodium bicarbonate (pH) and the other with instant ocean (conductivity). We also track room humidity and temperature on a daily basis. These values are important to track because the temperature of the water is regulated by air temperature. Adult and larval zebrafish used in this study were handled in accordance with NIH guidelines and experiments were approved by the University of Miami Institutional Care and Use Committee protocol #’s 15-128 (approval date 9/22/2015) and 18-128 (approval date 9/27/2018). To limit harm to the animals and ensure experimental reproducibility, after natural spawnings, unfertilized eggs were removed and embryos were maintained in 10 cm dishes with ~50 larvae per dish until behavioral observations. Embryos were raised with the same 14:10 light cycle as their parents. Zebrafish lines used in this study were; ABTL wildtype (WT), shank3abN-/- (Kozol et al., 2021) and shank3abC-/- (James et al., 2019). Readers should note that each model includes a mutation in both the a and the b ohnolog of the shank3 gene and therefor mutants are referred to as shank3ab; mutations in shank3abN are located near the N-terminus while those in shank3abC are located near the C-terminus of the predicted Shank3 protein product (Figure 1a).

This study is reported in line with the Animal Research: Reporting of in vivo Experiments (ARRIVE) guidelines (Kozol & Dallman, 2023).

Behavioral assays

Sample

All exact sample sizes can be found in the figure legends. Sample sizes were derived from a previous study based on the same VMR behavioral endpoint (Kozol et al., 2021).

High-throughput behavioral screens

Experimental plans were developed and refined during weekly meetings but there was no protocol registered prior to initiation of experiments. The DanioVision systemtm (Noldus, Wageningen, NTD) with the DanioVision observation chamber (DVOC-0040) was used to record videos of larval behaviors during experiments using the following settings: 25 fps, 1280 × 960 resolution using a Basler acA1300-60 gm camera fitted with a 12 mm Megapixel lens. White light for the visual motor response assay was set at 12% intensity on the high-power setting. Larvae were pipeted into an ANSI-SBS-compatible 96 well microtiter plate at a density of one larva per well, at a depth of 10 mm. Six-day-old larvae were acclimated to the observation chamber at 28 °C in the dark for at least 1 hr. Larval sex is unknown at this stage. Larvae were monitored during behavioral recordings, to ensure no signs of distress were exhibited during light cycles. DanioVision EthoVision XT software version 11.5 (Noldus) was used to set up data collection and for preliminary analyses. Visual motor response (VMR) experiments consisted of four cycles of alternating lights-on (five min.)/lights-off (five min.) for a total of 40 minutes. All behavioral experiments were conducted between 11 am and 3 pm, with 2-5 independent trials. Behavior was analyzed by binning the raw ethovision movement data into 30 second and 5 minute bins. We then defined behaviors in the first 30 seconds after dark transitions as reactivity and behaviors sustained across the full five minutes of darkness as activity. Therefore, a statistical increase or decrease in swimming during the first 30 seconds was defined as hyperreactive or hyporeactive respectively; a statistical increase or decrease in swimming during the full five minutes was defined as hyperactive or hypoactive respectively. Larvae were randomly assigned across each 96-well plate, blinded to experimenters, then were genotyped following behavioral experiments using restriction digest assays previously described (James et al., 2019; Kozol et al., 2021), allowing larvae to be binned by genotype for subsequent analyses. Following experiments, larvae were humanely euthanized using MS222 (200 mg/L dissolved in system water).

Drug screening

Zebrafish were exposed to drugs dissolved in 0.1% DMSO system water (water from the system that houses the adult fish) 24 hours prior to running VMR assays. A range of risperidone, MPEP, CBZ and LiCl concentrations were derived from previously published papers (Tucker et al., 2006; Bruni et al., 2016; Hoffman et al., 2016), then dose-response curves were generated to determine an effective dose in relation to the VMR response of WT zebrafish. Concentrations used for comparing WT and shank3 larvae were 10 μM Risperidone (Bruni et al., 2016; Hoffman et al., 2016), 5 mM LiCl and 200 μM CBZ, and 5 μM MPEP (Tucker et al., 2006). Genotype controls were exposed to DMSO (0.1%) in system water.

For PTZ trials, larvae were initially acclimated in 1 mL of system water at 28 °C in the Daniovision behavioral box for 30 minutes. Larvae were then recorded for 10 minutes to establish baseline behavior. Following a baseline recording, larvae were either exposed to 3 mM PTZ in 0.1% DMSO system water or 0.1% DMSO system water for ten minutes, before capturing ten minutes of behavior following drug exposure. Baseline and PTZ/DMSO data was then binned as total distance moved for 10 minutes pre and post PTZ exposure. Both heterozygote and homozygote larvae were tested for seizure susceptibility, however to remain consistent with the other genotypes analyzed in the study, we chose to focus on the homozygote data.

Statistics

Data were analyzed using PRISM 9 (graphpad, inc.); these same analyses could be conducted using R. Videos were manually screened before running data analyses, to determine that tracking software accurately captured individuals’ movements; if discrepancies between tracks and videos were noted, videos were retracked. No individuals or data points were excluded from behavioral analyses. Significance was assessed using the non-parametric Wilcoxon rank score test (Mann-Whitney rank scores). When there were more than two groups, a Kruskal-Wallis rank score test was first calculated and, if p<0.05, was followed by a Dunn’s multiple comparisons test to compare all treatments and genotypes. See Tables 2-41.

Results

Zebrafish shank3ab mutants are hypoactive and hyporeactive in response to lights-off transitions

We previously showed that both shank3abN and shank3abC mutants exhibit sensory hyporeactivity (activity during first 30 seconds in dark) and hypoactivity (activity over full 5 minutes in dark) in a light to dark transition paradigm, the VMR assay (Kozol et al., 2021). Here we repeat this assay, but this time in the presence of the drug carrier 0.1% DMSO. In comparison to WT (Figure 1a & b, Tables 2 & 3), both shank3abN-/- and shank3abC-/- models exhibited hyporeactivity and hypoactivity (Figure 1c-e, Tables 4-7). These results provide a reliable sensorimotor phenotype that can be quantified following exposure to selected drugs (Kozol & Dallman, 2023).

a345c610-8558-49e3-962f-1167426175b0_figure1.gif

Figure 1. Stable shank3ab mutant lines exhibit hyporeactivity and hypoactivity following a light to dark transition.

a) shank3ab N-terminal and C-terminal mutants were designed to target regions with known deleterious mutations in individuals with PMS. b) Trace line graphs showing four cycles of 5 minutes lights-on to lights-off. Checkered boxes on the x-axis represent lights on and off. c) Lights on to off paired comparison, highlighting no significant change in activity of shank3ab N terminal mutants during the first 30 sec lights-off. d) Box plots showing first 30 sec lights-off activity. e) Box plots showing activity across the full 5 minutes lights-off. Box plots represent 25th and 75th percentile, and median, with min to max whiskers. Sample sizes: WT = 50, shank3 N = 65, shank3 C = 44. p values; * = p < 0.05, ** = p < 0.01, *** = p < 0.001, **** = p < 0.0001.

Dose-response curves to identify effective doses for each small molecule

Dose-response curves for small molecules were performed to investigate how these drugs impact the VMR in WT larvae. Risperidone did not affect the VMR at 1 μM, while at 10 and 20 μM doses, the VMR was decreased (Figure 2a, Tables 8-11). LiCl did not impact the VMR in WT larvae, despite exceeding previously published concentrations (Figure 2b, Tables 12-13). In contrast, CBZ had varying effects on both reactivity and activity: 80 μM and 120 μM CBZ concentrations showed no effect a, while 200 μM caused larvae to be hypo-reactive (Figure 2c, Tables 14-17). Similarly, 1 μM of MPEP did not affect the VMR, while 5 and 10 μM the VMR was decreased (Figure 2d, Tables 18-21). These results provide the lowest effective concentrations for each drug, risperidone (10 μM), CBZ (200 μM) and MPEP (5 μM), that caused a significant decrease in WT activity and reactivity; for LiCl we proceeded with the high dose of 5 mM. We next used these small molecule concentrations to compare how each would impact sensorimotor behavior in shank3ab-/- mutants.

a345c610-8558-49e3-962f-1167426175b0_figure2.gif

Figure 2. Dose response curves for drugs used in visual motor response assays.

a) Risperidone exposure of WT larvae in 1, 10 and 20 μM doses. b) LiCl salt exposure of 0.5, 1 and 5 mM doses. c) CBZ exposure of WT larvae in 80, 120 and 200 μM doses. d) MPEP exposure of WT larvae in 1, 5 and 10 μM doses. Box plots represent 25th and 75th percentile, and median, with min to max whiskers. Sample sizes: WT = 23, WT + risperidone = 24, shank3 N = 33, shank3 N + risperidone = 31, shank3 C = 19, shank3 C + risperidone = 23. p values; * = p < 0.05, ** = p < 0.01, *** = p < 0.001, **** = p < 0.0001.

Risperidone normalizes lights-off hypoactivity in shank3ab mutants

Risperidone is commonly prescribed in ASD for aggressive, self-injurious and hyperactive behavior (Lemmon et al., 2011). In shank3ab-/- mutants, 10 μM risperidone exacerbated hyporeactivity, but normalized hypoactivity, with shank3ab mutants achieving wild-type levels of swimming over the full duration of lights-off conditions (Figure 3, Tables 22-25). These results show that risperidone both reduced shank3 stimulus reactivity, and normalized overall stimulus-driven behaviors in shank3ab mutants.

a345c610-8558-49e3-962f-1167426175b0_figure3.gif

Figure 3. Risperidone exposure normalizes hypoactivity in shank3 mutants following lights-off.

a) Activity during the first 30 seconds of lights-off of larvae exposed to 10 μM risperidone. b) Activity during the full 5 minutes lights-off of larvae exposed to 10 μM risperidone. Box plots represents 25th and 75th percentile, and median, with min to max whiskers. Sample sizes: WT = 31, WT + risperidone = 29, shank3 N = 24, shank3 N + risperidone = 23, shank3 C = 25, shank3 C + risperidone = 23. p values; * = p < 0.05, ** = p < 0.01, *** = p < 0.001, **** = p < 0.0001.

LiCl does not impact light evoked sensorimotor behavior in shank3 mutants or wildtype

Lithium chloride (LiCl) has been prescribed for several neuropsychological disorders, including bipolar disorder, depression, and ASD (Malhi et al., 2020). LiCl has been prescribed to individuals with PMS that exhibit bipolar depression, psychosis, and catatonic behavior (Verhoeven et al., 2013; Egger et al., 2017). Exposure to 5 mM LiCl caused no change in shank3ab-/- VMR (Figure 4, Tables 26-29). Therefore, LiCl does not impact visual processing in either WT zebrafish or shank3 mutant larvae.

a345c610-8558-49e3-962f-1167426175b0_figure4.gif

Figure 4. LiCl does not impact lights-off reactivity or activity in wildtype and shank3ab mutants.

a) Activity during the first 30 seconds of lights-off of larvae exposed to 5 mM LiCl. b) Activity during the full 5 minutes lights-off of larvae exposed to 5 mM LiCl. Box plots represent 25th and 75th percentile, and median, with min to max whiskers. Sample sizes: WT = 20, WT + risperidone = 16, shank3 N = 18, shank3 N + risperidone = 18, shank3 C = 16, shank3 C + risperidone = 16. p values; * = p < 0.05, ** = p < 0.01, *** = p < 0.001, **** = p < 0.0001.

Carbamazepine does not impact light evoked sensorimotor behavior in shank3 mutants or wildtype

Carbamazepine (CBZ) is commonly prescribed to control seizures in individuals with epilepsy (Mattson et al., 1992). For individuals with PMS, CBZ has been prescribed following symptom resistance to common mood stabilizers, such as lithium and valproic acid (Verhoeven et al., 2013). WT and shank3abN-/- mutants VMR reactivity trended reduced with CBZ exposure but did not reach p < 0.05 (Figure 5, Tables 30-33). By contrast, shank3ab C-terminal VMR reactivity was unaffected by CBZ exposure. These results suggest that CBZ could have differential impacts on sensorimotor circuits depending on the location of the mutation in the shank3 gene.

a345c610-8558-49e3-962f-1167426175b0_figure5.gif

Figure 5. CBZ does not impact lights-off reactivity or activity in wildtype and shank3ab mutants.

a) Activity during the first 30 seconds of lights-off of larvae exposed to 200 μM CBZ. b) Activity during the full 5 minutes lights-off of larvae exposed to 200 μM CBZ. Box plots represent 25th and 75th percentile, and median, with min to max whiskers. Sample Sizes, WT = 35, WT + CBZ = 37, shank3ab N = 24, shank3ab N + CBZ = 19, shank3ab C = 27, and shank3ab C + CBZ = 34. p values; * = p < 0.05, ** = p < 0.01, *** = p < 0.001, **** = p < 0.0001.

Wildtype zebrafish recapitulated shank3 mutant hypoactivity and hyporeactivity when exposed to the mGlur5 antagonist MPEP

While the molecules described above have been prescribed for ASD and epilepsy, we were also interested in investigating compounds used to rescue behavioral deficits in Shank3 mouse models (Wang et al., 2016). We found that MPEP did not affect the VMR in shank3ab mutants however, MPEP was sufficient to cause hyporeactivity and hypoactivity in WT larvae (Figure 6, Tables 34-37). Therefore effects of MPEP on sensory-induced behaviors were genotype-dependent.

a345c610-8558-49e3-962f-1167426175b0_figure6.gif

Figure 6. MPEP exposed wildtype larvae exhibit hyporeactivity and hypoactivity during lights-off conditions.

a) Activity during the first 30 seconds of lights-off of larvae exposed to 5 μM MPEP. b) Activity during the full 5 minutes lights-off of larvae exposed to 5 μM MPEP. Box plots represent 25th and 75th percentile, and median, with min to max whiskers. Sample Sizes, WT = 23, WT + MPEP = 24, shank3ab N = 33, shank3ab N + MPEP = 31, shank3ab C = 19, and shank3ab C + MPEP= 24. p values; * = p < 0.05, ** = p < 0.01, *** = p < 0.001, **** = p < 0.0001.

shank3abN and C homozygous mutants do not exhibit hyperactive swimming in response to the GABAA receptor antagonist pentylenetetrazole

A standard approach used in animal models to test for susceptibility to seizures related to reduced GABAergic inhibition is to test responses to the GABAA receptor antagonist pentylenetetrazole (PTZ) (Baraban et al., 2005; Hoffman et al., 2016; Liu and Baraban, 2019). In response to 3 mM PTZ, both N and C shank3ab-/- larvae fail to exhibit WT level of hyperactivity suggesting altered GABAergic signaling in the shank3ab mutant models (Figure 7, Tables 38-41).

a345c610-8558-49e3-962f-1167426175b0_figure7.gif

Figure 7. PTZ exposure does not induce seizure-like behavior in shank3 mutants.

a) Behavioral traces of larvae exposed to 3 mM PTZ. b) Activity of WT, shank3ab N and shank3ab C larvae for 10 minutes following exposure to 3 mM of PTZ. Box plots: box represents 25th and 75th percentile, and median, with min to max whiskers. Sample sizes for shank3 N trials, WT = 30, shank3 N = 30; for shank3 C trials, WT = 31, shank3 C = 28. p values; * = p < 0.05, ** = p < 0.01, *** = p < 0.001, **** = p < 0.0001.

Discussion

Here we show both drug- and genotype- specific effects on sensory-evoked VMR behavior in shank3ab zebrafish models of Phelan-McDermid Syndrome. The array of symptoms experienced by people with Phelan-McDermid Syndrome is likely a consequence of the diverse developmental and physiological roles played by SHANK3 (Sheng and Kim, 2000; Grabrucker, 2014; Harony-Nicolas et al., 2015; Kozol et al., 2015, 2021; Harris et al., 2016; Engineer et al., 2018; James et al., 2019; Breen et al., 2020; Lutz et al., 2020). Here we tested how drugs targeting aggressive behavior, catatonia, and/or epilepsy affect sensorimotor VMR behaviors in zebrafish shank3 models of PMS. We found that drugs were neutral, enhanced or suppressed sensory-induced behavior in a genotype- and drug-dependent manner.

Zebrafish, in particular, provide a cost-effective and high-throughput way to test how medications impact behaviors (Rihel et al., 2010; Kokel and Peterson, 2011; Rihel and Schier, 2013; Jordi et al., 2015; Bruni et al., 2016; Hoffman et al., 2016). We previously validated shank3ab N and C zebrafish models and showed a shank3ab mutant dose-dependent reduction in the VMR (James et al., 2019; Kozol et al., 2021). Because the VMR phenotype is strongest in shank3ab homozygous larvae, we focused on this genotype for our small drug screen.

Widely-prescribed, mood-stabilizing medications risperidone and LiCl had distinct effects on the VMR. Risperidone exacerbated shank3 VMR hyporeactivity and rescued overall activity to WT levels; by contrast, LiCl had no effect on the VMR in any of the three genotypes tested. In addition to the beneficial effects of risperidone however, this medication is associated with weight-gain in humans and reduced gastrointestinal motility in zebrafish (de Alvarenga et al., 2017; Guber et al., 2022). Consistent with this, risperidone D2 and 5-HT2 receptor targets (Nyberg et al., 1993) are expressed and regulate function in both brain and gut (Taniyama et al., 2000; Eliassi et al., 2008; Feng et al., 2020). Therefore, risperidone creates known symptom trade-offs in addition to improving mood in people and visual processing in zebrafish.

Treatment-resistant epilepsy in Phelan-McDermid Syndrome is one of the most difficult symptoms to manage and also one for which there are many drug options (Chakraborty et al., 2022). CBZ, a sodium channel blocker, has been used in patients with PMS who were resistant to mood stabilizers (Mattson et al., 1992; Verhoeven et al., 2013, 2020). CBZ reduced reactivity to dark transitions in WT and shank3abN-/- larvae (though VMRs in neither genotype reached p<0.05) but had no effect on median VMR values in shank3abC-/- larvae, indicating possible shank3 allele-specific differences in the way CBZ impacts the VMR. Consistent with shank3 allele-specific differences, whole brain activity mapping in these same models showed a greater activity in mid and hindbrain circuits in response to dark transition in shank3abN than shank3abC alleles (Kozol et al., 2021). Another drug that addresses seizure susceptibility is PTZ, a GABAA receptor antagonist that is used to test seizure susceptibility in zebrafish and murine models. Our findings that shank3ab models are resistant to doses that make WT larvae hyperactive suggest that these models might have fewer GABAA receptors targets for PTZ to act upon. As with the mood stabilizers, the effects of CBZ and PTZ were both drug- and genotype-dependent.

Finally, our findings that MPEP made WT behave like shank3ab-/- larvae in the VMR assay suggest that blocking mGluR5 may affect sensory processing. MPEP blocks mGluR5 and improves excessive grooming and striatal synaptic plasticity in a mouse shank3 model (Wang et al., 2016). GluR5 continues to show promise as a regulator of excitatory/inhibitory balance in the striatum where a negative correlation between mGluR5 and GABA was measured in autistic people using fMRI; mouse Cntnap2 mutants showed a similar negative mGluR5 and GABA correlation that was not found in either Shank3 or 16p11.2 deletion models (Carey et al., 2022).

Summary/conclusions

Our findings highlight the genotype-, drug-, and phenotype-specific challenges of designing treatment strategies for Phelan-McDermid Syndrome. These include trade-offs that can occur when a drug like risperidone improves sensory-processing and mood at the expense of gut function and differential effects of drugs on different symptoms.

Table 2. ANOVA of 30-second transition from lights-on to lights-off for DMSO-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 1c.

Table analyzedDMSO 30sec paired
Two-way ANOVAOrdinary
 Alpha0.05
Source of Variation% of total variationP valueP value summarySignificant?
 Interaction4.2610.0017**Yes
 Row Factor Light5.1390.0005***Yes
 Column Factor genotype17.21<0.0001****Yes
ANOVA tableSS (Type III)DFMSF (DFn, DFd)P value
 Interaction442122211F (2, 214) = 6.588P=0.0017
 Row Factor genotype533322666F (2, 214) = 7.946P=0.0005
 Column Factor light17854117854F (1, 214) = 53.20P<0.0001
 Residual71814214335.6
Difference between column means
 Predicted (LS) mean of Lights-on21.82
 Predicted (LS) mean of Lights-off40.23
 Difference between predicted means-18.41
 SE of difference2.523
 95% CI of difference-23.38 to -13.43
Data summary
 Number of columns (Light)2
 Number of rows (genotype)3
 Number of values220

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 3. Paired comparisons of 30-second transition from lights-on to lights-off for DMSO-exposed WT, shank3abN-/-, and shank3abC-/-larvae.

See Figure 1c.

Paired Comparison Lights-on to Lights-off
Number of families1
Number of comparisons per family3
Alpha0.05
Bonferroni's multiple comparisons testPredicted (LS) mean diff.95.00% CI of diff.Below threshold?SummaryAdjusted P Value
Lights-on - Lights-off
WT-30.24-39.46 to -21.02Yes****<0.0001
shank3abN-/--9.882-20.93 to 1.169Nons0.0962
shank3abC-/--15.09-26.34 to -3.843Yes**0.0042
Test detailsPredicted (LS) mean 1Predicted (LS) mean 2Predicted (LS) mean diff.SE of diff.N1N2tDF
Lights-on - Lights-off
WT22.3152.55-30.243.8246467.917214
shank3abN-/-21.1130.99-9.8824.5832322.158214
shank3abC-/-22.0437.13-15.094.66238263.237214

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 4. ANOVA of 30-second lights-off for DMSO-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 1d.

Table analyzedFirst 30 sec Off
Kruskal-Wallis test
 P value<0.001
 Exact or approximate P value?Approximate
 P value summary***
 Do the medians vary signif. (P < 0.05)?Yes
 Number of groups3
 Kruskal-Wallis statistic54.04
Data summary
 Number of treatments (columns)3
 Number of values (total)159

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 5. Dunn’s multiple comparisons of 30-second transition from lights-on to lights-off for DMSO-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 1d.

Number of families1
Number of comparisons per family3
Alpha0.05
Dunn's multiple comparisons testMean rank diff.Significant?SummaryAdjusted P Value
 WT vs. shank3abN-/-61.85Yes***<0.001A-B
 WT vs. shank3abC-/-49.2Yes***<0.001A-C
shank3abN vs. shank3abC-12.66Nons0.48B-C
Test detailsMean rank 1Mean rank 2Mean rank diff.n1n2Z
 WT vs. shank3abN-/-118.957.0561.8550657.142
 WT vs. shank3abC-/-118.969.749.250445.169
shank3abN vs. shank3abC57.0569.7-12.6665441.408

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 6. ANOVA of 5-minute lights-off for DMSO-exposed WT, shank3abN-/-, and shank3abC-/-larvae.

See Figure 1e.

Table analyzed5 min Off
Kruskal-Wallis test
 P value<0.001
 Exact or approximate P value?Approximate
 P value summary***
 Do the medians vary signif. (P < 0.05)?Yes
 Number of groups3
 Kruskal-Wallis statistic40.54
Data summary
 Number of treatments (columns)3
 Number of values (total)159

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 7. Dunn’s multiple comparisons of 5-minute transition from lights-on to lights-off for DMSO-exposed WT, shank3abN-/-, and shank3abC-/-larvae.

See Figure 1e.

Number of families1
Number of comparisons per family3
Alpha0.05
Dunn's multiple comparisons testMean rank diff.Significant?SummaryAdjusted P Value
 WT vs. shank3abN-/-53.78Yes***<0.001A-B
 WT vs. shank3abC-/-41.9Yes***<0.001A-C
shank3abN vs. shank3abC-11.88Nons0.56B-C
Test detailsMean rank 1Mean rank 2Mean rank diff.n1n2Z
 WT vs. shank3abN-/-113.659.853.7850656.209
 WT vs. shank3abC-/-113.671.6841.950444.402
shank3abN vs. shank3abC59.871.68-11.8865441.322

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 8. ANOVA of 30-second light-off for risperidone dose response curve in WT larvae.

See Figure 2a.

Table analyzedWildtype risperidone dose response 30 sec Lights-off
Kruskal-Wallis test
 P value<0.0001
 Exact or approximate P value?Approximate
 P value summary****
 Do the medians vary signif. (P < 0.05)?Yes
 Number of groups [Risperidone]4
 Kruskal-Wallis statistic24.09
Data summary
 Number of treatments (columns)4
 Number of values (total)114

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 9. Dunn’s multiple comparisons of 30-second lights-off for risperidone dose response curve.

See Figure 2a.

Number of families1
Number of comparisons per family6
Alpha0.05
Dunn's multiple comparisons testMean rank diff.Significant?SummaryAdjusted P Value
 WT vs. 1 uM Risp10.89Nons>0.9999A-B
 WT vs. 10 uM RIsp26.1Yes**0.0015A-C
 WT vs. 20 uM Risp48.19Yes***0.0003A-D
 1 uM Risp vs. 10 uM RIsp15.22Nons0.753B-C
 1 uM Risp vs. 20 uM Risp37.3Yes*0.0406B-D
 10 uM RIsp vs. 20 uM Risp22.08Nons0.4381C-D
Test detailsMean rank 1Mean rank 2Mean rank diff.n1n2Z
 WT vs. 1 uM Risp71.0860.1910.8953161.155
 WT vs. 10 uM RIsp71.0844.9726.153363.657
 WT vs. 20 uM Risp71.0822.8948.195394.044
 1 uM Risp vs. 10 uM RIsp60.1944.9715.2216361.532
 1 uM Risp vs. 20 uM Risp60.1922.8937.31692.708
 10 uM RIsp vs. 20 uM Risp44.9722.8922.083691.793

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 10. ANOVA of 5-minute lights-off for risperidone dose response curve.

See Figure 2a.

Table analyzedWildtype risperidone dose response 5 min Lights-off
Kruskal-Wallis test
 P value<0.0001
 Exact or approximate P value?Approximate
 P value summary****
 Do the medians vary signif. (P < 0.05)?Yes
 Number of groups [risperidone]4
 Kruskal-Wallis statistic24.89
Data summary
 Number of treatments (columns)4
 Number of values (total)115

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 11. Dunn’s multiple comparisons of 5-minute lights-off for risperidone dose response curve.

See Figure 2a.

Number of families1
Number of comparisons per family6
Alpha0.05
Dunn's multiple comparisons testMean rank diff.Significant?SummaryAdjusted P Value
 WT vs. 1 uM3.684Nons>0.9999A-B
 WT vs. 10 uM16.41Nons0.1362A-C
 WT vs. 20 uM55.03Yes****<0.0001A-D
 1 uM vs. 10 uM12.72Nons>0.9999B-C
 1 uM vs. 20 uM51.35Yes***0.0008B-D
 10 uM vs. 20 uM38.63Yes**0.0071C-D
Test detailsMean rank 1Mean rank 2Mean rank diff.n1n2Z
 WT vs. 1 uM68.4364.753.68453160.3873
 WT vs. 10 uM68.4352.0316.4153362.278
 WT vs. 20 uM68.4313.455.0353104.788
 1 uM vs. 10 uM64.7552.0312.7216361.27
 1 uM vs. 20 uM64.7513.451.3516103.821
 10 uM vs. 20 uM52.0313.438.6336103.241

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 12. ANOVA of 30-second light-off for lithium chloride dose response curve.

See Figure 2b.

Table analyzedWildtype LiCL dose response 30 sec Lights-off
Kruskal-Wallis test
 P value0.2423
 Exact or approximate P value?Approximate
 P value summaryns
 Do the medians vary signif. (P < 0.05)?No
 Number of groups [LiCl]4
 Kruskal-Wallis statistic4.184
Data summary
 Number of treatments (columns)4
 Number of values (total)55

Table 13. ANOVA of 5-minute lights-off for lithium chloride dose response curve.

See Figure 2b.

Table analyzedWildtype LiCL dose response 5 min Lights-off
Kruskal-Wallis test
 P value0.9904
 Exact or approximate P value?Approximate
 P value summaryns
 Do the medians vary signif. (P < 0.05)?No
 Number of groups [LiCl]4
 Kruskal-Wallis statistic0.1118
Data summary
 Number of treatments (columns)4
 Number of values (total)55

Table 14. ANOVA of 30-second light-off for carbamazepine dose response curve.

See Figure 2c.

Table analyzedWildtype CBZ dose response 30 sec Lights-off
Kruskal-Wallis test
 P value0.0422
 Exact or approximate P value?Approximate
 P value summary*
 Do the medians vary signif. (P < 0.05)?Yes
 Number of groups [CBZ]4
 Kruskal-Wallis statistic8.191
Data summary
 Number of treatments (columns)4
 Number of values (total)97

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 15. Dunn’s multiple comparisons of 30-second lights-off for carbamazepine dose response curve.

See Figure 2c.

Number of families1
Number of comparisons per family3
Alpha0.05
Dunn's multiple comparisons testMean rank diff.Significant?SummaryAdjusted P ValueA-?
 WT vs. WT 80 uM CBZ8.93Nons0.8191BWT CBZ
 WT vs. WT 120 uM CBZ1.646Nons>0.9999CWT CBZ 2
 WT vs. WT CBZ 200 uM CBZ22Yes*0.0172DWT CBZ 3
Test detailsMean rank 1Mean rank 2Mean rank diff.n1n2Z
 WT vs. WT 80 uM CBZ CBZ54.6245.698.9347161.096
 WT vs. WT 120 uM CBZ CBZ54.6252.971.64647170.2067
 WT vs. WT 200 uM CBZ CBZ54.6232.622247172.762

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 16. ANOVA of 5-minute lights-off for carbamazepine dose response curve.

See Figure 2c.

Table analyzedWildtype CBZ 5 min Lights-off
Kruskal-Wallis test
 P value<0.0001
 Exact or approximate P value?Approximate
 P value summary****
 Do the medians vary signif. (P < 0.05)?Yes
 Number of groups4
 Kruskal-Wallis statistic28.11
Data summary
 Number of treatments (columns)4
 Number of values (total)97

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 17. Dunn’s multiple comparisons of 5-minute lights-off for carbamazepine dose response curve.

See Figure 2c.

Number of families1
Number of comparisons per family3
Alpha0.05
Dunn's multiple comparisons testMean rank diff.Significant?SummaryAdjusted P ValueA-?
 WT vs. WT 80 uM CBZ30.76Yes***0.0005BWT CBZ
 WT vs. WT 120 uM CBZ CBZ32.83Yes***0.0001CWT CBZ
 WT vs. 20 uM CBZ WT cbz26.72Yes**0.0024DWT cbz
Test detailsMean rank 1Mean rank 2Mean rank diff.n1n2Z
 WT vs. WT 80 uM CBZ64.5133.7530.7647163.776
 WT vs. WT 120 uM CBZ64.5131.6832.8347174.122
 WT vs. WT 200 uM CBZ64.5137.7926.7247173.354

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 18. ANOVA of 30-second lights-off for MPEP dose response curve.

See Figure 2d.

Table analyzedWildtype MPEP 30 sec Lights-off
Kruskal-Wallis test
 P value<0.0001
 Exact or approximate P value?Approximate
 P value summary****
 Do the medians vary signif. (P < 0.05)?Yes
 Number of groups4
 Kruskal-Wallis statistic50.85
Data summary
 Number of treatments (columns)4
 Number of values (total)68

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 19. Dunn’s multiple comparisons of 30-second lights-off for MPEP dose response curve.

See Figure 2d.

Number of families1
Number of comparisons per family3
Alpha0.05
Dunn’s multiple comparisons testMean rank diff.Significant?SummaryAdjusted P ValueA-?
 WT vs. WT 1 uM MPEP12.47Nons0.1319BWT 1 uM MPEP
 WT vs. WT 5 uM MPEP33.87Yes****<0.0001CWT 5 uM MPEP
 WT vs. WT 10 uM MPEP41.34Yes****<0.0001DWT 10 uM MPEP
Test detailsMean rank 1Mean rank 2Mean rank diff.n1n2Z
 WT vs. WT 1 uM MPEP51.0438.5612.4728162.014
 WT vs. WT 5 uM MPEP51.0417.1733.872894.474
 WT vs. WT 10 uM MPEP51.049.741.3428156.538

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 20. ANOVA of 5-minute lights-off for MPEP dose response curve.

See Figure 2d.

Table analyzedWildtype MPEP dose response 5 min Lights-off
Kruskal-Wallis test
 P value<0.0001
 Exact or approximate P value?Approximate
 P value summary****
 Do the medians vary signif. (P < 0.05)?Yes
 Number of groups4
 Kruskal-Wallis statistic50.52
Data summary
 Number of treatments (columns)4
 Number of values (total)66

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 21. Dunn’s multiple comparisons of 5-minute lights-off for MPEP dose response curve.

See Figure 2d.

Number of families1
Number of comparisons per family3
Alpha0.05
Dunn's multiple comparisons testMean rank diff.Significant?SummaryAdjusted P ValueA-?
WT vs. WT 1 μM MPEP13.96Nons0.0788BWT 1 uM MPEP
WT vs. WT 5 μM MPEP31.48Yes****<0.0001CWT 5 uM MPEP
WT vs. WT 10 μM MPEP40.84Yes****<0.0001DWT 10 uM MPEP
Test detailsMean rank 1Mean rank 2Mean rank diff.n1n2Z
WT vs. WT 1 μM MPEP50.0436.0713.9628142.222
WT vs. WT 5 μM MPEP50.0418.5631.482894.28
WT vs. WT 10 μM MPEP50.049.240.8428156.649

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 22. ANOVA of 30-second light-off for 10 μM risperidone-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 3a.

Table analyzedrisperidone 30 sec lights-off
Kruskal-Wallis test
 P value<0.0001
 Exact or approximate P value?Approximate
 P value summary****
 Do the medians vary signif. (P < 0.05)?Yes
 Number of groups6
 Kruskal-Wallis statistic74.44
Data summary
 Number of treatments (columns)6
 Number of values (total)155

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 23. Dunn’s multiple comparisons of 30-second lights-off for 10 μM risperidone-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 3a.

Number of families1
Number of comparisons per family15
Alpha0.05
Dunn's multiple comparisons testMean rank diff.Significant?SummaryAdjusted P Value
WT dmso vs. WT risp4.607Nons>0.9999A-B
WT dmso vs. shk3n dmso50.65Yes***0.0003A-C
WT dmso vs. shk3n risp78.7Yes****<0.0001A-D
 WT dmso vs. shk3c dmso41.9Yes**0.0059A-E
 WT dmso vs. shk3c risp70.75Yes****<0.0001A-F
 WT risp vs. shk3n dmso37.29Yes*0.0284B-C
 WT risp vs. shk3n risp74.1Yes****<0.0001B-D
 WT risp vs. shk3c dmso66.14Yes****<0.0001B-E
 WT risp vs. shk3c risp46.05Yes**0.0022B-F
 shk3n dmso vs. shk3n risp28.05Nons0.4389C-D
 shk3n dmso vs. shk3c dmso-8.756Nons>0.9999C-E
 shk3n dmso vs. shk3c risp20.1Nons>0.9999C-F
 shk3n risp vs. shk3c dmso-36.81Nons0.0578D-E
 shk3n risp vs. shk3c risp-7.955Nons>0.9999D-F
 shk3c dmso vs. shk3c risp28.85Nons0.3522E-F
Test detailsMean rank 1Mean rank 2Mean rank diff.n1n2Z
 WT dmso vs. WT risp112.5107.94.60731290.4063
 WT dmso vs. shk3n dmso112.561.8550.6531244.235
 WT dmso vs. shk3n risp112.533.878.731236.498
 WT dmso vs. shk3c dmso112.570.641.931253.545
 WT dmso vs. shk3c risp112.541.7570.7531235.841
 WT risp vs. shk3n dmso107.961.8546.0529243.792
 WT risp vs. shk3n risp107.933.874.129236.027
 WT risp vs. shk3c dmso107.970.637.2929253.107
 WT risp vs. shk3c risp107.941.7566.1429235.38
 shk3n dmso vs. shk3n risp61.8533.828.0524232.18
 shk3n dmso vs. shk3c dmso61.8570.6-8.75624250.6954
 shk3n dmso vs. shk3c risp61.8541.7520.124231.562
 shk3n risp vs. shk3c dmso33.870.6-36.8123252.89
 shk3n risp vs. shk3c risp33.841.75-7.95523230.6114
 shk3c dmso vs. shk3c risp70.641.7528.8525232.266

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 24. ANOVA of 5-minute lights-off for 10 μM risperidone-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 3b.

Table analyzedrisperidone 5 min lights-off
Kruskal-Wallis test
 P value<0.0001
 Exact or approximate P value?Approximate
 P value summary****
 Do the medians vary signif. (P < 0.05)?Yes
 Number of groups6
 Kruskal-Wallis statistic27.87
Data summary
 Number of treatments (columns)6
 Number of values (total)155

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 25. Dunn’s multiple comparisons of 5-minute lights-off for 10 μM risperidone-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 3b.

Number of families1
Number of comparisons per family15
Alpha0.05
Dunn's multiple comparisons testMean rank diff.Significant?SummaryAdjusted P Value
 WT dmso vs. WT risp0.9774Nons>0.9999A-B
 WT dmso vs. shk3n dmso45.1Yes**0.0024A-C
 WT dmso vs. shk3n risp32.82Nons0.1012A-D
 WT dmso vs. shk3c dmso39.86Yes*0.0112A-E
 WT dmso vs. shk3c risp33.23Nons0.0914A-F
 WT risp vs. shk3n dmso44.12Yes**0.0042B-C
 WT risp vs. shk3n risp31.84Nons0.1442B-D
 WT risp vs. shk3c dmso38.88Yes*0.018B-E
 WT risp vs. shk3c risp32.25Nons0.1308B-F
 shk3n dmso vs. shk3n risp-12.28Nons>0.9999C-D
 shk3n dmso vs. shk3c dmso-5.241Nons>0.9999C-E
 shk3n dmso vs. shk3c risp-11.87Nons>0.9999C-F
 shk3n risp vs. shk3c dmso7.042Nons>0.9999D-E
 shk3n risp vs. shk3c risp0.4091Nons>0.9999D-F
 shk3c dmso vs. shk3c risp-6.633Nons>0.9999E-F
Test detailsMean rank 1Mean rank 2Mean rank diff.n1n2Z
 WT dmso vs. WT risp98.3297.340.977431290.08619
 WT dmso vs. shk3n dmso98.3253.2245.131243.771
 WT dmso vs. shk3n risp98.3265.532.8231232.709
 WT dmso vs. shk3c dmso98.3258.4639.8631253.372
 WT dmso vs. shk3c risp98.3265.0933.2331232.743
 WT risp vs. shk3n dmso97.3453.2244.1229243.633
 WT risp vs. shk3n risp97.3465.531.8429232.59
 WT risp vs. shk3c dmso97.3458.4638.8829253.239
 WT risp vs. shk3c risp97.3465.0932.2529232.623
 shk3n dmso vs. shk3n risp53.2265.5-12.2824230.9544
 shk3n dmso vs. shk3c dmso53.2258.46-5.24124250.4162
 shk3n dmso vs. shk3c risp53.2265.09-11.8724230.9226
 shk3n risp vs. shk3c dmso65.558.467.04223250.5528
 shk3n risp vs. shk3c risp65.565.090.409123230.03144
 shk3c dmso vs. shk3c risp58.4665.09-6.63325230.5207

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 26. ANOVA of 30-second light-off for 5 mM lithium chloride-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 4a.

Table analyzedLiCL 30 sec lights-off
Kruskal-Wallis test
 P value<0.0001
 Exact or approximate P value?Approximate
 P value summary****
 Do the medians vary signif. (P < 0.05)?Yes
 Number of groups6
 Kruskal-Wallis statistic60.74
Data summary
 Number of treatments (columns)6
 Number of values (total)104

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 27. Dunn’s multiple comparisons of 30-second lights-off for 5 mM lithium chloride-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 4a.

Number of families1
Number of comparisons per family15
Alpha0.05
Dunn's multiple comparisons testMean rank diff.Significant?SummaryAdjusted P Value
 WT vs. WT LiCL-5.725Nons>0.9999A-B
 WT vs. shk3n hom46.9Yes****<0.0001A-C
 WT vs. shk3n hom LiCL42.23Yes***0.0002A-D
 WT vs. shk3c hom49.59Yes****<0.0001A-E
 WT vs. shk3c hom LiCL43.71Yes***0.0002A-F
 WT LiCL vs. shk3n hom52.63Yes****<0.0001B-C
 WT LiCL vs. shk3n hom LiCL47.96Yes****<0.0001B-D
 WT LiCL vs. shk3c hom55.31Yes****<0.0001B-E
 WT LiCL vs. shk3c hom LiCL49.44Yes****<0.0001B-F
 shk3n hom vs. shk3n hom LiCL-4.667Nons>0.9999C-D
 shk3n hom vs. shk3c hom2.688Nons>0.9999C-E
 shk3n hom vs. shk3c hom LiCL-3.188Nons>0.9999C-F
 shk3n hom LiCL vs. shk3c hom7.354Nons>0.9999D-E
 shk3n hom LiCL vs. shk3c hom LiCL1.479Nons>0.9999D-F
 shk3c hom vs. shk3c hom LiCL-5.875Nons>0.9999E-F
Test detailsMean rank 1Mean rank 2Mean rank diff.n1n2Z
 WT vs. WT LiCL81.487.13-5.72520160.5658
 WT vs. shk3n hom81.434.546.920184.785
 WT vs. shk3n hom LiCL81.439.1742.2320184.309
 WT vs. shk3c hom81.431.8149.5920164.901
 WT vs. shk3c hom LiCL81.437.6943.7120164.32
 WT LiCL vs. shk3n hom87.1334.552.6316185.077
 WT LiCL vs. shk3n hom LiCL87.1339.1747.9616184.627
 WT LiCL vs. shk3c hom87.1331.8155.3116165.186
 WT LiCL vs. shk3c hom LiCL87.1337.6949.4416164.635
 shk3n hom vs. shk3n hom LiCL34.539.17-4.66718180.4641
 shk3n hom vs. shk3c hom34.531.812.68818160.2593
 shk3n hom vs. shk3c hom LiCL34.537.69-3.18818160.3075
 shk3n hom LiCL vs. shk3c hom39.1731.817.35418160.7095
 shk3n hom LiCL vs. shk3c hom LiCL39.1737.691.47918160.1427
 shk3c hom vs. shk3c hom LiCL31.8137.69-5.87516160.5508

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 28. ANOVA of 5-minute lights-off for 5 mM lithium chloride-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 5b.

Table analyzedLiCL 5 min lights-off
Kruskal-Wallis test
 P value<0.0001
 Exact or approximate P value?Approximate
 P value summary****
 Do the medians vary signif. (P < 0.05)?Yes
 Number of groups6
 Kruskal-Wallis statistic49.22
Data summary
 Number of treatments (columns)6
 Number of values (total)104

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 29. Dunn’s multiple comparisons of 5-minute lights-off for 5 mM lithium chloride-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 5b.

Number of families1
Number of comparisons per family15
Alpha0.05
Dunn's multiple comparisons testMean rank diff.Significant?SummaryAdjusted P Value
 WT vs. WT LiCL9.069Nons>0.9999A-B
 WT vs. shk3n hom55.96Yes****<0.0001A-C
 WT vs. shk3n hom LiCL46.02Yes****<0.0001A-D
 WT vs. shk3c hom39.07Yes**0.0017A-E
 WT vs. shk3c hom LiCL40.91Yes***0.0008A-F
 WT LiCL vs. shk3n hom46.89Yes****<0.0001B-C
 WT LiCL vs. shk3n hom LiCL36.95Yes**0.0055B-D
 WT LiCL vs. shk3c hom30Nons0.0737B-E
 WT LiCL vs. shk3c hom LiCL31.84Yes*0.0424B-F
 shk3n hom vs. shk3n hom LiCL-9.944Nons>0.9999C-D
 shk3n hom vs. shk3c hom-16.89Nons>0.9999C-E
 shk3n hom vs. shk3c hom LiCL-15.05Nons>0.9999C-F
 shk3n hom LiCL vs. shk3c hom-6.948Nons>0.9999D-E
 shk3n hom LiCL vs. shk3c hom LiCL-5.104Nons>0.9999D-F
 shk3c hom vs. shk3c hom LiCL1.844Nons>0.9999E-F
Test detailsMean rank 1Mean rank 2Mean rank diff.n1n2Z
 WT vs. WT LiCL83.8574.789.06920160.8963
 WT vs. shk3n hom83.8527.8955.9620185.71
 WT vs. shk3n hom LiCL83.8537.8346.0220184.695
 WT vs. shk3c hom83.8544.7839.0720163.861
 WT vs. shk3c hom LiCL83.8542.9440.9120164.044
 WT LiCL vs. shk3n hom74.7827.8946.8916184.524
 WT LiCL vs. shk3n hom LiCL74.7837.8336.9516183.565
 WT LiCL vs. shk3c hom74.7844.783016162.813
 WT LiCL vs. shk3c hom LiCL74.7842.9431.8416162.986
 shk3n hom vs. shk3n hom LiCL27.8937.83-9.94418180.989
 shk3n hom vs. shk3c hom27.8944.78-16.8918161.63
 shk3n hom vs. shk3c hom LiCL27.8942.94-15.0518161.452
 shk3n hom LiCL vs. shk3c hom37.8344.78-6.94818160.6703
 shk3n hom LiCL vs. shk3c hom LiCL37.8342.94-5.10418160.4924
 shk3c hom vs. shk3c hom LiCL44.7842.941.84416160.1729

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 30. ANOVA of 30-second light-off for 200 μM carbamazepine exposed shank3ab larvae.

See Figure 5a.

Table analyzedCBZ 30 sec lights-off
Kruskal-Wallis test
 P value<0.0001
 Exact or approximate P value?Approximate
 P value summary****
 Do the medians vary signif. (P < 0.05)?Yes
 Number of groups6
 Kruskal-Wallis statistic73.6
Data summary
 Number of treatments (columns)6
 Number of values (total)176

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 31. Dunn’s multiple comparisons of 30-second lights-off for 200 μM carbamazepine-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 5a.

Number of families1
Number of comparisons per family15
Alpha0.05
Dunn's multiple comparisons testMean rank diff.Significant?SummaryAdjusted P Value
 WT vs. WT CBZ14.04Nons>0.9999A-B
 WT vs. shk3n61.73Yes****<0.0001A-C
 WT vs. shk3n CBZ112.4Yes****<0.0001A-D
 WT vs. shk3c42.38Yes*0.0175A-E
 WT vs. shk3c CBZ39.99Yes*0.0167A-F
 WT CBZ vs. shk3n47.69Yes**0.0053B-C
 WT CBZ vs. shk3n CBZ98.35Yes****<0.0001B-D
 WT CBZ vs. shk3c28.34Nons0.4199B-E
 WT CBZ vs. shk3c CBZ25.95Nons0.4803B-F
 shk3n vs. shk3n CBZ50.66Yes*0.0181C-D
 shk3n vs. shk3c-19.35Nons>0.9999C-E
 shk3n vs. shk3c CBZ-21.74Nons>0.9999C-F
 shk3n CBZ vs. shk3c-70.01Yes****<0.0001D-E
 shk3n CBZ vs. shk3c CBZ-72.39Yes****<0.0001D-F
 shk3c vs. shk3c CBZ-2.383Nons>0.9999E-F
Test detailsMean rank 1Mean rank 2Mean rank diff.n1n2Z
 WT vs. WT CBZ126.2112.214.0435371.169
 WT vs. shk3n126.264.561.7335244.571
 WT vs. shk3n CBZ126.213.84112.435197.741
 WT vs. shk3c126.283.8542.3835273.247
 WT vs. shk3c CBZ126.286.2439.9935343.26
 WT CBZ vs. shk3n112.264.547.6937243.571
 WT CBZ vs. shk3n CBZ112.213.8498.3537196.839
 WT CBZ vs. shk3c112.283.8528.3437272.197
 WT CBZ vs. shk3c CBZ112.286.2425.9537342.144
 shk3n vs. shk3n CBZ64.513.8450.6624193.238
 shk3n vs. shk3c64.583.85-19.3524271.354
 shk3n vs. shk3c CBZ64.586.24-21.7424341.6
 shk3n CBZ vs. shk3c13.8483.85-70.0119274.589
 shk3n CBZ vs. shk3c CBZ13.8486.24-72.3919344.96
 shk3c vs. shk3c CBZ83.8586.24-2.38327340.1815

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 32. ANOVA of 5-minute lights-off for 200 μM carbamazepine-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 5b.

Table analyzedCBZ 5 min lights-off
Kruskal-Wallis test
 P value<0.0001
 Exact or approximate P value?Approximate
 P value summary****
 Do the medians vary signif. (P < 0.05)?Yes
 Number of groups6
 Kruskal-Wallis statistic40.2
Data summary
 Number of treatments (columns)6
 Number of values (total)176

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 33. Dunn’s multiple comparisons of 5-minute lights-off for 200 μM carbamazepine-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 5b.

Number of families1
Number of comparisons per family15
Alpha0.05
Dunn's multiple comparisons testMean rank diff.Significant?SummaryAdjusted P Value
 WT vs. WT cbz25.72Nons0.4844A-B
 WT vs. shank3n62.12Yes***0.0003A-C
 WT vs. shank3n CBZ72.55Yes****<0.0001A-D
 WT vs. shank3c51.91Yes**0.001A-E
 WT vs. shank3c CBZ48.3Yes**0.0012A-F
 WT cbz vs. shank3n36.4Nons0.1706B-C
 WT cbz vs. shank3n CBZ46.83Yes**0.0068B-D
 WT cbz vs. shank3c26.19Nons0.6338B-E
 WT cbz vs. shank3c CBZ22.58Nons0.9316B-F
 shank3n vs. shank3n CBZ10.43Nons>0.9999C-D
 shank3n vs. shank3c-10.2Nons>0.9999C-E
 shank3n vs. shank3c CBZ-13.82Nons>0.9999C-F
 shank3n CBZ vs. shank3c-20.64Nons>0.9999D-E
 shank3n CBZ vs. shank3c CBZ-24.25Nons>0.9999D-F
 shank3c vs. shank3c CBZ-3.611Nons>0.9999E-F
Test detailsMean rank 1Mean rank 2Mean rank diff.n1n2Z
 WT vs. WT cbz127.8102.125.7235372.141
 WT vs. shank3n127.865.6862.1235194.278
 WT vs. shank3n CBZ127.855.2572.5535245.373
 WT vs. shank3c127.875.8951.9135273.978
 WT vs. shank3c CBZ127.879.548.335343.937
 WT cbz vs. shank3n102.165.6836.437192.531
 WT cbz vs. shank3n CBZ102.155.2546.8337243.507
 WT cbz vs. shank3c102.175.8926.1937272.031
 WT cbz vs. shank3c CBZ102.179.522.5837341.866
 shank3n vs. shank3n CBZ65.6855.2510.4319240.6669
 shank3n vs. shank3c65.6875.89-10.219270.6688
 shank3n vs. shank3c CBZ65.6879.5-13.8219340.9467
 shank3n CBZ vs. shank3c55.2575.89-20.6424271.444
 shank3n CBZ vs. shank3c CBZ55.2579.5-24.2524341.785
 shank3c vs. shank3c CBZ75.8979.5-3.61127340.2749

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 34. ANOVA of 30-second light-off for 5 μM MPEP-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 6a.

Table analyzedMPEP 30 sec lights-off
Kruskal-Wallis test
 P value<0.001
 Exact or approximate P value?Approximate
 P value summary***
 Do the medians vary signif. (P < 0.05)?Yes
 Number of groups6
 Kruskal-Wallis statistic45.04
Data summary
 Number of treatments (columns)6
 Number of values (total)153

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 35. Dunn’s multiple comparisons of 30-second lights-off for 5 μM MPEP-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 6a.

Number of families1
Number of comparisons per family15
Alpha0.05
Dunn's multiple comparisons testMean rank diff.Significant?SummaryAdjusted P Value
 shank3+/+ DMSO vs. shank3+/+ MPEP48.38Yes**0.004A-B
 shank3+/+ DMSO vs. shank3n DMSO57.11Yes***<0.001A-C
 shank3+/+ DMSO vs. shank3n MPEP65.55Yes***<0.001A-D
 shank3+/+ DMSO vs. shank3c DMSO53.83Yes**0.001A-E
 shank3+/+ DMSO vs. shank3c MPEP71.91Yes***<0.001A-F
 shank3+/+ MPEP vs. shank3n DMSO8.724Nons>0.99B-C
 shank3+/+ MPEP vs. shank3n MPEP17.17Nons>0.99B-D
 shank3+/+ MPEP vs. shank3c DMSO5.45Nons>0.99B-E
 shank3+/+ MPEP vs. shank3c MPEP23.53Nons>0.99B-F
 shank3n DMSO vs. shank3n MPEP8.445Nons>0.99C-D
 shank3n DMSO vs. shank3c DMSO-3.274Nons>0.99C-E
 shank3n DMSO vs. shank3c MPEP14.8Nons>0.99C-F
 shank3n MPEP vs. shank3c DMSO-11.72Nons>0.99D-E
 shank3n MPEP vs. shank3c MPEP6.358Nons>0.99D-F
 shank3c DMSO vs. shank3c MPEP18.08Nons>0.99E-F
Test detailsMean rank 1Mean rank 2Mean rank diff.n1n2Z
 shank3+/+ DMSO vs. shank3+/+ MPEP127.378.9548.3823243.677
 shank3+/+ DMSO vs. shank3n DMSO127.370.2357.1123334.864
 shank3+/+ DMSO vs. shank3n MPEP127.361.7865.5523315.624
 shank3+/+ DMSO vs. shank3c DMSO127.373.553.8323193.967
 shank3+/+ DMSO vs. shank3c MPEP127.355.4271.9123235.868
 shank3+/+ MPEP vs. shank3n DMSO78.9570.238.72424330.682
 shank3+/+ MPEP vs. shank3n MPEP78.9561.7817.1724311.35
 shank3+/+ MPEP vs. shank3c DMSO78.9573.55.4524190.3761
 shank3+/+ MPEP vs. shank3c MPEP78.9555.4223.5324231.774
 shank3n DMSO vs. shank3n MPEP70.2361.788.44533300.7513
 shank3n DMSO vs. shank3c DMSO70.2373.5-3.27433190.2477
 shank3n DMSO vs. shank3c MPEP70.2355.4214.833231.248
 shank3n MPEP vs. shank3c DMSO61.7873.5-11.7231190.8918
 shank3n MPEP vs. shank3c MPEP61.7855.426.35831230.5399
 shank3c DMSO vs. shank3c MPEP73.555.4218.0819231.322

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 36. ANOVA of 5-minute lights-off for 5 μM MPEP-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 6b.

Table analyzedshank3 MPEP 5 min lights-off
Kruskal-Wallis test
 P value<0.0001
 Exact or approximate P value?Approximate
 P value summary****
 Do the medians vary signif. (P < 0.05)?Yes
 Number of groups6
 Kruskal-Wallis statistic27
Data summary
 Number of treatments (columns)6
 Number of values (total)153

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 37. Dunn’s multiple comparisons of 5-minute lights-off for 5 μM MPEP-exposed WT, shank3abN-/-, and shank3abC-/- larvae.

See Figure 6b.

Number of families1
Number of comparisons per family15
Alpha0.05
Dunn's multiple comparisons testMean rank diff.Significant?SummaryAdjusted P Value
 WT dmso vs. WT mpep40.31Yes*0.0225A-B
 WT dmso vs. shk3n dmso50.63Yes***0.0003A-C
 WT dmso vs. shk3 mpep49.3Yes***0.0006A-D
 WT dmso vs. shk3c dmso39.96Yes*0.0473A-E
 WT dmso vs. shk3c mpep58.7Yes****<0.0001A-F
 WT mpep vs. shk3n dmso10.32Nons>0.9999B-C
 WT mpep vs. shk3 mpep8.994Nons>0.9999B-D
 WT mpep vs. shk3c dmso-0.3502Nons>0.9999B-E
 WT mpep vs. shk3c mpep18.4Nons>0.9999B-F
 shk3n dmso vs. shk3 mpep-1.329Nons>0.9999C-D
 shk3n dmso vs. shk3c dmso-10.67Nons>0.9999C-E
 shk3n dmso vs. shk3c mpep8.074Nons>0.9999C-F
 shk3 mpep vs. shk3c dmso-9.344Nons>0.9999D-E
 shk3 mpep vs. shk3c mpep9.403Nons>0.9999D-F
 shk3c dmso vs. shk3c mpep18.75Nons>0.9999E-F
Test detailsMean rank 1Mean rank 2Mean rank diff.n1n2Z
 WT dmso vs. WT mpep115.174.7640.3123243.174
 WT dmso vs. shk3n dmso115.164.4450.6323334.293
 WT dmso vs. shk3 mpep115.165.7749.323314.125
 WT dmso vs. shk3c dmso115.175.1139.9623192.953
 WT dmso vs. shk3c mpep115.156.3658.723234.573
 WT mpep vs. shk3n dmso74.7664.4410.3224330.8869
 WT mpep vs. shk3 mpep74.7665.778.99424310.7622
 WT mpep vs. shk3c dmso74.7675.11-0.350224190.02614
 WT mpep vs. shk3c mpep74.7656.3618.424231.449
 shk3n dmso vs. shk3 mpep64.4465.77-1.32933300.1228
 shk3n dmso vs. shk3c dmso64.4475.11-10.6733190.8508
 shk3n dmso vs. shk3c mpep64.4456.368.07433230.6847
 shk3 mpep vs. shk3c dmso65.7775.11-9.34431190.7361
 shk3 mpep vs. shk3c mpep65.7756.369.40331230.7868
 shk3c dmso vs. shk3c mpep75.1156.3618.7519231.385

* p < 0.05,

** p < 0.01,

*** p < 0.001,

**** p < 0.0001.

Table 38. Paired t-test for 3 mM PTZ-exposed shank3abN-/- larvae.

See Figure 7b.

Table analyzed3 mM PTZ
Column A0.1% DMSO
vs.vs.
Column BPTZ
Test details
Test namePaired t test
Variance assumptionIndividual variance for each group
Multiple comparisonsFalse Discovery Rate (FDR)
MethodTwo-stage step-up (Benjamini, Krieger, and Yekutieli)
Desired FDR (Q)0.20%
Number of tests performed2
Number of rows omitted0
Number of rows with incomplete data1

Table 39. Paired t-test significance table for 3 mM PTZ-exposed shank3abN-/- larvae.

See Figure 7b.

Column1Discovery?P valueMean of 0.1% DMSOMean of PTZDiff.SE of diff.t ratiodfq value
WTYes<0.000001829.53601-2771304.59.10130<0.000001
shk3n HomNo0.10151310661538-471.8279.61.688310.050858
P valueMean of 0.1% DMSOMean of PTZDifferenceSE of differencet ratiodfq value
WT<0.000001829.53601-2771304.59.10130<0.000001

Table 40. Paired t-test for 3 mM PTZ-exposed shank3abC-/- larvae.

See Figure 7b.

Table analyzed3 mM PTZ
Column A0.1% DMSO
vs.vs.
Column BPTZ
Test details
Test namePaired t test
Variance assumptionIndividual variance for each group
Multiple comparisonsFalse Discovery Rate (FDR)
MethodTwo-stage step-up (Benjamini, Krieger, and Yekutieli)
Desired FDR (Q)0.20%
Number of tests performed2
Number of rows omitted0
Number of rows with incomplete data2

Table 41. Paired t-test significance table for 3 mM PTZ-exposed shank3abC-/- larvae.

See Figure 7b.

Column1Discovery?P valueMean of 0.1%DMSOMean of PTZDifferenceSE of differencet ratiodfq value
WTYes<0.000001951.53491-2539222.111.4330<0.000001
shk3c HomNo0.0581770.51021-450.4150.42.995270.002911
P valueMean of 0.1% DMSOMean of PTZDifferenceSE of differencet ratiodfq value
WT<0.000001951.53491-2539222.111.4330<0.000001

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Kozol RA and Dallman JE. Drugs prescribed for Phelan-McDermid syndrome differentially impact sensory behaviors in shank3 zebrafish models. [version 2; peer review: 2 approved]. F1000Research 2023, 12:84 (https://doi.org/10.12688/f1000research.127830.2)
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Reviewer Report 20 Oct 2023
Sara Moir Sarasua, Clemson University, Clemson, South Carolina, USA 
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I read the revisions and would like to change my review to Approve. ... Continue reading
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Sarasua SM. Reviewer Report For: Drugs prescribed for Phelan-McDermid syndrome differentially impact sensory behaviors in shank3 zebrafish models. [version 2; peer review: 2 approved]. F1000Research 2023, 12:84 (https://doi.org/10.5256/f1000research.155643.r210229)
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Fumihito Ono, Department of Physiology, Osaka Medical and Pharmaceutical University, Takatsuki, Japan 
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Authors addressed all ... Continue reading
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Ono F. Reviewer Report For: Drugs prescribed for Phelan-McDermid syndrome differentially impact sensory behaviors in shank3 zebrafish models. [version 2; peer review: 2 approved]. F1000Research 2023, 12:84 (https://doi.org/10.5256/f1000research.155643.r210230)
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Reviewer Report 17 Jul 2023
Sara Moir Sarasua, Clemson University, Clemson, South Carolina, USA 
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Thank you for the opportunity to review this interesting and timely research. The authors present a study in which they use the zebrafish model of two shank3ab mutants (affecting either the N or C terminus of shank3a and shank3b) to ... Continue reading
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Sarasua SM. Reviewer Report For: Drugs prescribed for Phelan-McDermid syndrome differentially impact sensory behaviors in shank3 zebrafish models. [version 2; peer review: 2 approved]. F1000Research 2023, 12:84 (https://doi.org/10.5256/f1000research.140374.r178147)
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  • Author Response 27 Sep 2023
    Julia Dallman, Department of Biology, University of Miami, Coral Gables, 33146, USA
    27 Sep 2023
    Author Response
    First, we would like to thank Dr. Sarasua for her thorough and clear feedback for how to improve the presentation of our work. We respond (our responses are in italics) ... Continue reading
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  • Author Response 27 Sep 2023
    Julia Dallman, Department of Biology, University of Miami, Coral Gables, 33146, USA
    27 Sep 2023
    Author Response
    First, we would like to thank Dr. Sarasua for her thorough and clear feedback for how to improve the presentation of our work. We respond (our responses are in italics) ... Continue reading
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Reviewer Report 09 Mar 2023
Fumihito Ono, Department of Physiology, Osaka Medical and Pharmaceutical University, Takatsuki, Japan 
Approved with Reservations
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This paper by Kozol and Dallman studied the effects of small molecule drugs on the behavior of shank3 mutant zebrafish, using it as a model of PMS. Specifically, authors examined their response to the change of illumination. The experiments were ... Continue reading
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Ono F. Reviewer Report For: Drugs prescribed for Phelan-McDermid syndrome differentially impact sensory behaviors in shank3 zebrafish models. [version 2; peer review: 2 approved]. F1000Research 2023, 12:84 (https://doi.org/10.5256/f1000research.140374.r164132)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
  • Author Response 27 Sep 2023
    Julia Dallman, Department of Biology, University of Miami, Coral Gables, 33146, USA
    27 Sep 2023
    Author Response
    First, we would like to thank Dr. Ono for his careful and insightful review of our paper. We respond (our responses are in italics) to each suggestion below.
    ... Continue reading
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  • Author Response 27 Sep 2023
    Julia Dallman, Department of Biology, University of Miami, Coral Gables, 33146, USA
    27 Sep 2023
    Author Response
    First, we would like to thank Dr. Ono for his careful and insightful review of our paper. We respond (our responses are in italics) to each suggestion below.
    ... Continue reading

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Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions
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