Abstract
To study potential molecular mechanisms of epileptogenesis in the neocortex, the motor cortex of rats was injected with tetanus toxin (TT), and gene expression for 67 kDa glutamic acid decarboxylase (GAD-67), type II calcium/calmodulin-dependent protein kinase (CaMKII), NMDA receptor subunit 1 (NR1), and AMPA receptor subunit 2 (GluR2) was investigated by in situhybridization histochemistry. Injections of 20–35 ng TT induced recurrent seizures after a postoperative period ranging from 4 to 13 d. A majority of rats perfused 5–7 d after TT injection showed altered gene expression, but the changes varied in their areal extent, ranging from most neocortical areas on the injected side in some rats to mainly the frontoparietal cortex or the motor cortex in others. Epileptic rats perfused 14 d after TT injection showed a focus of increased GAD-67 and NR1, and of decreased α-CaMKII and GluR2 mRNA levels at the injection site. A zone of cortex surrounding the focus showed changes in α-CaMKII, GAD-67, and NR1 mRNA levels that were reciprocal to those in the focus. The results suggest that TT-induced seizure activity initially spread to a variable extent but was gradually restricted 2–3 d after seizure onset. The focus and the surround showing reciprocal changes in gene expression are thought to correspond to the electrophysiologically identified epileptic focus and inhibitory surround, respectively. The findings suggest that lateral inhibition between neighboring cortical regions will be affected and contribute to a neurochemical segregation of an epileptic focus from surrounding cortex.
Keywords: epilepsy, motor cortex, rat, NMDA receptor, AMPA, γ-aminobutyric acid, protein kinase, inhibition
Epileptic seizures are clinical manifestations of abnormally hyperactive and/or hypersynchronous neuronal discharges in cerebral cortex and certain subcortical regions. Neural mechanisms underlying generation and persistence of epilepsy may involve changes in neuronal excitability resulting from an imbalance between excitation and inhibition. Disturbances of GABAergic and/or glutamatergic transmission are especially implicated (Prince et al., 1992; Meldrum, 1994; Lopes da Silva et al., 1995). Activity-dependent changes in gene expression for molecules involved in GABAergic and glutamatergic neurotransmission may maintain long-term neuronal hyperexcitability and hyperactivity in epilepsy; however, reports of altered gene expression in epilepsy are inconsistent. Immunoreactivity, mRNA levels, and/or receptor binding for glutamic acid decarboxylase (GAD), NMDA receptor and/or AMPA receptor subunits have been reported to be increased (Feldblum et al., 1990; Najlerahim et al., 1992; Pollard et al., 1993;Kamphuis et al., 1994; Kraus et al., 1994; Marianowski et al., 1995), unchanged (Lerner-Natoli et al., 1985; Akiyama et al., 1992; Friedman et al., 1994; Gerfen-Moser et al., 1995), or decreased (Ribak et al., 1979; Gall et al., 1990; Akiyama et al., 1992; Mitsuyoshi et al., 1993;Obenaus et al., 1993; DeFelipe et al., 1994; Friedman et al., 1994; Lee et al., 1994; Bayer et al., 1995; Prince et al., 1995). Discrepancies may have resulted from the experimental models used. Seizure-induced nonspecific pathological changes, such as surgical lesion, hypoxia, stress, and cell degeneration may also induce alterations in gene expression that may be difficult to separate from effects of hyperactivity. Earlier studies on changes in gene expression associated with epilepsy have focused on the limbic system. Potential changes after epileptic activity of other cerebral cortical areas, especially the sensorimotor cortex, remain unknown.
Tetanus toxin (TT) injected in nanogram quantities into brain can induce epileptiform activity by blocking neurotransmitter release (Brooks and Asanuma, 1962; Carrea and Lanari, 1962; Mellanby et al., 1977; Schiavo et al., 1992). It has high selectivity for inhibitory synapses (Collingridge et al., 1981; Bergey et al., 1987; Williamson et al., 1992). Although TT is cleared from brain in 2–4 weeks, epileptiform activity persists for months and may become permanent (Jefferys et al., 1995). The chronic recurrent epilepsy that is induced resembles clinical epilepsy in humans. It causes no apparent cell loss (Kessler and Markowitsch, 1983; Jefferys et al., 1992) and requires little manipulation of animals after TT injection so that nonspecific effects, e.g., stress and anesthesia, can be avoided. Electrophysiological studies have been conducted on this model of epilepsy (Mellanby et al., 1977; Brener et al., 1990; Louis et al., 1990; Najlerahim et al., 1992; Empson et al., 1993), but relatively little is known at cellular and molecular levels. Upregulation of GAD mRNA levels or transient impairment of GABA release has been reported in rats after TT injection in hippocampus or parietal cortex (Najlerahim et al., 1992; Empson et al., 1993).
We examined gene expression for molecules involved in GABAergic and glutamatergic transmission in neocortex, namely type II Ca2+/calmodulin-dependent protein kinase (CaMKII), GAD, and the most highly expressed NMDA and AMPA receptor subunits, in the presence of focal epilepsy induced by TT injection.
Preliminary results have been published previously (Liang and Jones, 1994, 1996a).
MATERIALS AND METHODS
Surgery and TT injection. In pilot experiments, 19 Wistar rats of either sex and weighing 180–310 gm were injected with 2–13 ng TT in the motor cortex and perfused under deep anesthesia 1–28 d later. None showed clear evidence of seizures, and only two showed localized changes in gene expression (CaMKIIα) at the injection site (see Results). Subsequently, therefore, injections in excess of 13 ng TT were used. The higher dosage for inducing seizures in the motor cortex in comparison with hippocampus and parietal cortex (Brener et al., 1990; Francis et al., 1990) is consistent with other investigations (Mellanby et al., 1977).
In the final experiments, 34 Wistar rats of either sex and weighing 150–290 gm were used. Twenty-four rats were injected with TT (1 with 20 ng, 16 each with 25 ng, and 7 each with 35 ng). Eight controls were injected with 0.8 μl 0.9% NaCl. Except for two rats perfused on postoperative day 7, all TT-injected rats in the final experiments had seizures (see Results). Seven of the TT-injected rats (three with 35 ng TT, three with 25 ng TT, and one with 20 ng TT) died of generalized seizures on postoperative days 4–11 and were excluded from further analysis. Four of the rats (two injected with 35 ng and two with 25 ng TT) had severe, generalized, seizure activity and were perfused on postoperative day 5. The remaining 13 TT-injected rats had less severe, focal, or intermittent seizures. Six were perfused on postoperative day 7 and the other seven on postoperative day 14. The saline-injected control rats were perfused on postoperative day 5 (n = 2), 7 (n = 3), or 14 (n = 3). Two normal control rats were perfused under nembutal anesthesia without any previous surgical operation.
For injection of TT in the motor cortex, the rats were anesthetized with ketamine (100–150 mg/kg body weight, i.m., plus 25 mg/kg additional doses when necessary). The skull was opened on one side. The opening was centered at 1.0 mm rostral to bregma, 2.7–3.0 mm lateral to the midline, and had a diameter of ∼1.5 mm. The dura mater was left intact. The representation of digit/wrist movements in the motor cortex was identified by intracortical microstimulation (ICMS); 30 msec trains consisting of cathodal pulses of 0.2 msec width and 300/sec rate were given (Asanuma and Sakata, 1967), using a low-impedance (<1 MΩ at 1 KHz) tungsten microelectrode inserted through the dura mater into the cortex 1.6–1.7 mm below the dural surface. The electrode was first positioned according to published motor maps (Hall and Lindholm, 1974;Neafsey et al., 1986), and, if necessary, was moved to find a locus from which clear movements of the contralateral wrist and/or digits could be elicited by low-threshold ICMS (<30 μA). This locus was almost invariably located 0.8–1.1 mm rostral to bregma, 2.7–3.0 mm lateral to the midline, and 1.6–1.8 mm deep from the dural surface. TT (List Biologicals, Campbell, CA) diluted in 0.3–0.8 μl 0.9% NaCl was injected at the above ICMS site at a depth of 1.2 mm from the dural surface. The glass micropipettes used for TT injection had external tip diameters of 20–30 μm.
The animals were monitored daily after the injection for epileptic behavior. They were anesthetized finally with nembutal (80 mg/kg) and perfused transcardially with saline followed by 4% paraformaldehyde in 0.1 m phosphate buffer. The brains were removed, post-fixed at 4°C in the same fixative for 3–6 hr, and cryoprotected with 30% sucrose. Frozen sections 40 μm thick were cut on a sliding microtome, and sections were collected in 0.1 m phosphate-buffered 4% paraformaldehyde, pH 7.4, for in situ hybridization histochemistry.
In situ hybridization histochemistry. The detailed protocol for in situ hybridization histochemistry has been reported in detail elsewhere (Benson et al., 1991a,b). Free-floating sections were rinsed twice in 0.1 m phosphate-buffered glycine (0.75%, pH 7.4) followed by a wash in 0.1 mphosphate buffer, pH 7.4. They were then digested with proteinase K (0.5 μg/ml 0.1 m Tris-HCl buffer, pH 8.0, containing 0.05m EDTA) for 8–10 min at room temperature. Digestion was stopped with 0.25% acetic anhydride in 0.1 mtriethanolamine, pH 8.0. After two washes in 2× SSC (saline/sodium citrate, pH 7.0; 1× SSC consists of 0.88% NaCl and 0.44% Na3C6H5O7 · 2 H2O), the sections were incubated for 1 hr at 60°C in hybridization buffer consisting of 50% deionized formamide, 10% dextran sulfate, 5% 2× SSC, 0.9% Ficoll, 0.9% polyvinyl pyrolidone, and 0.9% bovine serum albumin. Just before use, 0.3 mg/ml of herring sperm DNA, 0.15 mg/ml of wheat germ transfer RNA, and 40 mm/ml of dithiothreitol (DTT) were added. Sections were then transferred to new hybridization buffer containing one of the following cRNA probes.
CaMKIIα riboprobes were transcribed from a cDNA encoding a part of monkey CaMKIIα that corresponds to bases 869–1185 of the rat CaMKIIα gene. It also contained a 33 base insert (α-33) beginning at nucleotide 984 of the rat sequence (Benson et al., 1991a). Antisense riboprobes made from this cDNA recognize both CaMKIIα and α-33 mRNAs but do not recognize mRNAs for other subunits of the kinase. Riboprobes for the β subunit of CaMKII (CaMKIIβ) were transcribed from a cDNA encoding a part of human CaMKIIβ that corresponds to bases 550–1320 of the rat CaMKIIβ gene. Antisense riboprobes made from this cDNA recognize both CaMKIIβ and β′ subunit mRNAs but do not recognize mRNAs for the α or α-33 subunits of the kinase; 67 kDa GAD (GAD-67) riboprobes were transcribed from a 360 base (bases 1324–1683) nucleotide, monkey cDNA encoding a part of GAD-67 (Benson et al., 1991a). cRNA probes for NMDA receptor subunit 1 (NR1) were transcribed from a 2700 base nucleotide encoding rat NR1 splicing variant C (Sugihara et al., 1992). It is 93–100% complementary to other splice variants of the NR1 subunit. cRNA probes for AMPA-type glutamate receptor subunit 2 (GluR2) were transcribed from a nucleotide encoding a part of human GluR2 that corresponds to bases 1581–1952 of rat GluR2 (Boulter et al., 1990; Keinänen et al., 1990). All nucleotides were cloned into the pBKS(+) BlueScript vector and were linearized before transcription labeling of the sense or antisense riboprobes with 35S- or 33P-UTP.
Preliminary tests showed that all of the antisense probes gave specific labeling patterns in the CNS of the rat similar to those described previously in the monkey (Benson et al., 1991b; Jones et al., 1994), cat (Liang and Jones, 1996b), rat (Benson et al., 1992; Liang et al., 1996), or human (Akbarian et al., 1996). All probes were diluted to a final concentration of 1.0–1.5 × 107 cpm/ml hybridization buffer. They had similar G/C ratios and similar specific activities.
After 20–36 hr incubation at 60°C, the sections were washed sequentially in the following solutions (except for ribonuclease A, all contained 5 mm DTT/ml): 4× SSC, 60°C, twice, 20 min each; ribonuclease A (0.02 mg/ml in 0.01 m Tris-HCl buffer, pH 8.0, and 1 mm EDTA, 2.9% NaCl) at 45°C, 30 min; 2× SSC, room temperature, twice, 30 min each; 0.5× SSC, 60°C, twice, 30 min each; 0.1× SSC, room temperature, twice, 20 min each. Sections were then mounted on chrome alum-gelatin-coated glass slides, air-dried, placed in contact with Amersham β-Max film (Amersham, Arlington Heights, IL), and exposed for 1–6 d. All sections forin situ hybridization from both sides of the brain of individual rats were hybridized simultaneously and exposed on the same sheet of film. After development of the film, the slides were dipped in Kodak NTB2 emulsion and exposed at 4°C for 4–8 weeks. Autoradiograms were then developed in Kodak D-19, counterstained with cresyl violet, dehydrated in graded alcohols, cleared in xylene, and coverslipped in DPX.
One of every 24 sections was used as a control by hybridizing with sense riboprobes. No hybridization above background levels was found. In each animal, a series of sections was also mounted and stained with thionin.
Data analysis. Sections labeled by in situhybridization histochemistry were examined for differences between the ipsi- and contralateral hemispheres and between different cortical and subcortical regions in individual rats. Differences were then compared across animals. Optical density measurements were made of autoradiograms, using a computer-assisted image analysis system (MCID, Imaging Research, St. Catharine’s, Ontario, Canada). The relative optical density (ROD) was defined on an 8 bit black/white video image with gray level 255 (white) as 0.0017 ROD (no hybridization signal) and gray level 0 (black) as 2.4082 ROD (highest hybridization signal). The ROD values were converted to measures of radioactivity (microcuries/gram) by reference to a set of 14C standards (Amersham) exposed on the same sheet of film and then compared between the two hemispheres and across cortical areas.
For quantitative analysis of changes in gene expression across different cortical areas, sampling was made in rectangles measuring 0.042–0.047 mm2 from cortical areas that showed potential changes in gene expression, and from homotopic cortical areas on the contralateral side. For each cortical area of each animal, 12–16 samples from two to three sections were collected. Background radioactivity was determined for each section by averaging six samples from the underlying white matter. Background was subtracted from all readings from all cortical areas before a mean value of radioactivity for each cortical area of individual animals was calculated. Student’s paired t test was performed to assess the significance of differences in gene expression in homotopic areas on the two sides for each control and experimental animal group. A percentage change in gene expression for a cortical area was then generated by dividing the mean radioactivity reading from the ipsilateral side by the mean reading from the corresponding cortical area on the contralateral side. A grand mean of percentage change for each mRNA probe was then computed by averaging means from individual animals from the same TT dosage or survival group.
In measuring changes in different cortical areas the homotopic area on the contralateral side was used as a control. This was based on our observation that cortical areas on the side contralateral to TT injection, in most cases, did not show obvious differences in the patterns of gene expression from saline-injected or normal controls, with the exception of a few animals in which the contralateral motor cortex showed slight changes in GAD and possibly NR1 gene expression. For these probes, therefore, quantitative comparison between motor cortical areas on the two sides was supplemented by comparing values from the injected motor cortex with those from the first somatosensory area on the contralateral side, which showed no detectable change in gene expression in any of the animals.
RESULTS
TT dose-dependent seizure development
Of the 19 rats injected with 2–13 ng TT in the pilot experiments, none showed clear evidence of seizures up to postoperative day 28. Of the other 24 rats injected with 20–35 ng TT, 22 showed seizure activity. The earliest observed signs of seizure started on day 4 and the latest on day 13 after the injection. The most frequently observed signs of focal seizure consisted of transient repetitive flicking movements of the contralateral forelimb, accompanied by hiccup-like respiration. Once commenced, seizure activity tended to be more severe in the first 2–3 d after onset. Only one rat was observed having a stage 5 seizure (rearing and falling; Racine, 1972). None of the control rats showed signs of seizure activity.
For all TT-injected rats, no observable cell loss or clear changes in the general histological organization of cortical layers at the injection site were seen, as compared with the contralateral motor cortex or with that in control rats (Fig. 1).
CaMKIIα in situ hybridization
Normal pattern of hybridization
CaMKIIα mRNA distribution in normal rat brain has been described previously (Benson et al., 1992; Liang et al., 1996). mRNA levels for CaMKIIα were high in the hippocampus and the cerebral cortex and intermediate in the striatum, septum, and thalamus. In the neocortex, mRNA levels were high in layers II–IV, intermediate in layer VI, and moderate in layers I and V (Figs. 2A,3A).
Time-dependent down- and upregulation at the TT injection site and in the surround
Most of the rats that were injected with 2–13 ng TT in the pilot experiments did not show significant changes in CaMKIIα mRNA levels in any regions of the forebrain. Two rats that received 3 and 4.5 ng TT and survived for 28 d after the injection had very localized downregulation of CaMKIIα mRNA levels at the injection site in an area extending mediolaterally for 0.75–0.80 mm. Mainly layers III–V were affected (Fig. 3B).
In the final experiments, rats perfused 5 d after larger TT injections showed results similar to those that were perfused after 7 d. Therefore, data from these two survival groups are described together. Three rats that were perfused 5 d and three that were perfused 7 d after injection showed downregulation of CaMKIIα mRNA levels. All of these rats started demonstrating intermittent seizures 4 or more days after injection and 1–3 d before the perfusion. The areal extent of the downregulation varied. In two of the rats (one surviving 5 d and one surviving 7 d after injection), the decreases in CaMKIIα mRNA levels involved almost all neocortical areas (with the exception of the retrosplenial cortex) on the side of TT injection, whereas in three others, the decreases were mainly in the frontoparietal cortex. The sixth rat that was perfused 7 d after TT injection showed downregulation of CaMKIIα mRNA restricted to the motor cortex. The downregulation was most prominent in layers II–III but noticeable also in other layers (Fig.3C). Densitometry analysis indicated on average a 24.98 ± 12.88% (mean ± SD; range, 11.22–36.83% in individual rats;n = 6) decrease in mRNA levels in the motor cortex (layers II–III) on the injected side, in comparison with that on the contralateral side (Fig. 4A). The other four rats in the 5 (n = 1) or 7 d (n = 3) survival group showed no clear changes in CaMKIIα mRNA levels at the injection site. No seizure signs were observed in two of these rats (perfused on postoperative day 7). The other two (one at 5 d and one at 7 d) were perfused 60 min after signs of seizures were first seen.
All seven rats that were perfused 14 d after TT injection had seizures beginning on postoperative days 5–13 and showed clear focal downregulation of CaMKIIα mRNA at the injection site. At the focus, CaMKIIα mRNA levels in layers III–V and upper layer VI were affected the most. Layer II did not show an obvious decrease (Fig.3D,F). Quantitative analysis indicated an average decrease of 37.72 ± 8.81% (range, 26.60–53.09%;n = 7) in CaMKIIα mRNA levels in layers III–VI at the focus, in comparison with the same layers of the homotopic area on the contralateral side (Fig. 4C). This decrease was statistically significant (Student’s paired t test,p < 0.05). The areal extent of downregulation at the injection site ranged from 0.83 to 2.98 mm2 (1.88 ± 0.72 mm2; n = 7) as measured on sections through the center of the focus. One rat injected with 35 ng TT had the largest areal extent of CaMKIIα downregulation (2.98 mm2); the other rats that received 25 ng TT showed considerable variation in the size of the focus (0.83–2.27 mm2). The focus was bordered by a zone of cortex displaying moderate upregulation of CaMKIIα mRNA levels (Fig.3D,F).
CaMKIIα expression in other brain regions
Three of the rats injected with 25 or 35 ng TT and perfused on postoperative day 7 (n = 1) or 14 (n= 2) also showed upregulation of CaMKIIα mRNA in the central lateral thalamic nucleus on the TT-injected side (Fig. 3E), but no changes in the ventral lateral thalamic nucleus were observed. The entorhinal cortex, hippocampal fields CA1–CA3, and the dentate gyrus also did not show obvious asymmetry of CaMKIIα mRNA labeling between the two sides, nor did they exhibit differences from saline-injected or normal controls.
CaMKIIβ in situ hybridization
CaMKIIβ mRNA levels in the normal cerebral cortex were lower than those of CaMKIIα. Cortical layers II, III, V, and VI showed higher hybridization signal than layers I and IV or deep layer III (Fig. 2B). The pyramidal layer of the hippocampal fields CA1–CA3, the granule cell layer of the dentate gyrus, and layer II of the piriform cortex exhibited higher levels of CaMKIIβ mRNA than did other cortical layers or areas. Subcortical forebrain structures showing moderate hybridization for CaMKIIβ mRNA included the septum, striatum, thalamus, and hypothalamus. The globus pallidus contained practically no CaMKIIβ hybridization signal.
CaMKIIβ mRNA levels did not show a clear change in any of the TT-injected rats, in comparison with saline-injected or normal controls (Fig. 5A).
GAD in situ hybridization
Normal pattern of hybridization
The pattern of GAD-67 mRNA hybridization in the rat brain has also been described previously (Benson et al., 1992; Liang et al., 1996). In the neocortex, GAD-67 mRNA-positive neurons were found in all layers, with moderately higher levels of hybridization signal in layers IV and VI (Figs. 2C, 5B). No obvious asymmetry between the two hemispheres could be detected.
Time-dependent up- and downregulation at the TT injection site and in the surround
None of the rats injected with 2–13 ng TT in the pilot experiments showed detectable changes in GAD gene expression. For rats injected with larger doses of TT in the final experiments, changes in GAD-67 mRNA levels were opposite to those seen for CaMKIIα. The same six rats in the 5–7 d survival group, which showed decreases in CaMKIIα mRMA levels, displayed upregulation of GAD-67 mRNA levels in the same neocortical areas on the injected side (Fig. 5C). The sensorimotor cortex on the injected side showed, on average, a 39.27 ± 30.94% (range, 8.32–70.21%; n = 6) increase in GAD-67 mRNA levels in layers III/IV, when compared with the contralateral side (Fig. 4B). The other rats in this survival group exhibited no clear changes in GAD-67 mRNA levels in the cortex. The same rats showed no changes in CaMKIIα mRNA levels.
All rats in the 2 week survival group showed a focus of increased GAD-67 mRNA levels at the TT injection site. Of all cortical layers, deep layer III (or IV) and layer VI showed the most prominent upregulation in the focus (Figs. 4D, 5D,6A). The increases in deep layer III in the injected motor cortex ranged from 27.40% to 63.58%, with a grand mean of 44.16% ± 18.24% (n = 7), in comparison with the contralateral motor cortex (Fig. 4D). When compared with the contralateral first somatosensory cortex, GAD mRNA levels in the focus increased 30.45 ± 12.74% (range, 19.08–52.24%; n = 7) in layers III/IV. All of these changes were statistically significant (Student’s paired ttest, p < 0.05). The areal extent of GAD-67 upregulation at the injection site matched the area showing reduced CaMKIIα mRNA levels in neighboring sections (Figs. 3D,5D). In emulsion-dipped sections, increases in GAD mRNA levels were manifested mainly by the higher density and larger areal extent of clusters of silver grains overlying GAD-positive neurons under dark-field illumination. There was no obvious increase in the number of GAD mRNA-positive neurons in the TT-injected motor cortex (Fig. 6A).
In a zone surrounding the focus of GAD upregulation, GAD-67 mRNA levels were decreased by 16.86 ± 10.24% in comparison with the contralateral motor cortex. Decreases in GAD-67 mRNA levels in the surround were more pronounced in layers II, III, and V (Figs.5D, 6A).
The motor cortex on the contralateral side in some rats showed slight increases in GAD-67 mRNA levels in layer III. No significant changes in GAD-67 mRNA levels were found in other cortical or subcortical structures.
GluR2 in situ hybridization
Normal distribution
In the neocortex, hybridization signal for GluR2 was very low in layer I, high in layers II, III, and V, moderate in layer IV, and intermediate in layer VI (Fig. 7E). The areal and laminar distribution of GluR2 mRNA was similar to that of NR1 mRNA (see below), but the overall levels of hybridization for GluR2 mRNA were much lower. The pyramidal layer of the hippocampal fields CA1–CA3, the granule cell layer of the dentate gyrus, layer II of the piriform cortex, and the retrosplenial cortex showed higher levels of GluR2 mRNA than did other areas.
Time-dependent downregulation at the injection site
For rats injected with larger doses of TT in the definitive experiments, those with seizures that survived for 5–7 d and showed decreases in CaMKIIα mRNA and increases in GAD mRNA also demonstrated a decrease in GluR2 mRNA levels in the same neocortical areas on the TT-injected side (Figs. 7A,8A). The decrease in the motor cortex was on average 36.59 ± 8.29% (range, 27.28–47.11%;n = 6) in layers V–VI. Those that did not show clear changes in CaMKIIα and GAD gene expression also did not give clear differences in GluR2 mRNA levels between the two sides.
Epileptic rats in the 2 week survival group showed a decrease in GluR2 mRNA levels at the injection site. The size of the focus of reduced GluR2 hybridization varied across animals and generally matched that of CaMKIIα decrease and GAD-67 increase. Cortical layers III–VI were prominently affected. Layer II did not show obvious changes (Fig.7C). GluR2 hybridization signal decreased by 23.36 ± 19.64% (range, 5.14–38.39%; n = 7) in layers V–VI at the injection site in comparison with the contralateral motor cortex (Fig. 8C). These changes were statistically significant (Student’s paired t test, p < 0.05). Unlike CaMKIIα or GAD mRNAs, GluR2 mRNA levels did not show clear changes in cortex around the focus. No obvious changes in GluR2 mRNA levels could be detected in other cortical areas or in subcortical structures.
NR1 in situ hybridization
Normal pattern of hybridization
NR1 mRNA levels in the cerebral cortex of normal control rats are generally high (Watanabe et al., 1993; Monyer et al., 1994), and this was confirmed. Among the layers of the neocortex, hybridization signal for NR1 was very low in layer I, high in layers II, III, and V, moderate in layer IV of the granular cortex or in deep layer III of the agranular cortex, and intermediate in layer VI. This pattern varied slightly among different cortical areas (Figs.2D, 7F). Subcortical structures such as the striatum, septum, thalamus, hypothalamus, and tectum and the pontine nuclei also showed moderate to intermediate levels of hybridization for NR1 antisense probe. The saline-injected controls exhibited no significant difference of NR1 labeling pattern from that of the normal controls.
Time-dependent up- and downregulation at the TT injection site and in the surround
For rats injected with larger doses of TT in the final experiments, all those in the 5–7 d survival group did not show detectable alterations in NR1 gene expression even though the same animals showed clear changes in CaMKIIα, GAD-67, and GluR2 mRNA levels (Figs. 7B, 8B). In rats of the 2 week survival group, all of which had seizures, NR1 mRNA levels were focally increased at the TT injection site. The extent of this upregulation was similar to that of GAD-67 mRNA increase or CaMKIIα mRNA decrease in the same animals. Cortical layers II and III showed the strongest increase in NR1 mRNA levels, but increases in other cortical layers were also discernible (Figs. 6B,7D). NR1 mRNA levels at the injection site were up on average 45.52 ± 25.46% (range, 21.34–96.11%; n= 7) in layers II–III when compared with those in the contralateral motor cortex (Fig. 8D). When compared with the contralateral somatosensory cortex, the upregulation had a grand mean of 39.64 ± 23.10%, with a range of 14.53%–66.46% (n = 7). Compared with either the contralateral motor or first somatosensory area, the changes in the focus were statistically significant (Student’s paired t test,p < 0.05).
NR1 mRNA levels in the zone surrounding the focus of upregulation were decreased. This zone of decreased NR1 mRNA levels extended for a greater distance in the superficial layers than in the deep layers (Figs. 6B, 7D).
The contralateral motor cortex showed a slight decrease of NR1 mRNA levels in some of the rats. No clear changes in NR1 mRNA levels were observed in other cortical and subcortical structures.
DISCUSSION
Time-dependent changes in gene expression in TT-induced epilepsy
Rats perfused 5–7 d after TT injection showed variable changes in gene expression related to the time of onset of seizures. Some showed no changes at all, because they had not developed seizures or had developed seizures just before perfusion. Others that had seizures showed altered gene expression of variable extent, ranging from changes in almost all neocortical areas on the injected side, through changes restricted to the frontoparietal cortex, to focal changes in the motor cortex at the injection site. Epileptic rats perfused 14 d after TT injection showed only focal changes in gene expression. These results suggest that in rats that developed seizures, changes in gene expression initially tended to be widespread on the injected side, likely resulting from spread of seizure activity, but the changes became delimited to restricted brain regions 2–3 d after seizure onset.
Variation among animals in the 5–7 d survival group are probably related to the variable latent period of 4–13 d between TT injection and the onset of behavioral seizures (present results; also seeMellanby et al., 1977; Louis et al., 1990). Some animals in this survival group were perfused before seizure development or very shortly after the first seizure and therefore showed no changes in the gene expression. Our observation that the earliest seizure signs were observed 4 d after TT injection support the assumption that seizure activity and altered gene expression are correlated, although abnormal neuronal discharges or evoked responses can be recorded in cerebral cortex 16 hr after TT injection (Brener et al., 1990).
Changes in gene expression in five of the rats that survived for 5–7 d were characterized by widespread distribution in frontoparietal cortex (in three rats) or in almost all neocortical areas on the injected side (in two rats). This is probably related to the fact that TT-induced seizures were more severe and commonly more generalized in the first few days after onset, becoming more localized with time. At the beginning of seizure development, cortical protective mechanisms to prevent seizure activity from spreading may not have been engaged nor TT cleared from the brain. The conversion of a diffuse to a focal effect as shown in one rat that survived for 7 d and in all rats that survived for 2 weeks may indicate the engagement of counterepileptic mechanisms to constrain the spread of epileptic activity (see below). The gradual clearance of TT molecules from the brain may also contribute to the process of focalization.
It is unlikely that the changes in gene expression resulted from cell loss attributable to repetitive seizures. There is no detectable cell loss in TT-induced epilepsy (Kessler and Markowitsch, 1983;Jefferys et al., 1992), and none could be detected in the present study. In addition, upregulation of selective mRNAs is unlikely to occur in the presence of cell loss, although it is conceivable that death of a subpopulation of, e.g., GABA cells, could be compensated for by upregulation of GAD in remaining subpopulations.
Although changes in gene expression for CaMKIIα, GAD, NMDA, or AMPA receptor subunits have been reported in various animal models of epilepsy, such as kindling, status epilepticus, hippocampal hilus lesion, and genetically seizure-prone animals, the findings have been inconsistent (see introductory remarks). Most previous studies also describe bilateral and/or widespread changes in which secondary effects such as hypoxia, stress, surgical lesion, or seizure-induced cell loss cannot be ruled out (Ballarín et al., 1991; Honkaniemi et al., 1995).
TT, epileptic focus, and inhibitory surround
Neurons in a TT-induced epileptic focus show many of the same discharge and membrane-potential characteristics as those in the penicillin model of focal epilepsy (Brener et al., 1990; Louis et al., 1990; Empson et al., 1993). Local cortical application of penicillin induces seizure activity by blocking the binding of GABA to GABAA receptors (Matsumoto and Ajmone-Marsan, 1964; Prince, 1968). Within the epileptic focus, the majority of neurons exhibits a typical paroxysmal depolarization shift followed by afterhyperpolarization (Prince and Wilder, 1967; Dichter and Spencer, 1969). By contrast, most neurons in the zone surrounding the epileptic focus show frequent, prolonged hyperpolarization. This zone has been termed the inhibitory surround (Prince and Wilder, 1967; Dichter and Spencer, 1969). Reduced activity in the inhibitory surround can be detected by 2-deoxyglucose mapping in the rat (Collins, 1978) and by optical imaging of stimulation-induced epileptiform activity in human cerebral cortex (Haglund et al., 1992).
The cortical zone showing changes in gene expression reciprocal to those at the center of the injection site in the present study likely corresponds to the inhibitory surround. The changes in gene expression in it are consistent with its being a zone of reduced neuronal activity. Hypoactivity induced by functional deafferentation upregulates CaMKIIα and downregulates GAD mRNA or protein levels in the cerebral cortex (Hendry and Jones, 1986; Hendry and Kennedy, 1986;Benson et al., 1991a, 1994).
An alternative explanation of the reciprocal changes in the surround could be through the action of diffusible factors such as nitric oxide and carbon monoxide (Dawson and Snyder, 1994; Schuman and Madison, 1994), although the layer-specific changes in gene expression are difficult to explain on this basis.
Molecular biological alterations in epilepsy
The changes in gene expression, which are likely to be accompanied by corresponding changes in protein levels, imply long-term alteration in neuronal properties during TT-induced seizure generation and persistence. CaMKIIα is enriched in the postsynaptic densities of excitatory synapses (Liu and Jones, 1996). Its proposed functions include modulating synthesis and release of neurotransmitters, enhancing ion currents through glutamate receptors, mediating induction of long-term potentiation, and regulating gene transcription (Braun and Schulman, 1995). Downregulation of CaMKIIα has been described in other models of epilepsy (Bronstein et al., 1992; Murray et al., 1995); however, in the present study the localized character of the decreases after 2 weeks contrasts with the widespread changes throughout bilateral neocortical and limbic structures reported in the other studies.
GAD gene expression is also activity-dependent (Benson et al., 1994). Any changes in the levels of GAD and therefore of GABA will affect the balance of excitation and inhibition in the cortex (Prince et al., 1992; Jones, 1993; Merlin and Wong, 1993). The present results suggest that GABA in the inhibitory synaptic terminals of axons originating from cells in the epileptic focus would be increased. In the initial period, GABA release within the injection focus should be blocked by TT; however, GABAergic terminals located outside the TT-effective focus but arising from axons of hyperactive GABAergic neurons inside the focus may exert increased inhibition, especially in the surround into which the long axons of the basket cells (Jones and Hendry, 1984;Kawaguchi, 1995), in particular, will extend. Increased inhibition in the presence of increased excitation has been suggested as playing a role in hypersynchronization of neuronal discharges in epilepsy (Fariello et al., 1991).
NMDA receptors, which gate Ca2+ influx, serve to modulate long-term neuronal excitability (Collingridge et al., 1988; Bliss and Collingridge, 1993), whereas GluR2 is the main subunit that limits Ca2+ permeability of the AMPA receptor channel (Hollmann et al., 1989; Boulter et al., 1990; Keinänen et al., 1990; Verdoorn et al., 1991; Burnashev, 1992). Therefore, the changes in NR1 and GluR2 expression demonstrated in the present study, although opposite in direction, together could cause elevated intracellular Ca2+and also increase neuronal excitability in the epileptic focus. The reciprocal changes in gene expression in the surround could account for hypoexcitability in the inhibitory surround.
Unlike the other mRNAs investigated, NR1 mRNA did not show detectable changes in any TT-injected rats of the 5–7 d survival group. This may indicate that changes in NR1 gene expression may be related to the establishment of long-term changes rather than to immediate hyperexcitability. This could help establish a spontaneous epileptic focus beyond the immediate action of TT.
Neurochemical segregation and a model of epileptogenesis
The present study, in showing reciprocal changes in gene expression for several important molecules in an epileptic focus and its surround, suggests that the cortex in the epileptic focus is neurochemically isolated from the surround. Partial isolation of a cortical slab will cause development of epilepsy (Halpern, 1972;Hoffman et al., 1994). Neurochemical segregation of an epileptic focus from neighboring cortical areas without a structural disconnection may promote persistence of focal epilepsy even after the original cause of hyperactivity (TT in the present case) has been eliminated. One of the main constraints on lateral spread of activity in cortex is GABAergic inhibition (Chagnac-Amitai and Connors, 1989). Changes in GAD expression may provide a neurochemical substrate for the proposed functional disconnection of inhibitory neurons in epilepsy (Jefferys, 1994). Decreased activity in the surround and the associated downregulation of GAD expression could represent an attempt to restore the local balance of excitation and inhibition. This should result, however, in decreased lateral inhibition extending via basket cell axons from the surround to the epileptic focus; this in turn would be reinforced by the presumably strong lateral inhibition emanating from the hyperactive focus. Enhanced inhibition in the surround may serve to offset the increased excitation emanating from enhanced activity of horizontal collaterals of pyramidal cells in the hyperactive focus (Fig. 9).
Contributions by other cortical and subcortical structures, such as the central lateral thalamic nucleus, in the generation and maintenance of focal epilepsy should not be overlooked. These changes may alter properties of re-entrant connectional loops.
Footnotes
This work was supported by Grant NS21377 from National Institutes of Health, United States Public Health Service. We thank Drs. N. Sucher, J. Boulter, and P. J. Isackson for providing the NR1, GluR2, and CaM kinase IIβ cDNAs, and Drs. M. M. Huntsman and S. Akbarian for help in preparing the cRNA probes. We are also grateful to Mr. C. R. King III, Mr. P. L. Nguyen, Mr. L. D. Le, and Ms. H. N. Truong for expert technical assistance.
Correspondence should be addressed to Dr. E. G. Jones, Department of Anatomy and Neurobiology, University of California, Irvine, CA 92697-1280.
Dr. Liang’s present address: Neural Systems Laboratory, Frontier Research Program in Brain Mechanisms of Mind and Behavior, The Institute for Physical and Chemical Research (RIKEN), Wako, Saitama 351–01, Japan.
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