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Volume 17, Number 16,
Issue of August 15, 1997
pp. 6236-6242
Copyright ©1997 Society for Neuroscience
A Genetic Animal Model of Human Neocortical Heterotopia
Associated with Seizures
Kevin S. Lee1,
Frank Schottler1,
Jennifer L. Collins1,
Giuseppe Lanzino1,
Daniel Couture1,
Anand Rao1,
Ken-ichiro Hiramatsu1,
Yasunobu Goto1,
Seung-Chyul Hong1,
Hakan Caner1,
Haruaki Yamamoto1,
Zong-Fu Chen1,
Edward Bertram2,
Stuart Berr3,
Reed Omary3,
Heidi Scrable4,
Theodore Jackson1,
John Goble1, and
Leonard Eisenman5
Departments of 1 Neurological Surgery,
2 Neurology, 3 Radiology, and
4 Neuroscience, University of Virginia Health Sciences
Center, Charlottesville, Virginia 22908, and 5 Department
of Pathology and Anatomy, Thomas Jefferson University, Philadelphia,
Pennsylvania 19107
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
FOOTNOTES
REFERENCES
ABSTRACT
Malformations of the human neocortex are commonly associated with
developmental delays, mental retardation, and epilepsy. This study
describes a novel neurologically mutant rat exhibiting a forebrain
anomaly resembling the human neuronal migration disorder of double
cortex. This mutant displays a telencephalic internal structural
heterotopia (tish) that is inherited in an autosomal recessive manner. The bilateral heterotopia is prominent below the
frontal and parietal neocortices but is rarely observed in temporal
neocortex. Neurons in the heterotopia exhibit neocortical-like morphologies and send typical projections to subcortical sites; however, characteristic lamination and radial orientation are disturbed
in the heterotopia. The period of neurogenesis during which cells in
the heterotopia are generated is the same as in the normotopic
neocortex; however, the cells in the heterotopia exhibit a
"rim-to-core" neurogenetic pattern rather than the characteristic "inside-out" pattern observed in normotopic neocortex. Similar to
the human syndrome of double cortex, some of the animals with the
tish phenotype exhibit spontaneous recurrent
electrographic and behavioral seizures.
The tish rat is a unique neurological mutant that
shares several features with a human cortical malformation associated
with epilepsy. On the basis of its regional connectivity, histological composition, and period of neurogenesis, the heterotopic region in the
tish rat is neocortical in nature. This neurological
mutant represents a novel model system for investigating mechanisms of aberrant neocortical development and is likely to provide insights into
the cellular and molecular events contributing to seizure development
in dysplastic neocortex.
Key words:
cortical heterotopia;
epilepsy;
neuronal migration
disorder;
double cortex;
neurogenesis;
rat
INTRODUCTION
Accurate development of the
mammalian neocortex requires precise coordination among a myriad of
cellular and molecular events. After a strictly timed phase of cellular
genesis, neurons destined for the neocortex must migrate considerable
distances, take positions in restricted zones, differentiate with
defined orientations, and establish specific connections with various
afferent and efferent targets (Rakic, 1988 ). Given this complex
sequence of events, it is not surprising that the overall incidence of
some type of cortical malformation is >1% in the human population
(Meencke and Veith, 1992 ). In epileptic patients, malformations of the neocortex are rather common (Meencke and Janz, 1984 ; Mischel et al.,
1995 ). Some form of cortical malformation is observed in at least 14%
of all cases of epilepsy (Meencke and Veith, 1992 ) and in ~40% of
severe or intractable cases (Hardiman et al., 1988 ; Farrell et al.,
1992 ). Although the etiologies of cortical malformations are poorly
understood, they have been postulated to arise from disturbances in
cell proliferation, neuronal migration, and/or programmed cell death
(Evrard et al., 1978 ; Rakic, 1988 ; Barkovich et al., 1992 ; Meencke and
Veith, 1992 ; Mouritzen-Dam, 1992 ; Palmini et al., 1993 ; Rorke,
1994 ).
Our understanding of the developmental events underlying cortical
malformations has been limited by the paucity of appropriate animal
models for human neuronal migration disorders. Neurologically mutant
animals, such as the reeler mouse, provide an important means for examining the mechanisms of disturbed cortical development (Caviness and Rakic, 1978 ; Caviness et al., 1988 ). Moreover, recent advances in the molecular genetics underlying certain neurological mutations (D'Arcangelo et al., 1995 ; Hirotsune et al., 1995 ; Ogawa et
al., 1995 ; Rakic and Caviness, 1995 ) will render these animals even
more valuable for clarifying basic features of normal and abnormal
development of the mammalian cortex. Nonetheless, additional animal
models are needed that more closely reflect the types of malformations
observed in human brains. The present study describes a new
neurologically mutant rat exhibiting an elemental reorganization of the
telencephalon that resembles closely a neuronal migration disorder
observed in certain cases of human epilepsy (Barkovich et al., 1989 ;
Livingston and Aicardi, 1990 ; Vahldiek et al., 1990 ; Palmini et al.,
1991 ; Ricci et al., 1992 ; Soucek et al., 1992 ; Hashimoto et al.,
1993 ).
MATERIALS AND METHODS
Tract tracing and histological studies. All
experimental protocols were approved by the University of Virginia
Animal Research Committee. Animals used for the tract tracing
experiments were anesthetized with a mixture of ketamine/xylazine (80:8
mg/kg) and placed in a stereotaxic apparatus. The retrograde tracer
Fluorogold was injected iontophoretically into the ventral basal
complex of the thalamus or the cervical spinal cord. Animals were then removed from the stereotaxic apparatus and allowed to recover. Ten to
eighteen days after injection, the animals were anesthetized deeply
with sodium pentobarbital (100 mg/kg) and killed via perfusion fixation
with 4% paraformaldehyde in 0.1 M phosphate buffer, pH 7.4. Brains were removed, post-fixed in perfusion solution for 3-12
hr, and then placed in 30% sucrose in 0.1 M phosphate
buffer until they sank. Coronal brain sections (30-50 µm) were cut
on a freezing microtome, mounted onto glass slides, and viewed with a
fluorescence microscope. To verify anatomical loci, every sixth section
was stained with cresyl violet after it was mounted.
Animals used for acetylcholinesterase (AChE) staining were killed by
perfusion fixation and sectioned as described above. Unmounted sections
were then processed for AChE according to standard techniques
(Geneser-Jensen and Blackstad, 1971 ; Brashear et al., 1988 ). Sections
were mounted on glass slides and inspected with a transmission
microscope. Animals used for Golgi staining were killed by perfusion
fixation as described above. The brains were post-fixed overnight in
perfusion solution and sectioned coronally with a vibratome (70-150
µm in thickness). These sections were processed using a modified
Rapid Golgi technique (Ralis et al., 1973 ; Landas and Phillips,
1982 ).
Neurogenesis studies. The adult positions of cells generated
during specific stages of embryonic neurogenesis were examined by
injecting 5-bromo-2 -deoxyuridine (BrDU) on a single embryonic day and
examining the distribution of labeled cells in young adult animals.
Cells in S-phase were labeled on embryonic days (E) 15-20 by
administering an intraperitoneal injection of BrDU (50 mg/kg body
weight) to pregnant dams. The day a vaginal plug or sperm-positive smear was identified in the dams was defined as E1. Offspring were
killed between postnatal days (P) 30 and P39. Under deep sodium
pentobarbital (100 mg/kg) anesthesia, animals were perfused with 2%
paraformaldehyde in 0.1 M phosphate buffer, pH 7.4. Brains were then removed and post-fixed for 2-7 d in perfusion solution. Brains were dehydrated, embedded in paraffin, and sectioned coronally at a thickness of 8 µm. Sections were mounted onto glass slides and
processed for BrDU immunohistochemistry (Takahashi et al., 1992 ).
Monitoring of seizures. The monitoring of
electroencephalographic (EEG) and behavioral activity was performed as
described in detail elsewhere (Bertram and Cornett, 1993 , 1994 ).
Briefly, animals were anesthetized with ketamine/xylazine as described above and placed in a stereotaxic apparatus. A recording electrode was
positioned in the normotopic frontoparietal cortex, and a reference
electrode was placed near the rostral pole of the frontal lobe.
Electrode pins were secured to an Amphenol connector that was then
attached to the skull with dental cement. The monitoring setup uses a
combined video recording system and EEG recording system with a
computerized seizure detection program as described elsewhere (Bertram
and Cornett, 1993 , 1994 ). Seizure activity was evaluated off-line by
examining a synchronous display of the recorded electrographic and
video events.
RESULTS
General appearance of the cortex of the tish rat
The brain of this mutant animal exhibits a large region of
heterotopic gray matter that is located bilaterally beneath the neocortex (Fig. 1). The heterotopic
region is separated from the overlying neocortex by a thin layer of
white matter, and from lower structures by a second, somewhat thicker
layer of white matter. Animals exhibiting this anomaly are termed
tish animals. The overall thickness of the normotopic
neocortex in the vicinity of the heterotopia appears to be reduced.
Mild to moderate ventriculomegaly is also observed in most
tish animals. As illustrated in the three-dimensional reconstruction shown in Figure 2, the
bilateral heterotopia is quite large and can extend from the frontal to
occipital lobes. It is prominent in the frontal and parietal cortices
but is usually absent from the temporal cortex. Although the size of
this anomaly varies somewhat among affected animals, the general
appearance and location of the heterotopia is quite consistent.
Fig. 1.
Top. Coronal sections of a
tish brain stained for AChE. Low-magnification
photomicrographs (A, B) show the
heterotopia to be a large bilateral structure intercalated between the
neocortex and underlying white matter. A thin layer of white matter
separates the heterotopia from the overlying neocortex, and a thicker
layer of white matter separates it from lower structures. In
A and C, the heterotopia is located above
the darkly stained striatum and below the neocortex. In the more caudal
sections (B, D), the heterotopia is
located between the hippocampus (or lateral ventricle) and the
neocortex. The heterotopia has a multinodular appearance attributable to the passage of one or more large fiber tracts through the
structure.
Fig. 2.
Bottom. Two perspectives of a
three-dimensional reconstruction of the tish brain. This
figure illustrates the size and position of the heterotopia as well as
its bilateral symmetry. The heterotopia is shown in red
at the cut surface of the brain and in pink where it is
viewed through the overlying cortex; the surrounding brain is shown in
gray.
[View Larger Version of this Image (96K GIF file)]
Establishment of a breeding colony and the pattern
of inheritance
The first tish animals were identified on the basis of
postmortem histological analyses during the course of unrelated
experiments using a strain of Sprague Dawley rats. Attempts to
establish a colony of tish animals were difficult initially
because the external appearance of these animals is similar to that of
normal animals. A breeding colony was established by identifying living
relatives of deceased tish individuals, and then these
relatives were screened using magnetic resonance imaging (MRI). The
heterotopia can be resolved by using proton density MRI as a bilateral
structure that is isodense to, and located below, the neocortex (Fig.
3). Crosses between affected and
unaffected animals were performed to determine the pattern of
inheritance of the tish trait; the outcomes of these crosses
were verified using postmortem histology. In all of the breeding
experiments, progeny segregated into either normal or tish
phenotypes. Matings between two affected parents (incrosses) produced
100% tish progeny (n = 116 offspring).
Outcrosses between an unaffected male and an affected female (or
between an affected male and an unaffected female) produced 0%
affected offspring (n = 51 offspring). All unaffected
animals used for the outcrosses were obtained from an external animal
supplier. Intercrossing the offspring of these outcrosses produced 29%
(15 of 51) affected offspring. This result, together with the absence of a phenotypically distinct class of heterozygotes, indicates that
tish is recessive to wild type. The overall incidences of affected males and affected females were 47% and 53%, respectively. Taken together, these segregation ratios indicate an autosomal recessive pattern of inheritance and are consistent with a defect in a
single gene.
Fig. 3.
MR image of the tish brain. In this
proton density image, the heterotopia can be observed bilaterally as an
area isodense to the overlying normotopic cortex
(arrowhead indicates structure on the right side of the
brain). MRI was performed at the Small Aperture Magnetic Imaging and
Spectroscopy Center at the University of Virginia using a 4.7 Tesla 40 cm bore 200/400 MR imager.
[View Larger Version of this Image (120K GIF file)]
Histological organization
The normotopic neocortex overlying the heterotopia is organized in
a laminar manner, whereas the heterotopia lacks precise lamination
(Fig. 4). Neocortical-like pyramidal
neurons and various nonpyramidal neurons, including fusiform and
stellate-shaped cells, are found in both the heterotopia and normotopic
neocortex. The apical dendrites of the pyramidal cells in the
heterotopia, however, are not consistently oriented toward the surface
of the brain, and their somata do not exhibit a strict laminar
organization. Some of the pyramidal neurons in the heterotopic region
are inverted with their apical dendrites oriented away from the surface
of the brain, whereas other cells appear to have a more conventional, i.e., radial, orientation (Fig. 4). The dendrites of pyramidal neurons
located near the edge of the heterotopic region often bend to follow
the contour of the region. These features contrast with the apparently
normal lamination of somata and radial orientation of apical dendrites
of the pyramidal cells in the normotopic neocortex (Fig. 4). The
thinning of the normotopic neocortex in tish animals relative to the neocortex of unaffected animals suggests that a
reduction in the overall number of cells and the extent of their arbors
occurs in the affected portions of the normotopic neocortex. Unaffected
parts of the neocortex and other laminar structures such as the
hippocampus and cerebellum do not contain heterotopic neurons, and the
laminar patterns in these regions appear normal. In sum, the
histological findings indicate that the normotopic neocortex retains
basic features of its normal cellular composition and organization. In
contrast, the heterotopic region contains neocortical-like neurons that
are positioned and oriented abnormally.
Fig. 4.
Histological appearance of the normotopic
neocortex and heterotopic region of a tish animal.
Photomicrographs of Nissl-stained sections are shown of the normotopic
neocortex (A) and heterotopia (B). Cellular somata in the normotopic neocortex
exhibit a laminar organization, whereas cells in the heterotopia do not
exhibit strict lamination. Golgi-stained sections of the normotopic
neocortex (C) and heterotopic region
(D) demonstrate the presence of similar cell
types in the two structures. In the normotopic neocortex, the apical
dendrites of pyramidal neurons are oriented radially, and their somata
are located in appropriate laminae. In contrast, the neurons in the
heterotopia do not exhibit a strict laminar pattern and their apical
dendrites are not oriented uniformly. Numbers indicate
layers of the neocortex. W, White matter;
T, heterotopia. Scale bars: A, B, 200 µm; C, D, 170 µm.
[View Larger Version of this Image (115K GIF file)]
Neurogenesis
The development of the mammalian cortical plate is characterized
by an inside-out pattern of neurogenesis in which later-generated cells
come to occupy more superficial positions in the adult neocortex (Angevine and Sidman, 1961 ). The pattern of neurogenesis in the tish brain was examined by injecting pregnant females from
the tish colony with BrDU on single gestational days during
neocortical neurogenesis. The animals were then allowed to survive to
young adulthood (i.e., P30-P39), and labeled cells were identified
immunohistochemically. Using this technique, the location of labeled
cells with known birth dates can be identified in the adult cortex.
Labeled cells are observed in both the normotopic neocortex and the
heterotopic region of adult tish animals when BrDU is
injected on E15-E20. Figure 5 shows the
adult distribution of cells labeled by injections on E15 or E18. Cells
labeled on E15 are located primarily in the deep aspect of the
normotopic neocortex, whereas cells labeled on E18 are found in the
superficial aspect of the normotopic neocortex. In contrast, cells
labeled on E15 are concentrated along the rim (i.e., the dorsal and
ventral edges) of the heterotopic region, whereas cells labeled on E18
are predominantly found in the core of the heterotopic structure. These
findings indicate that the characteristic inside-out pattern of
neurogenesis is intact in the normotopic neocortex of the
tish mutant. The heterotopic region is composed of cells
generated during the normal period of neocortical neurogenesis;
however, these cells establish a rough neurogenetic gradient extending
from the rim of the structure toward its core.
Fig. 5.
Neurogenetic patterns in the forebrain of
the tish rat. Photomicrographs are shown of coronal
sections of tish brains in which immunostaining was
performed on animals labeled with BrDU on E15 (A)
or E18 (B); these animals survived to P33 and
P30, respectively. Darkly stained (BrDU-positive) cells are found
primarily in the deep aspect of the normotopic neocortex in the
E15-injected animal (A) and in the superficial
aspect of the normotopic neocortex in the E18-injected animal
(B). Labeled cells are located primarily in the
rim of the heterotopia in the E15-injected animal
(A) and in the core of the heterotopia in the
E18-injected animal (B). Arrows
indicate the white matter surrounding the heterotopic region. Scale
bar, 200 µm.
[View Larger Version of this Image (121K GIF file)]
Regional connectivity
The preceding findings suggest that the heterotopic region of the
tish brain is a neocortical entity whose structural features are not fully elaborated. This raises the possibility that the heterotopia is composed of cells that retain certain fundamental attributes of neocortical neurons despite not reaching their proper destination. Among the typical features of the neocortex are its efferent projections to subcortical targets. These include ipsilateral projections to specific thalamic nuclei, and in the case of
somatosensory and motor areas, contralateral projections to the spinal
cord. Previous findings in brains subjected to x-irradiation during development indicate that some ectopic neurons can exhibit relatively normal subcortical connections (Jensen and Killackey, 1984 ).
Neuroanatomical tracing studies were therefore undertaken to determine
whether heterotopic neurons in the tish brain possess
typical features of cortical connectivity. In the first series of
experiments, a retrograde tracer (Fluorogold) was injected into the
ventral posterolateral nucleus (VPL) of the thalamus; this portion of the thalamus receives a well characterized system of afferents from the
somatosensory cortex in normal brains. In the tish mutant, retrogradely labeled cells are observed in both the somatosensory cortex and the underlying heterotopic region after injection into the
VPL (Fig. 6). The labeled cells in the
normotopic neocortex are located primarily in layer VI of the
somatosensory cortex. The labeled cells in the heterotopia are found in
the vicinity of the somatosensory cortex; these cells tend to be
concentrated along the rim of the heterotopia but are also found
throughout the depth of the structure (Fig. 6). These findings indicate
that appropriate corticothalamic projections are formed in the
normotopic neocortex and that the heterotopia also contains neurons
that project topographically to the thalamus. The somata of projection cells in the normotopic cortex exhibit characteristic lamination, whereas the cells in the heterotopia are organized less strictly.
Fig. 6.
Subcortical connectivity of the
tish forebrain. Fluorescence micrographs show
retrogradely labeled projection neurons in both the normotopic
neocortex and neighboring heterotopia after injection of Fluorogold
into either the thalamus (A) or spinal cord
(B). After an injection into the VPL of the
thalamus (A), the somata of labeled neurons in
the normotopic neocortex are located primarily in layer VI, and their
apical dendrites are radially oriented. Labeled cells in the
heterotopic region are similar in size and appearance to those in the
normotopic neocortex but are more widely dispersed and tend to be
concentrated along the rim area of the heterotopia. Injection of
Fluorogold into the cervical spinal cord labels large pyramidal cells
in layer V of the normotopic neocortex; the apical dendrites of these
cells exhibit a typical radial orientation. The heterotopia also
contains retrogradely labeled pyramidal neurons; however, these cells
are not laminated and their apical dendrites are not consistently
oriented toward the surface of the brain. Arrows
indicate the white matter surrounding the heterotopia. Scale bar, 200 µm.
[View Larger Version of this Image (125K GIF file)]
In the second series of tract tracing experiments, Fluorogold was
injected unilaterally into the cervical spinal cord; this portion of
the spinal cord receives afferents from somatosensory and motor
cortices in normal brains. Injection of Fluorogold into the cervical
spinal cord results in the retrograde labeling of large pyramidal cells
contralateral to the injection site in both the normotopic neocortex
and heterotopic region (Fig. 6). In the normotopic neocortex, the
labeled cells are located primarily in layer V of somatosensory and
motor cortices, and these cells exhibit a typical radial orientation of
their apical dendrites (Fig. 6). Labeled neurons in the heterotopic
region are found primarily in the portion of the heterotopia located
below the area of normotopic cortex containing labeled cells; however,
the somata of the cells do not exhibit a laminar pattern of
distribution, and their apical dendrites are not uniformly oriented
toward the surface of the brain (Fig. 6). Taken together, the results
of the tract tracing studies demonstrate that neurons in the
heterotopia provide topographically restricted afferents to appropriate
subcortical targets despite their heterotopic location, improper
orientation, and a failure to form restricted laminae.
Seizure activity
After the colony of tish animals had been established,
behavioral seizures were observed serendipitously in some animals
during the course of daily animal care. Comprehensive screening of the entire colony for the incidence of seizures has not yet been
undertaken; however, spontaneous convulsive seizures have now been
confirmed in 13 individuals from the colony. MRI screening and/or
postmortem histological analyses show that the animals with seizures
exhibit the tish phenotype. To further evaluate the nature
of these seizures, continuous EEG and behavioral monitoring was
undertaken in two of the tish animals that exhibited
seizures. Electrographic and behavioral seizures occur regularly and
spontaneously in these animals. In individual animals, convulsive
seizure activity has been observed over a period of up to 4 months,
i.e., the longest period examined. A typical EEG recording of a seizure
is shown in Figure 7. The frequency of
seizures in this animal is approximately 2.5 events per day, with an
average seizure duration of 47 sec.
Fig. 7.
Electroencephalographic recordings of a seizure in
a tish rat. The four lines represent a continuous EEG
recording from a single electrode positioned in the normotopic
neocortex. Seizure activity can be observed as changes in the frequency
and amplitude of the EEG; this event lasted ~63 sec. The animal
exhibited convulsive behavioral seizures during the electrographic
seizure event (arrow indicates seizure onset).
[View Larger Version of this Image (40K GIF file)]
DISCUSSION
The general appearance of the cortical anomaly observed in the
tish rat bears a striking resemblance to a human syndrome of cortical heterotopia that was first described over a century ago (Matell, 1893 ; Jacob, 1936 ). The human cortical anomaly is observed in
certain cases of general or multifocal epilepsy and has been variously
described in the literature as double cortex, band heterotopia, diffuse
cortical dysplasia, or laminar heterotopia (Barkovich et al., 1989 ,
1992 ; Livingston and Aicardi, 1990 ; Vahldiek et al., 1990 ; Palmini et
al., 1991 , 1993 ; Mouritzen-Dam, 1992 ; Ricci et al., 1992 ; Soucek et
al., 1992 ; Hashimoto et al., 1993 ). In these patients, a bilateral band
of gray matter is observed underlying the cortical mantle and is
separated from the mantle by a thin layer of white matter; a thicker
layer of white matter usually separates the heterotopic region from
lower structures. This anomalous region is prominent in
fronto-centro-parietal areas but is less common in medial and temporal
cortical areas. In addition, a mild to moderate ventriculomegaly is
often associated with human double cortex. The general features of the
tish brain described herein are nearly identical to those of
the human syndrome of double cortex. The tish mutant thus
represents a unique animal model for a human epileptic syndrome
associated with cortical dysplasia.
An essential first step in understanding the character of the
heterotopic region of the tish brain is to define its basic structural composition. The present findings indicate that the heterotopia is neocortical in nature. It contains neurons with neocortical-like morphology, exhibits regional connectivity
characteristic of the neocortex, and is composed of cells that are
generated during the normal period of neocortical neurogenesis. The
developmental event(s) responsible for the formation of the heterotopia
is unknown, but it may reside in an error in the migration of cells
destined for the normotopic neocortex, as has been suggested for other forms of cortical malformations (Rakic, 1988 ). The heterotopia does not
seem to be formed by a failure in the migration of a single type of
cortical cell, because (1) cells with birthdates spanning the major
period of neocortical neurogenesis populate the heterotopia and (2)
these cells exhibit multiple types of cortical morphology and
connectivity. It remains possible, however, that an error restricted to
a single type of early generated cell could cause the misplacement of
all classes of subsequently generated cells. It is important to note
that the normotopic neocortex of this mutant animal, although reduced
in thickness, exhibits a relatively normal pattern of organization;
this suggests that the elaborate sequence of events required to produce
normal neocortical organization is relatively intact in the
telencephalon of the developing mutant animal. The absence of
heterotopic cells in the hippocampus or cerebellum indicates that the
developmental error responsible for the tish phenotype is
specific to neocortical development. Moreover, the absence of
heterotopic cells in temporal neocortex indicates that all neocortical
regions are not uniformly impacted by the mutation. This raises the
possibility that the proliferating cells affected by the mutation may
be confined to a restricted part of the ventricular zone responsible
for neocortical neurogenesis.
The tish malformation may not result strictly from an error
in neuronal migration but could arise from a disturbance in any of the
events necessary for normal corticogenesis. For example, alterations in
cellular proliferation (Eksioglu et al., 1996 ) and programmed cell
death (Kuida et al., 1996 ) have been postulated to participate in the
formation of heterotopic masses of cells in the neocortex. The roles of
cellular proliferation, neuronal migration, and programmed cell death
in the development of double cortex are unclear; however, the
tish rat should provide a useful model system with which to
evaluate the relative contributions of these key mechanisms.
The functional role of the tish region is unknown but is an
intriguing topic for speculation. It is conceivable that the
heterotopia represents a second or parallel cortex that duplicates the
connections and functions of the normotopic neocortex. Another
possibility is that the novel brain region is atavistic in nature and
reflects a more primitive form of cortical organization. The presence
of electrographic and behavioral seizures in these animals suggests that the electrophysiological function of this region may be
fundamentally disturbed. Although the precise role of heterotopic
neurons in the expression of seizure activity in tish
animals remains to be established, it is noteworthy that heterotopic
cortical neurons are commonly found in the brains of intractable
epileptic patients. Future investigations should be able to take
advantage of the tish mutant to evaluate the role of
misplaced cortical cells in the etiology of seizure activity and to
elucidate the underlying mechanisms of neuronal migration
disorders.
FOOTNOTES
Received March 21, 1997; revised May 29, 1997; accepted June 2, 1997.
This work was supported by National Institutes of Health Grant NS34124
and National Science Foundation Grant IBN9421555 to K.S.L. We thank
Mrs. Paula Keeney and Dr. H. R. Brashear for assistance with the
AChE procedure, Drs. George Aldheid and Lennart Heimer for assistance
with the tracing studies, and Dr. Ron Mervis (NeuroMetrix Research,
Inc., Columbus, OH) for processing the initial Golgi-stained material.
This paper is dedicated to Eric Lothman, whose enthusiasm and
encouragement were essential for developing the tish
colony.
Correspondence should be addressed to Kevin S. Lee, University of
Virginia, Box 420 HSC, Charlottesville, VA 22908.
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