Department of Biomedical Sciences, University of Padova, 35131 Padova, Italy.
Department of Experimental and Clinical Medicine, Università Politecnica delle Marche, Italy Center for Neurobiology of Aging, INRCA IRCCS, Ancona, Italy.
Neurobiol Dis. 2021 Aug;156:105419. doi: 10.1016/j.nbd.2021.105419. Epub 2021 Jun 7.
Migraine is a common but poorly understood sensory circuit disorder. Mouse models of familial hemiplegic migraine (FHM, a rare monogenic form of migraine with aura) show increased susceptibility to cortical spreading depression (CSD, the phenomenon that underlies migraine aura and can activate migraine headache mechanisms), allowing an opportunity to investigate the mechanisms of CSD and migraine onset. In FHM type 2 (FHM2) knock-in mice with reduced expression of astrocytic Na, K-ATPases, the reduced rate of glutamate uptake into astrocytes can account for the facilitation of CSD initiation. Here, we investigated the underlying mechanisms and show that the reduced rate of glutamate clearance in FHM2 mice results in increased amplitude and slowing of rise time and decay of the NMDA receptor (NMDAR) excitatory postsynaptic current (EPSC) elicited in layer 2/3 pyramidal cells by stimulation of neuronal afferents in somatosensory cortex slices. The relative increase in NMDAR activation in FHM2 mice is activity-dependent, being larger after high-frequency compared to low-frequency afferent activity. Inhibition of GluN1-N2B NMDARs, which hardly affected the NMDAR EPSC in wild-type mice, rescued the increased and prolonged activation of NMDARs as well as the facilitation of CSD induction and propagation in FHM2 mice. Our data suggest that the enhanced susceptibility to CSD in FHM2 is mainly due to specific activation of extrasynaptic GluN1-N2B NMDARs and point to these receptors as possible therapeutic targets for prevention of CSD and migraine.
偏头痛是一种常见但尚未被充分理解的感觉回路障碍。家族性偏瘫性偏头痛(FHM,一种罕见的偏头痛伴先兆的单基因形式)的小鼠模型表现出对皮质扩散性抑制(CSD,偏头痛先兆的现象,可激活偏头痛头痛机制)的易感性增加,从而有机会研究 CSD 和偏头痛发作的机制。在表达降低的星形细胞 Na+,K+-ATP 酶的 FHM 型 2(FHM2)敲入小鼠中,谷氨酸摄取到星形细胞的减少速度可以解释 CSD 起始的促进作用。在这里,我们研究了潜在的机制,并表明 FHM2 小鼠中谷氨酸清除率的降低导致 NMDA 受体(NMDAR)兴奋性突触后电流(EPSC)的幅度增加和上升时间减慢以及衰减,由躯体感觉皮层切片中神经元传入刺激引起。FHM2 小鼠中 NMDAR 激活的相对增加是活动依赖性的,在高频传入活动后比低频传入活动更大。GluN1-N2B NMDAR 的抑制作用(几乎没有影响野生型小鼠中的 NMDAR EPSC)挽救了 NMDAR 的过度激活和延长激活以及 FHM2 小鼠中 CSD 诱导和传播的促进作用。我们的数据表明,FHM2 中对 CSD 的易感性增加主要是由于特定的 extrasynaptic GluN1-N2B NMDAR 激活引起的,并指出这些受体可能是预防 CSD 和偏头痛的潜在治疗靶点。
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