Department of Neurology, Division of Neuroscience, Children's Hospital and Harvard Medical School, Boston, MA 02115, USA.
Proc Natl Acad Sci U S A. 2013 Mar 26;110(13):5199-204. doi: 10.1073/pnas.1208010110. Epub 2013 Mar 11.
Homeostatic plasticity is characterized by compensatory changes in synaptic strength and intrinsic membrane properties in response to chronic changes in neuronal activity. Neonatal seizures are a naturally occurring source of neuronal overactivation and can lead to long-term epilepsy and cognitive deficits. Using a rodent model of hypoxia-induced neonatal seizures that results in a persistent increase in AMPA receptor (AMPAR) function in hippocampal CA1 pyramidal neurons, we aimed to determine whether there was any evidence of an opposing endogenous homeostatic antiepileptic response. Given that this model results in long-term epilepsy, we also examined mechanisms whereby this homeostasis fails. Whole-cell patch-clamp recordings from neurons in slices removed at intervals following seizure onset revealed an initial up-regulation of AMPAR function that was followed by a transient dynamic attenuation of this enhancement by 48-72 h, although AMPAR function was still increased compared with nonseizure control baseline. This secondary down-regulation of enhanced AMPAR function was coincident with a marked transient increase in expression and function of the Polo-like kinase 2 (PLK2), which has previously been implicated in homeostatic down-regulation of neuronal excitability in cell/slice culture models. The effects were transient and at 1 wk AMPAR function once again became up-regulated, simultaneous with a decrease in PLK2 expression and function. This negative regulation was mediated by subacute postseizure increases in mammalian target of rapamycin (mTOR). Application of the mTOR inhibitor rapamycin prevented post-hypoxic seizure impairment of homeostasis, suggesting that homeostatic plasticity mechanisms may be potentially modifiable therapeutic targets in epileptogenesis.
内稳态可塑性的特征是,在神经元活动的慢性变化的情况下,突触强度和固有膜特性会发生代偿性变化。新生儿癫痫发作是神经元过度激活的自然发生源,并可能导致长期癫痫和认知缺陷。我们使用一种缺氧诱导的新生鼠癫痫发作模型,该模型导致海马 CA1 锥体神经元中的 AMPA 受体 (AMPAR) 功能持续增加,旨在确定是否有任何证据表明存在相反的内源性抗癫痫反应。鉴于该模型会导致长期癫痫,我们还研究了这种内稳态失败的机制。在癫痫发作开始后不同时间间隔从切片中取出的神经元进行全细胞膜片钳记录,显示 AMPAR 功能最初上调,随后在 48-72 小时内这种增强短暂动态衰减,尽管与非癫痫发作对照基线相比,AMPAR 功能仍增加。这种增强的 AMPAR 功能的二次下调与 Polo 样激酶 2 (PLK2) 的表达和功能的明显短暂增加同时发生,PLK2 先前被认为在细胞/切片培养模型中参与神经元兴奋性的内稳态下调。这些影响是短暂的,在 1 周时,AMPAR 功能再次上调,同时 PLK2 的表达和功能下降。这种负调控是由亚急性癫痫发作后哺乳动物雷帕霉素靶蛋白 (mTOR) 的增加介导的。施用 mTOR 抑制剂 rapamycin 可防止缺氧后癫痫发作对内稳态的损害,这表明内稳态可塑性机制可能是癫痫发生的潜在可调节治疗靶点。