Lanser Amanda J, Rezende Rafael M, Rubino Stephen, Lorello Paul J, Donnelly Dustin J, Xu Huixin, Lau Lauren A, Dulla Chris G, Caldarone Barbara J, Robson Simon C, Weiner Howard L
Ann Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
NeuroBehavior Laboratory, Harvard NeuroDiscovery Center, Department of Neurology, Brigham and Women's Hospital, Boston, MA, USA.
Immunology. 2017 Dec;152(4):589-601. doi: 10.1111/imm.12798. Epub 2017 Aug 25.
Seizures are due to excessive, synchronous neuronal firing in the brain and are characteristic of epilepsy, the fourth most prevalent neurological disease. We report handling-induced and spontaneous seizures in mice deficient for CD39, a cell-surface ATPase highly expressed on microglial cells. CD39 mice with handling-induced seizures had normal input-output curves and paired-pulse ratio measured from hippocampal slices and lacked microgliosis, astrogliosis or overt cell loss in the hippocampus and cortex. As expected, however, the cerebrospinal fluid of CD39 mice contained increased levels of ATP and decreased levels of adenosine. To determine if immune activation was involved in seizure progression, we challenged mice with lipopolysaccharide (LPS) and measured the effect on microglia activation and seizure severity. Systemic LPS challenge resulted in increased cortical staining of Iba1/CD68 and gene array data from purified microglia predicted increased expression of interleukin-8, triggering receptor expressed on myeloid cells 1, p38, pattern recognition receptors, death receptor, nuclear factor-κB , complement, acute phase, and interleukin-6 signalling pathways in CD39 versus CD39 mice. However, LPS treatment did not affect handling-induced seizures. In addition, microglia-specific CD39 deletion in adult mice was not sufficient to cause seizures, suggesting instead that altered expression of CD39 during development or on non-microglial cells such as vascular endothelial cells may promote the seizure phenotype. In summary, we show a correlation between altered extracellular ATP/adenosine ratio and a previously unreported seizure phenotype in CD39 mice. This work provides groundwork for further elucidation of the underlying mechanisms of epilepsy.
癫痫发作是由于大脑中神经元过度同步放电引起的,是第四大常见神经系统疾病癫痫的特征。我们报告了在缺乏CD39的小鼠中出现的处理诱导性和自发性癫痫发作,CD39是一种在小胶质细胞上高度表达的细胞表面ATP酶。有处理诱导性癫痫发作的CD39小鼠海马切片测量的输入-输出曲线和配对脉冲比率正常,海马体和皮质中没有小胶质细胞增生、星形胶质细胞增生或明显的细胞丢失。然而,正如预期的那样,CD39小鼠的脑脊液中ATP水平升高而腺苷水平降低。为了确定免疫激活是否参与癫痫发作的进展,我们用脂多糖(LPS)刺激小鼠,并测量其对小胶质细胞激活和癫痫发作严重程度的影响。全身性LPS刺激导致Iba1/CD68的皮质染色增加,来自纯化小胶质细胞的基因阵列数据预测白细胞介素-8、髓系细胞触发受体1、p38、模式识别受体、死亡受体、核因子-κB、补体、急性期和白细胞介素-6信号通路在CD39小鼠与野生型CD39小鼠中的表达增加。然而,LPS处理并不影响处理诱导性癫痫发作。此外,成年小鼠中特异性删除小胶质细胞中的CD39不足以引发癫痫发作,这表明在发育过程中或在非小胶质细胞如血管内皮细胞上CD39表达的改变可能促进癫痫发作表型。总之,我们显示了细胞外ATP/腺苷比率改变与CD39小鼠中先前未报道的癫痫发作表型之间的相关性。这项工作为进一步阐明癫痫的潜在机制奠定了基础。