Abstract
Pathophysiological remodeling processes at an early stage of an acquired epilepsy are critical but not well understood. Therefore, we examined acute changes in action potential (AP) dynamics immediately following status epilepticus (SE) in mice. SE was induced by intraperitoneal (i.p.) injection of kainate, and behavioral manifestation of SE was monitored for 3–4 h. After this time interval CA1 pyramidal cells were studied ex vivo with whole-cell current-clamp and Ca2+ imaging techniques in a hippocampal slice preparation. Following acute SE both resting potential and firing threshold were modestly depolarized (2–5 mV). No changes were seen in input resistance or membrane time constant, but AP latency was prolonged and AP upstroke velocity reduced following acute SE. All cells showed an increase in AP halfwidth and regular (rather than burst) firing, and in a fraction of cells the notch, typically preceding spike afterdepolarization (ADP), was absent following acute SE. Notably, the typical attenuation of backpropagating action potential (b-AP)-induced Ca2+ signals along the apical dendrite was strengthened following acute SE. The effects of acute SE on the retrograde spread of excitation were mimicked by applying the Kv4 current potentiating drug NS5806. Our data unveil a reduced somatodendritic excitability in hippocampal CA1 pyramidal cells immediately after acute SE with a possible involvement of both Na+ and K+ current components.
Introduction
Action potential (AP) firing and spread of excitation are highly diverse in the central nervous system, since AP amplitude, waveform and mode of propagation can be regulated by a variety of ion channel conductances [1], [2]. Moreover, neuronal excitability and discharge behavior may change during development [3] and in an activity-dependent manner [4] due to intrinsic and synaptic plasticity processes.
In individual neurons transient and lasting Nav current components may overlap and act in concert with different types of voltage-dependent Ca2+ (Cav) and K+ (Kv) currents, with currents mediated by Ca2+-dependent K+ channels of big (BK, activated by both voltage and cytoplasmic Ca2+) and small conductance (SK, activated only by cytoplasmic Ca2+) and with a hyperpolarization-activated cationic current (I h) to shape the AP waveform [1]. Ionic conductances may influence AP firing by acting in the subthreshold and/or suprathreshold range of membrane potentials. In particular, during moderate membrane depolarization a delayed and dendrotoxin-sensitive K+ current (I D; [5], [6]) and a subthreshold-activating somatodendritic A-type K+ current (I SA; [7], [8]) may reduce the chance of AP initiation. On the other hand, low-voltage-activated (LVA) Ca2+ currents [9] and I h [10] may favor AP initiation, thereby inducing oscillatory and pacemaker discharge behavior. Once an AP has been fired, various Kv currents, including I D and I SA [5], [11], mediate repolarization. This process may be delayed whenever high-voltage-activated (HVA) Ca2+ currents are activated by the AP, however, the Ca2+ influx may also cause fairly rapid activation of BK currents, and eventually favor repolarization [12]. More slowly reacting to a rise in internal Ca2+, SK currents may cause afterhyperpolarization (AHP; [13]) together with the BK current [14] and a muscarinic receptor-inhibited Kv current (M-current; [15]). Finally, not only AHP but also afterdepolarization (ADP) can be frequently observed. ADP may be mediated by a combination of “persistent” (non-inactivating) and “resurgent” (transiently active during recovery from inactivation) Nav current components [16], but also by LVA and R-type (dihydropyridine-resistant) Cav currents [17], [18] and Ca2+-activated cationic currents [19].
APs generated at the soma travel down the axon in order to depolarize presynaptic terminals, but they may also be actively propagated, in a retrograde manner, along the apical dendrite [20], [21]. AP backpropagation is often counteracted and finally terminated by dendritic K+ efflux. In this context I SA plays a central role. The subthreshold activation of I SA and the fact that I SA increases with distance from the soma [22] leads to progressive attenuation of backpropagating APs (b-APs) in CA1 pyramidal cells [22].
Lasting changes in cellular excitability, discharge behavior and/or spread of excitation (i.e. intrinsic plasticity) are observed in many CNS disorders, including epilepsy [4]. They may be caused by the pathophysiological remodeling of one or more of the ion channel conductances described above. Molecular remodeling processes in individual neurons become more and more important concerning the question: how does a normal brain develop epilepsy after an insult or injury [23]? To study the molecular remodeling processes during the development of chronic epilepsy rodent models have been in use for a long time [24]–[26]. In many of these models status epilepticus (SE) is induced by application of convulsant drugs like kainate [24] or pilocarpine [25]. SE is self-terminating due to postictal depression or terminated by the use of sedative drugs, usually within a few hours. The brief SE period is followed by a longer time interval (weeks or months) with no signs of epilepsy (latent period) before spontaneous recurrent seizures can be observed. After the latent period burst firing [27] and reduced b-AP attenuation [28], as two major correlates of intrinsic plasticity in CA1 pyramidal cells of the hippocampus, have been described.
Investigations with the objective of identifying molecular remodeling processes which underlie epilepsy are usually undertaken at a time point, when considerable cell death has already occurred [29]. This may preclude the unambiguous characterization of intrinsic plasticity mechanisms. To make predictions of the onset and time course of epileptogenesis one has to know the cellular plasticity processes involved at an early stage of the disease. Therefore, we studied possible changes in excitability, AP waveform and b-AP attenuation as correlates of intrinsic plasticity in hippocampal CA1 pyramidal cells immediately after a 1–2 h kainate-induced SE (acute SE) in mice. Our experimental results suggest an acute SE-related modulation of AP dynamics, including reduced somatodendritic excitability and less spread of dendritic excitation.
Methods
Animals and status epilepticus induction
For the experiments juvenile (3 weeks old) C57BL/6 mice were used with a mean body weight of 10.8±0.3 g (n = 24). Status epilepticus (SE) was induced by intraperitoneal (i.p.) injection of kainate (30 mg/kg body weight) diluted in a 0.9% NaCl solution (injection volume: 0.05 ml/g body weight). Seizure onset, duration and severity were monitored by video-taping for 3 h (in one animal for 4 h). Behavioral observations during this time were scored on a modified Racine-scale from 0 to 7 [30], [31]. According to this scale, stage 0 represents normal behavior (exploring, sniffing and grooming). Stage 1 (motionless behavior, cower, flattened ears and facial clonus) was usually followed by stage 2, in which the animals show stretched tail and forelimbs. At stage 3 the animals show various automatisms including repetitive scratching, cycling and head nodding, combined with occasional forelimb cloni, and stage 4 is defined by rearing with continuous forelimb cloni. Finally, stage 5 is defined as rearing and falling, and stage 6 by full motor seizures, sometimes with sudden jumps (stage 6 phases usually lasted less than 30 s in our experiments; full motor seizures longer than 30 s usually caused the death of the animal, defined as stage 7). All stage transitions due to sudden or gradual changes in behavior during the 3–4 h post-injection period were plotted against time and the corresponding data points connected by a line (SE-profile; Fig. 1A). The area under the resultant curve (SE profile integral in arbitrary units) and the number of seizures ≥ stage 5 served as a measure of SE severity to compare all tested animals of the basic population. Animals which received an i.p. injection of 0.9% NaCl solution without kainate (sham treatment, n = 10; mean body weight 10.4±0.5 g) yielded reference data (see below) and were not behaviorally analyzed.
Ethics statement
All animal experiments were approved by the local authorities of the City of Hamburg (approval numbers G09/085, ORG468) and were conducted in accordance with the German law on the protection of experimental animals and the European Communities Council Directive of November 24 1986 (86/609/EEC).
Hippocampal slice preparation
Acute hippocampal slices were prepared 3–4 h after kainate injection, provided the animal showed clear SE behavior (see above), or after 3 h of sham treatment. Animals were anesthetized with isoflurane and sacrificed by decapitation. Brains were quickly removed and transferred into ice-cold sucrose-based cutting solution, containing (in mM) 87 NaCl, 25 NaHCO3, 1.25 NaH2PO4, 2.5 KCl, 0.5 CaCl2, 4 MgCl2, 25 glucose, 75 sucrose, for 1–2 min. After removal of the cerebellum the two hemispheres were separated, and each hemisphere trimmed and mounted on a VT1000 vibratome (Leica) according to the “magic cut” procedure [32]. With this procedure the blade of the vibratome hits the medial part of the hippocampal formation in a 90° angle and, thus, runs parallel to the CA1 pyramidal cell apical dendrites in this region. Both hemispheres were cut into slices of 300 µm thickness, and the hippocampal formation was separated from the rest of the slice. Hippocampal slices were transferred to a chamber with cutting solution at 34°C for 30 min and stored thereafter in cutting soultion at room temperature (20–22°C). For the experiments slices were transferred to a bath solution at room temperature containing (in mM) 125 NaCl, 26 NaHCO3, 1.25 NaH2PO4, 2.5 KCl, 2.5 CaCl2, 1.5 MgCl2, 25 glucose. Cutting and bath solutions were kept saturated with carbogen gas (95% O2 and 5% CO2) at all times.
Dye filling of neurons and current-clamp recording
Individual CA1 pyramidal cells were visualized with an Axioskop 2F microscope (Zeiss) equipped with infrared differential interference contrast and an iXon CCD Camera (Andor Technology). Patch pipettes were made from thick-walled borosilicate glass (GB150-8P, Science Products). Before pipette filling the fluorescent dye bis-Fura 2 (0.1 mM) was added to the pipette solution, which contained (in mM) 120 K-methylsulfonic acid, 20 KCl, 2 MgCl2, 10 HEPES, 4 Na2-ATP, 0.3 Na-GTP, 10 Na2-phosphocreatine, 3 Na-L-ascorbate; pH 7.2 with KOH. Cells were assessed in the somatic whole-cell configuration of the patch-clamp technique, and diffusion of bis-Fura 2 into the apical dendrite (200–300 µm) took about 15 minutes. Recordings were done with an EPC10 patch-clamp amplifier (HEKA) controlled by PULSE software (HEKA). Within the first minute after establishing the whole-cell configuration the resting potential was directly measured (0 pA current injection). From the resting potential we then applied 900 ms long negative and positive current injections to examine passive membrane parameters and cellular excitability parameters, respectively (see below). Single somatic action potentials (APs) were elicited by brief current injections (4 ms) of variable strength. We injected increasing amounts of current (in steps of 15 pA) in order to catch the first action potential in response to a just suprathreshold current injection. This action potential was then further analyzed (see below).
Ca2+ imaging experiments
To study action potential backpropagation in the apical dendrite of individual CA1 pyramidal cells we chose the Ca2+ imaging technique. This approach exploits the fact that backpropagating action potentials (b-APs) activate dendritic Cav channels which then mediate Ca2+ influx. The Ca2+ binds to and changes the fluorescence properties of a cytoplasmic dye (e.g. bis-Fura 2). This b-AP-induced Ca2+ signal is acquired and its amplitude measured at many different locations along the dendrite (see below). Unlike dendritic microelectrode recording, this method, which we refer to as “b-AP imaging”, is indirect and depends critically on the properties of the dendritic Cav channels. Also, the fluorescent dye represents a Ca2+ buffer which may modulate Ca2+-dependent processes in the cytoplasm. However, b-AP imaging also has several advantages [21]: Unlike rupturing the dendritic membrane with a microelectrode, b-AP imaging leaves the dendritic compartment largely unaffected, and no additional pipette capacitance is introduced, which may cause filtering of the recorded signals. The b-AP imaging technique also provides a high spacial resolution (see below), which can hardly be reached with multiple dendritic electrode recording from individual neurons. Finally, the success rate with the b-AP imaging technique is higher than with multiple dendritic electrode recording. Consequently, the number of cells included in a given data set is larger. This is a critical prerequisite for the interpretation of experiments with a large scatter of data points (see also Fig. S3).
For dendritic b-AP imaging runs we first adjusted the holding current to produce a stable membrane potential of -70 mV and then elicited single APs with a 1 nA somatic current injection of 4 ms duration. The fluorescence changes based on the b-AP-induced Ca2+ entry were monitored at a single excitation wavelength of 395 nm and a 91 Hz sequential frame-rate using a Polychrome V monochromator device controlled by TILLvisION Software (Till Photonics). Simultaneous movement of slice and patch-pipette in the whole-cell configuration with a shifting table (Luigs and Neumann) allowed successive b-AP imaging runs at high magnification (63 x) in more than one region of the dendritic tree. The 1002×1004 pixel arrays were symmetrically binned 8 times.
Pharmacology
Control slices (from untreated animals) were studied under the influence of the Kv4 current activator N-[3,5-bis(trifluoromethyl)phenyl]-N′-[2,4-dibromo-6-(1H-tetrazol-5-yl)phenyl]-urea (NS5806, 20 µM) and the A-type channel inhibitor 4-aminopyridine (4-AP, 5 mM). The effects of both drugs were tested in the presence of the ionotropic glutamate receptor antagonists 6-cyano-7-nitroquinoxaline-2, 3-dione (CNQX, 10 µM) and DL-2-amino-5-phosphopentanoic acid (AP5, 50 µM). All drugs were purchased from Sigma-Aldrich, unless otherwise indicated, and were applied with a peristaltic pump-driven multi-channel bath perfusion system (ValveBank 8 II, AutoMate Scientific).
Data analysis
The programs PULSEFIT (HEKA) and AxoGraph X (John Clements; http://axographx.com) were used to analyze the acquired voltage traces. We measured the resting potential and calculated membrane time constant and input resistance (Rin). In addition, from the voltage sag seen with negative current injections the activation kinetics and magnitude of a hyperpolarization-activated current (I h) were estimated (see Fig. S1). From the traces obtained with a 50 pA positive current injection we determined AP latency and AP frequency. Individual APs were analyzed for the following parameters: threshold, amplitude (measured between peak and resting potential), upstroke velocity, halfwidth (width at 50% of the peak) and afterdepolarization (ADP; quantified as the integral below the corresponding part of the AP waveform and by the time constant of decay according to a single-exponential fit). Series resistance (Rs)-related artefacts in the recorded voltage traces due to incomplete bridge balance were computed off-line and subtracted from the absolute voltage deflections measured.
TILLvisION Software (Till Photonics) was used to analyze b-AP imaging data in pre-defined regions of interest (ROIs) positioned in 10 µm intervals along the apical dendrite. B-AP imaging data from 3 runs with the same protocol were averaged for every ROI. Further off-line analysis was done with Excel (Microsoft). The data were corrected for bleaching by dividing the trace that included the Ca2+ signal by a pre-trace of the same length that included only linear bleaching. Relative changes in intracellular Ca2+ were quantified by calculating ΔF/F in %, where the baseline represents the fluorescence F, measured before current injection, and the change in fluorescence intensity ΔF represents the signal increase during the passage of a b-AP. Peak values of ΔF/F for individual ROIs at various locations along the apical dendrite were normalized to the corresponding first ROI (5 µm from the soma). The decay kinetics of the Ca2+ transient obtained next to the soma were approximated by a single-exponential fit.
Summary data are presented as mean ± standard error of the mean (SEM). Statistical analyses were done using InStat and Prism (GraphPad). We analyzed differences between cells from sham-treated animals (sham cells) and cells from kainate-injected animals with SE behavior (SE cells), as well as differences between parameters under control conditions and in the presence of a drug. Statistical significance of differences between the mean values of two groups of data (e.g. AP parameters of sham and SE cells, respectively) was tested with Sudent's unpaired t-test. Three independent groups of data (e.g. AP parameters of sham cells and two subdivisions of SE cells) were statistically analyzed by one-way analysis of variance (ANOVA) with Tukey's multiple comparison test. Differences in the propagation of the b-AP-induced Ca2+ signal were analyzed by comparing the slopes of linear regression lines, derived from logarithmized data (see Fig. S3). For a comparison of backpropagation in sham and SE cells Student's unpaired t-test was used. For a comparison of backpropagation under control conditions, in the presence of NS5806 and in the presence of 4-AP one-way ANOVA and Tukey's multiple comparison test were used. NS5806-induced changes in cell excitability and discharge behavior (see Fig. S4) were statistically analyzed with Student's paired t-test.
Results
Behavioral manifestation of kainate-induced status epilepticus in mice
After kainate injection the animals were monitored for 3–4 h to keep track of the behavioral manifestation of status epilepticus (SE, see Methods). In the present study we did not perform electroencephalographic recordings during SE induction [33], nor did we await recurrent seizures after the termination of a latent period as a clear indication of SE-related epileptogenesis. However, the observed time courses of behavioral stage transitions (SE profiles, see Methods and Fig. 1A) were in accord with previous descriptions of a rat kainate model [34]. From a total of 24 kainate-injected animals 15 (62.5%) showed drastic behavioral changes, with the first stage 5 seizures occurring within 59±3 min after kainate injection (Fig. 1B and C). The number of seizures ≥ stage 5 was 15±3 (n = 15; Fig. 1D), and the mean SE profile integral (area under the SE profile curve as a measure of SE severity, which also rates onset times and post-SE stages; see Methods) was 583±42 (n = 15; Fig. 1E). Taken together, the data documented a more or less uniform SE time course and severity for the 15 animals, which were used for further experimentation. Three animals (12.5%) showed sparse behavioral changes after kainate injection, and 6 animals (25.0%) died within 1–2 h after kainate injection (Fig. 1B). Animals from the two latter groups were not used for further experimentation.
Acute changes in hippocampal CA1 pyramidal cell excitability following SE
Immediately after the 3–4 h time interval of behavioral monitoring animals were sacrificed and hippocampal slices prepared. Individual CA1 pyramidal cells were electrophysiologically characterized in the whole-cell configuration in current-clamp mode (Fig. 2, 3, 4). These recordings revealed that some parameters of cell excitability differed significantly between CA1 pyramidal cells from sham-treated animals (sham cells) and CA1 pyramidal cells from kainate-injected animals that showed SE behavior (SE cells). At 0 pA current injection we recorded a resting potential of −72.6±0.5 mV (n = 65) in sham cells. In SE cells the resting potential was slightly less negative (−70.4±0.4 mV, n = 81, p = 0.001; Fig. 2A and B). To examine subthreshold membrane potential dynamics we applied negative current injections of 900 ms duration. These protocols resulted in hyperpolarization, which developed with a characteristic membrane time constant of 33.5±1.2 ms (n = 61) in sham and 32.2±1.1 ms (n = 71, p = 0.4083) in SE cells at a current injection of −50 pA (Fig. 2A and C). More negative current injections resulted in membrane hyperpolatization with a negative peak potential and a prominent sag (due to the activation of I h), which finally reached a steady-state potential (Fig. 2A). Both negative peak (Fig. 2D) and steady-state potential (Fig. 2E) were plotted against the injected current, and the respective slopes were analyzed to calculate the corresponding input resistances (Rin; [11]). This analysis revealed similar Rin values for sham and SE cells (peak Rin: 224±6 MΩ, n = 65 for sham and 215±5 MΩ, n = 81 for SE, p = 0.245; steady-state Rin: 168±6 MΩ, n = 65 for sham and 160±5 MΩ, n = 81 for SE, p = 0.283; Fig. 2D and E). Also, neither the voltage sag amplitude (negative peak potential – steady-state potential), which represents a rough estimate of I h magnitude, nor the sag time constant (reflecting I h activation kinetics) were different in sham and SE cells (Fig. S1). These results suggest that acute SE caused a small but significant depolarization of the resting potential but had no effect on input resistance, membrane time constant and I h-related subthreshold membrane potential dynamics in hippocampal CA1 pyramidal cells.
To directly explore possible effects of acute SE on cell excitability we applied positive current injections of 50 pA (the approximate rheobase value determined for the cells under study; data not shown) and 900 ms duration. This protocol caused membrane depolarization, which resulted in the generation of an action potential (AP) or a series of APs (Fig. 3A) in 43 out of 64 sham cells (67%) and in 48 out of 77 SE cells (62%). Burst firing (as defined by Chen and coworkers [35]) was never observed in our experiments. Notably, the time it took for the (first) AP to appear (AP latency) differed between sham and SE cells. The AP latency was 93±16 ms (n = 43) in sham and 168±30 ms (n = 48, p = 0.035) in SE cells (Fig. 3B). On the other hand, AP frequency was not significantly different between sham (8.0±0.7 Hz, n = 40) and SE cells (6.7±0.8 Hz, n = 45, p = 0.230; Fig. 3C). These data suggest remodeling processes during acute SE that lead to a delay in AP firing at the rheobase level of current injection.
Acute changes in action potential properties
To further analyze the effects of acute SE on CA1 pyramidal cell excitability and to explore possible effects on the properties of individual APs, we applied current-clamp protocols suited to elicit only a single AP. In particular, current injections of 4 ms duration were adjusted in strength for each cell to allow the recording of the AP response to a just suprathreshold current injection (244±14 pA, n = 37 in sham cells and 271±13 pA, n = 61 in SE cells, p = 0.1612; Fig. 4A and B). In sham cells the AP threshold was −56.4±0.9 mV (n = 37). In the SE cells the AP threshold was less negative (−51.7±0.8, n = 61, p = 0.0002; Fig. 4A and C). However, due to the concomitant positive shift in the resting potential the absolute voltage needed to bring the membrane potential from rest to threshold was not significantly different between sham (17.1±0.9 mV, n = 37) and SE cells (18.6±0.8 mV, n = 61, p>0.05, ANOVA; Fig. S2). Also the AP amplitude was not significantly different between sham (124.2±1.4 mV, n = 37) and SE cells (121.8±1.0 mV, n = 61, p = 0.1674; Fig. 4A and D).
The inspection of AP kinetics revealed significant differences between sham and SE cells. In sham cells AP upstroke velocity was 462±15 Vs−1 (n = 37), and AP halfwidth was 1.43±0.06 ms (n = 37). We found that AP upstroke velocity was lower (391±12 Vs−1, n = 61, p = 0.0004; Fig. 4A and E), and AP halfwidth was larger (1.59±0.04 ms, n = 61, p = 0.0299; Fig. 4A and F) in SE cells. No significant differences between sham and SE cells were found with respect to afterdepolarization (ADP) integral (sham: 326±24 mV*ms, n = 28; SE: 392±21 mV*ms, n = 34, p = 0.0992; Fig. 4G) and the corresponding ADP time constant of decay (sham: 32.7±1.8 ms, n = 28; SE: 37.1±1.8 ms, n = 34, p = 0.0891; Fig. 4H).
Notably, a fraction of SE cells (27 out of 61 cells; 44%) did not show the notch, which typically precedes ADP in CA1 pyramidal cells and which was seen in all 37 sham cells tested (Fig. 4B). The finding that the AP notch was absent in a fraction of SE cells prompted us to statistically compare the above parameters for the subgroups SE[n] (notch) and SE[s] (smooth due to absence of notch) of the parent population of all SE cells (ANOVA, see Methods and Fig. 4C–H). This analysis revealed that the difference found between sham and SE for AP threshold was not affected by the subdivision in SE[n] and SE[s] (Fig. 4C). The voltage needed to bring the membrane potential from rest to threshold (Fig. S2) as well as the AP amplitude (Fig. 4D) were not significantly different among all groups. By contrast, only in SE[s] but not in SE[n] cells was the AP upstroke velocity and AP halfwidth significantly different from the corresponding values in sham cells, and SE[s] cells had a significantly larger AP upstroke velocity and AP halfwidth than SE[n] cells (Fig. 4E and F). The ADP integral in SE[s] cells was significantly different from both sham and SE[n] (Fig. 4G), whereas the ADP time constant was not significantly different among all groups (Fig. 4H). These results suggest that acute SE caused a depolarizing shift in AP threshold and a reduction of AP upstroke velocity. They further suggest that in some of the tested neurons acute SE abolished the notch, which normally precedes ADP, and led to spike broadening and augmentation of ADP.
Acute changes in dendritc spread of excitation
Next we asked whether the backpropagation of individual APs in the apical dendrite of hippocampal CA1 pyramidal cells was influenced by acute SE. To answer this question we elicited single APs at the soma and monitored the propagation of the b-AP-induced Ca2+ signal (see Methods) in sham and SE cells. Figure 5 shows b-AP imaging experiments performed on a sham cell (Fig. 5A) and on an SE cell (Fig. 5C). It can be seen that dye-filling of the neurons via the patch-pipette resulted in a diffusion gradient of bis-Fura 2 with massive loading of the soma and a lower but clearly detectable baseline fluorescence in distal portions of the apical dendrite (200 µm from the soma; black-and-white images in Fig. 5A and C, left). The b-AP-triggered Ca2+ influx is illustrated as absolute fluorescence change (ΔF) in false color images (Fig. 5A and C, right). It can be anticipated that in the sham cell (Fig. 5A, right) the Ca2+ signal strongly decreased after the first 50 µm of the apical dendrite and finally vanished at a distance of about 175 µm from the soma. In the SE cell (Fig. 5C, right) the Ca2+ signal apparently showed a strong decrease beyond 75 µm from the soma. Notably, however, in the SE cell the Ca2+ signal abruptly disappeared at a distance of 125 µm from the soma. The actual Ca2+ transients (relative fluorescence change ΔF/F over time) measured at four different locations along the apical dendrite (between 5 and 155 µm from the soma, as indicated in Fig. 5A and C, right) are shown in Figure 5B. In the sham cell (Fig. 5B, left) the b-AP caused a Ca2+ signal, which was reduced to about one fourth of its original size at the most distal location (Fig. 5B, left). In the SE cell (Fig. 5B, right) the amplitude of the Ca2+ signal next to the soma (5 µm distance) was one and a half times larger than the Ca2+ signal of the sham cell at the same location. However, at the most distal location the reduction was stronger in the SE cell, and the Ca2+ signal was below the detection level (Fig. 5B, right). Figure 6A shows the peak amplitudes of the b-AP-induced Ca2+ signals (ΔF/F) along the apical dendrite averaged for all sham and SE cells tested. It can be seen that, compared to sham, the average Ca2+ signal of SE cells was higher next to the soma but more strongly suppressed in distal portions of the dendrite. In sham cells the signal amplitude (ΔF/F) decreased from 9.5±0.5% (n = 41) next to the soma to 1.4±0.4% (n = 4) at a distance of 185 µm, and in SE cells from 11.1±1.1% (n = 39) next to the soma to 0.6% (n = 1) at a distance of 195 µm from the soma. The cross-over of the two data sets occurs at a distance of about 25 µm from the soma. For a better quantification of putative effects of acute SE on the attenuation of the b-AP-induced Ca2+ signal the peak amplitudes obtained at different locations along the apical dendrite were normalized to the value obtained next to the soma for each individual cell, and the results were averaged for sham and SE. The corresponding summary data are shown in Figure 6B. It can be seen that the attenuation of the b-AP-induced Ca2+ signal was strengthened following acute SE (see also Fig. S3).
The larger Ca2+ signals observed in SE cells at locations within 25 µm from the soma may be explained by SE-induced spike broadening (increase in AP halfwidth, see Fig. 4F) and ADP augmentation (increase in ADP integral, see Fig. 4G), which may prolong the AP-induced Ca2+ influx. Since AP halfwidth and ADP integral critically depended on the absence or presence of the AP notch in SE cells (see Fig. 4F and G) we once more divided the SE parent population in SE[n] and SE[s] cells for a separate analysis. Figure 6C shows averaged Ca2+ traces for sham, SE[n] and SE[s], respectively, measured next to the soma. The peak amplitude of the SE[n] signal (8.9±1.1%, n = 17) was not significantly different from sham (9.5±0.5%, n = 41; p>0.05), whereas the peak amplitude of the SE[s] signal was much larger (13.3±1.7%, n = 12; p<0.05; Fig. 6C and D). Notably, the decay time constants of the Ca2+ transients were not significantly different among the three groups (sham: 180±9 ms, n = 41; SE[n]: 169±11 ms, n = 17; SE[s]: 184±16 ms, n = 12; p>0.05; Fig. 6D). To test whether SE[n] and SE[s] cells made an equal contribution to the observed average strengthening of the attenuation of the b-AP-induced Ca2+ signal after acute SE, we analyzed the respective b-AP imaging data separately (Fig. 6E and F). Figure 6E shows that, although the SE[s] data start-off at a larger signal amplitude next to the soma, they clearly undercut the sham data more distally (cross-over at about 60 µm from the soma) and eventually align with SE[n] data (at 150 µm from the soma). Moreover, when all b-AP imaging data sets were normalized to the values obtained next to the soma it became evident that both SE[n] and SE[s] data align with the data from the undivided SE parent population (Fig. 6F). Thus, despite different signal amplitudes next to the soma, SE[n] and SE[s] cells make an equal contribution to the observed strengthening of the attenuation of the b-AP-induced Ca2+ signal along the apical dendrite. Taken together, the analysis of our b-AP imaging data suggests that acute SE led to a stronger than normal b-AP attenuation. The molecular and/or cellular remodeling processes, which may underlie the strengthening of b-AP attenuation, are unrelated to the mechanism(s) leading to spike broadening and ADP augmentation.
Pharmacological modulation of the dynamics of b-AP-induced Ca2+ signals in hippocampal CA1 pyramidal cells
The observed strengthening of the attenuation of the b-AP-induced Ca2+ signal following acute SE may be explained by an increased activity of a subthreshold-activating somatodendritic A-type K+ current (I SA). Since I SA is mediated mainly by Kv4 channels [36]–[38], we tested whether the previously described Kv4 current activator N-[3,5-bis(trifluoromethyl)phenyl]-N′-[2,4-dibromo-6-(1H-tetrazol-5-yl)phenyl]-urea (NS5806, [39]) was able to reproduce part of our SE results. Furthermore, as a negative control, we tested whether the A-type K+ channel inhibitor 4-aminopyridine (4-AP) did the contrary. We studied the effects of the two drugs on the propagation of the b-AP-induced Ca2+ signal in CA1 pyramidal cells in hippocampal slices obtained from untreated (neither sham nor kainate-injected) animals (see Methods). Figure 7 shows b-AP imaging experiments performed on a cell in the absence and presence of 20 µM NS5806 and on a cell in the absence and presence of 5 mM 4-AP. Under control conditions the Ca2+ signal gradually declined along the apical dendrite and finally vanished at around 200 µm from the soma (Fig. 7A and D). When NS5806 was applied the decline of the Ca2+ signal was considerably stronger and the signal vanished already at a shorter distance from the soma (Fig. 7B). Figure 7C shows the corresponding Ca2+ transients (in the absence and presence of NS5806) at four different locations along the apical dendrite (as indicated in Fig. 7A and B): next to the soma NS5806 caused a slight increase of the Ca2+ signal. However, at the most distal location, where the signal was about half of its original size under control conditions, the reduction was much stronger, and the Ca2+ signal was almost below the detection level in the presence of NS5806 (Fig. 7C). Bath application of 4-AP largely prevented the decline of the Ca2+ signal. The spread of the signal now reached more distal parts of the dendrite and was still prominent 280 µm from the soma (Fig. 7E). Also, in the presence of 4-AP the Ca2+ signal invaded lateral branches of the apical dendrite (Fig. 7E). The Ca2+ transients at four different locations along the apical dendrite in the absence and presence of 4-AP are shown in Figure 7F: In the presence of 4-AP the Ca2+ signal next to the soma was about 3 times larger than under control conditions and did not show much reduction at the most distal location. Figure 8A shows the averaged peak amplitudes of the b-AP-induced Ca2+ signal along the apical dendrite under control conditions, in the presence of NS5806 and in the presence of 4-AP. It can be seen that, relative to control, NS5806 reduced the maximal range for Ca2+ signal detection, whereas 4-AP allowed the detection of Ca2+ signals still at larger distances (more than 250 µm) from the soma. Under control conditions the signal amplitude (ΔF/F) declined from 11.6±0.9% (n = 36) next to the soma to 1.8±0.4% (n = 6) at a distance of 225 µm, and with NS5806 from 12.6±0.7% (n = 15) next to the soma to 1.1±0.01% (n = 2) at a distance of 185 µm. 4-AP caused a dramatic increase in the mean signal amplitude at all locations along the dendrite, with 27.2±3.0% (n = 15) next to the soma and 9.9±0.8% (n = 2) at a distance of 255 µm (Fig. 8A). The normalized summary data are shown in Figure 8B. A clear strengthening of the normal attenuation of the b-AP-induced Ca2+ signal, especially within a range of 50–120 µm from the soma, can be observed in the presence of NS5806, whereas 4-AP does the contrary (Fig. 8B, see also Fig. S3). These data suggest that NS5806 helps to dampen the retrograde spread of excitation in the dendrites of hippocampal CA1 pyramidal cells. The effects of NS5806 on the dynamics of b-AP-induced Ca2+ signals were very similar to the ones seen after acute SE (see Fig. S3). To further explore the effects of NS5806 on CA1 pyramidal cell physiology we tested whether NS5806 had any influence on excitability and individual AP properties. We observed that NS5806 left membrane time constant and Rin unaffected while reducing AP upstroke velocity and increasing AP halfwidth (Fig. S4), similar to acute SE. Unlike acute SE, NS5806 caused an increase in AP frequency, a decrease in AP amplitude with no effect on AP threshold and a decrease in ADP integral (Fig. S4).
Taken together, our results suggest multiple mechanisms of remodeling in hippocampal CA1 pyramidal cells, which are already active during acute SE. These remodeling processes may lead to reduced excitability and, despite a concomitant spike broadening, to a strengthening of the attenuation of b-AP-induced Ca2+ signals, which is mimicked by the drug NS5806.
Discussion
We have studied the excitability, AP waveform and somatodendritic spread of excitation in hippocampal CA1 pyramidal cells immediately after acute SE in mice, to test for cellular correlates of intrinsic plasticity before or at an early stage of epileptogenesis. Our data suggest that multiple remodeling processes may be active during acute SE. In particular, we observed a reduced excitability, a modulation of the AP waveform and a strengthened attenuation of b-AP-induced dendritic Ca2+ signals. In the absence of direct functional and molecular data on somatodendritic ion channel expression the mechanistic interpretation of our results must remain in part speculative.
Cellular excitability and action potential firing after SE
Our experimental results show that already within a 1–2 h period after kainate injection excitability parameters of hippocampal CA1 pyramidal cells may be modulated. The observed changes are small on average but may be of pathophysiological relevance. The data support the notion that excitability and spread of dendritic excitation is reduced at this initial time point. Our results are unlikely to reflect a long-lasting form of postictal depression. This form of depression of cellular excitability normally lasts for a few minutes after the termination of a seizure and is thought to be mainly due to ionic dynamics changes including elevated internal Na+ and lowered external K+ [40]. A significant contribution of the electrogenic action of the Na+/K+ ATPase, stimulated under these conditions and supporting membrane hyperpolarization, has also been considered [40]. During our whole-cell experiments performed in slice preparations 1–5 h after brain isolation ionic conditions are expected to be dictated by the composition of the experimental solutions (see Methods). Also, our data suggest SE-induced depolarization rather than hyperpolarization of the resting potential. Therefore, we consider it more likely that intrinsic plasticity processes underlie the changes in cellular excitability.
The observed depolarization of the resting potential in CA1 pyramidal cells may be explained by downregulation of a resting K+ leak conductance via a massive activation of metabotropic glutamate receptors [41] during kainate-induced SE. If so, one would expect a concomitant increase in input resistance (Rin). However, in our experiments SE caused a non-significant trend towards lower rather than higher Rin values. Alternatively, upregulation of a voltage-dependent Na+ conductance, tonically active around −70 mV, like I h, may underlie the slight depolarization of the resting potential. The data on SE-related I h modulation in the literature are diverse: I h upregulation in the hippocampus has been demonstrated 2 weeks after hyperthermic seizure induction [42]. Another study has reported upregulation of I h 1–2 days and downregulation of I h 4 weeks after kainate SE [43]. But I h has also been shown to be downregulated as early as 24 h after pilocarpine SE in the entorhinal cortex [44]. We have not directly measured I h, but our voltage sag measurements do not support acute SE-related I h modulation (see Fig. S1). Since we were interested in correlates of intrinsic plasticity we did not address acute remodeling of GABA-mediated inhibition [45] as a possible mechanism underlying the depolarization of the resting potential.
The positive shift in AP threshold and reduced AP upstroke velocity after acute SE suggest intrinsic plasticity processes related to Nav channel density and/or properties. It should be noted that in chronic epilepsy models no change in AP threshold has been reported [27], [46], [47], although Nav channels seem to undergo functional [48], [49] as well as transcriptional remodeling [50]. A downregulation of Nav1.6 mRNA, as reported for dentate granule cells one day after pilocarpine-induced SE [50], would be a likely explanation for the changes in the triggering and build-up of individual APs observed after acute SE in the present study.
The prolongation of AP latency observed after acute SE cannot be explained by the positive shift in AP threshold, since, due to the concomitant shift of the resting potential, the absolute voltage needed to bring the membrane from rest to threshold remained unchanged (see Fig. S2). It might be that upregulation of a subthreshold active K+ channel conductance, like I D or I SA [51], is involved in the delay of AP firing. According results obtained after overexpression of Kv4.2, the molecular substrate of I SA [36]–[38], in hippocampal CA1 pyramidal cells [11] support this notion.
Overexpression of Kv4.2 has also been reported to cause faster spike repolarization [11], whereas in our experiments SE-related spike broadening was observed. The observed spike broadening was tightly coupled to the loss of the AP notch (see Fig. 4), and may therefore be related to downregulation of a K+ conductance distinct from I SA. BK-mediated currents, which normally cause fast notch-like re- and hyperpolarization [12], [14], would be a possible candidate. In fact, downregulation of hippocampal BK channel mRNA 24 h after pilocarpine SE [52] as well as in the chronic disease state [53] has been reported. BK channel function has also been shown to be upregulated in neocortical neurons 24 h after picrotoxin-induced seizures with a concomitant increase in firing frequency [54]. However, in the present study we never observed that acute SE caused increased firing frequency or bursting behavior in CA1 pyramidal cells, as often described in the chronic models [27]. Burst firing is supported by an upregulation of a persistent Na+ current [35] and Cav3.2-mediated LVA Ca2+ currents [55]–[57]. These conductances are majorly responsible for a pathophysiological augmentation of ADP [4]. In our experiments we also observed an SE-related increase in ADP integral, however, since this ADP augmentation was tightly coupled to the loss of the AP notch, it may not have been directly mediated by a remodeling of Na+ and Ca2+ conductances. A more indirect modulation of ADP in our experiments, possibly by BK channel modulation (see above), is also supported by the finding that ADP decay kinetics were not affected by acute SE.
It should be noted that our recordings were all done in the whole-cell configuration for the purpose of dye-filling. The inevitable wash-out of cytoplasmic components, including ion channel modifying enzymes and second messengers, in this recording configuration and the introduction of an exogenous Ca2+ buffer in the form of bis-Fura 2 may have masked SE-related changes in firing behavior. Also, the fact that our recordings were done at room temperature may have precluded burst firing. Nevertheless, our experimental results reveal differences in somatic excitability and individual AP properties between cells that had experienced SE and seizure navïe sham cells. These differences are an indication of intrinsic plasticity during acute SE.
Activity-dependent remodeling of dendritic excitability
Dendrites are highly specialized and delicate structures, which control the input-output relations of neurons [58]. Dendritic membranes are able to generate APs (dendritic spikes) in response to excitatory synaptic input [59], and APs generated at the soma may be actively propagated, in a retrograde manner, along the apical dendrite [20], [21]. The dendritic APs are carried by a combination of voltage-dependent Na+ and Ca2+ currents [59]. It is not exactly known what the relative contribution of the respective Nav and different types of Cav channels to dendritic AP generation and propagation is, depending on the location along the apical dendrite. Immunogold staining suggests a negative gradient with distance from the soma for Nav1.6 in CA1 pyramidal cell dendrites [60]. But on the other hand, single channel recordings support a more or less uniform channel distribution for both Nav and Cav channels, albeit LVA Ca2+ channels display an apparent increase in density with distance from the soma [61]. Both the generation of dendritic spikes and AP backpropagation are limited by I SA, which is mediated by Kv4.2 channels in CA1 pyramidal cells [62]. The increase in I SA amplitude with distance from the soma is thought to be primarily responsible for the strong b-AP attenuation seen in CA1 pyramidal cells along the apical dendrite [22].
Molecular remodeling processes in the dendrite may be critically involved in epileptogenesis [63]. In principle any of the aforementioned major dendritic ion channel conductances (Nav, Cav and Kv) may be modulated in an activity-dependent manner, leading to measurable intrinsic plasticity in the dendrite. A non-uniform remodeling of Nav and/or Cav channel density along the apical dendrite may underly our experimental results. Ellerkmann and coworkers [50] have shown SE-related downregulation of Nav1.6 in dentate granule cells. A similar downregulation in CA1 pyramidal cells may also lead to stronger than normal b-AP decline along the apical dendrite and would be in accordance with the observed changes in single AP properties (see above). Of course, downregulation of Cav channel function would inevitably lead to an attenuation of the Ca2+ signal detected in our imaging experiments. Notably, however, our data show that the Ca2+ signal is increased rather than decreased at the soma, in accordance with a previously reported SE-related upregulation [55], [56] rather than a downregulation of Cav channels.
I SA may also be subject to significant remodeling with consequences for the dendritic spread of ecxitation. Precedent work in this respect stems from Bernard and coworkers [28], who tested b-AP attenuation in a pilocarpine model of acquired epilepsy in rats. It was found that in the chronic phase of the disease model b-AP attenuation in the distal portion of the apical dendrite was weaker than normal; i.e. the amplitude showed a normal decline up to a distance of 200 µm from the soma but was not further reduced as the AP traveled beyond that distance [28]. Downregulation of I SA-mediating Kv4.2 channels was made responsible for this chronic form of b-AP modulation [28], and in support of this notion, the authors found a decrease in total Kv4.2 protein and an increase in the fraction of extracellular receptor kinase (ERK)-phosphorylated Kv4.2 protein [28]. Kv4.2 downregulation in the chronic disease state of this model was also supported by immunocytochemistry experiments [64].
Weakened b-AP attenuation in the dendrite due to a chronic SE-related downregulation of Kv4.2 channels represents an acquired channelopathy [28]. To assess the causal relationship between altered b-AP dynamics and epileptogenesis it is important to determine the time of onset of changes in b-AP dynamics. In a first attempt to answer this question, we performed b-AP imaging experiments on individual CA1 pyramidal cells immediately after a 1–2 h period of kainate-induced SE in mice. Although the measurements performed in the present study are indirect (see Methods), our results suggest a strengthening of b-AP attenuation between 5 and 200 µm from the soma, a range where no difference between SE and control had been seen previously in the chronic phase of the rat pilocarpine model [28]. It should be noted that the range of measurement in our study was smaller than in the study by Bernard and coworkers [28], and we have no information about b-AP dynamics beyond 200 µm from the soma, the dendritic region, where drastic differences had been seen in the chronic pilocarpine model both with respect to b-AP suppression [28] and with respect to EPSP generation mediated by direct input from the entorhinal cortex ([65]; see below). In our experiments the suppression of the b-AP-induced Ca2+ signal was almost complete at the largest distance measured, and an increase in amplitude beyond a distance of 200 µm from the soma seems unlikely. Assuming that both before and during epileptogenesis I SA governs b-AP dynamics, our b-AP imaging results may be explained by an augmentation of I SA.
There is experimental evidence of acute and subacute (24 h) SE-related Kv4.2 channel remodeling, however, the data reported in the literature are diverse: Su and coworkers [66] have tested protein expression levels in the rat pilocarpine model. They found that Kv4.2 protein and Kv channel interacting protein 1, a β-subunit of Kv4.2, were transiently upregulated in a seizure-dependent manner between 3 and 24 h after SE induction. These authors also measured 4-AP-induced Ca2+ elevations in CA1 pyramidal cells and reported a 2-fold larger rise in the SE group compared to control 24 h after pilocarpine injection. This finding was interpreted as an SE-related upregulation of functional Kv4.2 channels to be targeted by 4-AP [66]. The results also supported a previous report on hippocampal subfield-dependent remodeling, including an upregulation of Kv4.2 gene expression in the dentate granule cell layer, 24 h after a 5 min episode of kainate-induced seizures in rats [67]. Intriguingly, Kv4.2 gene expression in dentate granule cells has initially been reported to be transiently downregulated 3–6 h after metrazole-induced seizure activity in rats and to recover back to normal levels after 24 h [68]. Lugo and coworkers [33] have shown that an increase in ERK activity correlates with an increase in ERK-phosphorylated Kv4.2 in CA1, CA3 and dentate gyrus as early as 1 h after kainate-induced SE in rats, with a steady-state being reached between 1 and 3 h after kainate injection. The Kv4.2 content in a synaptosomal preparation was found to be decreased, whereas total Kv4.2 protein was found to be unchanged 3 h after SE induction by these authors [33]. Functional data documenting the generation of APs and dendritic spread of excitation at an early time point after SE have not been available so far. The results of the present study suggest a strengthening of b-AP attenuation after acute SE. Whether Kv4.2 remodeling plays a central role in this early form of intrinsic plasticity is unclear at present.
Our data support the notion that already during acute SE many remodeling processes related to intrinsic plasticity in CA1 pyramidal cells take place. The experimental results may be explained by a combination of Nav current modulation and I SA modulation. However, these scenarios remain speculative, and the molecular mechanisms, which underlie acute SE-related intrinsic plasticity in CA1 pyramidal cells, still need to be identified.
Experimental investigation and prevention of epileptogenesis
The process of epileptogenesis and the chronic state of epilepsy have been experimentally investigated in a variety of animal models (see examples above and [69]). A general problem in this context is that different animal models show some variability in their ethiology depending on the mode of seizure induction (e.g., kindling, pilocarpine or kaiante). Moreover, the use of different species (rat or mouse) and different ages of experimental animals (juvenile or adult) makes a comparison of the results obtained in different studies difficult. Despite these obvious limitations, animal models are necessary and may be useful to elucidate common mechanisms of epileptogenesis and to identify molecular targets in order to eventually explore the possibilities of antiepileptogenic treatment.
In the present study systemic kainate injection was used to induce SE in juvenile mice. Kainate excites many different types of neurons, including inhibitory interneurons, in a variety of brain regions, but CA3 pyramidal cells, the hippocampal pacemaker for the generation of synchronized activity to be propagated to CA1, are amongst the most responsive neurons to kainate in the brain [24]. This is due to the presence of a high affinity kainate receptor subtype on CA3 pyramidal cells in the mossy fiber synaptic region, requiring only small amounts of the systemic chemoconvulsant to reach the brain [24], [70]. Thus, kainate causes massive CA3 pyramidal cell excitation, which is transmitted to CA1 pyramidal cells via the Schaffer collaterals. Notably, strong excitation mediated via this pathway is in accordance with a modulation of b-AP dynamics in more proximal regions of the CA1 pyramidal cell dendrite (0–200 µm from the soma), as observed in the present study, but not in a rat pilocarpine model which involves exagerated excitatory input to more distal dendritic portions (>200 µm from the soma) directly from the entorhinal cortex [28], [65].
There are two major technical problems with animal models based on systemic chemoconvulsant-induced SE to study intrinsic cellular plasticity. First, these experiments are always biased since only animals which survive SE are used for further experimentation, leading to a possible underestimation of the real brain damage or cellular dysfunction. Moreover, in a slice preparation from an SE-experienced animal the experimenter may pick cells without any alterations and may unwittingly neglect cells with strong alterations in AP dynamics. This creates quite some scattering of the acquired data values (see Fig. S3). Nevertheless, the statistical analysis of our data clearly showed that on average there was an increased likelihood for a reduced somatodendritic excitability immediately after SE. In any case, based on the aforementioned technical limitations, the consequences of SE induction will be underestimated rather than overestimated, meaning that significant differences found in the experimental results are highly likely to reflect real modifications (i.e. intrinsic plasticity). The results of the present study suggest a reduced excitability and spread of dendritic excitation after acute SE. It is unclear whether and, if so, how our results may be related to the occurrence of spontaneous seizures reported for later stages of the model used. Some of the observations made in the present study may be in fact unrelated to epileptogenesis, which implies parallel mechanisms, including, for instance, an initial protection or repair program, maybe of the juvenile brain. A comparison of our experimental results with the ones to be obtained with the same epilepsy model but in the subacute and chronic disease state and/or with adult animals may help to judge which of our findings reflect commencing epileptogenesis and which reflect an acute protection or repair program.
Clinical pharmacology efforts shift from developing anticonvulsants to developing antiepileptic drugs (AEDs) with potential antiepileptogenic or disease-modifying effects. In this context, drugs with potentially prophylactic, neuroprotective, anti-inflammatory, immunosuppressive or neuromodulatory effects have been cosidered [71]. Alternatively, one may pharmacologically suppress or enhance, respectively, intrinsic plasticity processes depending on whether they reflect commencing epileptogenesis and are related to the occurrence of spontaneous seizures or whether they represent a protection or repair program (see above). Thus, blocking Cav3.2 channels at an early stage in order to prevent the development of burst firing and Ca2+ overload in neurons has been envisaged as one option. However, the T-type Ca2+ channel blocker ethosuximide turned out to be inactive or not preventing epileptogenesis in animal models [71]. Assuming that indications of a strengthening of b-AP attenuation reflect a program that protects CA1 pyramidal cell dendrites from Ca2+ overload, any pharmacological intervention which further strengthens b-AP attenuation would be desirable. As our b-AP imaging data suggest, this may be accomplished with the Kv4 current activator NS5806 in CA1 pyramidal cells of the juvenile murine hippocampus. The effects of NS5806 on excitability, AP properties and b-AP-induced Ca2+ signal dynamics were in part similar to the ones seen after acute SE (see Fig. S3 and S4). On the other hand, the effects of NS5806 on AP frequency, AP amplitude and ADP integral were opposite to the ones seen after acute SE, and, also unlike acute SE, NS5806 left the AP threshold unaffected. Obviously, during acute SE certain remodeling processes may take place which are not mimicked by NS5806. On the other hand, the action of NS5806 is known to be not restricted to Kv4 channels [39], [72]. Finally, it should also be noted that Kv4 channels do not only mediate I SA (Kv4.2 in CA1 pyramidals) but also a transient outward current (I to) in cardiac myocytes (mostly Kv4.3 in humans; [73]) and that, at least in the dog heart, the NS5806-mediated potentiation of I to has been found to recapitulate certain features of Brugada syndrome, a form of cardiac arrhythmia [39]. Thus, NS5806, which we used in an attempt to simulate the results of the present study, is certainly not a good AED candidate. However, compounds related to NS5806 but with a more specific action on Kv4.2 rather than Kv4.3, to be discovered or developed in the future, may become useful AEDs.
In summary, our data provide evidence for intrinsic plasticity mechanisms in CA1 pyramidal cells already active during acute SE. In this time interval detrimental remodeling processes, which reflect the onset of epileptogenesis, may coexist with remodeling processes belonging to a protection or repair program of the brain. Signs of acute alterations of AP dynamics may be related to either of the two scenarios, and appropriate assignment must be made in order to decide whether to suppress or maybe even enhance the observed plasiticity processes. Strengthening of b-AP attenuation may be related to a program that protects dendritic structures from excitotoxicity. Thus, supporting the underlying molecular mechanisms may represent a valuable strategy for antiepileptogenic treatment. Identification of the underlying mechanisms and testing ways of supporting them represent the challenges of future experimental effort.
Supporting Information
Acknowledgments
We thank Eik Vettorazzi and Kirstine Calloe for helpful discussion and NeuroSearch (Ballerup, Denmark) for providing NS5806 prior to commercial availability.
Footnotes
Competing Interests: The authors have declared that no competing interests exist.
Funding: This work was supported by grant BA 2055/4-1 from the Deutsche Forschungsgemeinschaft (DFG). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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