Hippocampal NPY gene transfer attenuates seizures without affecting epilepsy-induced impairment of LTP

Recently, hippocampal neuropeptide Y (NPY) gene therapy has been shown to effectively suppress both acute and chronic seizures in animal model of epilepsy, thus representing a promising novel antiepileptic treatment strategy, particularly for patients with intractable mesial temporal lobe epilepsy (TLE). However, our previous studies show that recombinant adeno-associated viral (rAAV)-NPY treatment in naive rats attenuates long-term potentiation (LTP) and transiently impairs hippocampal learning process, indicating that negative effect on memory function could be a potential side effect of NPY gene therapy.Here we report how rAAV vector-mediated overexpression of NPY in the hippocampus affects rapid kindling, and subsequently explore how synaptic plasticity and transmission is affected by kindling and NPY overexpression by field recordings in CA1 stratum radiatum of brain slices. In animals injected with rAAV-NPY, we show that rapid kindling-induced hippocampal seizures in vivo are effectively suppressed as compared to rAAV-empty injected (control) rats. Six to nine weeks later, basal synaptic transmission and short-term synaptic plasticity are unchanged after rapid kindling, while LTP is significantly attenuated in vitro. Importantly, transgene NPY overexpression has no effect on short-term synaptic plasticity, and does not further compromise LTP in kindled animals. These data suggest that epileptic seizure-induced impairment of memory function in the hippocampus may not be further affected by rAAV-NPY treatment, and may be considered less critical for clinical application in epilepsy patients already experiencing memory disturbances.     

Facilitation of kindling by prior induction of long-term potentiation in the perforant path

Previous studies have revealed that a form of synaptic potentiation resembling long-term potentiation (LTP) occurs at various sites as a result of stimulation that leads to kindling. The present study evaluates what role this synaptic potentiation plays in the development of kindling following periodic stimulation of the entorhinal cortex of the rat. LTP was repetitively induced in the pathway from the entorhinal cortex (EC) to the dentate gyrus (DG) by daily stimulation with high frequency trains that led to LTP, but did not evoke afterdischarge (AD). Subsequently, animals received stimulation designed to induce kindling (that led to AD), and this stimulation was delivered once per day until kindled seizures were induced. While repetitive induction of LTP was not sufficient to produce kindling, prior induction of LTP significantly increased the rate of subsequent kindling as evidenced by a decrease in the number of kindling stimulations required to induce the kindled state. As a group, animals that had received stimulation designed to induce LTP developed kindled seizures after an average of 10 AD's, whereas a control group that had received non-potentiating stimulation required 25 AD's. These results indicate that LTP at EC-DG synapses cannot represent the mechanism of kindling following EC stimulation. However, synaptic potentiation at this site can facilitate the development of epileptogenesis in response to subsequent activation of the perforant path.     

Seizure-triggering mechanisms in the kindling model of epilepsy: Collapse of GABA-mediated inhibition and activation of NMDA receptors

Our recent studies on seizure-triggering mechanisms in the kindling model of epilepsy are reviewed. Electroencephalographic (EEG) events during kindling-inducing tetanic stimulation from the site of stimulation were recorded, with an emphasis on EEG suppression and rhythmic synchronous discharge. From electrophysiological and pharmacological analyses of these events, it is hypothesized that activation and subsequent collapse of GABA-A-mediated inhibition is an essential precondition in the initiation of kindled seizures. The excitatory role of NMDA receptors in kindling were also investigated by examining the effects of a noncompetitive antagonist of NMDA receptors (MK-801) on amygdala kindling and hippocampal long-term potentiation (LTP). The results indicate that activation of NMDA receptor complex combined with the collapse of GABA-A-mediated inhibition may be critical for kindling development.     

Evidence for different neurochemical contributions to long-term potentiation and to kindling and kindling-induced potentiation: Role of NMDA and urethane-sensitive mechanisms

Long-term potentiation (LTP) and kindling share a number of features, and it has been suggested that LTP might constitute the cellular mechanism of kindling. This question was approached by assessing the effect of urethane anesthesia (0.75 or 1.5 g/kg) or blockade of NMDA receptors by local infusion of DL-2-amino-5-phosphonovaleric acid (APV; 7.5 micrograms) on LTP, partial kindling, and kindling-induced potentiation (KIP) in the perforant path-dentate gyrus circuit of the intact hooded rat. Urethane anesthesia attenuated but did not block LTP and completely blocked partial kindling and KIP. APV completely blocked LTP but did not block partial kindling or KIP in the unanesthetized rat. These results suggest that different neurochemical mechanisms can support LTP on the one hand, and kindling and KIP on the other. They are consistent with a contribution by NMDA-mediated LTP to kindling and KIP, but they indicate that this contribution is not crucial for kindling and KIP in this circuit.     

Amygdala kindling and associated changes of entorhinal responses in suckling rats

Entorhinal field potential with amygdala stimulation in suckling (16-18 days old) and adult rats was recorded with a tungsten wire electrode (tip diameter 2-5 microns) to study the developmental changes in behavioral seizures and long-term potentiation (LTP) in the responses to amygdala kindling stimulations. Stimulating (twisted enamel-coated wires) and recording electrodes were implanted in anesthetized rats 2-3 days before kindling. The mean amplitude of the responses to test pulses (600 microA, 0.3 Hz) in the sucklings (0.58 mV) was smaller than in the adults (1.32 mV), and latency was about 3.3 ms longer. Kindling stimulations consisted of 0.5-ms monophasic rectangular pulses of 10 Hz with a 10-s train duration; the intensity was the afterdischarge (AD) threshold. Kindling stimulation in the sucklings usually increased the amplitude of the test responses evoked 10 min or 1 h after the kindling stimulation. The increased amplitude persisted for at least 24 h, showing LTP in the synaptic transmission. The LTP was especially prominent in the first kindling stimulation, and the LTP gradually increased with successive stimulations, with gradual progression of AD and the behavioral seizure stage as well. The mean number of kindling stimulations to cause generalized seizures in the suckling rats (10.5) was less than that for adults (12.5), and the continued evolution of LTP over the course of kindling was more or less easier in the sucklings than in the adults.(ABSTRACT TRUNCATED AT 250 WORDS)     

Long-term potentiation and kindling: how similar are the mechanisms?

Long-term potentiation (LTP) and kindling are strikingly similar in many respects. Both are believed to model CNS plasticity, both are induced by the localized application of brief, high-frequency trains of electrical pulses through implanted electrodes, and both result in a lasting increase in the response to a constant stimulus. In addition to these formal similarities, recent findings have indicated that the two models may share aspects of an underlying neural mechanism, and this has led to the suggestion that LTP may constitute the cellular mechanism of kindling. However, other findings have indicated two models. This article discusses the differences in mechanisms and the relations between LTP and kindling.     

Transmitter systems involved in neural plasticity undelying increased anxiety and defense- Implications for understanding anxiety following traumatic stress

Lasting changes in anxiety-like behavior (ALB) may be produced in several ways. These include partial limbic kindling, injection of the β-carboline FG-7142, and brief, non-injurious, exposure of rodents to cats (predator stress). Both seizures and FG-7142 induce long-term potentiation (LTP) in efferent pathways of the amygdala known to participate in feline defensive behavior. By comparing the behavioral and physiological effects of partial kindling and injection of FG-7142, NMDA-dependent LTP in the right amygdalo-periacqueductal gray (PAG) pathway emerges as being critical to maintained increases in feline ALB. A similar dependence on NMDA-mediated processes is described for lasting increases in rodent ALB following predator stress. The lasting aftereffects of predator stress on a variety of measures parallel many of the symptoms of post-traumatic stress disorder (PTSD). Support is provided for the idea that behavioral changes following FG-7142 and predator stress may model anxiety associated with PTSD. Moreover, it is suggested that both models share mechanisms in common involving the PAG. These mechanisms likely involve initiation of LTP by NMDA receptors, and prolongation of LTP by CCK_B receptors. To the extent that response to the stressors reviewed here mimics the symptoms of PTSD, the data implicate NMDA-mediated processes in the creation of what van der Kolk has called permanent emotional memories in PTSD. Their representation may be in the form of NMDA-dependent LTP of transmission within the amygdala and between the amygdala and its efferents. CCK may play a pivotal role in prolonging limbic LTP and anxiety following traumatic stress. Since block of CCK_B receptors before and after the stressor prevents lasting increases in ALB, pharmacological intervention to block CCK receptors shortly after a traumatic stressor might be efficacious in mitigating the permanence of these emotional memories.     

Neuronal plasticity associated with learning and epileptic seizures: LTP and KIP]

Long-term synaptic potentiation (LTP) and kindling-induced potentiation (KIP) are hypothesized to play an important role in spatial learning and kindling development, respectively, and the possible roles of LTP in spatial learning and KIP in kindling development are reviewed in this paper. Blockage of NMDA receptors, protein synthesis inhibition and knockout of alpha-CaMKII gene markedly impaired both LTP-induction and spatial learning, and destruction of the dentate granule cells with colchicine has been reported to result in severe spatial learning deficits. These findings support the hypothesis that spatial learning may depend on the neuronal input from the entorhinal cortex to dentate granule cells via perforant path and LTP-induction at perforant path-dentate granule cell synapses. However, recent studies have revealed that MPC17742, a selective NMDA receptor antagonist, and 1S, 3S-ACPD, the group II metabotropic glutamate receptor agonist, block LTP-induction at perforant path-dentate granule cell synapses, but that those drugs did not prevent rats from spatial learning. Thus, adaptable changes in the dentate granule cell discharge caused by the neuronal information from the entorhinal cortex are necessary, but LTP at perforant path-dentate granule cell synapses is not necessarily requisite for spatial learning. It has been also hypothesized that kindling development might be based on the long-lasting synaptic potentiation (the KIP/kindling hypothesis). Destruction of the dentate granule cells with colchicine retarded kindling development of amygdala or entorhinal cortex has been reported, and repeated induction of LTP at perforant path-dentate granule cell synapses, furthermore, caused anomalous mossy fiber sprouting and facilitated the subsequent kindling development. These results are in accordance with the KIP/kindling hypothesis. However, even when LTP was induced once a day for 20 days, the repeated induction of LTP failed to induce epileptic discharge. We demonstrated that KIP observed in an interictal period faded away gradually during kindling stimulation before epileptic seizures began. Furthermore, rapid kindling at an interstimulus interval of 5 min blocked completely the development of KIP, whereas the afterdischarge prolonged gradually and generalized convulsions were often observed during the late stage of rapid kindling. Thus, LTP and KIP are not indispensable for kindling development, even if LTP facilitate the subsequent kindling development. It should be noted that instead of KIP, the abnormal plasticity essential for kindling development must appear during an transition period from interictal to ictal periods.     

Developmental Aspects of Epileptogenesis

Summary: Several factors may contribute to the propensity for the developing brain to have seizures and develop epilepsy. Hypersynchrony of neuronal circuits contributes to the seizure potential and several neurobiological features of the immature brain may support synchronized neuronal firing. The immature cerebral cortex and hippocampus have an increased density of synapses compared to adults and also a higher density of gap junctions and of excitatory amino acid receptors. Enhanced regenerative responses to injury in the developing brain may also contribute to the formation of abnormal hippocampal connections that support epilepsy. Molecular mechanisms that contribute to enhanced synaptic plasticity in the child's brain can also contribute to epileptogenesis in certain circumstances. The phenomenon of kindling, where repeated electrical stimulation of neuronal circuits leads to the development of epileptic seizures, is easily elicited in young animals. Longterm potentiation (LTP), where repeated synpatic stimulation leads to a reduced threshold for activation of that pathway and enhanced postsynaptic potentials, is much more robust in the immature cerebral cortex and may contribute to kindling and epileptogenesis. Age related enhancement of N-methyl d-asparatetype glutatmate receptors, which are important for the activity dependent plasticity in the developing brain, appears to participate in LTP. This information suggests that normal developmental features of synaptic development make the immature brain more excitable than the adult brain and may contribute to epileptogenesis.     

The plasticity-pathology continuum: defining a role for the LTP phenomenon.

Long-term potentiation (LTP) is the most widely studied form of neuroplasticity and is believed by many in the field to be the substrate for learning and memory. For this reason, an understanding of the mechanisms underlying LTP is thought to be of fundamental importance to the neurosciences, but a definitive linkage of LTP to learning or memory has not been achieved. Much of the correlational data used to support this claim is ambiguous and controversial, precluding any solid conclusion about the functional relevance of this often artificially induced form of neuroplasticity. In spite of this fact, the belief that LTP is a mechanism subserving learning and/or memory has become so dominant in the field that the investigation of other potential roles or actions of LTP-like phenomena in the nervous system has been seriously hindered. The multiple subtypes of the phenomena and the myriad molecules apparently involved in these subtypes raise the possibility that observed forms of LTP may represent very different types of modification events, with vastly different consequences for neural function and survival. A relationship between LTP and neuropathology is suggested in part by the fact that many of the molecular processes involved in LTP induction or maintenance are the same as those activated during excitotoxic events in neurons. In addition, some LTP subtypes are clearly induced by pathological stimuli, e.g., anoxic LTP. Such data raise the possibility that LTP is part of a continuum of types of neural modification, some leading to beneficial alterations such as may occur in learning and others that may be primarily pathological in nature, as in kindling and excitotoxicity. In this article, we introduce a plasticity-pathology continuum model that is designed to place the various forms of neural modification into proper context. In vitro and kindling receptor regulation studies are used to provide a basis for evaluating the specific synaptic/cellular response modification along the continuum of events, from beneficial to detrimental, that will be induced by a particular stimulus.