Hsiao Shu-Huei, Parrish Alan R, Nahm Sang-Soep, Abbott Louise C, McCool Brian A, Frye Gerald D
Department of Medical Pharmacology and Toxicology, College of Medicine, Texas A&M University System Health Science Center, College Station, TX 77843-1114, USA.
Brain Res Dev Brain Res. 2002 Oct 20;138(2):177-85. doi: 10.1016/s0165-3806(02)00470-4.
Fetal alcohol syndrome includes brain damage from aberrant synaptogenesis, altered cell-cell signaling and blunted plasticity in surviving neurons. Distortion of neurotrophic GABA signals by ethanol-mediated allosteric modulation of GABA(A) receptor (GABA(A)R) activity during brain maturation may play a role. In this regard, early postnatal binge-like ethanol treatment on postnatal days (PDs) 4-9 acutely inhibits whole cell GABA(A)R Cl(-) current and subsequently blunts GABA(A)R function in medial septum/diagonal band (MS/DB) neurons and cerebellar Purkinje cells [Dev. Brain Res. 130 (2001) 25-40; Brain Res. 810 (1998) 100-113; Brain Res. 832 (1999) 124-135]. In light of these functional changes, we hypothesized that ethanol treatment also would decrease levels of proteins important for assembly of GABAergic synapses in maturing brain. To test this relationship, binge-like ethanol intubation was administered to rat pups on PDs 4-9 producing peak blood ethanol concentrations in the range of 302.5+/-6.3 mg/dl. GABAergic synaptic proteins were measured in brain tissue on PDs 13-14 when GABA(A)R currents in individual MS/DB neurons are reduced, but those of cerebellar Purkinje neurons are not yet altered [Dev. Brain Res. 130 (2001) 25-40; Brain Res. 810 (1998) 100-113; Brain Res. 832 (1999) 124-135]. Surprisingly, ethanol did not decrease protein levels of GABA(A)R alpha1/beta2 subunits, GAD(67) or gephyrin in MS/DB at this time when whole cell recordings indicate GABA(A)R function is impaired in acutely dissociated individual neurons. However, in cerebellum where ethanol treated Purkinje cell GABA(A)R function remains normal on PDs 13-14 [Brain Res. 832 (1999) 124-135], reduced levels of several GABAergic synaptic proteins including: GAD(67), GABA(A)R alpha1 subunit, ClC-2 a voltage-gated Cl(-) channel, synaptotagmin a synaptic vesicle protein, and N-cadherin, a synapse associated cell adhesion molecule, were found. These results indicate that binge-like ethanol exposure differentially decreases GABAergic synaptic proteins in some brain areas in a pattern that does not parallel reductions in GABA(A)R function of individual neurons that survive this ethanol insult.
胎儿酒精综合征包括因异常突触形成、细胞间信号改变以及存活神经元可塑性减弱而导致的脑损伤。在大脑成熟过程中,乙醇介导的γ-氨基丁酸A受体(GABA(A)R)活性变构调节使神经营养性GABA信号发生畸变,这可能起到了一定作用。在这方面,出生后第4至9天进行的早期产后类似暴饮的乙醇处理会急性抑制全细胞GABA(A)R Cl(-)电流,并随后减弱内侧隔/斜角带(MS/DB)神经元和小脑浦肯野细胞中的GABA(A)R功能[《发育脑研究》130(2001)25 - 40;《脑研究》810(1998)100 - 113;《脑研究》832(1999)124 - 135]。鉴于这些功能变化,我们推测乙醇处理也会降低成熟大脑中对GABA能突触组装重要的蛋白质水平。为了验证这种关系,在出生后第4至9天对新生大鼠进行类似暴饮的乙醇插管处理,使血液乙醇浓度峰值达到302.5±6.3毫克/分升。在出生后第13至14天测量脑组织中的GABA能突触蛋白,此时单个MS/DB神经元中的GABA(A)R电流降低,但小脑浦肯野神经元的电流尚未改变[《发育脑研究》130(2001)25 - 40;《脑研究》810(1998)100 - 113;《脑研究》832(1999)124 - 135]。令人惊讶的是,当全细胞记录表明急性分离的单个神经元中的GABA(A)R功能受损时,此时乙醇并未降低MS/DB中GABA(A)Rα1/β2亚基、谷氨酸脱羧酶(GAD(67))或桥连蛋白的蛋白质水平。然而,在出生后第13至14天乙醇处理后浦肯野细胞GABA(A)R功能仍保持正常的小脑中[《脑研究》832(1999)124 - 135],发现几种GABA能突触蛋白水平降低,包括:GAD(67)、GABA(A)Rα1亚基、电压门控Cl(-)通道ClC - 2、突触囊泡蛋白突触结合蛋白以及突触相关细胞粘附分子N - 钙粘蛋白。这些结果表明,类似暴饮的乙醇暴露以一种与经受这种乙醇损伤后存活的单个神经元中GABA(A)R功能降低情况不平行的模式,差异性地降低了某些脑区的GABA能突触蛋白水平。