Department of Neurology, Children's Hospital and Harvard Medical School, Boston, Massachusetts 02115, USA.
J Neurosci. 2012 Dec 5;32(49):17800-12. doi: 10.1523/JNEUROSCI.6121-11.2012.
Neonatal seizures can lead to later life epilepsy and neurobehavioral deficits, and there are no treatments to prevent these sequelae. We showed previously that hypoxia-induced seizures in a neonatal rat model induce rapid phosphorylation of serine-831 (S831) and Serine 845 (S845) sites of the AMPA receptor GluR1 subunit and later neuronal hyperexcitability and epilepsy, suggesting that seizure-induced posttranslational modifications may represent a novel therapeutic target. To unambiguously assess the contribution of these sites, we examined seizure susceptibility in wild-type mice versus transgenic knock-in mice with deficits in GluR1 S831 and S845 phosphorylation [GluR1 double-phosphomutant (GluR1 DPM) mice]. Phosphorylation of the GluR1 S831 and S845 sites was significantly increased in the hippocampus and cortex after a single episode of pentyleneterazol-induced seizures in postnatal day 7 (P7) wild-type mouse pups and that transgenic knock-in mice have a higher threshold and longer latencies to seizures. Like the rat, hypoxic seizures in P9 C57BL/6N wild-type mice resulted in transient increases in GluR1 S831 and GluR1 S845 phosphorylation in cortex and were associated with enhanced seizure susceptibility to later-life kainic-acid-induced seizures. In contrast, later-life seizure susceptibility after hypoxia-induced seizures was attenuated in GluR1 DPM mice, supporting a role for posttranslational modifications in seizure-induced network excitability. Finally, human hippocampal samples from neonatal seizure autopsy cases also showed an increase in GluR1 S831 and S845, supporting the validation of this potential therapeutic target in human tissue.
新生儿癫痫发作可导致日后发生癫痫和神经行为缺陷,目前尚无预防这些后遗症的治疗方法。我们之前的研究表明,新生大鼠模型中的缺氧诱导性癫痫发作会迅速导致 AMPA 受体 GluR1 亚基丝氨酸-831(S831)和丝氨酸 845(S845)位点磷酸化,随后导致神经元过度兴奋和癫痫发作,这表明癫痫发作引起的翻译后修饰可能代表一个新的治疗靶点。为了明确评估这些位点的作用,我们在野生型小鼠和 GluR1 S831 和 S845 磷酸化缺陷的转基因敲入小鼠(GluR1 双磷酸化突变体(GluR1 DPM)小鼠)中检查了癫痫易感性。在新生 7 天(P7)野生型小鼠幼仔单次戊四氮诱导癫痫发作后,海马体和皮质中 GluR1 S831 和 S845 位点的磷酸化显著增加,且转基因敲入小鼠的癫痫发作阈值更高,潜伏期更长。与大鼠相似,P9 C57BL/6N 野生型小鼠的缺氧性癫痫发作导致皮质中 GluR1 S831 和 GluR1 S845 磷酸化短暂增加,并与日后生活中因海人酸诱导的癫痫发作而易感性增强相关。相比之下,GluR1 DPM 小鼠中的缺氧诱导性癫痫发作后,后期癫痫易感性降低,支持翻译后修饰在癫痫发作诱导的网络兴奋中的作用。最后,来自新生儿癫痫尸检病例的人类海马体样本也显示 GluR1 S831 和 S845 增加,支持在人类组织中验证该潜在治疗靶点。