Schulze Felix, Müller Steffen, Guli Xiati, Schumann Lukas, Brehme Hannes, Riffert Till, Rohde Marco, Goerss Doreen, Rackow Simone, Einsle Anne, Kirschstein Timo, Köhling Rüdiger
Oscar Langendorff Institute of Physiology, University of Rostock, Rostock, Germany.
Department of Psychosomatic Medicine, Rostock University Medical Center, Rostock, Germany.
Front Cell Neurosci. 2020 Feb 26;14:33. doi: 10.3389/fncel.2020.00033. eCollection 2020.
Epilepsy therapy is currently based on anti-seizure drugs that do not modify the course of the disease, i.e., they are not anti-epileptogenic in nature. Previously, we observed that casein kinase 2 (CK2) inhibition with 4,5,6,7-tetrabromotriazole (TBB) had anti-epileptogenic effects in the acute epilepsy slice model.
Here, we pretreated rats with TBB prior to the establishment of a pilocarpine-induced status epilepticus (SE) in order to analyze the long-term sequelae of such a preventive TBB administration.
We found that TBB pretreatment delayed onset of seizures after pilocarpine and slowed down disease progression during epileptogenesis. This was accompanied with a reduced proportion of burst firing neurons in the CA1 area. Western blot analyses demonstrated that CA1 tissue from TBB-pretreated epileptic animals contained significantly less CK2 than TBB-pretreated controls. On the transcriptional level, TBB pretreatment led to differential gene expression changes of K2.2, but also of HCN1 and HCN3 channels. Thus, in the presence of the HCN channel blocker ZD7288, pretreatment with TBB rescued the afterhyperpolarizing potential (AHP) as well as spike frequency adaptation in epileptic animals, both of which are prominent functions of K2 channels.
These data indicate that TBB pretreatment prior to SE slows down disease progression during epileptogenesis involving increased K2 function, probably due to a persistently decreased CK2 protein expression.
癫痫治疗目前基于抗癫痫药物,这些药物不会改变疾病进程,即本质上它们不是抗癫痫发生的。此前,我们观察到用4,5,6,7-四溴三唑(TBB)抑制酪蛋白激酶2(CK2)在急性癫痫切片模型中具有抗癫痫发生作用。
在此,我们在建立毛果芸香碱诱导的癫痫持续状态(SE)之前用TBB预处理大鼠,以分析这种预防性TBB给药的长期后遗症。
我们发现TBB预处理延迟了毛果芸香碱给药后癫痫发作的开始,并减缓了癫痫发生过程中的疾病进展。这伴随着CA1区爆发性放电神经元比例的降低。蛋白质印迹分析表明,来自TBB预处理的癫痫动物的CA1组织中CK2含量明显低于TBB预处理的对照。在转录水平上,TBB预处理导致K2.2以及HCN1和HCN3通道的基因表达差异变化。因此,在存在HCN通道阻滞剂ZD7288的情况下,用TBB预处理可挽救癫痫动物的超极化后电位(AHP)以及动作电位频率适应性,这两者都是K2通道的突出功能。
这些数据表明,在SE之前进行TBB预处理可减缓癫痫发生过程中的疾病进展,这涉及K2功能增加,可能是由于CK2蛋白表达持续降低所致。