Table 1.
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.