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. 2020 Jan 17;10:1407. doi: 10.3389/fneur.2019.01407

Table 1.

Changes in function in experimental neonatal epilepsy models.

References Experimental epilepsy models Animals Brain regions Changes
CONSISTENT WITH HIGH NKCC1 AND LOW KCC2 EXPRESSION
In vivo
Dzhala et al. (34) KA-induced seizures P9-12 rats Hippocampus Bumetanide attenuated electrographic seizure in neonatal rats.
Mares (70) PTZ-induced seizures P7,12,18 male albino rats of Wistar strain Bumetanide only decreased tonic phase of P12 rats which showed higher NKCC1 expression than other periods.
Mazarati et al. (71) Kindling-induced seizures P11, P14, P21
Wistar rats
Hippocampus Bumetanide only increased ADT and shortened ADD in P11. Bumetanide delayed the occurrence, and reduced the number of full motor seizures.
Koyama et al. (67) Hyperthermic seizure
model
P11 wildtype or transgenic SD male rats Hippocampus Bumetanide rescued granule cell ectopia and blocked increased susceptibility to adult seizures after febrile seizures at P11.
In vitro
Dzhala et al. (34) Bath application of
high [K+]o
P7-23 rats Hippocampal
slice
Bumetanide suppressed and depressed IED, ID in P7-9 and P10-12 rats, respectively.
P7-9 NKCC1−/− mice Hippocampal
slice
EGABA was more hyperpolarized and
bumetanide did not change the amplitude and duration of IEDs.
Dzhala et al. (68) Bath application continuous
5 h of low-Mg2+ solution
P4-7 rats Intact hippo-
campal
formations
Bumetanide had a strong action in controlling ISIs and hyperpolarize EGABA.
Rheims et al. (72) Bath application of 4-AP P6-P9 rats Neocortex slice Bumetanide inhibited generation of IISs and prevented their trans-
formation to ISs.
INCONSISTENT WITH HIGH NKCC1 AND LOW KCC2 EXPRESSION
In vitro
Kilb et al. (73) High [K+]o model

Disinhibition model

Low-Mg2+ model

Kainate model
4-AP/low-Mg2+ model
P4-7 rats Whole hippo-
campus
Bumetanide could attenuate epileptiform activity.

Bumetanide had only little effect on interictal discharges.
Bumetanide did not attenuate epileptiform
activity but instead enhanced interictal activity.
Bumetanide enhanced epileptiform activity.
Bumetanide attenuated LRD like epileptiform activity.
Zhu et al. (74) Bath application of
4-AP
P9-P13 NKCC1+/+
and NKCC1−/− mice
Hippocampaus Bumetanide aggravated 4-AP induced seizures and enhanced neuronal excitability.
Nardou et al. (75) Bath application of
Kainate
P7-8 Wistar rats Interconnected
intact hippo-campus
Bumetanide did not prevent generation and propagation to the contralateral hippo-campal and the formation of an acute epileptogenic mirror focus.
Khirug et al. (76) Kainate induced and bath application of kainate P5-7 and P16 Wistar male rat pups Hippocampus Enhanced KCC2 function and a consequent negative shift in EGABA followed by seizure activity.
Awad et al. (77) Freeze lesion and
hyperthermic seizures
P18-22 or P11-15
male rats
Hippocampus Amplitude of mEPSC in CA1 pyramidal neurons reduced significantly and EGABA increased which related to KCC2 over-expression.

4-AP, 4-aminopyridine; ADT, after discharge threshold; ADD, after discharge duration; ID, ictal discharge; IED, interictal epileptic discharges; IISs, interictal seizures; ISs, ictal seizures; ISI, inter seizure intervals; KA, kainae; PTZ, pentylenetetrazol; mEPSC, miniature excitatory postsynaptic current; SD, Sprague-Dawley.