Department of Neuroscience, Erasmus University Medical Center, Rotterdam, the Netherlands; ENCORE Expertise Center for Neurodevelopmental Disorders, Erasmus University Medical Center, Rotterdam, the Netherlands.
Ann Neurol. 2013 Oct;74(4):569-79. doi: 10.1002/ana.23943. Epub 2013 Sep 10.
Seizure development in tuberous sclerosis complex (TSC) correlates with the presence of specific lesions called cortical tubers. Moreover, heterozygous TSC animal models do not show gross brain pathology and are seizure-free, suggesting that such pathology is a prerequisite for the development of epilepsy. However, cells within TSC lesions show increased activity of the target of rapamycin complex 1 (TORC1) pathway, and recent studies have implicated this pathway in non-TSC-related animal models of epilepsy and neuronal excitability. These findings imply a direct role for TORC1 in epilepsy. Here, we investigate the effect of increased TORC1 signaling induced by acute biallelic deletion of Tsc1 in healthy adult mice.
Biallelic Tsc1 gene deletion was induced in adult Tsc1 heterozygous and wild-type mice. Seizures were monitored by electroencephalographic and video recordings. Molecular and cellular changes were investigated by Western blot analysis, immunohistochemistry, and electrophysiology.
Mice developed epilepsy a few days after biallelic Tsc1 deletion. Acute gene deletion was not accompanied by any obvious histological changes, but resulted in activation of the TORC1 pathway, enhanced neuronal excitability, and a decreased threshold for protein-synthesis-dependent long-term potentiation preceding the onset of seizures. Rapamycin treatment after seizure onset reduced TORC1 activity and fully abolished the seizures.
Our data indicate a direct role for TORC1 signaling in epilepsy development, even in the absence of major brain pathology. This suggests that TORC1 is a promising target for treating seizures not only in TSC but also in other forms of epilepsy that result from increased TORC1 activation.
结节性硬化症(TSC)中的癫痫发作与特定病变(称为皮质结节)的存在有关。此外,杂合子 TSC 动物模型没有明显的大脑病理变化且没有癫痫发作,这表明这种病变是癫痫发作的先决条件。然而,TSC 病变中的细胞显示出雷帕霉素靶蛋白复合物 1(TORC1)途径的活性增加,最近的研究表明该途径与非 TSC 相关的癫痫动物模型和神经元兴奋性有关。这些发现表明 TORC1 在癫痫中具有直接作用。在这里,我们研究了急性双等位基因 Tsc1 缺失诱导的健康成年小鼠中 TORC1 信号增加对癫痫的影响。
在成年 Tsc1 杂合子和野生型小鼠中诱导双等位基因 Tsc1 基因缺失。通过脑电图和视频记录监测癫痫发作。通过 Western blot 分析、免疫组织化学和电生理学研究分子和细胞变化。
双等位基因 Tsc1 缺失后几天,小鼠发生癫痫。急性基因缺失没有伴随任何明显的组织学变化,但导致 TORC1 途径的激活、神经元兴奋性增强以及在癫痫发作之前降低了蛋白质合成依赖性长时程增强的阈值。癫痫发作后给予雷帕霉素治疗可降低 TORC1 活性并完全消除癫痫发作。
我们的数据表明 TORC1 信号在癫痫发作的发展中具有直接作用,即使在没有主要大脑病理的情况下也是如此。这表明 TORC1 是治疗癫痫的有希望的靶点,不仅在 TSC 中,而且在其他由于 TORC1 激活增加而导致的癫痫形式中也是如此。