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. 2022 Sep 27;23(1):38–43. doi: 10.1177/15357597221127163

Table 1.

Key Differences Between 4AP and 0 Mg2+ Models.a

4-Aminopyridine 0 Magnesium
Primary pharmacology Blocks voltage-gated K+ channels Relieves voltage-dependent NMDA s blockade: enhances Glut neurotransmission
Secondary pharmacology Effects more apparent in interneurons Reduces divalent cation shielding—shift in voltage-dependence, enhancing excitability
Primary effect on cell activity IN burst firing enhanced Enhances synaptic summation in dendrites
Early interictal activity patterns Primary IN activity Glutamatergic, with secondary IN activity
Brain area patterns Early Prominent Hipp activity; also NC & EC NC/EC IIDs; Minimal Hipp involvement
Intermediate SLEs in NC, referred to Hipp SLEs in NC/EC; Minimal Hipp involvement
Late Late recurrent discharges; Hipp led, spreading to NC/EC Late recurrent discharges; Hipp led, spreading to NC/EC
Seizure induction by optogenetic IN activation Yes Only in late stage
Electrographic SLE pattern Low-voltage, fast activity Hypersynchronous-onset

Abbreviations: 4AP, 4-aminopyridine; EC, entorhinal cortex; Hipp, Hippocampus; IIDs, interictal discharges; IN, interneurons; NC, neocortex; SLEs, seizure-like events.

a See Codadu et al 20,21 for details; also Levesque et al 22 and de Curtis and Avoli 23 about the electrographic SLE patterns at seizure onset, and Chang et al 24 regarding SLEs being triggered in 0 Mg2+ by optogenetic interneuronal activation only once seizure-like activity is well established, and not early in that model.