Stiglbauer Victoria, Hotka Matej, Ruiß Manuel, Hilber Karlheinz, Boehm Stefan, Kubista Helmut
Department of Neurophysiology and Neuropharmacology, Center of Physiology and Pharmacology, Medical University of Vienna, Vienna, Austria.
Epilepsia. 2017 May;58(5):858-871. doi: 10.1111/epi.13719. Epub 2017 Mar 11.
An increase of neuronal Ca 1.3 L-type calcium channels (LTCCs) has been observed in various animal models of epilepsy. However, LTCC inhibitors failed in clinical trials of epileptic treatment. There is compelling evidence that paroxysmal depolarization shifts (PDSs) involve Ca influx through LTCCs. PDSs represent a hallmark of epileptiform activity. In recent years, a probable epileptogenic role for PDSs has been proposed. However, the implication of the two neuronal LTCC isoforms, Ca 1.2 and Ca 1.3, in PDSs remained unknown. Moreover, Ca -dependent nonspecific cation (CAN) channels have also been suspected to contribute to PDSs. Nevertheless, direct experimental support of an important role of CAN channel activation in PDS formation is still lacking.
Primary neuronal networks derived from dissociated hippocampal neurons were generated from mice expressing a dihydropyridine-insensitive Ca 1.2 mutant (Ca 1.2DHP mice) or from Ca 1.3 knockout mice. To investigate the role of Ca 1.2 and Ca 1.3, perforated patch-clamp recordings were made of epileptiform activity, which was elicited using either bicuculline or caffeine. LTCC activity was modulated using the dihydropyridines Bay K 8644 (agonist) and isradipine (antagonist).
Distinct PDS could be elicited upon LTCC potentiation in Ca 1.2DHP neurons but not in Ca 1.3 neurons. In contrast, when bicuculline led to long-lasting, seizure-like discharge events rather than PDS, these were prolonged in Ca 1.3 neurons but not in Ca 1.2DHP neurons. Because only the Ca 1.2 isoform is functionally coupled to CAN channels in primary hippocampal networks, PDS formation does not require CAN channel activity.
Our data suggest that the LTCC requirement of PDS relates primarily to Ca 1.3 channels rather than to Ca 1.2 channels and CAN channels in hippocampal neurons. Hence, Ca 1.3 may represent a new therapeutic target for suppression of PDS development. The proposed epileptogenic role of PDSs may allow for a prophylactic rather than the unsuccessful seizure suppressing application of LTCC inhibitors.
在各种癫痫动物模型中均观察到神经元Ca 1.3 L型钙通道(LTCCs)增加。然而,LTCC抑制剂在癫痫治疗的临床试验中失败了。有确凿证据表明阵发性去极化偏移(PDSs)涉及通过LTCCs的钙内流。PDSs是癫痫样活动的一个标志。近年来,有人提出PDSs可能具有致痫作用。然而,两种神经元LTCC亚型Ca 1.2和Ca 1.3在PDSs中的作用仍不清楚。此外,钙依赖性非特异性阳离子(CAN)通道也被怀疑与PDSs有关。然而,仍然缺乏CAN通道激活在PDS形成中起重要作用的直接实验支持。
从表达对二氢吡啶不敏感的Ca 1.2突变体的小鼠(Ca 1.2DHP小鼠)或Ca 1.3基因敲除小鼠中分离海马神经元,构建原代神经元网络。为了研究Ca 1.2和Ca 1.3的作用,使用荷包牡丹碱或咖啡因诱发癫痫样活动,采用穿孔膜片钳记录。使用二氢吡啶类药物Bay K 8644(激动剂)和伊拉地平(拮抗剂)调节LTCC活性。
在Ca 1.2DHP神经元中,LTCC增强时可诱发明显的PDS,而在Ca 1.3神经元中则不能。相反,当荷包牡丹碱导致持久的、癫痫样放电事件而非PDS时,这些事件在Ca 1.3神经元中延长,而在Ca 1.2DHP神经元中则没有。因为在原代海马网络中只有Ca 1.2亚型在功能上与CAN通道偶联,所以PDS的形成不需要CAN通道活性。
我们的数据表明,海马神经元中PDS对LTCC的需求主要与Ca 1.3通道有关,而不是与Ca 1.2通道和CAN通道有关。因此,Ca 1.3可能是抑制PDS发展的一个新的治疗靶点。PDSs提出的致痫作用可能允许LTCC抑制剂进行预防性应用,而不是不成功的癫痫抑制应用。