Abstract
Gender differences are involved in many neurological disorders including epilepsy. However, little is known about the effect of gender difference on the risk of epilepsy in adults with a specific early pathological state such as complex febrile seizures (FSs) in infancy. Here we used a well-established complex FS model in rats and showed that: (1) the susceptibility to seizures induced by hyperthermia, pentylenetetrazol (PTZ), and maximal electroshock (MES) was similar in male and female rat pups, while males were more susceptible to PTZ- and MES-induced seizures than age-matched females in normal adult rats; (2) adult rats with complex FSs in infancy acquired higher seizure susceptibility than normal rats; importantly, female FS rats were more susceptible to PTZ and MES than male FS rats; and (3) the protein expression of interleukin-1β, an inflammatory factor associated with seizure susceptibility, was higher in adult FS females than in males, which may reflect a gender-difference phenomenon of seizure susceptibility. Our results provide direct evidence that the acquired seizure susceptibility after complex FSs is gender-dependent.
Keywords: gender difference, complex febrile seizures, seizure susceptibility, epilepsy, IL-1β
Footnotes
A correction to this article is available online at https://doi.org/10.1007/s12264-017-0197-z.
Contributor Information
Wei-Wei Hu, Email: huww@zju.edu.cn.
Zhong Chen, Email: chenzhong@zju.edu.cn.
References
- [1].Dontsov AV, Vasil’eva LV. Gender-specific characteristics of metabolic syndrome in the elderly. Adv Gerontol. 2013;26:105–110. [PubMed] [Google Scholar]
- [2].Tobet SA, Handa RJ, Goldstein JM. Sex-dependent pathophysiology as predictors of comorbidity of major depressive disorder and cardiovascular disease. Pflugers Arch. 2013;465:585–594. doi: 10.1007/s00424-013-1248-6. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [3].Caslake R, Taylor K, Scott N, Gordon J, Harris C, Wilde K, et al. Age-, gender-, and socioeconomic status-specific incidence of Parkinson’s disease and parkinsonism in northeast Scotland: the PINE study. Parkinsonism Relat Disord. 2013;19:515–521. doi: 10.1016/j.parkreldis.2013.01.014. [DOI] [PubMed] [Google Scholar]
- [4].Liu F, McCullough LD. Interactions between age, sex, and hormones in experimental ischemic stroke. Neurochem Int. 2012;61:1255–1265. doi: 10.1016/j.neuint.2012.10.003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [5].Desgent S, Duss S, Sanon NT, Lema P, Levesque M, Hebert D, et al. Early-life stress is associated with gender-based vulnerability to epileptogenesis in rat pups. PLoS One. 2012;7:e42622. doi: 10.1371/journal.pone.0042622. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [6].Briellmann RS, Berkovic SF, Jackson GD. Men may be more vulnerable to seizure-associated brain damage. Neurology. 2000;55:1479–1485. doi: 10.1212/WNL.55.10.1479. [DOI] [PubMed] [Google Scholar]
- [7].Dequeker J, De Backer G, Van Dessel D, Lissens W. Effects of long-term anticonvulsant therapy on calcium metabolism in adult epileptics: influence of age and sex. Acta Clin Belg. 1975;30:497–503. doi: 10.1080/17843286.1975.11717044. [DOI] [PubMed] [Google Scholar]
- [8].Ebert U, Rundfeldt C, Loscher W. Sex differences in the anticonvulsant efficacy of phenytoin in amygdala-kindled rats. Brain Res. 1994;638:45–52. doi: 10.1016/0006-8993(94)90631-9. [DOI] [PubMed] [Google Scholar]
- [9].Verity CM, Golding J. Risk of epilepsy after febrile convulsions: a national cohort study. BMJ. 1991;303:1373–1376. doi: 10.1136/bmj.303.6814.1373. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [10].Berg AT, Shinnar S. Unprovoked seizures in children with febrile seizures: short-term outcome. Neurology. 1996;47:562–568. doi: 10.1212/WNL.47.2.562. [DOI] [PubMed] [Google Scholar]
- [11].Dube CM, Ravizza T, Hamamura M, Zha Q, Keebaugh A, Fok K, et al. Epileptogenesis provoked by prolonged experimental febrile seizures: mechanisms and biomarkers. J Neurosci. 2010;30:7484–7494. doi: 10.1523/JNEUROSCI.0551-10.2010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [12].Dube C, Chen K, Eghbal-Ahmadi M, Brunson K, Soltesz I, Baram TZ. Prolonged febrile seizures in the immature rat model enhance hippocampal excitability long term. Ann Neurol. 2000;47:336–344. doi: 10.1002/1531-8249(200003)47:3<336::AID-ANA9>3.0.CO;2-W. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [13].Yu HM, Liu WH, He XH, Peng BW. IL-1beta: an important cytokine associated with febrile seizures? Neurosci Bull. 2012;28:301–308. doi: 10.1007/s12264-012-1240-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [14].Shinnar S, Glauser TA. Febrile seizures. J Child Neu rol. 2002;17(Suppl1):S44–52. doi: 10.1177/08830738020170010601. [DOI] [PubMed] [Google Scholar]
- [15].Schuchmann S, Schmitz D, Rivera C, Vanhatalo S, Salmen B, Mackie K, et al. Experimental febrile seizures are precipitated by a hyperthermia-induced respiratory alkalosis. Nat Med. 2006;12:817–823. doi: 10.1038/nm1422. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [16].Bialer M, White HS. Key factors in the discovery and development of new antiepileptic drugs. Nat Rev Drug Discov. 2010;9:68–82. doi: 10.1038/nrd2997. [DOI] [PubMed] [Google Scholar]
- [17].Dube C, Richichi C, Bender RA, Chung G, Litt B, Baram TZ. Temporal lobe epilepsy after experimental prolonged febrile seizures: prospective analysis. Brain. 2006;129:911–922. doi: 10.1093/brain/awl018. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [18].Baram TZ, Hirsch E, Snead OC, 3rd, Schultz L. Corticotropin releasing hormone-induced seizures in infant rats originate in the amygdala. Ann Neurol. 1992;31:488–494. doi: 10.1002/ana.410310505. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [19].Dube C, Vezzani A, Behrens M, Bartfai T, Baram TZ. Interleukin-1beta contributes to the generation of experimental febrile seizures. Ann Neurol. 2005;57:152–155. doi: 10.1002/ana.20358. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [20].Hu WW, Fang Q, Xu ZH, Yan HJ, He P, Zhong K, et al. Chronic h1-antihistamine treatment increases seizure susceptibility after withdrawal by impairing glutamine synthetase. CNS Neurosci Ther. 2012;18:683–690. doi: 10.1111/j.1755-5949.2012.00356.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [21].Tortella FC, Long JB, Holaday JW. Endogenous opioid systems: physiological role in the self-limitation of seizures. Brain Res. 1985;332:174–178. doi: 10.1016/0006-8993(85)90403-2. [DOI] [PubMed] [Google Scholar]
- [22].Ates N, Akman O, Karson A. The effects of the immature rat model of febrile seizures on the occurrence of later generalized tonic-clonic and absence epilepsy. Brain Res Dev Brain Res. 2005;154:137–140. doi: 10.1016/j.devbrainres.2004.10.001. [DOI] [PubMed] [Google Scholar]
- [23].Wu XH, Ding MP, Zhu-Ge ZB, Zhu YY, Jin CL, Chen Z. Carnosine, a precursor of histidine, ameliorates pentylenetetrazole-induced kindled seizures in rat. Neurosci Lett. 2006;400:146–149. doi: 10.1016/j.neulet.2006.02.031. [DOI] [PubMed] [Google Scholar]
- [24].Dluzen DE, McDermott JL. Gender differences in neurotoxicity of the nigrostriatal dopaminergic system: implications for Parkinson’s disease. J Gend Specif Med. 2000;3:36–42. [PubMed] [Google Scholar]
- [25].Hosseini M, Nemati Karimooy HA, Hadjzadeh MA, Safari V. Inducible nitric oxide synthase inhibitor aminoguanidine, differently affects Morris water maze tasks of ovariectomized and naive female rats. Acta Physiol Hung. 2011;98:421–432. doi: 10.1556/APhysiol.98.2011.4.5. [DOI] [PubMed] [Google Scholar]
- [26].Janszky J, Schulz R, Janszky I, Ebner A. Medial temporal lobe epilepsy: gender differences. J Neurol Neurosurg Psychiatry. 2004;75:773–775. doi: 10.1136/jnnp.2003.020941. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [27].Saiyed M, Riker WK. Cholinergic and anticholinergic drug effects on survival during hypoxia: significant gender differences. J Pharmacol Exp Ther. 1993;264:1146–1153. [PubMed] [Google Scholar]
- [28].Shinnar S, Bello JA, Chan S, Hesdorffer DC, Lewis DV, Macfall J, et al. MRI abnormalities following febrile status epilepticus in children: the FEBSTAT study. Neurology. 2012;79:871–877. doi: 10.1212/WNL.0b013e318266fcc5. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [29].Hosseini M, Sadeghnia HR, Salehabadi S, Soukhtanloo M. Contribution of estradiol in sex-dependent differences of pentylenetetrazole-induced seizures in rats. Acta Physiol Hung. 2013;100:237–245. doi: 10.1556/APhysiol.100.2013.004. [DOI] [PubMed] [Google Scholar]
- [30].Annegers JF, Hauser WA, Shirts SB, Kurland LT. Factors prognostic of unprovoked seizures after febrile convulsions. N Engl J Med. 1987;316:493–498. doi: 10.1056/NEJM198702263160901. [DOI] [PubMed] [Google Scholar]
- [31].Annegers JF, Hauser WA, Elveback LR, Kurland LT. The risk of epilepsy following febrile convulsions. Neurology. 1979;29:297–303. doi: 10.1212/WNL.29.3.297. [DOI] [PubMed] [Google Scholar]
- [32].Thomas J. Gender differe nce in susceptibility to picrotoxin-induced seizures is seizure- and stimulation-dependent. Brain Res Bull. 1990;24:7–10. doi: 10.1016/0361-9230(90)90282-5. [DOI] [PubMed] [Google Scholar]
- [33].Balosso S, Maroso M, Sanchez-Alavez M, Ravizza T, Frasca A, Bartfai T, et al. A novel non-transcriptional pathway mediates the proconvulsive effects of interleukin-1beta. Brain. 2008;131:3256–3265. doi: 10.1093/brain/awn271. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [34].Matsuo M, Sasaki K, Ichimaru T, Nakazato S, Hamasaki Y. Increased IL-1beta production from dsRNA-stimulated leukocytes in febrile seizures. Pediatr Neurol. 2006;35:102–106. doi: 10.1016/j.pediatrneurol.2005.12.005. [DOI] [PubMed] [Google Scholar]
- [35].Morishita M, Miyagi M, Iwamoto Y. Effects of sex hormones on production of interleukin-1 by human peripheral monocytes. J Periodontol. 1999;70:757–760. doi: 10.1902/jop.1999.70.7.757. [DOI] [PubMed] [Google Scholar]
- [36].Patrone C, Andersson S, Korhonen L, Lindholm D. Estrogen receptor-dependent regulation of sensory neuron survival in developing dorsal root ganglion. Proc Natl Acad Sci U S A. 1999;96:10905–10910. doi: 10.1073/pnas.96.19.10905. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [37].Liu SB, Zhang N, Guo YY, Zhao R, Shi TY, Feng SF, et al. G-protein-coupled receptor 30 mediates rapid neuroprotective effects of estrogen via depression of NR2B-containing NMDA receptors. J Neurosci. 2012;32:4887–4900. doi: 10.1523/JNEUROSCI.5828-11.2012. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [38].Zupanc ML. Antiepileptic drugs and hormonal contraceptives in adolescent women with epilepsy. Neurology. 2006;66:S37–45. doi: 10.1212/WNL.66.66_suppl_3.S37. [DOI] [PubMed] [Google Scholar]