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The Journal of Neuroscience, July 1, 1999, 19(13):5619-5631
Actions of Brain-Derived Neurotrophic Factor in Slices from Rats
with Spontaneous Seizures and Mossy Fiber Sprouting in the Dentate
Gyrus
Helen E.
Scharfman1, 2,
Jeffrey H.
Goodman1, and
Anne L.
Sollas1
1 Neurology Research Center, Helen Hayes Hospital, West
Haverstraw, New York 10993-1195, and 2 Departments of
Pharmacology and Neurology, Columbia University, College of Physicians
and Surgeons, New York, New York 10032
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ABSTRACT |
This study examined the acute actions of brain-derived neurotrophic
factor (BDNF) in the rat dentate gyrus after seizures, because previous
studies have shown that BDNF has acute effects on dentate granule cell
synaptic transmission, and other studies have demonstrated that BDNF
expression increases in granule cells after seizures.
Pilocarpine-treated rats were studied because they not only have
seizures and increased BDNF expression in granule cells, but they also
have reorganization of granule cell "mossy fiber" axons. This
reorganization, referred to as "sprouting," involves collaterals
that grow into novel areas, i.e., the inner molecular layer, where
granule cell and interneuron dendrites are located. Thus, this
animal model allowed us to address the effects of BDNF in the dentate
gyrus after seizures, as well as the actions of BDNF on mossy fiber
transmission after reorganization.
In slices with sprouting, BDNF bath application enhanced responses
recorded in the inner molecular layer to mossy fiber stimulation. Spontaneous bursts of granule cells occurred, and these were apparently generated at the site of the sprouted axon plexus. These effects were
not accompanied by major changes in perforant path-evoked responses or
paired-pulse inhibition, occurred only after prolonged (30-60 min)
exposure to BDNF, and were blocked by K252a.
The results suggest a preferential action of BDNF at mossy fiber
synapses, even after substantial changes in the dentate gyrus network.
Moreover, the results suggest that activation of trkB receptors could
contribute to the hyperexcitability observed in animals with sprouting.
Because human granule cells also express increased BDNF mRNA after
seizures, and sprouting can occur in temporal lobe epileptics, the
results may have implications for understanding temporal lobe epilepsy.
Key words:
neurotrophin; growth factor; hippocampus; epilepsy; glutamate; tyrosine kinase
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INTRODUCTION |
BDNF is widely recognized as a
neurotrophin with an important role in normal development that has both
trophic and protective effects (Hofer and Barde, 1988 ; Alderson et al.,
1990 ; Knüsel et al., 1991 ; Spina et al., 1992 ; Yan et al., 1992 ;
Lindholm et al., 1993 ; Morse et al., 1993 ; Beck et al., 1994 ; Cheng and
Mattson et al., 1994 ; Ghosh et al., 1994 ; Kokaia et al., 1994 ; Acheson et al., 1995 ; McAllister et al., 1995 ; Lowenstein and Arsenault, 1996 ).
More recently it has become clear that BDNF also has acute, neuromodulatory effects on synaptic transmission. Lohof et al. (1993)
first demonstrated that exposure of neuromuscular cultures to BDNF led
to increased EPSCs, and this was followed by reports of related
effects in other systems (Le man et al., 1994 ; Kang and Schuman,
1995 ; Levine et al., 1995 , 1996 ; Figurov et al., 1996 ; Patterson et
al., 1996 ; Carmignoto et al., 1997 ; Le man and Heumann, 1998 ;
Messaoudi et al., 1998 ). Most studies indicate that the high-affinity
receptor for BDNF, trkB, mediates BDNF's actions (Kang and Schuman,
1995 ; Levine et al., 1995 , 1996 ; Figurov et al., 1996 ; Carmignoto et
al., 1997 ; Le man and Heumann, 1998 ; Li et al., 1998 ).
In hippocampal slices, studies in area CA1 indicate that BDNF can
potentiate excitatory transmission, probably by a presynaptic mechanism
that is mediated by trkB (Kang and Schuman, 1995 ; Takei et al., 1997 ;
Gottschalk et al., 1998 ). In area CA3, this also appears to be the case
(Scharfman, 1997 ). In addition, there was a striking afferent
specificity in CA3, because bath application of BDNF led to
potentiation of mossy fiber transmission but not other inputs
(Scharfman, 1997 ). Furthermore, regional specificity was apparent,
because granule cell responses to perforant path stimulation were
relatively unaffected by bath-applied BDNF. This apparent specificity
was interesting in light of the fact that the mossy fibers are strongly
immunoreactive to BDNF antisera relative to other afferents (Conner et
al., 1997 ; Yan et al., 1997 ). Indeed, of all the fiber systems in the
forebrain, BDNF expression is perhaps greatest in the mossy fibers
(Conner et al., 1997 ; Yan et al., 1997 ).
To probe further the apparent preferential effect of BDNF on mossy
fibers, we made use of a widely known animal model of epilepsy in which
the muscarinic agonist pilocarpine induces status epilepticus. This is
followed after ~1-2 weeks by reorganization of the mossy fibers
(Mello et al., 1993 ). The reorganized mossy fibers innervate novel
target neurons, including the granule cells (Okazaki et al., 1995 ;
Kotti et al., 1997 ). We hypothesized that if BDNF's effects were
specific for mossy fibers, then responses of granule cells to their new
mossy fiber input would be enhanced by BDNF. This model had further
utility because it allowed us to examine the effects of BDNF in
hippocampus after seizures, when BDNF and trkB mRNA and protein
increase (Ballarin et al., 1991 ; Ernfors et al., 1991 ; Isackson et al.,
1991 ; Gall, 1993 ; Humpel et al., 1993 ; Nibuya et al., 1995 ; Mudò
et al., 1996 ; Schmidt-Kastner et al., 1996 ; Rudge et al.,
1998 ).
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MATERIALS AND METHODS |
Animal care was consistent with the guidelines set by the New
York State Department of Health and National Institutes of Health. Adult male Sprague Dawley rats (190-250 gm) were treated with pilocarpine (see below) and examined electrophysiologically 2-9 months
later. All chemicals were obtained from Sigma (St. Louis, MO) unless
stated otherwise.
Pilocarpine treatment. Before pilocarpine treatment, rats
were injected with atropine methylbromide (1 mg/kg, s.c.). After 30 min
they were injected with pilocarpine hydrochloride (380 mg/kg, i.p.).
Most of these animals subsequently had seizures and status epilepticus,
defined as continuous stage 3-5 seizures (Racine, 1972 ). Animals with
status for 1 hr were treated with diazepam (5 mg/kg, i.p.)
(Wyeth-Ayerst).
Preparation and maintenance of slices. Animals were anesthetized
with ether and decapitated. The brain was immersed in ice-cold sucrose
buffer and cut horizontally into 400 µm slices using a Vibroslice
(Campden Instruments). Immediately after dissection, slices were
transferred to a modified interface chamber (Fine Science Tools), where
they were placed on a nylon net, perfused with sucrose buffer so that
they were semisubmerged, warmed to 32-33°C, and oxygenated (95%
O2, 5% CO2). Sucrose buffer was
used as the buffer until 30 min after the dissection. After that time, a NaCl-based buffer was used to perfuse the slices. Sucrose buffer contained (in mM): 125 sucrose, 5 KCl, 2.0 CaCl2, 2.0 MgSO4, 26 NaHCO3, 1.25 NaH2PO4,
and 10 D-glucose, pH 7.4. The NaCl-based buffer contained
the same constituents except that NaCl was substituted equimolar for sucrose.
Recording and stimulation. Recordings were made after slices
had been perfused with NaCl-based buffer for at least 30 min. Extracellular and intracellular recording electrodes were pulled horizontally (Model P87, Sutter Instruments) from borosilicate glass
with a capillary fiber in the lumen (1.0 mm outer diameter, 0.75 mm
inner diameter; World Precision Instruments). Extracellular electrodes
were filled with the NaCl-based buffer (see preceding paragraph) and
resistances were 5-10 M . Intracellular electrodes were filled with
1 M potassium acetate, and their resistances ranged between
50 and 100 M . An intracellular amplifier with a bridge circuit was
used for recordings (Axoclamp 2B, Axon Instruments), and the bridge was
balanced whenever current was passed through the intracellular
recording electrode. Data were digitized and saved on tape (Neurocorder
DR-484, Neurodata Instruments) or disk (Pro10, Nicolet Instruments) and
plotted off-line (Model HC100, Tektronix).
The mossy fibers were stimulated by a 75 µm Teflon-coated stainless
steel wire placed on the slice surface in the center of the hilus, at
the end of the CA3c pyramidal cell layer. Rectangular pulses (5-150
µA, 10 µsec, 0.05 Hz) were used to evoke responses. To stimulate
the perforant path, the stimulating electrode was placed at the
fissure, just below the subiculum. Recordings sites from different
dentate gyrus lamina listed in Results were located as follows: (1)
hilar recording sites were 100-150 µm from the granule cell
layer/hilus border; (2) sites in the granule cell layer were in the
middle of that layer; (3) inner molecular layer sites were 50 µm from
the granule cell layer/inner molecular layer border; (4) middle
molecular layer sites were 150 µm from the cell layer/inner molecular
layer border; and (5) outer molecular layer sites were 50-100 µm
from the hippocampal fissure. Measurements were made with an ocular micrometer.
Drug application. BDNF was generously provided by Regeneron
Pharmaceuticals (Tarrytown, NY). It was diluted in 0.01% bovine serum
albumin (BSA) in sterile PBS (Life Technologies) to make a stock
solution of 100 µg/ml and was refrigerated until use. Stock solutions
(10 mM) of D-amino phosphonovaleric acid
(D-APV) and bicuculline methiodide were made in 0.9% NaCl
and frozen until the day of the experiment. Aliquots were added to the
buffer to reach the following final concentrations: BDNF (50-200
ng/ml), heat-inactivated BDNF (200 ng/ml), D-APV (50 µM), or bicuculline methiodide (10 µM).
K252a (Alexis) was dissolved in 0.01% DMSO to produce a concentrated
stock solution (10 mM) and then diluted to reach a final
concentration of 1 µM.
Isolation of the dentate gyrus. To sever connections of the
dentate gyrus with the entorhinal cortex and area CA3, cuts were made
with a pair of dura scissors (Fine Science Tools). In these experiments, slices were first exposed to BDNF, and spontaneous bursts
were recorded subsequently. Immediately thereafter the inflow to the
chamber was increased so that slices were lifted slightly from the
nylon mesh where they normally lie. One blade of the scissors was
placed below the slice, and the other blade was above the slice. A cut
was made across the "mouth" of the dentate gyrus (from the lateral
tip of the upper blade to the lateral tip of the lower blade), severing
the pyramidal cell layer at the CA3b and CA3c border and surrounding
strata. Another cut was made through the subiculum, very close to the
hippocampal fissure, at an angle that was approximately parallel to the
first cut. It extended from the pia surface of the subiculum to stratum radiatum of area CA1.
Anatomy. Sprouting was determined by staining the dentate
gyrus either with a polyclonal antibody to neuropeptide Y or by the
Timm method (Sloviter, 1982 ). In some animals, alternate sections were
stained with the Timm method and an antibody to BDNF, which was
generously provided by Regeneron Pharmaceuticals (Tarrytown, NY).
For neuropeptide Y staining, slices were removed from the recording
chamber after the experiment and were immersion-fixed in 4%
paraformaldehyde. They were resectioned at 50 µm as described previously (Scharfman, 1995 ). Immunocytochemistry followed a procedure that has been reported by Sloviter (1991) . Briefly, free-floating sections were washed in 0.1 M Tris buffer, pH 7.6, followed
by incubation in 1% H2O2 (dissolved in Tris)
for 30 min. After a 5 min wash in Tris, sections were washed in Tris
containing 0.1% Triton X-100 (Tris A) for 15 min, followed by a 15 min
wash in Tris A containing 0.005% BSA (Tris B). The sections were
incubated overnight at 4°C in antisera to neuropeptide Y (1:2000;
Peninsula), diluted in Tris B. On the second day, sections were washed
for 15 min in Tris A followed by 15 min in Tris B. The sections were then incubated for 45 min in biotinylated Protein A (1:300; Vector), diluted in Tris B. After a 15 min wash in Tris A and a 15 min wash in
Tris D (0.5 M Tris containing 0.1% Triton and 0.005%
BSA), sections were incubated for 1 hr in avidin-biotin-horseradish peroxidase complex (ABC, 1:1000 dilution; Elite kit, Vector) diluted in
Tris D. Sections were washed in Tris (three times for 5 min each) and
developed in diaminobenzidine tetrahydrochloride (DAB) (50 mg/100 ml
Tris, Polysciences) plus 200 mg -D-glucose, 0.3 mg
glucose oxidase, and 40 mg ammonium chloride. Sections were mounted on
slides, dehydrated in a series of graded ethanol solutions, and
coverslipped with Permount (Fisher).
For Timm and BDNF staining, rats were anesthetized with ether (J.T.
Baker) followed by urethane (1.25 gm/kg, i.p.) and perfused as follows:
saline (3 min), 0.37% sulfide solution, pH 7.2 (5 min), saline (2 min), 2% paraformaldehyde in 0.1 M borate buffer, pH 6.5 (3 min), 2% paraformaldehyde/0.1% glutaraldehyde in 0.1 M
borate buffer, pH 8.5 (15 min). Alternate sections were used for Timm
or BDNF staining. Sections for BDNF immunocytochemistry were treated as
for neuropeptide Y, except that the H2O2
concentration was 0.5%, Triton/BSA was 1%/0.005%, and goat
anti-rabbit (1:400, Vector) was used instead of protein A. In addition,
immediately before incubation with primary antibody, sections were
washed in Tris A (15 min) and Tris D (15 min) and incubated with 10% normal goat serum dissolved in Tris B. BDNF antisera was diluted 1:15,000, and staining was intensified with 50 mM
NiNH3SO4.
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RESULTS |
Mossy fiber sprouting in pilocarpine-treated rats
There were two groups of animals used for this study. The first
group included those rats that had status epilepticus (defined as
continuous behavioral seizures) for 1 hr immediately after pilocarpine
injection. A few weeks later, these animals began to have spontaneous
behavioral seizures (stage 4-5) intermittently. All of these
animals demonstrated mossy fiber sprouting (n = 20) (Fig. 1A).

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Figure 1.
Mossy fiber sprouting in slices from
pilocarpine-treated rats. A, A section of a hippocampal
slice from a rat that developed status epilepticus after pilocarpine
treatment illustrates mossy fiber sprouting as a band of neuropeptide Y
staining in the inner molecular layer (arrowheads).
Note that there also is staining of fibers in the outer molecular layer
(small arrows). A few neuropeptide Y-immunoreactive
neurons are in the hilus. Scale bar (shown in B): 35 µm. The positions of the layers correspond to both A
and B and are abbreviated as follows:
GCL, granule cell layer; HIL, hilus;
IML, inner molecular layer; MML, middle
molecular layer; OML, outer molecular layer.
B, A section from a hippocampal slice of a rat that did
not develop mossy fiber sprouting illustrates the normal pattern of
neuropeptide Y-like immunoreactivity in the dentate gyrus. Many hilar
neurons are stained (arrowheads). Some staining in the
outer molecular layer is also normal. There is some staining of granule
cells in this section, because it was incubated in DAB for an extended
period of time. This was done to increase the likelihood that sprouted
fibers would be detectable, if in fact they were present. However,
there was no evidence that there was neuropeptide Y-immunoreactive
sprouting in this section or in our other control sections.
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The second group included animals that were injected with pilocarpine
but did not develop status epilepticus. These animals had mild,
intermittent seizures (stages 1-2) immediately after pilocarpine
administration, but never progressed to more severe seizures or status
epilepticus. There were no behavioral seizures observed in this group
in subsequent weeks. The animals within this group could not be
distinguished in terms of sprouting (there was no mossy fiber
sprouting) (Fig. 1B) and effects of BDNF (there were
no effects on evoked responses of granule cells), and therefore the
data from these animals were pooled (n = 8).
Sprouting was determined by immunocytochemistry using an antibody to
neuropeptide Y, which marks mossy fibers after seizures (Gall et al.,
1990 ; Sperk et al., 1992 , 1996 ; Gruber et al., 1994 ; Chafetz et
al., 1995 ; Vezzani et al., 1996 ; Lurton and Cavalheiro, 1997 ).
Sprouting was evident as a band of neuropeptide Y-immunoreactive fibers
in the inner molecular layer (Fig. 1A).
In rats without sprouting, neuropeptide Y staining in the dentate gyrus
was present, but this was confined to some fibers in the outer
molecular layer and some hilar neurons, as has been described
previously for normal rats (Köhler et al., 1986 ; Deller and
Leranth, 1990 ; Milner and Veznedaroglu, 1992 ). To ensure that sprouting would be detected if it were present, incubation of sections
with DAB (see Materials and Methods) was prolonged until background
staining was significant (Fig. 1B), i.e., granule
cells began to stain. Even after this procedure, sprouting in the inner molecular layer was not evident (Fig. 1B).
Timm staining was also used to detect sprouting in a separate group of
animals that were perfusion-fixed (n = 4). In all cases in which Timm staining illustrated sprouting (see Fig. 9B),
neuropeptide Y staining also demonstrated sprouting. Conversely, when
there was no evidence of sprouting with neuropeptide Y
immunohistochemistry, sprouting was not detected by Timm stain either.
Neuropeptide Y staining was examined not only in slices after
recordings were made but also in tissue that had not been recorded. This enabled us to determine whether some sprouting that actually was
present had been missed because neuropeptide Y staining in recorded
slices was not optimal. Suboptimal staining could occur for a number of
reasons related to slicing, such as degradation of antigenicity while
slices were in the recording chamber. The results showed that
immunoreactivity for neuropeptide Y in sections from the slices that
had been recorded was indistinguishable from the sections of the same
animal that had not been exposed to recording conditions (data not
shown). Thus, recording conditions did not appear to impair the ability
of neuropeptide Y immunocytochemistry to detect mossy fiber sprouting.
Effects of BDNF in pilocarpine-treated rats
Effects of BDNF were tested in 60 hippocampal slices from 14 pilocarpine rats that were killed 2-9 months after pilocarpine injection. The large number of slices per animal was possible because
up to 10 slices could be placed on the netting over the recording well
of our chamber at one time. Electrophysiology was performed blind
to whether there was mossy fiber sprouting, and immunocytochemistry was
conducted blind to the physiological data.
Effects of BDNF on granule cell activation and
spontaneous activity
Responses to hilar stimulation in slices with and without
sprouting. Hilar stimulation in slices from pilocarpine-treated rats with sprouting (n = 34) evoked an antidromic
population spike, followed by a second population spike in most cases
(23/34) (Fig. 2A). The
maximum amplitude of the second population spike was 6 mV. When no
sprouting occurred, an antidromic population spike was evoked by hilar
stimulation, but there was no second population spike (Fig.
2B). There was instead an afterpotential (negative or
positive) that was never larger than 1 mV and lasted >20 msec. Stimulus strength for these experiments was set at an intensity that
produced a half-maximum antidromic spike.

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Figure 2.
Effects of BDNF on hilar-evoked responses of
granule cells in slices with or without mossy fiber sprouting.
A, In a rat that had mossy fiber sprouting, a hilar
stimulus evoked two population spikes in the granule cell layer before
BDNF application. The population spike with the shortest latency
(arrow) was likely to be antidromic because it
immediately followed the stimulus, and the later spike
(arrowhead) was likely to be caused by mossy fiber
collaterals that activated granule cells, because it was never present
in slices without sprouting (see B). The orthodromic
population spike increased in amplitude after exposure to BDNF (200 ng/ml, 45 min), and secondary population spikes developed
(arrowheads). Stimulus artifacts are marked by
dots and are truncated. Calibration: 4 mV, 10 msec.
B, In a rat that was treated with pilocarpine but did
not have mossy fiber sprouting, a stimulus to the hilus evoked an
antidromic spike, and this was unchanged after perfusion with BDNF for
1 hr. Note change in time base compared with A.
Calibration (shown in A): 4 mV, 5 msec.
C, In the same slice as A, spontaneous
bursts of population spikes occurred after BDNF. Voltage calibration
shown in A.
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Only one population spike was evoked by perforant path stimulation in
the same slices where two spikes were evoked by hilar stimulation
(tested in 20 of the 34 slices) (see Fig. 5A), indicating that the hilar-evoked second population spike was not necessarily caused by the use of unhealthy slices with weak inhibition. Rather, it
could reflect the ability of hilar stimulation to activate recurrent
excitatory collaterals of mossy fibers. This has been indicated in
previous studies of sprouting after kainic acid treatment (Tauck and
Nadler, 1985 ).
Effects of BDNF on responses to hilar stimulation. In slices
where sprouting occurred, perfusion with BDNF (50 ng/ml,
n = 3; 200 ng/ml, n = 10) for 30-60
min had no detectable effect on the amplitude of the antidromic spike
recorded in the granule cell layer, but numerous population spikes
developed (at least four) (Fig. 2A). Perfusion with
heat-inactivated BDNF (200 ng/ml, n = 5) had no effect
on the antidromic or orthodromic population spike. In contrast to
slices with sprouting, there were no effects of BDNF on hilar-evoked
responses in slices without sprouting (200 ng/ml, n = 6).
Spontaneous activity. After 30-60 min of BDNF
exposure, bursts of spontaneous population spikes occurred in the
granule cell layer of sprouted slices (n = 32/34
slices) (Fig. 2C). These bursts occurred in slices that were
intermittently stimulated at low frequency, as well as in others that
were never stimulated at all (n = 24/24 tested), and
hence were unlikely to be attributable to the history of previous
electrical stimulation. Bursts occurred at variable frequency
(0.05-0.5 Hz). No spontaneous population spikes ever occurred in
slices without sprouting that were exposed to BDNF, even after 3 hr of
bath application. Intracellular recordings from granule cells
(n = 10) demonstrated that granule cells discharged during the spontaneous bursts that were recorded extracellularly (Fig.
3A). In Figure 3A,
a brief period of afterdischarges also occurred after the initial
period of discharge, and this was evident in the extracellular
recording as a second, smaller spontaneous potential. The number of
primary and secondary discharges varied from slice to slice, with more
occurring in ventral slices (see Fig. 8). This may be because of the
fact that the ventral hippocampus is different from the dorsal
hippocampus, or the fact that there was heavier sprouting in our
ventral slices.

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Figure 3.
Spontaneous activity of granule cells after
exposure to BDNF. A, Simultaneous intracellular and
extracellular recordings, 70 min after BDNF bath application.
Intracellular recording from a granule cell (top)
illustrates that it discharged spontaneously during the field potential
recorded in the inner molecular layer (bottom).
B, Laminar profile of spontaneous granule cell bursts,
60 min after the onset of BDNF exposure (200 ng/ml), in a different
slice from A. This slice was never stimulated, ruling
out the possibility that this activity was stimulus-induced. Recordings
were made of consecutive spontaneous bursts, which occurred every 6-10
sec. OML, Outer molecular layer, where the spontaneous
activity was the reverse polarity of that in the inner molecular layer;
MML, middle molecular layer; IML, inner
molecular layer, where the largest field potential was recorded;
GCL, granule cell layer, where the largest population
spikes were recorded; HILUS, 100 µm from the granule
cell layer in the hilus, where the spontaneous activity was smaller
than in the granule cell layer. As the recording electrode was moved
farther from the granule cell layer, the spontaneous activity decreased
in amplitude. There was no spontaneous activity detected in areas CA3
or CA1 or the entorhinal cortex of this slice.
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In the two (of the total 34) slices in which there was no spontaneous
activity after BDNF, despite robust sprouting, evoked responses were
similar in amplitude to those recorded in other slices, so
deterioration of the slice was not a likely reason for the lack of
effect of BDNF. Rather, it is possible that the effects of BDNF on
granule cells in sprouted rats are similar to the effects of BDNF in
normal rats, in which BDNF does not have an effect in all neurons or
slices tested (Carmignoto et al., 1997 ; Scharfman, 1997 ).
Specificity of BDNF's effects for synapses in the inner
molecular layer. Laminar profiles of evoked or spontaneous bursts demonstrated that the underlying negative envelope of the burst, presumably reflecting the underlying depolarization or EPSP, was maximal in the inner molecular layer, and reversed polarity in the
middle and outer molecular layers (Fig. 3B). The amplitude of the extracellularly recorded burst events decreased as the recording
electrode was moved even further from the molecular layer (i.e., either
across the hippocampal fissure, toward CA1, or from the granule cell
layer into the hilus and the CA3 pyramidal cell layer).
Evoked responses to hilar stimulation that were recorded in the inner
molecular in slices with sprouting consisted of a short-latency, rapid
potential, followed by a slower, negative potential (Fig. 4). The short-latency potential probably
represented a fiber volley (caused by activation of mossy fiber axons
located nearby) or antidromic population spike (volume-conducted from
the adjacent cell layer). The amplitude of the short-latency potential
(measured from baseline to peak) did not change significantly after
BDNF treatment (200 ng/ml, increase to 119 ± 11% of control,
n = 7) (Fig. 4).

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Figure 4.
BDNF increases the extracellularly recorded EPSP
in the inner molecular layer of sprouted rats in response to mossy
fiber stimulation. Extracellular recordings were made from the inner
molecular layer in response to a hilar stimulus in a slice with mossy
fiber sprouting. The response was composed of a short-latency fiber
volley (arrowhead) and longer-latency field EPSP
(arrow). After BDNF (200 ng/ml) was bath-applied, the
fiber volley remained unchanged but the field EPSP increased in
amplitude. The times shown are the times after the start of BDNF bath
application when the responses were evoked.
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The slower, negative potential that was recorded in the inner molecular
layer in response to hilar stimulation was likely to be an
extracellularly recorded EPSP because it was analogous in latency to
perforant path-evoked EPSPs of normal rats that are recorded in the
outer molecular layer, and because the potential was largest in the
inner third of the molecular layer, where sprouted fibers terminate.
The extracellularly recorded EPSP (measured from baseline to peak)
increased in amplitude in five of seven slices after BDNF exposure (200 ng/ml; increase to 201 ± 12% of control amplitude,
n = 5) (Fig. 4). In the other two slices there was no
change in amplitude, even after 60 min of perfusion with BDNF.
These data indicated that spontaneous and evoked bursts were likely to
be due to the effects of BDNF on synaptic responses that were generated
in the inner molecular layer, where sprouted fibers terminate. However,
the trigger for spontaneous bursts could lie within or outside the
dentate gyrus. The entorhinal input (the perforant path) and the CA3
pyramidal cell projection to the dentate gyrus are two possibilities.
The possibility was further evaluated by isolating the dentate gyrus
from the entorhinal cortex and area CA3 using cuts through the slice.
In four slices where cuts were made (at the hippocampal fissure, to
sever perforant path fibers, and across CA3b/c, to sever CA3
projections to the dentate; see Materials and Methods), there was no
detectable change in spontaneous activity in the dentate gyrus. Burst
duration (mean, 259 ± 84 msec before vs 255 ± 89 msec after
the cuts) and burst frequency (0.14 ± 0.06 Hz before vs 0.16 ± 0.06 after) were maintained (paired t tests,
p > 0.05). The results suggest that the spontaneous activity occurring after BDNF application was generated within the
dentate gyrus.
Molecular layer stimulation. In slices with sprouting that
had been exposed to BDNF, there was no significant change in mean amplitude of the granule cell population spike recorded in the granule
cell layer (n = 4) in response to stimulation of the
outer molecular layer (Fig.
5A). Maximum population spike
amplitude was 1.0 ± 0.5 mV before and 1.5 ± 0.7 mV after 60 min perfusion with 200 ng/ml BDNF (n = 6, paired
t test, p > 0.05). In three of the six
experiments, no population spike could be evoked by stimulation of the
outer molecular layer (thus amplitude was 0 in these experiments), and
this did not change after BDNF was applied. Presumably these small
responses were due to the loss of the cells of origin of the perforant
path in the superficial layers of the entorhinal cortex after status
epilepticus (Du et al., 1995 ), which we confirmed by Nissl stain (data
not shown). Thus, in only one of six slices was there an increase in
population spike amplitude after BDNF exposure.

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Figure 5.
Paired-pulse inhibition before and after BDNF.
A, A single stimulus to the molecular layer of a slice
with mossy fiber sprouting, after BDNF bath application, was recorded
in several layers of the dentate gyrus. Each stimulus was identical.
The stimulus evoked a response at an early latency that was similar to
slices without sprouting. However, at a long latency another event
occurred (arrow). Given the long latency, all-or-none
nature, and the fact that this potential reversed in the middle
molecular layer, it is likely that it represents enhanced activity in
the sprouted network after BDNF (compare with Fig. 3B).
OML, Outer molecular layer; MML, middle
molecular layer; IML, inner molecular layer;
GCL, granule cell layer. B,
Extracellularly recorded responses to outer molecular layer stimulation
were made in the granule cell layer before BDNF application
(PRE). The responses to the same stimuli were tested
again after BDNF bath application (POST; 200 ng/ml, 45 min). After BDNF, the population spikes were similar, but the stimuli
evoked an additional slow potential on which the population spikes were
superimposed (arrow). The slow potential could be
detected better after responses to single stimuli (see
A), because the event began at a relatively long
latency. Calibration same as in A.
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As shown in Figure 5A, after BDNF application and the
associated spontaneous activity of granule cells developed, molecular layer stimulation evoked a long-latency extracellular burst discharge that was similar in some ways to the relatively short-latency burst
discharges evoked by hilar stimulation. That is, the molecular layer-evoked burst discharge was an all-or-none event that reversed polarity in the middle molecular layer (Fig. 5A). These
characteristics suggest that molecular layer-evoked bursts could be due
to activation of mossy fibers of granule cells subsequent to perforant
path activation.
Pharmacology
Effects of BDNF on GABAergic inhibition. Although it
has been proposed that BDNF enhances excitatory transmission by
increasing glutamate release, there also is evidence that BDNF acts by
decreasing GABA receptor-mediated inhibition [Tanaka et al. (1997) ;
also see Kim et al. (1994) ]. Therefore, paired-pulse inhibition of granule cell population spikes was monitored before and after BDNF.
Population spikes were evoked by molecular layer stimulation, and a 20 msec interstimulus interval was used (Fig. 5B), because this
paradigm ordinarily evokes strong inhibition that is dependent on GABA receptors.
Paired-pulse inhibition was present before and after BDNF
application. The maximal population spike was inhibited by 83 ± 9% by a stimulus 20 msec before the test stimulus
(n = 3) before BDNF application, and 60 min after BDNF
application this value was 88 ± 12%. This change was not
significant (paired t test, p > 0.05).
There were spontaneous discharges of granule cells at the time when
paired-pulse inhibition had not changed, so the lack of effect was not
because BDNF had no effect in these slices.
Although these results argue against the possibility that BDNF led to
disinhibition by blocking GABA receptors or impairing GABAergic
function, one potential confound is that the cells of origin of the
perforant path (entorhinal cortical neurons) were damaged by
pilocarpine. If the pathway had not been affected by pilocarpine, a
change in paired-pulse inhibition might have been evident.
Another way to test whether BDNF acted by blocking GABAergic inhibition
is to determine whether BDNF occluded the effects of a
GABAA receptor antagonist, such as bicuculline (Fig.
6). Therefore, we tested whether there
was an effect of bicuculline after BDNF application, and specifically
after BDNF had already produced its effects. In those slices
(n = 18), bicuculline enhanced the effects of BDNF in
that burst discharges of granule cells became prolonged. This effect
occurred within minutes of exposure to bicuculline, unlike the effects
of BDNF, which required >30 min. The prolonged episodes were
seizure-like in that they had a paroxysmal component followed by
afterdischarges (Fig. 6A). The paroxysmal component
lasted up to 1 min, and the period of subsequent afterdischarges lasted
up to 2 min. These episodes were separated by 1-3 min and were
repetitive for at least l hr. Each episode was heralded by a series of
spontaneous, brief discharges (Fig. 6B, 1)
that suddenly became paroxysmal (Fig. 6B,
2). The prolonged events, like the brief discharges, were
maximal in the inner molecular layer and reversed polarity in the
middle and outer molecular layers (Fig.
7), suggesting that their site of generation was similar to the brief discharges that occurred before bicuculline was added. These data support the interpretation of results
described above that BDNF acted preferentially at mossy fibers in the
inner molecular layer.

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Figure 6.
Effects of BDNF and bicuculline in slices with
mossy fiber sprouting. A spontaneous seizure-like event is illustrated
that occurred after bath-application of BDNF (200 ng/ml, 60 min) and
bicuculline (10 µM). Bicuculline was present only for the
last 10 min of the 60 min period of BDNF perfusion. The seizure-like
episode began with periodic brief discharges (1),
and a paroxysmal period followed (the start of this period is indicated
by 2). The paroxysmal period was followed by a series of
afterdischarges (e.g., 3).
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Figure 7.
Reversal of epileptiform activity recorded in the
presence of BDNF and bicuculline. A seizure-like episode was recorded
from the granule cell layer (GCL) in the same slice as
Figure 6. Note the different time base from Figure 6. After ~3 min,
another seizure-like episode was recorded from the same slice, but in
the outer molecular layer (OML). The reversal of the
extracellular recordings indicates that the seizure-like events
reversed polarity in a similar area as the brief discharges produced by
BDNF in the absence of bicuculline (Fig. 3). These data suggest that
the site of origin of the spontaneous activity was in the inner/middle
molecular layer, consistent with an underlying mechanism related to
sprouted mossy fibers.
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Bicuculline and BDNF had similar effects regardless of the order
in which they were bath-applied. When bicuculline was introduced first
(n = 6), it rapidly increased the number of population
spikes in response to mossy fiber stimulation, i.e., within minutes of bicuculline exposure. Spontaneous bursts of population spikes did not
develop after bicuculline, except for three slices from the most
ventral portion of the hippocampus with heavy sprouting. In these
cases, burst discharges were similar in duration to those induced by
BDNF (50-100 msec). Significantly, bicuculline application in the
absence of BDNF never produced prolonged seizure-like events. Only
after BDNF was subsequently added, in the continued presence of
bicuculline, did this occur. The results suggest that the actions of
BDNF were not mediated by a reduction of GABAA
receptor-mediated inhibition, although some effect on GABAergic
inhibition cannot be excluded entirely. A role of GABAB
receptors in the actions of BDNF cannot be excluded either.
Protein kinases. To determine whether the actions of BDNF
were mediated by a protein kinase, such as trkB, experiments were conducted in which slices were first incubated for 30 min with K252a
(at 1 µM, K252a is a nonspecific kinase inhibitor), and then BDNF was applied in the continued presence of K252a. BDNF (200 ng/ml) did not have effects in these slices (n = 8),
despite the fact that there was robust sprouting.
NMDA receptors. Recently there have been reports that BDNF
has actions at NMDA receptors. In murine cultures and isolated hippocampal neurons, BDNF appeared to act as an agonist at the glycine
site of the NMDA receptor (Jarvis et al., 1997 ). In hippocampal cultures, BDNF increased NMDA receptor open probability (Levine et al.,
1998 ). Furthermore, it has been shown that BDNF induces phosphorylation
of the NMDA receptor subunits 1 and 2B (Suen et al., 1997 ; Lin et al.,
1998 ). Therefore, we tested whether the effects of BDNF in slices with
sprouting were caused by increased activity at NMDA receptors (Fig.
8). Slices were pretreated with the NMDA
receptor antagonist D-APV (50 µM) for 30 min,
and subsequently BDNF was bath-applied (200 ng/ml) in the continued
presence of D-APV. There was no detectable effect of
D-APV in these experiments, which all exhibited spontaneous
bursts of granule cells and had robust sprouting (n = 6; data not shown). In other experiments, BDNF was applied, and
subsequently D-APV (50 µM) was added in the
continued presence of BDNF (200 ng/ml) (Fig. 8). In these experiments
there also was no effect of D-APV (n = 3)
(Fig. 8).

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Figure 8.
Effects of BDNF in slices with sprouting were not
altered by NMDA receptor antagonism. A, Spontaneous
epileptiform activity was recorded in the inner molecular layer in a
slice that had mossy fiber sprouting and was exposed to BDNF (200 ng/ml) for 70 min. Note that there was some variability in the number
of repetitive events comprising the epileptiform activity. In
A1, there are 13 in the example on the
left and 12 in the example on the right.
They were recorded 9 and 10 min, respectively, before slices were
exposed to 50 µM D-APV. The epileptiform
activity shown in A2 was recorded 30 min after APV was
added to the buffer containing BDNF. Calibration (shown in
B): 5 mV, 1 sec. B, The spontaneous
activity shown in A1, on the left, is
illustrated with a different time base. Calibration: 5 mV, 400 msec.
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BDNF immunocytochemistry
These results may have implications for our understanding of how
endogenous BDNF may function, because the mossy fibers of the normal
rat contain one of the highest concentrations of BDNF in the brain
(Conner et al., 1997 ; Yan et al., 1997 ). However, it has not been shown
previously that BDNF is expressed in sprouted mossy fibers of
pilocarpine-treated rats. There is one report of BDNF in mossy fiber
sprouting in a different rat model of epilepsy, in which a period of
stimulation of the hippocampus leads to spontaneous seizures (Bertram,
1997 ); BDNF was expressed in some of the sprouted fibers (Vezzani et
al., 1999 ).
To determine whether BDNF was expressed in the sprouted
fibers of our pilocarpine-treated rats, four animals that received pilocarpine, had status epilepticus, and had spontaneous seizures were
perfusion-fixed and stained with an antibody to BDNF (Fig. 9). Alternate sections were stained by
the Timm method in two cases to compare the location of mossy fiber
sprouted axons, defined by Timm stain, with BDNF immunoreactivity. As
shown in Figure 9A,B, when there was Timm staining of the
hilus and inner molecular layer there also was BDNF immunoreactivity in
those areas. However, Timm stain and BDNF immunoreactivity were weak in
the outer two-thirds of the molecular layer and the granule cell layer.
Three pilocarpine-treated rats that did not have status epilepticus and
did not exhibit sprouting did not display Timm or BDNF immunoreactivity
in the inner molecular layer (Fig. 9C). In the animals
without sprouting, the hilus was the major site of immunoreactivity,
similar to the normal adult rat. Because preferential staining of the
hilus and inner molecular layer with Timm stain is often taken to be a
reflection of the mossy fibers, the results indicate by analogy that
sprouted mossy fibers in the pilocarpine animal model of epilepsy
contain BDNF protein. However, whether there is perfect correspondence between mossy fibers containing zinc and BDNF is presently unclear. We
hypothesize that endogenous BDNF in sprouted mossy fibers could enhance
excitability in the dentate gyrus similar to the actions of exogenous
BDNF that have been described here (see Discussion).

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Figure 9.
Timm stain and BDNF immunocytochemistry in
sprouted and unsprouted tissue. A, A section from the
dentate gyrus of a rat with mossy fiber sprouting, stained with an
antibody to BDNF, shows that BDNF was expressed in hilus and the inner
molecular layer sprouted plexus (arrows). The lamina of
the dentate gyrus (C) are indicated by
abbreviations of the layers and apply to A-C.
HIL, Hilus; GCL, granule cell layer;
IML, inner molecular layer; MML, middle
molecular layer. Scale bar (shown in C for
A-C): 100 µm. B, Timm stain of a
section from the same rat as used for A illustrates the
mossy fiber plexus in the hilus and inner molecular layer
(arrows). C, BDNF staining in a rat that
was administered pilocarpine but did not have status epilepticus
thereafter, and subsequently did not have behavioral seizures, did not
express BDNF in the inner molecular layer.
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DISCUSSION |
Summary
Specificity of BDNF's actions at mossy fibers
The results demonstrate that BDNF enhances excitatory transmission
of mossy fibers to granule cells of pilocarpine-treated rats with mossy
fiber sprouting. This is similar to the effects of BDNF on excitatory
transmission of mossy fibers to CA3 pyramidal cells in normal rats
(Scharfman, 1997 ). Thus, in both normal and pilocarpine-treated rats,
prolonged (30-60 min) exposure to BDNF was necessary before effects
were detected, evoked responses and paired-pulse inhibition of granule
cells to molecular layer stimulation were relatively unaffected, and
K252a blocked the effects of BDNF. These results suggest that in both
normal rats and pilocarpine-treated rats, BDNF activates trkB
receptors, which in turn alter mossy fiber transmission. This is also
supported by the lack of effect of NMDA receptor antagonists. Thus, the
effects of bath-applied BDNF appear to be specific for mossy fiber
transmission, even after substantial changes in structure and function
that occur in pilocarpine-treated rats with sprouting.
This specificity could arise by a number of mechanisms. Perhaps the
most parsimonious is that trkB receptors are located preferentially at
mossy fiber boutons. However, it is also possible that a particular target protein of trkB is present in mossy fibers preferentially, although trkB itself is localized nonspecifically. It is important to
note as a caveat that every example of mossy fiber transmission was not
examined in this study, such as mossy fiber transmission to inhibitory
neurons. Therefore, it is possible that there are exceptions to the
finding that BDNF enhances mossy fiber transmission.
BDNF-induced hyperexcitability in pilocarpine-treated rats
with sprouting
A second conclusion of this study was that BDNF induced
hyperexcitability of granule cells in slices from pilocarpine-treated rats with mossy fiber sprouting. Thus, spontaneous granule cell discharges occurred after BDNF exposure, and this only occurred if
there was sprouting. This is remarkable because granule cells are
hyperpolarized neurons (Spruston and Johnston, 1992 ; Staley et al.,
1992 ; Williamson et al., 1993 ), with a resting potential far from
threshold. Granule cells are also strongly inhibited by tonic release
of GABA (Otis et al., 1991 ). Spontaneous discharges of granule cells,
or large spontaneous EPSCs of granule cells, have been reported
previously in a subset of granule cells from sprouted rats after
administration of a GABAA receptor antagonist (bicuculline)
in a buffer containing lower [Mg2+]o
than used in our experiments (1.3 mM vs 2 mM)
(Cronin et al., 1992 ; Simmons et al., 1997 ). Thus, BDNF has a strong
effect in the sprouted dentate gyrus.
Spontaneous discharges became prolonged, seizure-like events after
exposure to both BDNF and bicuculline. In previous studies of kainic
acid-induced mossy fiber sprouting, such seizure-like events have been
reported after administration of bicuculline and increased
extracellular potassium (6 mM K+)
(Wuarin and Dudek, 1996 ). Thus, it appears that prolonged,
seizure-like events in sprouted tissue occur after disinhibition and
either BDNF or increased [K+]o. The
fact that both BDNF and increased
[K+]o promote increased transmitter
release suggests that disinhibition, coupled to increased glutamate
release from mossy fibers, may be critical regulators of seizure-like
discharge in sprouted rats.
Implications for understanding functional consequences of
cortical reorganization
Although often thought of in the context of epilepsy, one
perspective on mossy fiber sprouting is that it is an example of reorganization after brain injury. Thus, it has been proposed that
pilocarpine-induced seizures that kill the target neurons of mossy
fibers induce sprouting (Cavazos and Sutula, 1990 ; Buckmaster and
Dudek, 1997 ; but see Stringer et al., 1997 ). Our results suggest that
BDNF actions on synaptic transmission may be preserved after brain
injury and consequent alterations in circuitry. From this, one would
predict that neurons that become innervated by terminals that are
normally modulated by BDNF may develop sensitivity to BDNF. This could
have important implications for the events that become possible in
reorganized cortical circuits, ranging from potentiation to hyperexcitability.
Implications for understanding actions of endogenous BDNF
Immunocytochemistry showed that BDNF protein is present in the
reorganized axons of mossy fibers, which has recently been reported in
another animal model of epilepsy (Vezzani et al., 1999 ). Thus, the
effects of exogenous BDNF that have been described may foretell the
actions of endogenous BDNF that exists in sprouted mossy fibers. If
endogenous BDNF reaches concentrations similar to the concentrations of
bath-applied BDNF that were used in the above experiments, the actions
of endogenous and bath-applied BDNF could be similar. Even if normal
concentrations of BDNF are low, endogenous BDNF still might have
functional effects under certain conditions, because BDNF message,
protein, and trkB expression increase after various events (such as
after neuronal activity, sensory stimulation, learning, long-term
potentiation, stress, injury, and seizures) (Ballarín et al.,
1991 ; Zafra et al., 1991 ; Falkenberg et al., 1992a ,b ; Lindefors
et al., 1992 ; Lindvall et al., 1992 , 1994 ; Patterson et al., 1992 ; Beck
et al., 1993 ; Castrén et al., 1993 ; Cosi et al., 1993 ; Dragunow
et al., 1993 ; Humpel et al., 1993 ; Lapchak et al., 1993 ; Merlio et al.,
1993 ; Springer et al., 1994 ; Lauterborn et al., 1995 ; Nibuya et al.,
1995 ; Arai et al., 1996 ; Bramham et al., 1996 ; Mudò et al., 1996 ;
Schmidt-Kastner et al., 1996 ; Kawahara et al., 1997 ; Vaidya et al.,
1997 ; Bova et al., 1998 ; Oliff et al., 1998 ).
It is hypothesized that endogenous BDNF would bind to trkB receptors on
mossy fiber terminals, and the end result would be phosphorylation of a
protein involved in presynaptic regulation of glutamate release. A
candidate protein is synapsin I, which has been shown to be
phosphorylated by BDNF (Jovanic et al., 1996 ). There are also other
possible sites of actions, such as truncated trkB receptors on glia,
particularly in light of the demonstration that truncated trkB
receptors are increased in non-neuronal cells after lesions to dentate
gyrus afferents (Beck et al., 1993 ). The data reported here suggest
that at least one action would be at mossy fiber terminals. The
prediction is that excitability of granule cells would increase as a
result of endogenous BDNF action.
The results of experiments with bicuculline, which showed that
disinhibition can prolong BDNF-induced spontaneous discharges into
epileptiform, seizure-like events, suggest that the actions of
endogenous BDNF would be enhanced when dentate granule cells became
disinhibited. Disinhibition in normal behaving animals could occur in
several ways, such as during a change in septal input, because septal
afferents preferentially target dentate GABAergic neurons; the raphe is
another input that targets dentate interneurons preferentially (Freund,
1992 ). Another type of naturally occurring event that appears to
disinhibit the dentate gyrus is a sharp wave (Buzsáki, 1986 ).
Thus, if BDNF release occurred in conjunction with a disinhibitory
event, one would predict that endogenous BDNF could provoke
seizure-like activity among granule cells in a sprouted dentate gyrus.
The hypothesis that endogenous BDNF may contribute to hyperexcitability
is consistent with previous investigations of BDNF in vivo.
Kokaia et al. (1995) reported that kindling was suppressed in
heterozygotes lacking the BDNF gene (homozygotes did not survive). Binder and colleagues (1996) demonstrated that animals receiving intraventricular infusion of trkB-IgG, which binds to BDNF and prevents
its interaction with trkB receptors, required more stimulations to be
kindled. However, other studies suggest the opposite. Larmet et al.
(1995) and Reibel et al. (1996 ) showed that animals that had received
chronic BDNF infusions had fewer tonic-clonic seizures after injection
of the convulsant pentylenetetrazol. Osehobo et al. (1999) found that
animals receiving chronic dentate hilar infusions of BDNF required more
stimulations for kindling. One possible reason for the discrepancy is
that chronic BDNF infusion may alter BDNF message, protein, or trkB
receptor expression and function. Indeed, long exposure of cultures to
BDNF downregulates trkB levels and responsiveness (Frank et al.,
1996 ).
Implications for understanding spontaneous seizures in sprouted
rats and temporal lobe epileptics
The consequences of BDNF-induced spontaneous discharges of granule
cells are important to consider. Could such events precipitate limbic
seizures of pilocarpine-treated rats with sprouting? Furthermore, could
BDNF contribute to seizures in temporal lobe epilepsy, given that human
mossy fibers express BDNF (Murer et al., 1999 ), temporal lobe
epileptics demonstrate mossy fiber sprouting (Sutula et al., 1989 ), and
human granule cells express increased BDNF mRNA after seizures (Mathern
et al., 1997 )? Certainly these are tempting conclusions, but they would
be premature.
Hypothetically, discharges in granule cells could lead to limbic
seizures. However, the extent to which such activity contributes to
seizures is difficult to predict, because it would depend on several
factors, such as the number of hippocampal pyramidal neurons that
survive after pilocarpine treatment, which would be critical to
propagation of activity out of the hippocampus. Seizure-induced changes
in structure and function should not be underestimated, given their
diversity and robust nature (Gall et al., 1990 ; Sheng and Greenberg,
1990 ; Cavalheiro et al., 1992 ; Sperk et al., 1992 , 1996 ; Gall, 1993 ;
Lynch et al., 1996 ; Vezzani et al., 1996 ; Parent et al., 1997 ).
Certainly some seizure-induced changes in gene expression, such as the
increase in BDNF and trkB after seizures, would make it more
likely that BDNF would induce abnormal granule cell discharges after
seizures. Nevertheless, the entire spectrum of changes that occur after
seizures, and the effects of endogenous BDNF, need to be clarified
before it can be concluded that endogenous BDNF contributes to seizures
in pilocarpine-treated rats or humans with temporal lobe epilepsy.
 |
FOOTNOTES |
Received Feb. 5, 1999; revised April 8, 1999; accepted April 14, 1999.
This study was supported by National Institute of Neurological Diseases
and Stroke Grant NS 37562 (H.E.S.) and the Helen Hayes Hospital
Foundation. We thank Regeneron Pharmaceuticals, Inc., for their
generous gift of BDNF and antisera to BDNF, and Dr. Susan Croll, Dr.
John Rudge, and Dr. Stanley Wiegand for their suggestions throughout
this project and their assistance with immunocytochemistry. We thank
Annmarie Curcio for secretarial assistance.
Correspondence should be addressed to Dr. Helen E. Scharfman, Neurology
Research Center, Helen Hayes Hospital, West Haverstraw, NY
10993-1195.
 |
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