Role of KCC2-dependent potassium efflux in 4-Aminopyridine-induced Epileptiform synchronization. 2018

Oscar C González, and Zahra Shiri, and Giri P Krishnan, and Timothy L Myers, and Sylvain Williams, and Massimo Avoli, and Maxim Bazhenov
Neurosciences Graduate Program, University of California, San Diego, CA, United States; Department of Medicine, University of California, San Diego, CA, United States.

A balance between excitation and inhibition is necessary to maintain stable brain network dynamics. Traditionally, seizure activity is believed to arise from the breakdown of this delicate balance in favor of excitation with loss of inhibition. Surprisingly, recent experimental evidence suggests that this conventional view may be limited, and that inhibition plays a prominent role in the development of epileptiform synchronization. Here, we explored the role of the KCC2 co-transporter in the onset of inhibitory network-induced seizures. Our experiments in acute mouse brain slices, of either sex, revealed that optogenetic stimulation of either parvalbumin- or somatostatin-expressing interneurons induced ictal discharges in rodent entorhinal cortex during 4-aminopyridine application. These data point to a proconvulsive role of GABAA receptor signaling that is independent of the inhibitory input location (i.e., dendritic vs. somatic). We developed a biophysically realistic network model implementing dynamics of ion concentrations to explore the mechanisms leading to inhibitory network-induced seizures. In agreement with experimental results, we found that stimulation of the inhibitory interneurons induced seizure-like activity in a network with reduced potassium A-current. Our model predicts that interneuron stimulation triggered an increase of interneuron firing, which was accompanied by an increase in the intracellular chloride concentration and a subsequent KCC2-dependent gradual accumulation of the extracellular potassium promoting epileptiform ictal activity. When the KCC2 activity was reduced, stimulation of the interneurons was no longer able to induce ictal events. Overall, our study provides evidence for a proconvulsive role of GABAA receptor signaling that depends on the involvement of the KCC2 co-transporter.

UI MeSH Term Description Entries
D007395 Interneurons Most generally any NEURONS which are not motor or sensory. Interneurons may also refer to neurons whose AXONS remain within a particular brain region in contrast to projection neurons, which have axons projecting to other brain regions. Intercalated Neurons,Intercalated Neuron,Interneuron,Neuron, Intercalated,Neurons, Intercalated
D008297 Male Males
D010320 Parvalbumins Low molecular weight, calcium binding muscle proteins. Their physiological function is possibly related to the contractile process. Parvalbumin,Parvalbumin B
D011188 Potassium An element in the alkali group of metals with an atomic symbol K, atomic number 19, and atomic weight 39.10. It is the chief cation in the intracellular fluid of muscle and other cells. Potassium ion is a strong electrolyte that plays a significant role in the regulation of fluid volume and maintenance of the WATER-ELECTROLYTE BALANCE.
D011963 Receptors, GABA-A Cell surface proteins which bind GAMMA-AMINOBUTYRIC ACID and contain an integral membrane chloride channel. Each receptor is assembled as a pentamer from a pool of at least 19 different possible subunits. The receptors belong to a superfamily that share a common CYSTEINE loop. Benzodiazepine-Gaba Receptors,GABA-A Receptors,Receptors, Benzodiazepine,Receptors, Benzodiazepine-GABA,Receptors, Diazepam,Receptors, GABA-Benzodiazepine,Receptors, Muscimol,Benzodiazepine Receptor,Benzodiazepine Receptors,Benzodiazepine-GABA Receptor,Diazepam Receptor,Diazepam Receptors,GABA(A) Receptor,GABA-A Receptor,GABA-A Receptor alpha Subunit,GABA-A Receptor beta Subunit,GABA-A Receptor delta Subunit,GABA-A Receptor epsilon Subunit,GABA-A Receptor gamma Subunit,GABA-A Receptor rho Subunit,GABA-Benzodiazepine Receptor,GABA-Benzodiazepine Receptors,Muscimol Receptor,Muscimol Receptors,delta Subunit, GABA-A Receptor,epsilon Subunit, GABA-A Receptor,gamma-Aminobutyric Acid Subtype A Receptors,Benzodiazepine GABA Receptor,Benzodiazepine Gaba Receptors,GABA A Receptor,GABA A Receptor alpha Subunit,GABA A Receptor beta Subunit,GABA A Receptor delta Subunit,GABA A Receptor epsilon Subunit,GABA A Receptor gamma Subunit,GABA A Receptor rho Subunit,GABA A Receptors,GABA Benzodiazepine Receptor,GABA Benzodiazepine Receptors,Receptor, Benzodiazepine,Receptor, Benzodiazepine-GABA,Receptor, Diazepam,Receptor, GABA-A,Receptor, GABA-Benzodiazepine,Receptor, Muscimol,Receptors, Benzodiazepine GABA,Receptors, GABA A,Receptors, GABA Benzodiazepine,delta Subunit, GABA A Receptor,epsilon Subunit, GABA A Receptor,gamma Aminobutyric Acid Subtype A Receptors
D003344 Cortical Synchronization EEG phase synchronization of the cortical brain region (CEREBRAL CORTEX). Cortical Desynchronization,Cortical Phase Desynchronization,Cortical Phase Synchronization,Cortical Desynchronizations,Cortical Phase Desynchronizations,Cortical Phase Synchronizations,Cortical Synchronizations,Desynchronization, Cortical,Desynchronizations, Cortical,Phase Desynchronization, Cortical,Phase Desynchronizations, Cortical,Phase Synchronization, Cortical,Phase Synchronizations, Cortical,Synchronization, Cortical,Synchronizations, Cortical
D004827 Epilepsy A disorder characterized by recurrent episodes of paroxysmal brain dysfunction due to a sudden, disorderly, and excessive neuronal discharge. Epilepsy classification systems are generally based upon: (1) clinical features of the seizure episodes (e.g., motor seizure), (2) etiology (e.g., post-traumatic), (3) anatomic site of seizure origin (e.g., frontal lobe seizure), (4) tendency to spread to other structures in the brain, and (5) temporal patterns (e.g., nocturnal epilepsy). (From Adams et al., Principles of Neurology, 6th ed, p313) Aura,Awakening Epilepsy,Seizure Disorder,Epilepsy, Cryptogenic,Auras,Cryptogenic Epilepsies,Cryptogenic Epilepsy,Epilepsies,Epilepsies, Cryptogenic,Epilepsy, Awakening,Seizure Disorders
D005260 Female Females
D000096922 K Cl- Cotransporters A subclass of symporters that specifically transport POTASSIUM and CHLORIDE ions across cellular membranes. Potassium chloride cotransporters play roles in regulating cell volume and intracellular chloride concentration. Electroneutral Potassium-Chloride Co-transporter 3,Electroneutral Potassium-Chloride Cotransporter 3,K Cl- Co-transporters,K(+), Cl(-)-Co-transporters,K(+), Cl(-)-Cotransporters,K-Cl Co-transporter,K-Cl Co-transporter 3,K-Cl Cotransporter,K-Cl Cotransporter 3,KCC2 Co-transporter,KCC2 Cotransporter,KCC3 Co-transporter,KCC3 Cotransporter,KCC4 Co-transporter,KCC4 Cotransporter,Potassium-Chloride Co-transporter 2,Potassium-Chloride Co-transporter 4,Potassium-Chloride Co-transporters,Potassium-Chloride Cotransporter 2,Potassium-Chloride Cotransporter 4,Potassium-Chloride Cotransporters,Potassium-Chloride Symporters,SLC12A5 Protein,SLC12A6 Protein,SLC12A7 Protein,Solute Carrier Family 12 Member 5,Solute Carrier Family 12 Member 6,Solute carrier family 12 member 7,Cl- Co-transporters, K,Co-transporter 2, Potassium-Chloride,Co-transporter 3, K-Cl,Co-transporter 4, Potassium-Chloride,Co-transporter, K-Cl,Co-transporter, KCC2,Co-transporter, KCC3,Co-transporter, KCC4,Co-transporters, K Cl-,Co-transporters, Potassium-Chloride,Cotransporter, K-Cl,Cotransporter, KCC2,Cotransporter, KCC3,Cotransporter, KCC4,Cotransporters, K Cl-,Cotransporters, Potassium-Chloride,Electroneutral Potassium Chloride Co transporter 3,Electroneutral Potassium Chloride Cotransporter 3,K Cl Co transporter,K Cl Co transporter 3,K Cl Co transporters,K Cl Cotransporter,K Cl Cotransporter 3,K Cl Cotransporters,KCC2 Co transporter,KCC3 Co transporter,KCC4 Co transporter,Potassium Chloride Co transporter 2,Potassium Chloride Co transporter 4,Potassium Chloride Co transporters,Potassium Chloride Cotransporter 2,Potassium Chloride Cotransporter 4,Potassium Chloride Cotransporters,Potassium Chloride Symporters,Protein, SLC12A5,Protein, SLC12A6,Protein, SLC12A7
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia

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