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The Journal of Neurophysiology Vol. 86 No. 5 November 2001, pp. 2520-2526
Copyright ©2001 by the American Physiological Society
1Robert S. Dow Neurobiology Laboratories, Legacy Clinical Research and Technology Center, Portland, Oregon 97232; and 2Department of Physiology, University of Toronto, Toronto, Ontario M5S 1A8, Canada
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ABSTRACT |
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Xiong, Zhi-Gang,
Xiang-Ping Chu, and
J. F. MacDonald.
Effect of Lamotrigine on the Ca2+-Sensing Cation
Current in Cultured Hippocampal Neurons.
J. Neurophysiol. 86: 2520-2526, 2001.
Concentrations of
extracellular calcium
([Ca2+]e) in the CNS
decrease substantially during seizure activity. We have demonstrated previously that decreases in
[Ca2+]e activate a novel
calcium-sensing nonselective cation (csNSC) channel in hippocampal
neurons. Activation of csNSC channels is responsible for a sustained
membrane depolarization and increased neuronal excitability. Our study
has suggested that the csNSC channel is likely involved in generating
and maintaining seizure activities. In the present study, the effects
of anti-epileptic agent lamotrigine (LTG) on csNSC channels were
studied in cultured mouse hippocampal neurons using patch-clamp
techniques. At a holding potential of
60 mV, a slow inward current
through csNSC channels was activated by a step reduction of
[Ca2+]e from 1.5 to 0.2 mM. LTG decreased the amplitude of csNSC currents dose dependently with
an IC50 of 171 ± 25.8 (SE) µM.
The effect of LTG was independent of membrane potential. In the
presence of 300 µM LTG, the amplitude of csNSC current was decreased
by 31 ± 3% at
60 mV and 29 ± 2.9% at +40 mV
(P > 0.05). LTG depressed csNSC current without
affecting the potency of Ca2+ block of the
current (IC50 for Ca2+
block of csNSC currents in the absence of LTG: 145 ± 18 µM; in the presence of 300 µM LTG: 136 ± 10 µM. n = 5, P > 0.05). In current-clamp recordings, activation
of csNSC channel by reducing the
[Ca2+]e caused a
sustained membrane depolarization and an increase in the frequency of
spontaneous firing of action potentials. LTG (300 µM) significantly
inhibited csNSC channel-mediated membrane depolarization and the
excitation of neurons. Fura-2 ratiometric Ca2+
imaging experiment showed that LTG also inhibited the increase in
intracellular Ca2+ concentration induced by csNSC
channel activation. The effect of LTG on csNSC channels may partially
contribute to its broad spectrum of anti-epileptic actions.
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INTRODUCTION |
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Repetitive electrical
stimulation and intense neuronal activity produce dramatic decreases
(up to 0.5 mM) of extracellular calcium
([Ca2+]e) in the CNS
(Heinemann and Louvel 1983
; Heinemann et al.
1977
; Krnjevic et al. 1982
; Nicholson et
al. 1978
; Pumain and Heinemann 1985
;
Somjen 1980
). Decreases in
[Ca2+]e were also evoked
by iontophoretic applications of excitatory amino acids
(Heinemann and Pumain 1980
). These decreases of
[Ca2+]e were largely due
to excessive release of excitatory neurotransmitter and/or activation
of postsynaptic glutamate receptors.
Decreases of [Ca2+]e are
dramatically enhanced during seizure activity (Heinemann and
Louvel 1983
; Heinemann et al. 1977
). In pentetrazol-induced seizure, for example, a decrease of
[Ca2+]e by 0.7-1.0 mM
was recorded (Heinemann and Louvel 1983
;
Heinemann et al. 1977
). It has been noted that the fall
of [Ca2+]e often preceded
the onset of seizure events, indicating that the fall of
[Ca2+]e might be
responsible for initiating the seizure activities. Decrease of
[Ca2+]e has also been
observed in chronic models of epilepsy including the kindling model and
photically induced seizures (Davies and Peterson 1989
;
Heinemann and Hamon 1986
).
Decreases in [Ca2+]e are
known to increase neuronal excitability (Hille 1992
).
The mechanism by which lowering
[Ca2+]e enhances neuronal
excitability is, however, not fully understood. Lowering
[Ca2+]e reduces the
shielding of negatively charged groups located at the membrane surface
(Hille 1992
; Zhou and Jones 1995
). By this mechanism, Ca2+ may influence the
voltage-dependent activation of various ion channels (Hille
1992
). Calcium also alters the gating and the permeation
properties of several ion channels (Zhou and Jones 1995
). In some extreme cases, channel selectivity is lost when Ca2+ is reduced to <1 µM. For example,
Na+ will readily permeate L-type
Ca2+ channels when
[Ca2+]e is lowered to the
nanomolar range (Almers and McCleskey 1984
; Fukushima and Hagiwara 1985
; Hess et al.
1986
; Matsuda 1986
). It should be noted that, in
most of these studies,
[Ca2+]e needs to be
reduced to an extremely low level (e.g., nanomolar) to have its effect.
Such low value is not expected in physiological conditions and rarely
seen during seizure activity.
We have recently demonstrated that decreases in
[Ca2+]e activate a
calcium-sensing nonselective cation (csNSC) channel in cultured mouse
hippocampal neurons (Xiong and MacDonald 1999
;
Xiong et al. 1997
). This channel is tonically
inhibited by calcium concentration higher than 1.5 mM and activated
when [Ca2+]e is lowered.
Activation of the csNSC channel is responsible for a sustained membrane
depolarization and excitation of neurons (Xiong et al.
1997
). As decreases in
[Ca2+]e often precede or
accompany seizure activities (Heinemann and Louvel 1983
;
Heinemann et al. 1977
), it is expected that activation of the csNSC channel is involved in epileptogenesis. Blocking the csNSC
channel is therefore anticipated to have anti-epileptic effect.
Lamotrigine (LTG) is a novel anti-epileptic agent with a broad spectrum
of clinical effects (Coulter 1997
; Matsuo
1999
). Its primary documented cellular mechanism is the
blockade of voltage-gated Na+ channel
(Cheung et al. 1992
; Meldrum 1996
;
Xie et al. 1995
). However, this mechanism alone is not
sufficient to explain its broad clinical anti-epileptic effect. In the
present study, we have studied the effects of LTG on csNSC currents in
cultured hippocampal neurons. We report here that, in addition to
inhibiting voltage-gated Na+ and
Ca2+ channels, LTG dose dependently depresses
csNSC currents in hippocampal neurons. The inhibition of LTG on csNSC
channels may partially contribute to its broad spectrum of
anti-epileptic effects.
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METHODS |
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Dissociation and culture of mouse hippocampal neurons
Cultures of mouse hippocampal neurons were prepared according to
our previously described techniques (MacDonald et al.
1989
). The use of mouse brain for neuronal culture was reviewed
and approved by the Institutional Animal Care and Use Committee of the
University of Toronto and Legacy Clinical Research and Technology
Center. Briefly, time-pregnant (E15) mice were anesthetized with
halothane followed by cervical dislocation. Fetuses were rapidly
removed, and hippocampi were dissected and placed in cold Hanks'
solution. The hippocampi were then mechanically dissociated by
trituration and plated in 35-mm collagen-coated culture dishes or 25-mm
coverslips at densities of ~1 × 106/dish.
The cultures were used for electrophysiological recordings 14-21 days
after plating.
Electrophysiology
Whole cell patch-clamp recordings were performed and analyzed as
described previously (Xiong et al. 1997
). Patch
electrodes were constructed from thin-walled borosilicate glass (1.5-mm
diam, WPI, Sarasota, FL) on a two-stage puller (PP83, Narishige,
Tokyo). The tips of the electrodes were heat-polished on a Narishige
microforge (Model MF-83; Scientific Instruments Laboratory, Tokyo) to a
final diameter of 1-2 µm. The patch electrodes had resistance
between 3 and 5 M
when filled with intracellular solution. Whole
cell currents were recorded using Axopatch 1-D amplifiers (Axon
Instruments, Foster City, CA). Data were filtered at 2 kHz and
digitized at 5 kHz using Digidata 1200 DAC units (Axon Instruments).
The on-line acquisition was done using pClamp software (version 6, Axon
Instruments). During each experiment, a voltage step of
10 mV was
applied periodically to monitor the cell capacitance and the access
resistance. Recordings in which the access resistance or the
capacitance changed by more than 10% during the recordings were not
included in data analysis (Xiong et al. 1998
).
Ca2+ imaging
Ca2+-imaging experiments were performed as
previously described (Jarvis et al. 1997
; Xiong
et al. 2000
). Cultured hippocampal neurons grown on 25 × 25-mm glass coverslips were washed three times with extracellular
solution and incubated with 5 µM fura-2-acetoxymethyl ester for
40-50 min at room temperature. Coverslips with fura-2-loaded cells
were then transferred to a perfusion chamber on an inverted microscope
(Nikon). Cells were illuminated using a xenon lamp (75 W) and observed
with a ×40 UV fluor oil-immersion objective lens (Nikon). Video images
were obtained using an intensified CCD camera (PTI IC-110). Digitized
images were acquired by averaging four to eight frames at video rates
using an image processing board (Axon imaging lightening) in a PC-type
computer controlled by Axon Imaging Workbench software (AIW2.1, Axon
Instruments). The shutter and filter wheel were also controlled by AIW
to allow timed illumination of cells at either 340- or 380-nm
excitation wavelengths. Fluorescence of fura-2 was detected at an
emission wavelength of 510 nm. Ratio images were analyzed by averaging pixel ratio values in circumscribed regions of cells in the field of
view. The values were exported from AIW to Sigmaplot 4.0 and then plotted.
Solutions and chemicals
Standard extracellular solution contained (in mM) 140 NaCl, 5.4 KCl, 1.5 CaCl2, 25 HEPES, and 33 glucose (pH 7.4 with NaOH; 320-330 mOsm). Tetrodotoxin (TTX) 1 µM was added for voltage-clamp experiment while left out for current-clamp recording to study the firing of the action potentials.
For voltage-clamp experiments, the pipette solution contained (in mM) 140 CsF, 30 CsOH, 10 HEPES, 11 EGTA, 2 tetraethylammonium chloride (TEA), 1 CaCl2, 4 MgCl2, and 4 K+-ATP (pH 7.3 with CsOH; 310 mOsm). For current-clamp recordings, the pipette solution contained (in mM) 150 KCl, 10 HEPES, 11 EGTA, 2 tetraethylammonium chloride (TEA), 1 CaCl2, 4 MgCl2, and 4 K+-ATP (pH 7.3 with KOH; 310 mOsm). A multi-barrel perfusion system was employed to achieve a rapid exchange of solutions.
All experiments were performed at room temperature (22
24°C). Data
are expressed as means ± SE. Student's t-test was
employed for the analysis of statistical significance.
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RESULTS |
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LTG inhibits low-Ca2+-induced membrane depolarization and excitation
The effect of LTG on membrane potential of cultured hippocampal
neurons was first studied using the current-clamp configuration. In the
absence of TTX, the majority of neurons displayed spontaneous firing of
action potentials at resting potentials (
58 ± 3 mV, n = 5). The frequency of the firing of action
potentials was largely dependent on membrane potentials. For example,
hyperpolarization by injecting a small outward current reduced or
eliminated firing while depolarization by injecting inward current
increased the frequency of action potentials. As described previously
(Xiong et al. 1997
), lowering
[Ca2+]e induced a
sustained depolarization of membrane potential and an increase in the
action potential firing rate (Fig. 1). In
five neurons, reduction in
[Ca2+]e from 1.5 to 0.5 mM depolarized the membrane potential by 13.6 ± 1.8 mV
(n = 5) and increased frequency of action potentials from 0.45 ± 0.2 Hz to 10.5 ± 1.2 Hz (P < 0.01; Fig. 1A). We have previously demonstrated that this
excitation of neurons in response to decreased
[Ca2+]e was due to the
activation of csNSC channels (Xiong et al. 1997
). To
study the effect of LTG on csNSC-mediated membrane depolarization and
the excitation of hippocampal neurons, LTG was co-applied with 0.5 mM
Ca2+. As shown in Fig. 1, addition of LTG (300 µM) significantly decreased the amplitude of depolarization induced
by 0.5 mM Ca2+ (4.8 ± 1.2 mV with LTG
compared with 13.6 ± 1.8 mV without, P < 0.01, n = 5). The frequency of action potentials was also
reduced by LTG from 10.5 ± 1.2 to 2 ± 0.7 Hz
(P < 0.01, n = 4).
|
Figure 1B shows another example of the effect of LTG on low
[Ca2+]e-induced
excitation. In this recording, the cell was first perfused with a lower
Ca2+ (0.75 mM) solution to activate csNSC
channels. This resulted in a depolarized membrane potential at
48 mV
with high firing rate of action potentials. After stabilization of
membrane potential, 300 µM LTG was applied to the cell for 5 s.
LTG not only inhibited the firing of action potentials but also caused
membrane hyperpolarization as expected from an inhibition of csNSC channels.
LTG has been shown to block voltage-gated Na+
channels (Xie et al. 1995
). It may be argued that the
effect of LTG on membrane potentials is simply due to its effect on
Na+ channels. To address this, we have repeated
the experiment using Na+ channel blocker TTX. TTX
(0.5 µM) completely eliminated the firing of action potentials.
However, unlike LTG, TTX had no effect on lowering
[Ca2+]e induced membrane
depolarization (n = 3, not shown).
LTG dose dependently inhibits csNSC currents
To better characterize the effect of LTG on csNSC
channel-mediated response, we then employed the voltage-clamp
configuration to directly study the effect of LTG on csNSC currents.
Cells were voltage clamped at a holding potential of
60 mV, and the
currents through csNSC channels were activated by step reductions of
[Ca2+]e. As shown in Fig.
2, reduction of
[Ca2+]e from 1.5 to 0.2 mM induced a slowly activating sustained inward current as reported
previously (Xiong et al. 1997
). Addition of LTG in the
low-Ca2+ solution caused a
concentration-dependent inhibition of the inward currents with an
IC50 of 171 ± 26 µM and Hill coefficient
of 1.1 ± 0.2 (n = 6). The threshold concentration
required for LTG block of csNSC current is ~10 µM, close to its
therapeutic plasma level.
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Voltage-independent inhibition of csNSC current by LTG
We then tested whether the effect of LTG on the csNSC current
depends on the membrane potential. Neurons were voltage clamped at
different membrane potentials ranging from
60 to +40 mV, and the
currents were activated by a step reduction of
[Ca2+]e from 1.5 to 0.2 mM. As shown previously (Xiong et al. 1997
), currents
through csNSC channels display a linear current-voltage (I-V) relationship with reversal potential of ~0 mV (Fig.
3). Co-application of LTG (300 µM) with
0.2 mM Ca2+ reduced the currents at both negative
and positive membrane potentials to a similar extent, demonstrating a
voltage-independent inhibition of csNSC channels by LTG (31 ± 3.0% inhibition at
60 mV, 34 ± 3.4% at
40 mV, and 29 ± 2.9% at +40 mV, n = 4-5, P > 0.05). Because LTG has been shown to inhibit N- and P-type
Ca2+ channels, we have repeated the experiment in
the presence of
-conotoxin MVIIC, a toxin that blocks both N- and
P-type Ca2+ channels (McDonough et al.
1996
; Waterman 1997
). In the presence of 1 µM
-conotoxin MVIIC, LTG blocked the csNSC current to a similar degree
as in the absence of
-conotoxin MVIIC (35 ± 6.1% at
60 mV
and 29 ± 3.6 at +40 mV, n = 4), indicating that
the effect of LTG on csNSC currents has nothing to do with its effect on N- and P-type Ca2+ channels.
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LTG does not affect the potency of Ca2+ block of csNSC current
We have shown previously that Ca2+ ion is an
effective endogenous blocker of the csNSC channels (Xiong et al.
1997
). To study the mechanism underlying LTG inhibition of
csNSC currents, we have explored the possibility whether the effect of
LTG was due to an increase in the potency of the
Ca2+ blockade. The dose-inhibition curves of
Ca2+ block of csNSC currents were therefore
constructed in the absence and presence of LTG (300 µM). As shown in
Fig. 4, LTG affected neither the shape
nor the IC50 value of the
Ca2+ dose-inhibition relationship
(IC50 for Ca2+ block of
csNSC current: 145 ± 18 µM in the absence vs. 136 ± 10 µM in the presence of LTG, n = 5, P > 0.05), indicating that the effect of LTG on csNSC currents was not
due to an increase in the potency of Ca2+
blockade.
|
It has been shown that the effect of LTG on Na+
channels depends on the frequency of stimulation (use-dependent block)
(Kuo and Lu 1997
; Xie et al. 1995
). This
mechanism selectively dampens pathologic activation of
Na+ channels without interacting with normal
Na+ channel function. We have performed a similar
experiment to see whether the effect of LTG on csNSC currents also
depends on the frequency of channel activation. csNSC currents were
activated repeatedly by step reductions of
[Ca2+]e with intervals
between two activations as short as 1.0 s (Fig. 5). Unlike its effect on voltage-gated
Na+ channels, the inhibition of LTG on csNSC
currents was not enhanced with repeated stimulation, indicating a lack
of use dependence of the effect of LTG on csNSC channels (Fig. 5).
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Effects of other anti-epileptic agents on csNSC currents
Several studies have shown that anti-epileptic agents phenytoin
and carbamazepine share similar pharmacological properties with LTG as
Na+ channel blockers (Kuo and Lu
1997
). It has been suggested that these agents bind to a common
site located on the external side of neuronal Na+
channels (Kuo 1998
). We therefore tested the possibility
that phenytoin and carbamazepine also inhibit csNSC currents. Similar to LTG, carbamazepine (300 µM) depressed the amplitude of csNSC current by ~20% (n = 5) (Fig.
6). However, with concentrations as high
as 1 mM, phenytoin had no effect on the current (not shown), indicating
that the common motif responsible for blocking
Na+ current is not responsible for the effect of
LTG on csNSC channels. Other anti-epileptic agents including
ethosuximide, felbamate, topiramate, and valproic acid had no effect on
csNSC current with concentration as high as 1 mM.
|
LTG inhibits csNSC-mediated increase in [Ca2+]i
Fluorescent Ca2+-imaging technique was also used to study changes of intracellular Ca2+ concentration mediated by lowering [Ca2+]e and the effect of LTG on the Ca2+ response. In a total of 58 cultured hippocampal neurons tested, ~30% of neurons responded to a step decrease of [Ca2+]e (from 1.5 to 0.5 mM) with a detectable increase in intracellular Ca2+ concentration. The reason that the rest of neurons did not respond is not clear. One possibility is that the sensitivity of imaging system we used is not high enough to detect small changes. Nevertheless, for those neurons which responded, repeated increase in [Ca2+]i without desensitization could be evoked with a decrease of [Ca2+]e from 1.5 to 0.5 mM. We tested the effect of LTG only on the neurons that responded to low [Ca2+]e. In 10 neurons tested for LTG, decrease of [Ca2+]e from 1.5 to 0.5 mM induced an increase in 340/380 ratio from 0.4 to 1.1 (n = 10). LTG (300 µM) did not affect the baseline Ca2+ but reduced the low [Ca2+]e induced increase in 340/380 ratio by 30 ± 5% (Fig. 7, P < 0.05, n = 10).
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DISCUSSION |
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In the present study, we demonstrated that LTG decreases the
excitability of cultured hippocampal neurons in the presence of reduced
[Ca2+]e, a condition that
is commonly observed in CNS during seizure activities. We further
demonstrated that the effect of LTG on membrane excitability was
partially due to its inhibition of csNSC currents we previously
described (Xiong et al. 1997
). As activation of csNSC
current is suggested to be involved in the generation of seizure
activity (Xiong et al. 1997
), we conclude that the inhibition of csNSC current by LTG contributes partially to its broad
spectrum of anti-epileptic activity.
The mechanism of how LTG inhibits the csNSC current is not clear. As
Ca2+ is an effective blocker of csNSC channels
(Xiong et al. 1997
), one possibility is that LTG
increases the potency of Ca2+ blockade. We
therefore compared the Ca2+ block of csNSC
current in the absence and presence of LTG. The IC50 value of Ca2+ block of
csNSC current in the presence of LTG was the same as that without LTG,
indicating that the inhibition of csNSC current by LTG was not due to
an increase in the potency of Ca2+ block.
Phenytoin and carbamazepine share similar pharmacological properties as
LTG in blocking the voltage-gated Na+ channel
(Kuo and Lu 1997
). It was suggested that these agents bind to a common site located on the external side of
Na+ channels (Kuo 1998
). We have
compared the effect of LTG with that of phenytoin and carbamazepine.
Similar to LTG, carbamazepine slightly depressed the csNSC current.
However, with concentrations as high as 1 mM, phenytoin had no effect.
This data suggest that the common motif responsible for blocking
Na+ channels is not responsible for the effect of
LTG on csNSC channels.
The effect of LTG on Na+ channels is voltage and
activity dependent (Kuo and Lu 1997
; Xie et al.
1995
). This is due to its selective interaction with the
inactivated state of the channel. Unlike its effect on
Na+ channel, the effect of LTG on csNSC current
does not depend on the voltage or the frequency of stimulation. This
indicates that LTG would inhibit
low-[Ca2+]e-induced
membrane depolarization and the excitation of neurons regardless of
membrane potential and the frequency of action potential. This effect
will likely reset the membrane potential to a lower level away from the
threshold of Na+ channel activation hence
reducing the overall excitability of neurons. This effect of LTG,
combining with its direct inhibition of Na+
channels, would be effective in suppressing abnormal neuronal excitability in the presence of reduced
[Ca2+]e.
In ~30% of neurons, activation of csNSC channels induced an increase in [Ca2+]i. Because this experiment was performed on neurons that were not voltage-clamped, whether the increase of Ca2+ was due to Ca2+ entry directly from csNSC channels or indirectly through voltage-gated Ca2+ channels is not clear. Further studies will be carried out in the presence of blockers of voltage-gated Ca2+ channels. Alternatively, we will use simultaneous patch-clamp and Ca2+-imaging technique to determine whether Ca2+ entry is directly through csNSC channels.
Current frontline anti-epileptic drugs fall into several cellular
mechanistic categories. Drugs effective in control of partial and
generalized tonic-clonic seizures are use- and voltage-dependent blockers of Na+ channels. Examples include
phenytoin, carbamazepine, valproic acid, and lamotrigine
(Coulter 1997
; Macdonald and Greenfield 1997
; Meldrum 1996
). These agents selectively
dampen pathologic activation of Na+ channels,
without interacting with normal Na+ channel
function. Drugs effective in control of generalized absence seizures
likely block low-threshold T-type calcium currents. Examples include
ethosuximide, trimethadione, and methsuximide (Coulter et al.
1989a
,b
). Agents that augment function of
GABAA receptors, e.g., diazepam and clonazepam,
have broad-spectrum anti-epileptic effects (Coulter
1997
; Robertson 1986
).
LTG has a broad spectrum of clinical effects against various types of
epilepsy. It is effective against both partial and generalized seizures, including absence seizures (Messenheimer 1995
;
Yuen 1994
). Furthermore, LTG has also been used for the
treatment of bipolar disorder (Calabrese and Gajwani
2000
; Engle and Heck 2000
) and pain
(Eisenberg et al. 1998
; Simpson et al.
2000
; Zakrzewska et al. 1997
). The primarily
documented cellular mechanism of action is Na+
channel block, a mechanism shared by other anti-epileptic agents including phenytoin and carbamazepine. Unlike LTG, however, phenytoin and carbamazepine are ineffective against the absence seizure (Coulter 1997
).
It is expected that the effects of LTG on other ion channels may
combine with its Na+ channel blocking actions to
account for its broad clinical efficacy. Recent studies have shown that
in addition to blocking Na+ channel, LTG inhibits
high-threshold voltage-gated Ca2+ channel
(Grunze et al. 1998b
; Lees and Leach
1993
; Stefani et al. 1997
; Wang et al.
1996
). It has also been shown that, in hippocampal slices, LTG
positively modulates a transient outward K+
current (Grunze et al. 1998a
,b
). Our present study
demonstrated that LTG also concentration dependently depresses the
csNSC current. This effect of LTG may partially contribute to its broad
spectrum of anti-epileptic effects and its effect on affective
disorders and pain. Our data also suggest that the csNSC channel may be a potential therapeutic target for epileptic seizures.
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ACKNOWLEDGMENTS |
|---|
We thank L. Brandes, E. Czerwinska, and X. Zhu for technical assistance.
This work was supported by the Legacy Good Samaritan Hospital Foundation, the Medical Research Council of Canada, and the Heart and Stroke Foundation of Canada.
| |
FOOTNOTES |
|---|
Address for reprint requests: Z.-G. Xiong, Robert S. Dow Neurobiology Laboratories, Legacy Clinical Research and Technology Center, 1225 NE 2nd Ave., Portland, OR 97232 (E-mail: zxiong{at}Downeurobiology.org).
Received 16 February 2001; accepted in final form 26 June 2001.
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