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REPORT
1Section of Neurology, Neuroscience Center at Dartmouth, Dartmouth Medical School, Lebanon, New Hampshire; 2Institut de NeuroBiologie de la Méditerraneé, Institut National de la Santé et de la Recherche Médicale U29, Marseille, France
Submitted 8 February 2005; accepted in final form 29 June 2005
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ABSTRACT |
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30% of cases. Co-infusion of the GABAA receptor agonist isoguvacine or the GABAA-positive allosteric modulator diazepam completely prevented high-K+/low Mg2+-induced seizures. In in vitro studies using hippocampal slices, we also found that high-K+/low Mg2+ produced ictal activity that was exacerbated by bicuculline and gabazine and reduced by isoguvacine. Thus in the model of high-K+/low Mg2+-induced seizures both in in vivo and in vitro conditions, GABA, acting via GABAA receptors, has an anticonvulsant effect during the critical developmental period of enhanced excitability. |
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INTRODUCTION |
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GABA is the principal inhibitory neurotransmitter in the adult brain. However, at early developmental stages, GABA acting via GABAA receptors may exert excitatory effects (Ben-Ari et al. 1989
, 1997
, Ben-Ari 2002
). The excitatory effects of GABA are due to elevated intracellular concentration of chloride ions because of delayed expression of the chloride extruder KCC2 resulting in a depolarized value of GABAA-mediated conductance (Rivera et al. 1999
). In addition to the excitatory effects, depolarizing GABA may also exert inhibitory actions on immature neurons via a shunting mechanism (Chen et al. 1996
; Khalilov et al. 1999
; Lamsa et al. 2000
; Lu and Trussell 2001
; Wells et al. 2000
). Thus GABA in the immature brain plays both an excitatory and inhibitory roles. Hence the complexity in the GABAergic contributions to neuronal network phenomena including paroxysmal discharges. While mainly antiepileptic effects of GABA have been documented thus far in the immature brain (Kubova and Mares 1991
; Kubova et al. 1999
; Smythe et al. 1988
; Velisek et al. 1995
), recent studies using a high-potassium model of ictogenesis in the hippocampal slices from neonatal rats suggested that excitatory GABA may be causally linked to ictal activity in the early developmental window (Dzhala and Staley 2003
). The GABAA antagonists bicuculline and gabazine completely suppressed high-potassium-induced ictal-like events, whereas GABAA agonists muscimol and isoguvacine significantly increased the frequency and duration of the ictal events (Dzhala and Staley 2003
). In another study using a similar model (Khazipov et al. 2004), blockade of GABAA receptors resulted either in a blockade or reduction in frequency of high-potassium-induced ictal events, in confirmation of the Dzhala and Staley (2003)
result, and further suggesting a proconvulsant role for GABA; however, GABAA antagonist also caused a significant increase in the amplitude of population spikes, suggesting a coexisting anticonvulsant role for GABA during the critical development period.
Although slices can provide valuable information, extrapolation of the results obtained in vitro to the in vivo situation may often be difficult in particular when it comes to complex network phenomena (Steriade 2001
). Therefore in the present study, we studied the effects of the GABAA acting drugs on epileptiform activity induced by high-K+/low Mg2+ in the hippocampus of postnatal rats in vivo and hippocampal slices in vitro. We found that blockade of GABAA receptors significantly facilitates seizures induced by intrahippocampal injection of high-K+/low Mg2+ solution, whereas the GABAA-promoting drugsthe agonist isoguvacine and positive allosteric modulator diazepamcompletely prevents the epileptiform activity. Similar proconvulsive actions of the GABAA antagonists and anticonvulsive actions of the GABAA-promoting drugs were also found in the hippocampal slices in vitro. It appears that in the high-K+/low-Mg2+ model of ictogenesis, GABA acting via GABAA receptors has an anticonvulsant role during the critical developmental period of enhanced excitability.
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METHODS |
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Sprague-Dawley rat pups (n = 36) of postnatal days [P] 812 and six rat pups at P4P6 were used for in vivo part of the study and were treated in accordance with the guidelines set by the National Institutes of Health and Dartmouth Medical School for the humane treatment of animals as described in details previously (Khazipov et al. 2004). In brief, animals were anesthetized with isoflurane (induction 4%, maintenance 2%) in an O2 carrier using an agent-specific vaporizer (Isotec 3, Ohmeda Medical System). For general analgesia, 0.010.02 mg/kg buprenorphine hydrochloride (Buprenex) was administered subcutaneously. Skin, subcutaneous fat, and periosteum were removed from the skull, which then was covered with a thin layer of dental acrylic except for an area of
2 mm in diameter above the hippocampus and small area above the cerebellum for placement of recording and reference electrodes. Two anchor bars were attached to the frontal and the occipital bones of the skull with dental acrylic. Rats were placed in the cotton nest with the head restrained in the stereotaxic apparatus by the skull bars. The body temperature was maintained constant at 35°C using a heater (Warner Instrumental).
A burr hole of 0.5 mm in diameter was drilled in the skull above the hippocampus. The dura was cut and removed. A wire electrode (50 µm in diameter; California Fine Wire, Grover Beach, CA) for extracellular field potential recordings was inserted into the application cannula (0.2 mm diam, Plastic One. Roanoke, VA). The tip of the recording electrode was extended for
100 µm from the cannula ending. The application cannula with recording electrode was positioned into the CA3 pyramidal cell layer of the hippocampus under stereotaxic and electrophysiological guidance (2.02.5 mm caudal to bregma; 2.02.5 mm from midline; depth: 2,7003,100 µm). Reference and ground electrodes were implanted into the cerebellum. After surgery, the isoflurane anesthesia was stopped, and the pups were left to recover from anesthesia for 1015 min, and then electrophysiological data were recorded uninterrupted for 60120 min.
Electrical signals were amplified (1,000 times) with filter settings of 0.15,000 Hz using a differential amplifier (A-M Systems, Carlsborg, WA) and digitized at 10 kHz using an A/D converter (Digidata 1322A; Axon Instruments). Off-line analysis of the hippocampal electrogram was performed using Clampfit (Axon Instruments) and Origin 5.0 (Microcal Software, Northampton, MA). Group data are expressed as means ± SE; error bars also indicate SE.
Interictal-like activity was defined as brief (80200 ms) high-amplitude spikes in the electroencephalograph (EEG) that occurred in isolation on a background of otherwise normal activity. Ictal-like activity consisted of rhythmic spikes. Tonic was arbitrary used to describe sustained rhythmic spikes, whereas clonic was defined as bursts of rhythmic spikes interspersed with lower-amplitude, nonrhythmic activity (McCormick and Contreras 2001
). The tonic and clonic rhythms refer to the EEG correlates to the tonic and clonic behaviors observed during seizures. In this study, we used these terms arbitrarily to describe the EEG patterns that typically occur in conjunction with behavioral seizures. The term epileptiform discharges was used to describe either ictal or interictal activity.
After the recordings, the rat was anesthetized, and the brain was removed. Sagittal 300-µm slices were cut using a vibroslicer Leica VT 1000S (Leica Microsystems, Nussloch GmbH). Electrode position verification was performed under light microscopic evaluation.
Slice preparation
Sprague-Dawley rat pups (n = 6) of P8P12 were prepared as described (Khazipov et al. 2004). In brief, rats were deeply anesthetized using isoflurane and decapitated. The brain was removed and placed into ice-cold "solution" of the following composition (in mM): 250 sucrose, 2 KCl, 0.5 CaCl2, 7 MgCl2, 26 NaHCO3, 1.2 NaH2PO4, and 11 glucose (pH = 7.4). Transverse hippocampal slices were cut using the Leica 1000S vibroslicer (Leica Microsystems, Nussloch GmbH). After dissection, slices were kept in an oxygenated (95% O25% CO2) artificial cerebrospinal fluid (ACSF) solution of the following composition (in mM): 126 NaCl, 3.5 KCl, 2.0 CaCl2, 1.3 MgCl2, 25 NaHCO3, 1.2 NaH2PO4, and 11 glucose (pH 7.3) at 3032°C for
1.5 h before use.
Electrophysiological recordings
For recordings, slices were transferred to a submersion-type thermostatic chamber (Warner Instrument, Hamden, CT) and superfused at 3032°C at a rate of 13 ml/min with the oxygenated ACSF. Extracellular recordings were made from CA3 pyramidal cell layer using borosilicate glass pipettes. The patch electrodes were made from borosilicate glass capillaries (GC150F-15, Clark Electromedical Instruments) and filled with extracellular solution. Pipette resistances ranged from 5 to 7 M
. The recordings were performed using an Axopatch 200A amplifier (Axon Instruments) and digitized (10 kHz) on-line with an A/D converter Digidata 1322A (Axon Instruments).
Administration of drugs
For the in vivo experiments, drugs were applied locally through the stainless-steel cannula (100 µm ID) using microsyringes. Drugs were dissolved in the ACSF. In the experiments with high potassium and low magnesium, 10 mM KCl was substituted for equivalent concentrations of NaCl. MgCl2 was omitted from the ACSF. Application was made by repetitive injection of 5 µl-volumes (duration: 1015 s; interval: 5 min; number:
10 times). Repetitive microinjections were chosen instead of single continuous injection to avoid displacement of the recording electrode.
In the in vitro experiments, high K+/low Mg2+ was applied directly to the perfusion solution. When assessing the role of GABAA-acting drugs on seizure induction, the slices were incubated with isoguvacine, bicuculline, gabazine or diazepam for 10 min prior to application of high K+/ low Mg2+.We varied the sequence of drugs application to avoid use-dependent effects.
Chemicals
6-Cyano-7-nitroquinoxaline-2,3-dione (CNQX), D-()-2-amino-5-phosphonopentanoic acid (D-APV), isoguvacine, bicuculline, and SR 95531 hydrobromide (gabazine) were obtained from Tocris (Ellisville, MO). All other chemicals were purchased from Sigma (St. Louis, MO).
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RESULTS |
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100 µm; Fig. 1A). Seizures occurred after the fifth to ninth microinjection (6.8 ± 1.6; n = 5 rats; Fig. 1D). Electrographic seizures had typical ictal morphology with an initial phase of initial bursting discharge followed by the tonic- (410 Hz) and clonic-like discharges (Fig. 1, B and C). Once induced, seizures were generated in response to each additional microinjection. The duration of the interictal and ictal discharges did not change significantly with the serial injections of high-K+/low-Mg2+ solution. Injection of the high-K+ (10 mM)/low-Mg2+ ACSF in young rat pups (P4P6; n = 6) did not lead to electrographic seizures (not shown).
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In the next series of experiments, we studied the effects of GABAA-acting drugs on the high-K+/low-Mg2+-induced epileptiform activity in the P8-12 hippocampal slices in vitro (Fig. 4). Using extracellular field potential recordings form CA3 pyramidal cell layer we found that brief application of the high-K+/low-Mg2+ ACSF readily induces ictal-like tonic-clonic discharges in all slices studied (n = 11; Fig. 4A). Maximal amplitude and frequency of the population spikes were 1.2 ± 0.2 mV and 9.2 ± 1.1 Hz during the epileptiform discharges. In the presence of 10 µM isoguvacine, application of high-K+/ low-Mg2+ solution also caused epileptiform activity in P8 slices but both the maximal amplitude and frequency of population spikes during the discharges were significantly reduced by 25 ± 3 and 42 ± 3%, respectively (n = 6; Fig. 4C). In P12 slices, isoguvacine (10 µM) completely prevented the generation of epileptiform discharges in response to high-K+/low-Mg2+ solution (n = 4). Bicuculline (15 µM) (n = 6) and gabazine (n = 5) (10 µM) increased the maximal amplitude of the population spikes by 26 ± 3% as well as the maximal frequency of the population spikes by 53 ± 4% (for bicuculline, n = 3 at P8 and n = 3 at P12; for gabazine, n = 3 at P8 and n = 2 at P12 slices; Fig. 4B). Application of diazepam 10 µM did not significantly change the amplitude or frequency of discharges evoked by application of 10 mM K+/low Mg2+ solution (n = 4; n = 2 at P8 and n = 2 at P12).
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DISCUSSION |
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We found that blockade of GABAA receptors with bicuculline and gabazine facilitated high-K+/low-Mg2+-induced seizures, and bicuculline also induced seizures in
30% of cases in vivo. We also found that isoguvacine, which activates GABAA receptors directly, as well as diazepam, which enhances GABAA-mediated responses evoked by endogenous GABA, efficiently inhibit seizures induced by high-K+/low-Mg2+ solution in vivo. Similar proconvulsive effects of the GABAA blockers and anticonvulsive effects of the GABAA agonist were observed in the model of high-K+/low-Mg2+-induced ictogenesis in the hippocampal slices at P8P12 rats in vitro. The present results are consistent with an anticonvulsant role of GABA during early brain development.
The role of GABA in ictogenesis during the first weeks of life has been previously studied in different in vitro and in vivo models, but the conclusions differ. It has been demonstrated that blockade of GABAA receptors induces interictal- and ictal-like activities (Gomez-Di Cesare et al. 1997
; Khalilov et al. 1997
, 1999
; Lamsa et al. 2000
; Quilichini et al. 2002
, 2003
; Swann and Brady 1984
; Wells et al. 2000
) and aggravates seizure-like activity induced by other epileptogenic agents and conditions in various hippocampal and neocortical preparations from birth onwards. GABAA agonists and positive modulators also typically suppress epileptiform activity in the immature cortex (Quilichini et al. 2002
, 2003
). Yet in several models of ictogenesis, including the acute high-potassium model in hippocampal slices (Dzhala and Staley 2003
; Khazipov et al. 2004
) and mirror focus in the intact hippocampus in vitro model (Khalilov et al. 2003
), blockade of GABAA receptors reduces the frequency or even completely suppresses ictal-like events, whereas GABAA agonists increases the frequency and duration of the ictal-like events (Dzhala and Staley 2003
). Interestingly, the "proepileptic" actions of GABA have been also observed in several in vitro models of ictogenesis in adults. It has been shown that during seizure-like activity in slices from adult animals, a dynamic switch occurs in the action of GABA from inhibitory to excitatory as a result of massive release of GABA (Avoli et al. 1996
; Lopantsev and Avoli 1998
) and that GABAA-mediated excitation contributes substantially to neuronal synchronization during seizure-like events in the low-magnesium model (Kohling et al. 2000
). Exposure of a rat hippocampal slice to GABAB receptor antagonists in the absence of ionotropic glutamatergic transmission leads to a progressive synchronization of spontaneous interneuronal activity (Uusisaari et al. 2002
). Fujiwara-Tsukamato et al. (2003)
have shown that GABAergic excitation participates in the expression of seizure-like rhythmic synchronization (afterdischarge) in the mature hippocampal CA1 region. Involvement of depolarizing GABA in the generation of interictal activity has been also shown in slices from patients with temporal lobe epilepsy (Cohen et al. 2002
). On the other hand, in intact adult animals in vivo, GABAA receptor agonists and modulators, which enhance GABAA action typically exert anticonvulsive actions (Sankar and Holmes 2004
).
Diversity in the roles for GABA in different models of ictogenesis may partly reflect dualism in the actions of depolarizing GABA. Even though GABA has a depolarizing and excitatory effect, GABA may also exert inhibitory function due to a shunting mechanism (Chen et al. 1996
; Khalilov et al. 1999
; Lamsa et al. 2000
; Lu and Trussell 2001
; Wells et al. 2000
). The net effect of GABA depends on several factors including the reversal potential for GABAA-mediated responses. Indeed, the depolarizing effect of GABA in the immature brain is demonstrated by particular physiological patterns of activity such as giant depolarizing potentials in vitro (Ben-Ari et al. 1989
; Khazipov et al. 2004). Yet despite these depolarizing effects of GABA, seizures do not spontaneously occur. A more positive shift in the reversal of GABAA-mediated signals results in seizures sensitive to GABAA antagonists (Khalilov et al. 2003
).
Thus GABAergic control of epileptiform activity in the immature brain appears to be extremely complex with a net effect depending on variety of factors contributing to ictogenesis. Further studies are needed to determine the role of GABA in various animal models of ictogenesis and in children with epilepsy of various etiologies.
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GRANTS |
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FOOTNOTES |
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Address for reprint requests and other correspondence: G. L. Holmes, Section of Neurology, Dartmouth Medical School, Dartmouth-Hitchcock Medical School, One Medical Center Dr., Lebanon, NH 03756 (E-mail: Gregory.L.Holmes{at}Dartmouth.Edu)
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