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The Journal of Neuroscience, April 1, 2003, 23(7):2582

Increased Sensitivity to Agonist-Induced Seizures, Straub Tail, and Hippocampal Theta Rhythm in Knock-In Mice Carrying Hypersensitive 4 Nicotinic Receptors

Carlos Fonck¹, Raad Nashmi¹, Purnima Deshpande¹, M. Imad Damaj², Michael J. Marks³, Anett Riedel⁴, Johannes Schwarz^{1, 4}, Allan C. Collins³, Cesar Labarca¹, and Henry A. Lester¹

¹ Division of Biology, California Institute of Technology, Pasadena, California 91125, ² Department of Pharmacology and Toxicology, Medical College of Virginia Campus/Virginia Commonwealth University, Richmond, Virginia 23298, ³ Institute for Behavioral Genetics, University of Colorado, Boulder, Colorado 80309, and ⁴ Department of Neurology, University of Leipzig, Leipzig, Germany 04103

	ABSTRACT

TOP ABSTRACT Introduction Materials and Methods Results Discussion REFERENCES

We studied a strain of exon replacement mice ("L9'S knock-in") whose 4 nicotinic receptor subunits have a leucine to serine mutation in the M2 region, 9' position (Labarca et al., 2001); this mutation renders 4-containing receptors hypersensitive to agonists. Nicotine induced seizures at concentrations (1 mg/kg) approximately eight times lower in L9'S than in wild-type (WT) littermates. At these concentrations, L9'S but not WT showed increases in EEG amplitude and theta rhythm. L9'S mice also showed higher seizure sensitivity to the nicotinic agonist epibatidine, but not to the GABA_A receptor blocker and proconvulsant bicuculline. Dorsiflexion of the tail (Straub tail) was the most sensitive nicotine effect found in L9'S mice (0.1 mg/kg). The L9'S mice were hypersensitive to galanthamine- and tacrine-induced seizures and Straub tails. There were no apparent neuroanatomical differences between L9'S and WT mice in several brain regions. [¹²⁵I]Epibatidine binding to brain membranes showed that the mutant allele was expressed at ~25% of WT levels, presumably because of the presence of a neomycin selection cassette in a nearby intron. ⁸⁶Rb efflux experiments on brain synaptosomes showed an increased fraction of function at low agonist concentrations in L9'S mice. These data support the possible involvement of gain-of-function 4 receptors in autosomal dominant nocturnal frontal-lobe epilepsy.

Key words: nicotinic receptor; ADNFLE; seizure; epilepsy; cholinergic; gain of function; knock-in; mouse

	Introduction

TOP ABSTRACT Introduction Materials and Methods Results Discussion REFERENCES

Nicotine, the addictive component of tobacco, elicits a wide range of behavioral effects when administered to rodents (Brioni et al., 1997). Increasing doses of nicotine in mice can cause sedation, decrease nociception, alter memory and learning, decrease body temperature, and at high concentrations, induce clonic-tonic seizures and death. It is not known what roles the various individual nicotinic receptor types expressed in the mammalian CNS play in the different nicotine-induced responses. In terms of its sensitivity to agonist, abundance, and widespread distribution in the brain, perhaps the most important nicotinic receptor subtype is the one formed by 4 coassembled with 2 subunits. Expression in heterologous systems has shown that 42 receptors have higher sensitivity to nicotine than 7, 22, 32, 34, or 425 receptors (Wonnacott, 1997). 4 and 2 nicotinic subunits are abundantly found in the neocortex, hippocampus, septum, thalamus, midbrain, and brainstem (Wada et al., 1989).

To further understand the function of 4-containing nicotinic receptors in the brain, we have created a knock-in mouse line expressing a hypersensitive 4-containing receptor. Selection and design of the 4 leucine to serine mutation in the M2 pore lining region at position 9' (L9'S) was based on previous heterologous expression studies: when this conserved leucine was mutated to serine, there were major increases in agonist sensitivity (Revah et al., 1991; Labarca et al., 1995). Homozygous L9'S animals containing a neomycin-selection cassette ("neo-intact") and heterozygous L9'S animals without the cassette ("neo-deleted") die soon after birth. However, neo-intact heterozygous L9'S mice have reduced expression of the hypersensitive receptor, are fertile, and display increased anxiety (Labarca et al., 2001) (these gene dose effects are discussed in Fig. 8, below). We report now on the effect of this gain-of-function mutation in L9'S mice on seizure and Straub tail responses.

Seizure studies on 4-mutated mice are particularly relevant for epilepsy research, because all known mutations responsible for autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE) occur in the M2 region of 4 or 2 subunits (for review, see Sutor and Zolles, 2001). ADNFLE is a rare form of epilepsy that consists of frequent, brief, and sometimes violent seizures, starting during childhood, originating in frontal cortex and occurring during sleep. Thus far, and based only on heterologous expression experiments, there is disagreement as to whether ADNFLE mutations result in gain or loss of receptor function (Kuryatov et al., 1997; Figl et al., 1998; Bertrand et al., 2002). As of mid-2002, five different missense mutations in the M2 regions of the 42 nicotinic acetylcholine receptor (nAChR) are known that cause ADNFLE. Therefore we assessed the L9'S mice for sensitivity to nicotinic seizures, and we report a dramatic hypersensitivity.

	Materials and Methods

TOP ABSTRACT Introduction Materials and Methods Results Discussion REFERENCES

Mice. Generation of the L9'S strain, by replacing the native 4 subunit of the nAChR with a mutated form, has been described previously (Labarca et al., 2001). Male and female mice heterozygous for the L9'S mutation and their wild-type (WT) littermates were used for behavioral, in vivo electrophysiological, neuroanatomical and neurochemical studies. Experiments were performed according to National Institutes of Health and local institutional guidelines for the humane treatment of laboratory animals. Mice that appeared to be in extreme and/or prolonged pain were killed.

Behavioral responses. Mice were placed in the behavior room 4 d before experiments and were maintained on a 12 hr light/dark cycle with ad libitum access to food and water. Acute behavioral responses to nicotine, mecamylamine, epibatidine, bicuculline, galanthamine, tacrine, morphine sulfate, and naloxone were determined in L9'S and WT mice. Unless specified, drugs and chemicals used in these studies were obtained from Sigma (St. Louis, MO). Galanthamine and tacrine were purchased from Tocris (Ellisville, MO). Drugs were dissolved in saline, and concentrations were adjusted so that total volume injected was 10 µl/gm body weight. Initial dose and mode of administration (subcutaneous versus intraperitoneal) for each drug were based on reports in the literature. Animals injected with the various compounds were placed inside a Plexiglas cage (30 × 14 cm), videotaped with a digital camcorder, and behaviorally scored by experimenters blind to their genotype. Mice were videotaped starting 1 min before and for 5-15 min after a single injection. Frequency, duration, and time of onset of the behavioral responses (seizure, Straub tail, sedation, circling, shaking) to each drug treatment were recorded and tabulated. Seizure intensity assessment was based on a recently developed scale (Franceschini et al., 2002).

In vivo electrophysiology. Simultaneous video-electroencephalographic recordings were obtained from free moving animals. Stereotaxic surgeries were performed on mice anesthetized with a ketamine (100 mg/kg) and xylazine (25 mg/kg) mixture using mouse atlas coordinates (Franklin and Paxinos, 1997). A pair of 0.1-mm-diameter tungsten wire electrodes (~200 k AC impedance) were inserted through a hole drilled in the cranium and placed stereotactically within the hippocampus (1.9 mm caudal to bregma, 1.4 mm lateral to midline, at a depth of 1.8 mm). A ground screw electrode was placed into the contralateral side of the skull. A three pin connector (ground electrode plus two recording electrodes) was cemented to the skull surface with dental acrylic. After surgery, mice were allowed to recover for 48 hr. Electrophysiological recordings started 10 min before and continued for 15 min after a single nicotine injection of either 2 or 10 mg/kg. Data were acquired with a differential amplifier (World Precision Instruments, Hamden, CT), using a sampling rate of 10 kHz and bandpass filtered (1-200 Hz). Data analysis was performed with pClamp 8.2 software (Axon Instruments, Union City, CA). Changes in EEG activity attributable to nicotine were assessed by calculating SD and power spectra before and after nicotine injection. Power spectrum analysis used a Hamming transform on 150 sec of continuous data.

Neuroanatomy. Brain sections obtained from three WT and three L9'S adult mice were Nissl-stained. For histology, animals were deeply anesthetized by carbon dioxide inhalation and then perfused with saline containing 0.1% heparin, followed by 4% formaldehyde. Brains were dehydrated by successive ethanol washes (50, 70, and 96%), brought into a mixture of diethyl ether and 100% ethanol (1:1), and embedded in celloidin. Frontal series of 50-µm-thick sections were cut on a sliding microtome (Reichert-Jung, Hamburg, Germany). Sections were stained in a heated 0.1% aqueous solution of toluidine blue (Merck, Darmstadt, Germany), washed in mild hydrochloric acid solution, and later transferred to 96% ethanol. Finally, sections were mounted onto slides, dehydrated with optal, bathed in xylene, and coverslipped with Canada balsam. Sections were examined with a Zeiss (Oberkochen, Germany) Axiophot microscope and digitized with an AxioCam HRc digital camera.

Epibatidine binding. [¹²⁵I]Epibatidine binding was used for quantitating nicotinic receptor levels (Marks et al., 1998). The particulate fraction of brain homogenates was washed three times in hypotonic buffer at 12,000 × g to obtain a purified membrane preparation. Incubations were performed in 96 well plates in 30 µl of binding buffer (in mM: 140 NaCl, 1.5 KCl, 2 CaCl₂, 1 MgSO₄, and 25 HEPES, pH 7.5) for 2 hr at 22°C using 200 pM [¹²⁵I]Epibatidine. Cytisine was used to displace epibatidine counts thought primarily to reflect 42 receptors. Incubations were terminated by filtration into Gelman A/E glass fiber filters, followed by washes with ice-cold buffer. Inhibition curves were fitted to either one or two site models.

Synaptosomal studies. Thalamus taken from adult mice, which is a nicotinic receptor-rich region, were used for synaptosome preparation. After dissection, tissue was immediately placed in 10 vol of ice-cold isotonic sucrose buffered solution (5 mM HEPES) and homogenized by hand using a glass-Teflon tissue grinder. The supernatant was centrifuged at 12,000 × g for 20 min, and the resulting pellet was resuspended in an isotonic buffer to obtain fresh synaptosomes. For rubidium efflux experiments, loading of synaptosomes was achieved by incubation with 4 µCi of carrier-free ⁸⁶Rb at 22°C for 30 min in loading buffer (in mM: 140 NaCl, 1.5 KCl, 2 CaCl₂, 1 MgSO₄, 25 Na HEPES, 20 glucose, pH 7.5). During the final 5 min of uptake, 10 mM diisopropyl fluorophosphate was added to inhibit ACh esterase. After uptake, samples were filtered under gentle vacuum and washed with 0.5 ml of loading buffer. Filters containing synaptosomes were transferred to a polypropylene platform and perfused with 135 mM NaCl, 5 mM CsCl, 1.5 mM KCl, 2 mM CaCl₂, 1 mM MgSO₄, 0.1% BSA, 50 nM TTX, 20 mM glucose, and 25 mM HEPES, pH 7.5. Buffer was applied and removed with peristaltic pumps. The effluent passes through a 200 µl Cerenkov cell within a  counter (IN/US Systems) that provides continuous online detection. Samples were stimulated for 5 sec with ACh or nicotine by diverting buffer flow through a 200 µl loop. Responses were normalized to the basal efflux rate, which was fitted to a one or two component decay model.

Statistical analysis. Results were analyzed using Sigmastat, Origin, or Excel. Differences among means were considered significant when they were attributable to randomness with 5% chance. For data with n  6, we verified normal distribution and random error distribution of the data.

	Results

TOP ABSTRACT Introduction Materials and Methods Results Discussion REFERENCES

Behavioral responses in hypersensitive knock-in mice

L9'S mice were more sensitive to several effects of nicotine than their WT littermates (Fig. 1). The first example is nicotine-induced seizures. A seizure consisted of clonic-tonic activity and a loss of equilibrium, equivalent to four to five in the seizure scale of Franceschini et al. (2002). For both WT and L9'S mice, more animals displayed seizures at increasing nicotine doses (Fig. 1A), and the seizures began sooner after nicotine injection (Fig. 1B). However, these dose-response relationships were dramatically shifted to lower concentrations for the L9'S mice. All L9'S mice injected with 2 mg/kg nicotine displayed seizures, whereas a concentration of 10 mg/kg was required to elicit seizures in 100% of WT animals. In general, WT mice with seizures displayed a more complex behavioral pattern than L9'S mice, which included circling, free running, and jumping. The nicotinic receptor antagonist mecamylamine completely blocked seizures induced by nicotine (1.5 mg/kg) in all L9'S animals tested (Fig. 1F).

View larger version (33K): [in this window] [in a new window]   Figure 1.   Nicotine induction of seizures and Straub tail in L9'S and WT littermate mice. A, B, Animals received a single subcutaneous nicotine injection, and the percentage of mice that showed seizures and the time of seizure onset were recorded. C, D, Animals used in A were also scored for Straub tail. The percentage of mice responding and the time of Straub onset were recorded. Continuous video recording of the mice after nicotine injection lasted 430 sec. Animals that did not respond during video recording time were assigned a 430 sec onset time. Each data point from the onset graphs is the mean ± SE; n = 6. E, Comparison of percentage responses for Straub tail and seizure in L9'S mice, showing the higher sensitivity to Straub tail. F, L9'S animals received either a saline or a 2 mg/kg intraperitoneal mecamylamine injection, followed by a 1.5 mg/kg subcutaneous nicotine injection 5 min later. Time to seizure and Straub tail were recorded. Each bar represents mean ± SE; n = 5. The horizontal line indicates the maximum observation period (600 sec). None of the mecamylamine plus nicotine-treated mice had seizures, and 60% displayed Straub tail during this period.

Spande et al. (1992) described Straub tail (a nearly vertical tail) as a response to nicotinic agonists in studies of epibatidine. Straub tail is the most sensitive nicotine effect we have found in L9'S mice (Fig. 1C,D): 65% of L9'S mice injected with a nicotine concentration of 0.1 mg/kg displayed Straub tail, but none had seizures (Fig. 1E). In L9'S mice, seizures were always preceded by Straub tail. In WT mice, in contrast, no nicotine concentration was found to induce Straub tail only, but when Straub tail did occur, it was always during seizure. Mecamylamine blocked nicotine (1.5 mg/kg)-induced Straub tail in two of five L9'S mice tested and, in the remaining three animals, delayed the onset of Straub tail by sixfold, compared with animals that received nicotine alone (Fig. 1F).

In addition to nicotine hypersensitivity, L9'S mice were also more sensitive than WT mice to epibatidine (Fig. 2A). Epibatidine induced seizures and Straub tail in L9'S animals at concentrations (10 µg/kg) that caused no noticeable effects in WT animals. Epibatidine seizures in L9'S animals were always preceded by Straub tail. For epibatidine, as for nicotine, Straub tail was the more sensitive assay: at a dose of 2 µg/kg, most L9'S mice displayed Straub tail but none had seizures.

View larger version (26K): [in this window] [in a new window]   Figure 2.   Epibatidine, bicuculline, galanthamine, or tacrine induction of seizures (left panels) and Straub tail (right panels) in L9'S and WT littermate mice. A, Animals received a single subcutaneous epibatidine injection, and the times of seizure and/or Straub tail onset were recorded. B, Animals received a single bicuculline intraperitoneal injection, and the times of seizure and/or Straub tail onset were recorded. C, Animals received a single intraperitoneal galanthamine injection, and the times of seizure and/or Straub tail onset were recorded. D, Animals received a single subcutaneous tacrine injection, and the times of seizure and/or Straub tail onset were recorded. Mice with seizures lasting 5 min were killed. Animals injected with epibatidine or bicuculline that did not respond during video-recording time were assigned a 350 sec onset time. Animals injected with galanthamine that did not respond were assigned a 450 sec onset time, and nonresponding mice treated with tacrine were assigned a 600 sec onset time. Each data point is the mean ± SE; n = 4 or 6. There was a significant difference in seizure onset between WT and L9'S mice injected with 40 or 80 mg/kg tacrine (p < 0.05).

Although L9'S mice were hypersensitive to nicotine and epibatidine, L9'S and WT mice showed similar sensitivity to the GABA_A receptor blocker bicuculline (Fig. 2B). Bicuculline induced seizures and Straub tail in both L9'S and WT mice in a dose-dependent manner. Both L9'S and WT animals had very severe, prolonged, and in some cases lethal bicuculline-induced seizures.

We also studied Straub tail and seizure responses to galanthamine and tacrine, two drugs thought to operate on cholinergic systems (Fig. 2C,D). L9'S mice displayed Straub tail responses at significantly lower concentrations than WT mice for both drugs. In fact, there were no Straub tail responses in WT mice at any concentration up to 160 mg/kg tacrine, the highest concentration tested; but 50% of L9'S mice responded with Straub at ~10 mg/kg. L9'S mice were also hypersensitive to galanthamine- or tacrine-induced seizures; galanthamine induced seizures at approximately fourfold lower concentrations in the mutant than WT mice (Fig. 2C). Mice were less sensitive to tacrine effects than to other drugs tested: tacrine induced seizures in WT mice only at doses 80 mg/kg and only after >400 sec; and we noted that tacrine-injected mice displayed seizures only after spontaneous or handling-initiated movements. Nonetheless, the data show that L9'S mice were significantly more sensitive than WT mice to tacrine when handled similarly (p < 0.05 at 40 and 80 mg/kg) (Fig. 2C).

Straub tail is often measured as a response to opioids. Morphine did induce Straub tail in L9'S mutant mice (Fig. 3A). However, there were clear differences in the characteristics of Straub tail induced by morphine and nicotine. Morphine-induced Straub tail began, on average, 10 min after morphine injection, in contrast to the delay of ~1 min after nicotine injection (Fig. 3B). Furthermore, morphine-induced Straub tail, but not nicotine-induced Straub tail, was completely blocked by the µ-opioid receptor antagonist naloxone.

View larger version (18K): [in this window] [in a new window]   Figure 3.   Morphine and nicotine induction of Straub tail in L9'S mice. Animals received a subcutaneous morphine or nicotine injection 10 min after an intraperitoneal naloxone or saline injection. Morphine and nicotine induced Straub tail in L9'S mice. A, Morphine Straub induction was blocked by the µ-opioid receptor antagonist naloxone. *p < 0.01 when comparing saline- and naloxone-treated groups (t test; n = 4). B, Nicotine-induced Straub was unaffected by naloxone. Experiments lasted 30 min, and animals not responding within that time received a 30 min onset score. Each bar represents mean ± SE; n = 4.

In vivo electrophysiological recordings show hypersensitivity to nicotine

Field recordings from hippocampi of L9'S mice (n = 6 animals) revealed changes in the EEG trace after a seizure-inducing dose of 2 mg/kg nicotine (Fig. 4). Onset of behavioral seizure coincided in time with an increase in amplitude of the EEG trace (Fig. 4B). No consistent changes in EEG amplitude were observed in WT mice (n = 3) after 2 mg/kg nicotine injection, concentrations at which these mice displayed no behavioral seizures (Fig. 4A). Power spectra of the records in L9'S mice showed a large nicotine-induced increase in power density at theta frequencies (~7 Hz). Four of the six L9'S mice displayed greater than or equal to threefold enhancement of theta rhythm power after nicotine injection (Fig. 4B). Also, the SD of the records increased markedly in most L9'S animals but not in WT animals (Fig. 4A). One L9'S animal displayed spike-wave hippocampal discharges.

View larger version (23K): [in this window] [in a new window]   Figure 4.   Traces from hippocampal field recordings and power spectrum analysis in WT (A) and L9'S (B) mice, respectively, before and after a 2 mg/kg nicotine injection. Raw traces and power spectra analysis reveal an increase in peak-to-peak signal and theta rhythm amplitude, respectively, during seizure in the L9'S animal. C, A typical WT mouse, before and 10 min after a 10 mg/kg nicotine injection. Each power spectrum represents 1 min of continuous data. D, Box-plot graph showing a significant increase in the SD of L9'S traces (n = 6 animals) injected with 2 mg/kg nicotine or WT mice injected with 10 mg/kg nicotine (n = 5) compared with WT mice (n = 3) injected with 2 mg/kg nicotine (*p = 0.05). There was no behavioral or electroencephalographic evidence of seizure in any wild-type mouse injected with nicotine (2 mg/kg).

We also recorded EEG traces in five WT mice after 10 mg/kg nicotine injection, which led to seizures in each animal (Fig. 4C). The signals in these WT nicotine-treated mice were much more complex than the sustained and increased EEG amplitude in L9'S mice at 2 mg/kg. EEG traces of WT animals during seizure showed bursts of activity (3-6 sec). In most of these nicotine-treated WT animals, there were increases in power over the spectrum from 1 to >20 Hz (Fig. 4C). Only one of these animals showed an increase in theta rhythm alone; two animals showed spike waves during seizures. During intervals between behavioral seizures, there was little or no abnormal electrical activity.

Neuroanatomy

Various brain structures including the frontal cortex, hippocampus, thalamus, and hindbrain were examined to determine whether the L9'S mutation caused gross anatomical abnormalities. In Nissl-stained sections (Fig. 5), layering appeared normal and all major cell groups were present.

View larger version (130K): [in this window] [in a new window]   Figure 5.   Nissl-stained coronal brain sections of WT (left panels) and L9'S (right panels) mice. A, Frontal cortex shown at the level of the primary motor cortex. Layers are labeled. B, Ventrolateral aspect of the thalamus. VL, Nucleus ventralis lateralis thalami; VP, nucleus ventralis posterior thalami; RT, nucleus reticularis. C, Hippocampus and adjacent secondary visual cortex. D, Dorsomedial aspect of the hindbrain, including area postrema (AP) and the hypoglossal nucleus (12).

Neurochemical studies: knock-in mice have fewer receptors, but many are hypersensitive

In this section, we explicitly refer to adult L9'S mice as L9'S heterozygotes. Figure 6A shows [¹²⁵I]epibatidine binding in adult mice thalamus preparations, and Figure 6B shows [¹²⁵I]epibatidine binding in fetal mice whole-brain preparations. Epibatidine saturation curves in preparations of adult mice thalamus show a decrease in epibatidine binding from 98.8 fmol/mg protein in WT mice to 64.1 fmol/mg protein in L9'S heterozygotes, with K_D values of 64.1 pM and 69.8 pM, respectively. This 35% decrease in maximal binding, with indistinguishable K_D values, is presumably attributable entirely to decreased expression from the mutant allele, implying that the mutant allele has ~70% less expression than the WT allele. The decreased expression is thought to occur not because of the point mutation but because of the ~2 kb neomycin-resistance cassette in the intron downstream from exon 5 (Labarca et al., 2001). Decreased expression because of the presence of the neomycin cassette has been reported in other neo-intact mice (Wang et al., 1999; Single et al., 2000; Broide et al., 2002). It has been suggested that the neomycin cassette may interfere with splicing or other post-transcriptional events that would result in decreased protein expression (Balfour, 1994). Greater precision and confirmation of reduced receptor expression calls for measurements on homozygous L9'S mice. These mice die neonatally, preventing such experiments on adults. We therefore performed [¹²⁵I]epibatidine binding experiments on fetal mouse brains (Fig. 6B), although only adults were used for the behavioral, pharmacological, and electrophysiological experiments reported in this paper. There is a gene dose-dependent decrease in total epibatidine binding from 75.7 fmol/mg protein in WT mice to 51.3 fmol/mg protein in heterozygous L9'S fetal mice and to 23.4 fmol/mg protein in fetal mice homozygous for the mutation (and for the adjacent neo cassette). The apparent K_D values in fetal mice are unaffected by the mutation (20.7, 21.8, and 19.6 pM, respectively). Because equilibrium ligand-binding experiments with nicotinic receptors are dominated by binding to desensitized state(s), the unchanged affinity between WT and heterozygous L9'S mice may indicate that, although the open state occurs at a lower agonist concentration in the L9'S mutations, there is little change in the affinity for desensitized state(s). Cytisine-sensitive [¹²⁵I]epibatidine binding provides an accurate measurement of 4-containing receptors (Marks et al., 1998, 2000). Figure 6C shows cytisine-sensitive high-affinity epibatidine binding in fetal mice. The primary effect of the 4 L9'S mutation is a gene dose-dependent, significant reduction of the cytisine-sensitive component, from 47.7 to 29.1 to 12.3 fmol/mg, with little effect on cytisine affinity (F_(2.9) = 246.19; p < 10⁴). These data allow the conclusion that the neomycin-selection cassette reduces the expression of the mutated 4 subunit by ~75% in fetal mice, similar to the value (70%) calculated from the less precise experiments in heterozygote L9'S adults.

View larger version (39K): [in this window] [in a new window]   Figure 6.   [125I]Epibatidine binding to mouse brain membranes. A, Epibatidine binding in membranes prepared from adult WT and heterozygous (Het) L9'S brains. Each data point is the mean ± SE; n = 4. B, Epibatidine binding in membranes obtained from WT, heterozygous, and homozygous (Hom) embryonic brains. Each data point is the mean ± SE; n = 4. C, D, Cytisine-sensitive and cytisine-resistant epibatidine binding, respectively, in embryonic membranes. Each data point is the mean ± SE; n = 4; *p < 0.01.

There is a small, insignificant decrease in the cytisine-resistant component between the WT to the L9'S homozygote (Fig. 6D). Low-affinity epibatidine binding sites displaced by cytisine were 12.9 fmol/mg in WT and 16.7 fmol/mg in heterozygote L9'S mice, several fold lower than the value for high-affinity epibatidine binding sites in WT mice.

We measured agonist-stimulated ⁸⁶Rb efflux in adult forebrain synaptosomes as a functional complement to the epibatidine binding (Fig. 7). Synaptosomes stimulated by increasing concentrations of acetylcholine (Fig. 7A) or nicotine (Fig. 7B) released increasing amounts of ⁸⁶Rb. At higher agonist concentrations, synaptosomes obtained from L9'S mice had nearly twofold less rubidium efflux than WT mice after stimulation by either acetylcholine or nicotine, presumably because the mutant mice had fewer receptors. However, these differences were smaller at low concentrations. The ⁸⁶Rb efflux data were analyzed in terms of two saturable components. The high-affinity component (maximal flux, V1) accounted for a threefold to fourfold higher fraction of the efflux for the mutant mice than for WT mice. It should be understood that such an analysis is formal and cannot be readily related to agonist-receptor interactions on a millisecond time scale. Nonetheless, this analysis reveals that the mutant mice have a gain of function at low ACh and nicotine concentrations, consistent with previous data from heterologous expression of the mutant receptor (Labarca et al., 2001) and with the behavioral and electrophysiological data presented above.

View larger version (44K): [in this window] [in a new window]   Figure 7.   Rubidium efflux from synaptosomes prepared from adult WT () and heterozygous L9'S () mouse brains. In each case, the curves represent fits to two components of efflux. The EC50 values (K1, K2) and maximal efflux (V1, V2) are given in the boxes. A, Acetylcholine induced rubidium efflux. Each data point is the mean ± SE; n = 5. B, Nicotine (Nic)-induced rubidium efflux. Each data point is the mean ± SE; n = 5. Het, Heterozygous.

We also measured GABA release from the hippocampus of L9'S and WT mice (S. McCallum, M. J. Marks, and A. Collins, unpublished observations). The results showed no significant difference (<10%) between the KCl- and ACh-stimulated GABA efflux between the two genotypes, suggesting that there are no differences in the proportion of GABAergic nerve terminals. The measurements of ACh-stimulated release lack the precision of the Rb release experiments but show no significant difference (<20%) between V_max for the two genotypes. The EC₅₀ for release (1-3 µM), also showed no significant differences between the two genotypes.

	Discussion

TOP ABSTRACT Introduction Materials and Methods Results Discussion REFERENCES

Molecular, cellular, and circuit basis of the seizure phenotype

Our results show that, when the WT 4 nAChR subunit is replaced by the L9'S mutant, mice become dramatically (approximately eightfold) more sensitive to nicotine-induced seizures. An analogous hypersensitive nAChR knock-in mouse line, the 7 L9'T strain, shows a twofold increase in seizure sensitivity (Broide et al., 2002). The difference in seizure threshold between 4 and 7 mutant mice may be attributable in part to the fact that 42 receptors have much lower EC₅₀ values (~100-fold) for nicotine than homomeric 7 receptors. The nicotine-induced seizures in WT mice were more complex than those induced by lower nicotine levels in L9'S mice, as assessed by both behavioral criteria and by in vivo electrophysiology (Fig. 4), in keeping with the idea that WT nicotine-induced seizures arise from actions on additional nAChRs, probably including 7. The remote possibility that the ~38% decrease in 4 subunits leads to unexpected compensatory changes at other nicotinic receptors, and in turn to the increased seizure sensitivity, is rendered unlikely by the fact (1) that changes in nicotine-induced seizures have not been reported for 4 knock-out mice, and (2) that 4 knock-out mice have an apparent increased sensitivity to bicuculline-induced seizures, in contrast to the present strain (Wong et al., 2002).

The L9'S mutation is not an identified ADNFLE mutation, but it is nonetheless informative. One ADNFLE mutation is at 10' and involves a Leu to Ser switch. The periodicity of mutational effects in the M2 region (Devillers-Thiery et al., 1992) is consistent with the hypothesis that an L9'S mutation could have physiological effects like an S10'L mutation, and several studies indicate that the S10'L mutation has a gain-of-function character (Figl et al., 1998; Bertrand et al., 2002). We therefore propose that knock-in mouse strains bearing the ADNFLE mutations would, like the present strain, have increased susceptibility to seizures. If this hypothesis is verified, the proposed knock-in strains would serve as models for ADNFLE. We lack the equipment to observe these mice systematically for the presence of spontaneous seizures, but in the course of handling several hundreds of these mice for 4 years, including 24 hr ambulation and activity monitoring, we have observed non-agonist-induced seizures only in tacrine-injected mice, which developed handling-induced seizures.

How do gain-of-function 4 nAChRs render a mouse hypersensitive to nicotine-induced seizures? CNS nAChRs may act primarily to modulate presynaptic neurotransmitter release, rather than to produce postsynaptic EPSCs (for review, see Wonnacott et al., 1990; Wonnacott, 1997; but see Ji et al., 2001). After stimulation by a nicotinic agonist, presynaptic nAChR responses could cause terminal depolarization, which in turn would facilitate either excitatory or inhibitory neurotransmitter release. There is good evidence that 4 receptors are primarily on GABAergic interneurons in the hippocampus and neocortex (Alkondon et al., 1997). Therefore activation of inhibitory terminals may result in enhanced GABA release, which, depending on the affected circuit, could inhibit primarily inhibitory pathways, resulting in net excitation. In another scenario, activation of inhibitory terminals and consequent GABA release could contribute to seizure induction by synchronization of glutamatergic neuronal activity (Mody, 1998). Measurements to date indicate only a relatively modest change in ACh-stimulated hippocampal GABA release in the L9'S mutants, suggesting that these changes may occur in only a subset of GABAergic interneurons.

In confirmation of these ideas, relatively low nicotine doses in awake L9'S animals did produce changes in field recordings obtained from chronically implanted electrodes. There was an increase in the peak-to-peak amplitude of EEG traces during behavioral seizures, primarily because of an increased theta rhythm. This observation is consistent with models of extracellular theta current generation in the cortex (Buzsaki, 2002). Cholinergic neurons in the medial septum projecting to pyramidal cells in the hippocampus provide "pacemaker" theta activity in the brain via both muscarinic and nicotinic pathways (Petsche et al., 1966). In our experiments, the presence of hypersensitive 4 nAChRs, stimulated by nicotine, apparently results both in seizure activity and in an enhanced hippocampal theta rhythm, presumably involving the septohippocampal pathway. Because we did not consistently observe spike-wave activity in the hippocampal recordings from the L9'S mice, our data do not allow the conclusion that the seizures originated in the hippocampus.

Hypersensitivity to several nicotinic agonists but not to other drugs

Several compounds were tested to determine the specificity of the L9'S mutation effects on seizure and Straub tail. First, nicotine-induced seizures in L9'S mice were completely blocked by the nicotinic antagonist mecamylamine. Second, epibatidine, a nicotinic receptor agonist (Badio and Daly, 1994), caused Straub tail and seizure in L9'S mice at much lower concentrations than in WT mice. In contrast, bicuculline, a GABA_A receptor blocker and commonly used proconvulsant, caused Straub tail and seizure at similar concentrations in L9'S and WT mice, suggesting that the mutation did not yield a generalized seizure phenotype. Therefore it is unlikely that hypersensitive 4 nAChRs are chronically activated, with a consequent tonic release of excitatory neurotransmitter, and thus maintaining a lowered seizure threshold. Specificity of the Straub tail response observed in L9'S mice was examined with morphine. Morphine-induced Straub tail onset was ~10 times longer than nicotine-induced Straub tail onset, and it was completely blocked by the µ-opioid receptor blocker naloxone. Nicotine-induced Straub tail was significantly diminished by mecamylamine but unaffected by naloxone. Hence, in L9'S mice, Straub tail induction by morphine was very different from that obtained with nicotine. In sum, the behavioral effects observed in L9'S mice appear specific to the stimulation of 4-containing nicotinic circuits.

Tacrine and galanthamine are widely used to delay the cognitive decline associated with Alzheimer's disease and other dementias. Both of these drugs produced seizure and Straub effects at lower concentrations in L9'S mice than in WT mice (Fig. 2C,D), consistent with the view that, by blocking cholinesterase, these drugs produce elevated ACh concentrations near ACh receptors. There is a approximately a fourfold range of galanthamine and tacrine concentrations in which these elevated ACh concentrations appear detectable by hypersensitive but not by normal receptors. Originally it was thought that both drugs were cholinesterase inhibitors and therefore counteracted the effects of cholinergic neuron death. Recent papers propose, however, that galanthamine, but not tacrine, is also a direct allosteric modulator of the 42 receptor (Samochocki et al., 2000; Maelicke et al., 2001). If so, one would expect a mouse with hypersensitive 42 receptors to show a dramatically enhanced behavioral effect of galanthamine compared with tacrine. The L9'S mice are indeed somewhat more sensitive to galanthamine than to tacrine (Fig. 2C,D), providing some evidence for the hypothesis (Fig. 2C,D). There are wide variations in the previously described effective doses for cognitive effects of tacrine and galanthamine in WT mice; the effective doses in the present study seem higher than the range for both drugs (Vincent et al., 1988; Sweeney et al., 1989; Pavone et al., 1998).

Gene dosage effects on viability and hypersensitivity of L9'S strains

We originally designed the L9'S strain to provide a severe gain of function (Labarca et al., 2001); unexpectedly, when both 4 subunits are mutant, the 4(L9'S)2 receptor becomes so sensitive that it actually opens partially in response to choline at concentrations that are present in the CSF (Labarca et al., 2001). In both the neo-deleted heterozygote and the neo-intact homozygote (but not in the neo-intact heterozygote studied here), the resulting excitotoxic damage apparently kills many dopaminergic neurons, and the former two genotypes die soon after birth (Labarca et al., 2001).

The present study shows that the neo-intact allele is expressed at ~25% of WT levels (Fig. 6). The decrease in high-affinity epibatidine binding occurs in the cytisine-sensitive but not in the cytisine-resistant fraction, thus indicating that changes in expression correspond primarily to 42 receptors rather than to other nicotinic receptors such as 7, 32, 34, or 623. The fact that there were no significant changes in epibatidine binding of the cytisine-resistant fraction also suggests that no major compensatory mechanisms at the level of nicotinic receptor expression took place.

Figure 8 presents our view of the relationships among gene dosage, receptor composition, and viability. In brief, only 20% of the 4 subunits are hypersensitive, and the total number of 4 subunits is only ~63% of normal levels. These values lead to the conclusion that only ~4% of the receptors have two 4L9'S (denoted 4* in Fig. 8) subunits, which are activated by choline. Presumably this small number of choline-activated subunits is consistent with viability. These receptors are also 30-fold more sensitive than normal to either ACh or nicotine (Labarca et al., 2001). Some 32% of the receptors have one 4L9'S subunit and one WT subunit; previous data on the muscle nAChR suggest that these receptors have an intermediate level of hypersensitivity (Labarca et al., 1995), although this point has not been measured systematically. We do not know whether the profound agonist-sensitive phenotypes of the present heterozygote L9'S mouse arise primarily from the ~4% of receptors with extreme hypersensitivity or from the ~32% with moderate hypersensitivity. Experiments with less drastically hypersensitive and more viable 4 receptor knock-in strains are now under way and may settle this point.

View larger version (40K): [in this window] [in a new window]   Figure 8.   Expected types and proportions of L9'S and WT 42 receptors in L9'S mice. The 4L9'S subunit is abbreviated 4*. The x-axis is the proportion of hypersensitive subunits, x = 4*/(4* + 4), and runs from 0 to 1. We assume that the complete multimeric receptor has the stoichiometry (4)2(2)3, although the three non- subunits may have a more complex identity. The proportion of receptors with two WT 4 subunits, 1  x2, is shown in green and decreases along the x-axis. The proportion of receptors with one mutant and one WT subunit, x(l  x), is shown in black and peaks at x = 0.5. The proportion of receptors with two mutated subunits, x2, is shown in red and increases along the x-axis. The area inside the green rectangle represents the gene dosage of hypersensitive subunit that allows viable mice. This area extends from 0 to x = 0.2 = 0.25/(1 + 0.25), representing full expression of the normal allele and 25% expression of the mutant allele, as found in the present study. The value x = 0.5 would represent the lethal neo-deleted heterozygote, and x = 1 would represent the lethal neo-deleted and neo-intact homozygotes (Labarca et al., 2001).

Incidentally, the neonatal lethality of the homozygous L9'S line is in contrast to the viability of the 4 knock-out mice (Marubio et al., 1999; Ross et al., 2000). This fact provides additional evidence that the presence of the hypersensitive mutated receptor rather than a decrease in receptor expression, which is complete in the case of the 4 knock-out, is responsible for the observed lethality.

Conclusions

These studies emphasize the utility of gain of function L9'S knock-in mice for examining the function of 4-containing nAChRs in the brain. Data to be reported elsewhere on these mice show the importance of the 4 subunit in mediating nicotine analgesia in supraspinal responses and the minimal 4 modulation of nociception in spinal reflex pathways. The increased sensitivity to agonist-induced seizures of the 4 L9'S subunit may be relevant to the pathophysiology of ADNFLE caused by various mutations in the M2 domain of 4 and 2 receptor subunits.

	FOOTNOTES

Received Sept. 17, 2002; revised Dec. 24, 2002; accepted Jan. 13, 2003.

This work was supported by the Tobacco-Related Disease Research Program; by the Keck Foundation; by National Institutes of Health Grants NS-117656, MH-49176, DA-10156, and DA-11836; and by a National Research Service Award to C.F. We thank Jim Boulter, Bruce Cohen, Bonnie Davis, Ken Davis, Sharon Grady, Margaret Jacobs, Yuan Liu, and Jeanne Wehner for discussion; Sarah McCallum for experiments on GABA release; Istvan Mody and Enric Claverol for teaching us electroencephalography; and Bronagh Glaser for administrative assistance.

Correspondence should be addressed to Henry A. Lester, 156-29 Caltech, Pasadena, CA 91125. E-mail: lester{at}caltech.edu.

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