Abstract
Brain insults, such as trauma, stroke, anoxia, and status epilepticus (SE), cause multiple changes in synaptic function and intrinsic properties of surviving neurons that may lead to the development of epilepsy. Experimentally, a single SE episode, induced by the convulsant pilocarpine, initiates the development of an epileptic condition resembling human temporal lobe epilepsy (TLE). Principal hippocampal neurons from such epileptic animals display enhanced spike output in response to excitatory stimuli compared with neurons from nonepileptic animals. This enhanced firing is negatively related to the size of the slow afterhyperpolarization (sAHP), which is reduced in the epileptic neurons. The sAHP is an intrinsic neuronal negative feedback mechanism consisting normally of two partially overlapping components produced by disparate mechanisms. One component is generated by activation of Ca2+-gated K+ (KCa) channels, likely KCa3.1, consequent to spike Ca2+ influx (the KCa-sAHP component). The second component is generated by enhancement of the electrogenic Na+/K+ ATPase (NKA) by spike Na+ influx (NKA-sAHP component). Here we show that the KCa-sAHP component is markedly reduced in male rat epileptic neurons, whereas the NKA-sAHP component is not altered. The KCa-sAHP reduction is due to the downregulation of KCa3.1 channels, mediated by cAMP-dependent protein kinase A (PKA). This sustained effect can be acutely reversed by applying PKA inhibitors, leading also to normalization of the spike output of epileptic neurons. We propose that the novel “acquired channelopathy” described here, namely, PKA-mediated downregulation of KCa3.1 activity, provides an innovative target for developing new treatments for TLE, hopefully overcoming the pharmacoresistance to traditional drugs.
SIGNIFICANCE STATEMENT Epilepsy, a common neurological disorder, often develops following a brain insult. Identifying key molecular and cellular mechanisms underlying acquired epilepsy is critical for developing effective antiepileptic therapies. In an experimental model of acquired epilepsy, we show that principal hippocampal neurons become intrinsically hyperexcitable. This alteration is due predominantly to the downregulation of a ubiquitous class of potassium ion channels, KCa3.1, whose main function is to dampen neuronal excitability. KCa3.1 downregulation is mediated by the cAMP-dependent protein kinase A (PKA) signaling pathway. Most importantly, it can be acutely reversed by PKA inhibitors, leading to recovery of KCa3.1 function and normalization of neuronal excitability. The discovery of this novel epileptogenic mechanism hopefully will facilitate the development of more efficient pharmacotherapy for acquired epilepsy.
Introduction
Temporal lobe epilepsy (TLE) is the most common form of adult epilepsy (Téllez-Zenteno and Hernández-Ronquillo, 2012). It is often instigated by a brain insult, which triggers a cascade of pathological alterations, termed epileptogenesis, leading to the establishment of brain hyperexcitability and the emergence of spontaneous seizures (Becker, 2018). Seizures commonly arise in the hippocampus and/or related mesiotemporal structures (Spencer and Spencer, 1994). Approximately 20–30% of TLE patients become refractory to existing antiepileptic medication, thus presenting an almost untreatable medical condition (Kwan et al., 2011).
An epileptic condition resembling human TLE can be produced in rodents by a single episode of chemically induced status epilepticus (SE; Raol and Brooks-Kayal, 2012). A plethora of alterations in plasma membrane ion channels, synaptic transmission, gap-junctional coupling, and glial cell function were documented in post-SE hippocampal tissue (Pitkänen et al., 2015; Becker, 2018). Some of these alterations enhance hippocampal excitability, whereas others may serve a compensatory inhibitory function.
Pyramidal cells in hippocampal tissue obtained from post-SE, chronically epileptic rats, generate considerably more spikes in response to a given depolarization than neurons in non-SE tissue (Tamir et al., 2017). A key factor contributing to this enhanced spike output is a decrease in size of the slow afterhyperpolarization (sAHP; Tamir et al., 2017), an intrinsic neuronal negative feedback mechanism that mediates spike frequency accommodation in many types of neurons (Madison and Nicoll, 1984; Ha and Cheong, 2017). In pyramidal cells maintained in near-physiological conditions, the sAHP is composed of two partially overlapping components (Gulledge et al., 2013; Tiwari et al., 2018). One component arises from the activation of Ca2+-gated K+ (KCa) channels by spike Ca2+ influx (KCa-sAHP component). The KCa channels generating KCa-sAHP have been recently identified as KCa3.1, the intermediate conductance KCa channels (King et al., 2015; Turner et al., 2016; Sahu et al., 2017). The second component results from augmented activation of the Na+/K+ ATPase [NKA (or Na+ pump)] by spike Na+ influx (NKA-sAHP component). The two components are subjected to differential regulation. For example, the activation of the cAMP-dependent protein kinase A (PKA) inhibits KCa-sAHP (Madison and Nicoll, 1986; Pedarzani and Storm, 1993; Haug and Storm, 2000), but fails to modify the NKA-sAHP (Mohan et al., 2019). In contrast, endogenous “cardiotonic” steroids suppress NKA-sAHP activity without directly affecting the KCa-sAHP (Gulledge et al., 2013; Tiwari et al., 2018). Given the key role of the sAHP in determining intrinsic neuronal excitability, it is important to explore which of its two components is modified in epileptic tissue and characterize the underlying mechanisms.
Here we have investigated the latter issue using the established rat pilocarpine-SE model of TLE (Turski et al., 1983; Sanabria et al., 2001). We report that the NKA-sAHP component in CA1 pyramidal cells remains unchanged even 5–6 weeks post-SE, whereas the KCa-sAHP component is strongly downregulated due to the dysfunction of KCa3.1 channels. We also show that this newly discovered “acquired channelopathy” contributes to the intrinsic hyperexcitability in post-SE neurons, and therefore may contribute to seizure generation in TLE.
Materials and Methods
Animal groups.
Experimental protocols were approved by the local Animal Care and Use Committee. Wistar male rats (150–175 g) were used. Male rats were preferred because they are more than fivefold more prone than female rats to develop SE following pilocarpine injection (Scharfman and MacLusky, 2014), which is a prerequisite for developing chronic epilepsy (Turski et al., 1983; Sanabria et al., 2001). Rats were injected intraperitoneally with a single dose of pilocarpine (300–380 mg/kg), inducing SE in ∼80% of the animals. Peripheral muscarinic effects were reduced by prior administration of methyl-scopolamine (1 mg/kg, s.c.). Diazepam (0.1 mg/kg, i.p.) was administered to seizing rats 2 h after pilocarpine injection, terminating convulsions. The 24 h mortality rate of the latter animals was ∼10%. Rats surviving the pilocarpine-induced SE constituted the post-SE group (n = 66). Rats receiving the same drug treatment protocol, but without pilocarpine, constituted the non-SE group (n = 35). Each group comprised two subgroups: acute-phase rats were killed 2 d after drug treatment; chronic-phase rats were killed 5–6 weeks later.
Preparation of hippocampal slices.
Rats were decapitated under isoflurane anesthesia, and transverse dorsal hippocampal slices (400 μm) were prepared with a vibratome and transferred to a storage chamber perfused with oxygenated (95% O2 and 5% CO2) standard artificial CSF (aCSF) at room temperature. For recording, slices were placed one at a time in an interface chamber and superfused with warmed (35.0°C) oxygenated standard aCSF containing additional drugs, as indicated.
Solutions.
The standard aCSF comprised the following (in mm): 124 NaCl, 3.5 KCl, 1 MgCl2, 1.6 CaCl2, 26 NaHCO3, and 10 glucose, pH 7.35; osmolarity 305 mOsm. All aCSFs used for recordings also contained 15 μm 6-cyano-7-nitroquinoxaline-2,3-dione (CNQX), 50 μm aminophosphonovalerate (APV), 100 μm picrotoxin, and 1 μm CGP55845 to block excitatory and inhibitory synaptic transmission; and 20 μm ZD7288 to block HCN channels. The aCSF designed to block voltage-gated Ca2+ channels also contained NiCl2 (200 μm) and CdCl2 (200 μm). The aCSFs used for recording Ca2+ spikes or Ca2+-dependent potentials and currents contained 0.5 μm tetrodotoxin, 5 mm 4-aminopyridine, 10 μm XE991 (a blocker of KV7/M channels), and 100 nm apamin (a blocker of small conductance KCa channels).
Electrophysiology.
Intracellular recordings were obtained using sharp glass microelectrodes containing 4 m K+-acetate (90–110 MΩ) and a bridge amplifier (Axoclamp 2B, Molecular Devices) allowing switching between current-clamp and discontinuous voltage-clamp recordings (switching frequency between current injection and voltage sampling, 6–8 kHz). Signals were filtered on line at 1.5 kHz, digitized at a sampling rate of ≥10 kHz, and stored by a personal computer using a data acquisition system (Digidata 1322A) and pCLAMP9 software (Molecular Devices).
The pyramidal cells included in this study had a stable resting membrane potential (Vm) of at least −60 mV and an overshooting action potential. In standard aCSF, resting Vm values were similar across the four rat subgroups, as were input resistance, spike threshold current (rheobase current), and spike amplitude (Table 1). To reduce variations in spike output and in sAHP amplitudes across the pyramidal cells due to differences in resting Vm (Tiwari et al., 2018), all recordings were made from a “resting” Vm of −70 mV maintained by constant current injection.
Comparisons between non-SE and post-SE rats with respect to membrane properties of CA1 pyramidal cells
Chemicals.
Picrotoxin, CGP55845, NiCl2, CdCl2, TRAM34, pilocarpine, Rp-Adenosine 3′,5′-cyclic monophosphorothioate triethylammonium (RPcAMP), scopolamine, and ouabain were obtained from Sigma-Aldrich; CNQX and APV from Alomone Labs; ZD7288 from Tocris Bioscience; and H89 from Abcam-Zotal. Drugs were diluted 1:1000 when added to the aCSF from stock solutions.
Data analysis.
The experimenter was not blind to the animal condition, because brains of chronic-phase post-SE rats, when compared with non-SE rats, often look shrunken, the cell density in the pyramidal layer is reduced, evoked field potentials manifest multiple spiking, and spike ADPs are larger (Sanabria et al., 2001). Statistical analyses were performed using SPSS, QuickCalcs, and MS Excel. Statistical tests included paired and unpaired (two-tail) Student's t test, Mann–Whitney test (unpaired comparisons), and Wilcoxon signed rank test (paired comparisons). Plots of number of spikes (Ns) versus stimulus intensity (I; in nA) were fitted with a second-order polynomial regression equation: f(y) = b2x2 + b1x + b0. The initial slope of the regression line (parameter b1) provided the slope (referred to as “firing response gain”) of the relationship (Tamir et al., 2017). Plots of sAHP amplitudes versus the number of spikes were fitted with the following linear regression equation: f(y) = ax + b (a), the slope of the regression line. Summary data are presented as the mean ± SEM from n rats or neurons. Statistical significance in each case is denoted as follows: *p < 0.05, **p ≤ 0.01, and ***p ≤ 0.001. The values of the t statistic and the df were added to all comparisons using the Student's t test.
Results
Electrophysiological recordings were made in CA1 pyramidal cells in slices obtained from 66 rats that experienced pilocarpine-induced SE (post-SE) and 35 rats that did not (non-SE). Each of these two animal groups comprised the following two subgroups: acute-phase rats (n = 8 post-SE and n = 8 non-SE rats), which were killed 2 d after conditioning drug treatment; and chronic-phase rats (n = 58 post-SE and 27 non-SE rats), which were killed 5–6 weeks later (see Materials and Methods). Each rat provided no more than two slices for experimental recordings. Depending on the type of experiment, each slice provided data from one or two neurons.
The chronic-phase rats in both non-SE and post-SE groups were approximately two times heavier than acute-phase rats. However, no significant differences in animal weights were found between acute-phase non-SE (203.4 ± 1.6 g; n = 8) and post-SE (194.6 ± 14.6 g; n = 8) subgroups (unpaired Student's t test: t = 0.92; df = 14; p = 0.37) or between the chronic-phase non-SE (403.5 ± 9.8 g; n = 27) and post-SE (414.6 ± 10.5 g; n = 58) subgroups (unpaired Student's t test: t = 0.5; df = 83; p = 0.8).
Spike output is increased in post-SE CA1 pyramidal cells
Chronic-phase post-SE pyramidal cells fire more spikes than non-SE pyramidal cells in response to similar excitatory stimuli (Tamir et al., 2017). We have investigated this issue further in all four subgroups of neurons. Spikes and afterpotentials were evoked by 1-s-long positive current pulses applied, in steps of 0.15 nA, from 0.15 to 1.2 nA. The Ns increased with I. The firing responses evoked by 0.3 nA current pulses in representative non-SE and post-SE chronic-phase neurons are shown in Figure 1A. Spike response gain values obtained from the Ns/I plots (see Materials and Methods) indicated that chronic-phase post-SE neurons fire significantly many more spikes than respective non-SE neurons (65.2 ± 6.8 and 30.2 ± 3.9 N/I, respectively; n = 19 and n = 8, respectively; Mann–Whitney test, ***p = 0.0005; Fig. 1B). Comparison between acute-phase subgroups indicated that the spike response gain of post-SE neurons was mildly, albeit significantly, larger than that of non-SE neurons (Table 2). However, it was significantly smaller than that of chronic-phase post-SE neurons (Table 2), indicating that the excitability of post-SE CA1 pyramidal cells continues to increase after the second post-SE day. In contrast, spike response gain values of acute- and chronic-phase non-SE neurons were similar, confirming that intrinsic neuronal excitability does not normally change over the time course of 5–6 weeks.
Spike outputs and sAHPs evoked by depolarizing current pulses in acute- and chronic-phase non-SE and post-SE neurons. A, Spikes were evoked in chronic-phase CA1 pyramidal cells by 1-s-long depolarizing current pulses from a resting Vm of −70 mV (dashed line). a, b, Representative recordings of spike responses to 0.3 nA stimuli are shown for a non-SE (a) and a post-SE neuron (b). B, Plots of the number of spikes versus stimulus intensity for the two subgroups of chronic-phase neurons. Note the significant increase in spike output of post-SE neurons compared with non-SE neurons. Ca, b, Representative recordings of sAHPs evoked by 0.3 nA stimuli are shown for a non-SE (a) and a post-SE neuron (b). In each panel, the insets depict the sAHP in an enlarged format. Time points of amplitude measurements are indicated by arrows in Ca. Da, Summary plots of early sAHP amplitudes (measured at time point 1 s after the stimulus) versus the number of spikes evoked by the stimuli for the two subgroups of chronic-phase neurons. Db, Same as in a, but for late sAHP amplitudes (measured at time point 7 s after the stimulus). Note the significant decrease in early sAHP amplitudes in the post-SE neurons.
Comparisons between non-SE and post-SE neurons with respect to spike response gain values (Ns/I slopes) and sAHP/Ns slopes
sAHPs evoked by variable spike sequences are reduced in post-SE neurons
We next investigated the relationship between spike output and sAHP amplitude in the four subgroups. Figure 1C depicts representative traces of sAHPs evoked by the spike response to 0.3 nA stimuli in chronic-phase non-SE neurons (n = 12; Fig. 1Ca) and post-SE neurons (n = 19; Fig. 1Cb). Increasing stimulus intensity augmented not only the number of evoked spikes, but also the amplitude of the resultant sAHPs. For quantification, we measured sAHP amplitudes at two time points following the end of the depolarizing pulse (Fig. 1Ca, inset). The early sAHP amplitude was measured at 1 s, at which time the sAHP no longer overlaps with the medium-duration AHP (the latter afterpotential lasts ∼200 ms; Storm, 1989). The late sAHP amplitude was measured at 7 s, at which time the contribution of KCa-sAHP to the composite sAHP is small (Gulledge et al., 2013; Tiwari et al., 2018).
Plots of early sAHP amplitudes (Fig. 1Da) and late sAHP amplitudes (Fig. 1Db) versus Ns were nearly linear in each animal subgroup. Therefore, these plots were fitted with linear regression lines, whose slopes (sAHP/Ns slopes) were used for statistical comparisons (see Materials and Methods). Chronic-phase non-SE neurons (n = 12; Fig. 1Ca) displayed a significantly much larger early sAHP/Ns slope than post-SE neurons (n = 19; Fig. 1Cb; 0.32 ± 0.07 and 0.15 ± 0.04 mV/Ns, respectively; Mann–Whitney test, **p = 0.009; Fig. 1Da). No differences in the late sAHP/Ns slopes were found between the two groups of neurons (0.07 ± 0.02 vs 0.04 ± 0.01 mV/Ns, respectively; Mann–Whitney test, p = 0.35; Fig. 1Db). These results indicate that the higher spike response gain of chronic post-SE neurons is associated with, and likely caused by, smaller early sAHPs.
In acute-phase neurons, the early and late sAHP/Ns slopes in non-SE and in post-SE neurons were similar (Table 2). These results indicate that the sAHPs are not modified 2 d after pilocarpine-SE, but decrease thereafter. Congruently, chronic-phase post-SE neurons displayed a significantly smaller early sAHP/Ns slope than acute-phase post-SE neurons, whereas early and late sAHP/Ns slopes in both chronic- and acute-phase non-SE neurons were the same (Table 2).
Together, our results show that the reduction in early sAHP amplitude and the associated increase in spike output in chronic-phase post-SE neurons are a manifestation of the chronic epileptic condition. Therefore, we restricted the following experiments to changes in sAHPs in chronic-phase neurons.
sAHPs evoked by stereotyped spike trains are reduced in post-SE neurons
We further investigated the mechanisms of sAHP reduction in chronic-phase post-SE neurons using sAHPs evoked by stereotyped spike trains. To that end, we evoked sAHPs with 150 brief (2-ms-long) suprathreshold depolarizing current pulses delivered at 50 Hz. The size of each sAHP was assessed using early and late sAHP amplitudes, as well as the integrated “area under the curve” (simply, “area”; see Materials and Methods; Fig. 2Ab).
The sAHPs evoked by stereotyped spike trains in chronic-phase non-SE and post-SE neurons. Aa, A representative recording of an sAHP in a non-SE neuron following a train of 150 spikes elicited at 50 Hz (spikes are truncated) from resting Vm of −70 mV (dashed line). b, Enlarged depiction of the sAHP in a, showing the three measures of sAHP size: Early sAHP (1 s after spike train), Late sAHP (7 s after spike train), and Area (colored region between baseline and sAHP). Ba, b, Representative recordings of sAHPs evoked by spike trains in a non-SE neuron (a) and in a post-SE neuron (b). Bc–e, The bar diagrams show the measured values of the sAHPs in the two subgroups of neurons: c, early sAHP amplitudes; d, late sAHP amplitude; e, sAHP area. The early sAHP was significantly smaller in the post-SE neurons. **p ≤ 0.01. n.s., Not significant.
Representative sAHPs recorded in non-SE (n = 30) and post-SE neurons (n = 40) are shown in Figure 2B. The early sAHP amplitudes in post-SE neurons were significantly reduced compared with non-SE neurons (to 71.2% of control; −9.1 ± 0.6 and −6.5 ± 0.6 mV, respectively; unpaired Student's t test: t = 3.2; df = 68; **p = 0.002; Fig. 2Bc). However, no differences in late sAHP amplitudes (−3.9 ± 0.3 and −4.4 ± 0.3 mV, respectively; unpaired Student's t test: t = 0.9; df = 68; p = 0.82; Fig. 2Bd) and in areas (−97.3 ± 6.9 and −96.4 ± 6.9 mV*s, respectively; unpaired Student's t test: t = 1.8; df = 68; p = 0.07; Fig. 2Be) were found between the two groups.
Differential conductance changes during the sAHPs in non-SE and post-SE neurons
The preferential decrease in early sAHP in post-SE neurons suggests that the KCa-sAHP component, but not the NKA-component, is reduced in these neurons (Tiwari et al., 2018). We tested this notion using four different approaches. First, we monitored the membrane conductance during the sAHP in non-SE and post-SE neurons. To that end, negative current pulses (50 ms, −50 pA) were applied continuously at 2 Hz while also evoking sAHPs with trains of 150 spikes. The amplitudes of the resultant brief hyperpolarizations were measured ∼4 s before the spike train (baseline conductance measurement), as well as early (within 250 ms to 1 s) and late (∼7 s) after the spike train (i.e., during the sAHP; Fig. 3Aa). In the non-SE group (n = 8), the early amplitudes were significantly reduced compared with baseline values (to 68.6 ± 6.5%; t = 3.0; df = 14; **p = 0.009), whereas the late amplitudes were unchanged (102.5 ± 9.1%; t = 0.21; df = 14; p = 0.839; Fig. 3Aa,b,c). In contrast, the amplitudes of the brief test hyperpolarizations were not significantly reduced during the sAHP in post-SE neurons (n = 9) at both time points (early: 84.8 ± 6.5%; unpaired Student's t test, t = 1.7; df = 16; p = 0.157; late: 94.1 ± 7.4%; unpaired Student's t test, t = 0.6; df = 16; p = 0.616; Fig. 3Ba,b,c). Because the KCa-sAHP component, but not the NKA-sAHP component (provided HCN channels are blocked; Tiwari et al., 2018), is associated with a conductance increase, these findings support the notion that KCa-sAHP is preferentially reduced in chronic-phase post-SE neurons. They also indicate that the early sAHP reduction in post-SE neurons is not due to shunting by activation of a depolarizing membrane conductance.
Membrane conductance changes during sAHPs in chronic-phase non-SE and post-SE neurons. A, To monitor the membrane conductance during an sAHP, a train of negative current pulses (50 ms, −50 pA) was applied at 2 Hz before and after the 150 spikes train (50 Hz) evoking the sAHP. Aa, A representative recording of an sAHP and the voltage responses to the test pulses in a non-SE neuron. b, Expanded depiction of three voltage responses taken from the recording in a: one pretrain response (pretrain pulses; at top) and two overlaid post-train responses occurring 1 and 7 s after the spike train (post-train pulse 1 and post-train pulse 2, respectively; at bottom). c, Bar diagram summarizing the amplitudes of the post-train pulses normalized to the amplitude of the pretrain pulse. Note that post-train pulse 1 is significantly reduced in amplitude, indicating an increase in membrane conductance at this time point. B, Same as in A, but for post-SE neurons. The small reduction in post-train pulse 1 amplitude is not significant. **p ≤ 0.01. n.s., Not significant.
Blocking NKA activity differentially affects the sAHPs in non-SE and post-SE neurons
We next monitored the effects of blocking NKA transport activity. In non-SE neurons (n = 10), bath-applied ouabain (10 μm) significantly, albeit partially, reduced early sAHP amplitudes (to 74.4% of control; from −8.6 ± 0.8 to −6.4 ± 0.7 mV; paired Student's t test: t = 2.9; df = 9; *p = 0.02; Fig. 4Aa,b). Late sAHP amplitudes (to 23.1% of control; from −4.1 ± 0.5 to −0.9 ± 0.3 mV; paired Student's t test: t = 6.6; df = 9; ***p = 0.0001; Fig. 4Aa,c) and sAHP areas (to 29.8% of control; from −95.9 ± 12.1 to −28.6 ± 6.1 mV*s; paired Student's t test: t = 6.5; df = 9; ***p = 0.0001; Fig. 4Aa,d) were more strongly reduced by ouabain. These findings confirm that in non-SE neurons, NKA activity contributes partially to the early part of the sAHP and even more to its late part (Tiwari et al., 2018).
Differential ouabain sensitivity in chronic-phase non-SE and post-SE neurons. A, The effect of ouabain on the sAHPs in non-SE neurons. a, Two overlaid representative traces of the sAHPs in a single neuron before, and 20 min after, the application of 10 μm ouabain to the slice. b–d, Summary bar diagrams showing the measured values of the sAHPs before (Control) and after drug application (Ouabain): b, Early sAHP amplitudes; c, Late sAHP amplitudes; and d, Areas. While both early and late sAHPs are reduced by ouabain, the reduction of the late sAHP is more intense, similar to the reduction in area. B, Same as in A, but for chronic-phase post-SE neurons. Note the equal and strong suppression of both early and late sAHPs. *p < 0.05, **p ≤ 0.01, ***p ≤ 0.001.
In post-SE neurons (n = 6), however, ouabain reduced almost completely the early sAHP amplitudes (to 17.6% of control; from −6.8 ± 0.7 to −1.2 ± 0.5 mV; paired Student's t test: t = 5.1; df = 5; p = **0.004; Fig. 4Ba,b) and the late sAHP amplitudes (to 14.0% of control; from −4.6 ± 0.7 to −0.6 ± 0.4 mV; paired Student's t test: t = 4.1; df = 5; ***p = 0.0005; Fig. 4Ba,c), as well as sAHP areas (to 3.3% of control; from −105.2 ± 14.1 to −3.5 ± 1.1 mV*s; paired Student's t test: t = 6.9; df = 5; ***p = 0.0001; Fig. 4Ba,d). These results further support the notion that sAHPs in the post-SE neurons lack a significant KCa-sAHP component.
Blocking voltage-gated Ca2+ currents differentially affects the sAHPs in non-SE and post-SE neurons on the sAHP
We further tested the latter hypothesis using Cd+Ni aCSF to block voltage-gated Ca2+ channels, thereby eliminating the KCa-sAHP component (Tiwari et al., 2018). In non-SE neurons (n = 10), this treatment reduced preferentially the early sAHP amplitudes (to 56.0% of control; from −9.1 ± 0.6 to −5.1 ± 0.8 mV; paired Student's t test: t = 4.7; df = 9; **p = 0.001; Fig. 5Aa,b), but also the late sAHP amplitudes (to 69.3% of control; from −3.9 ± 0.3 to −2.7 ± 0.5 mV; paired Student's t test: t = 2.1; df = 9; *p = 0.04; Fig. 5Aa,c) and the sAHP areas (to 63.5% of control; −104.6 ± 7.3 to −66.8 ± 8.2 mV*s; paired Student's t test: t = 4.9; df = 9; **p = 0.002; Fig. 5Aa,d). In contrast, the same treatment in post-SE neurons (n = 18) affected neither early sAHP amplitudes (from −6.5 ± 0.6 to −5.9 ± 0.8 mV; paired Student's t test: t = 1.5; df = 17; p = 0.6; Fig. 5Ba,b) nor late sAHP amplitudes (from −4.4 ± 0.3 to −4.1 ± 0.5 mV; paired Student's t test: t = 1.7; df = 17; p = 0.25; Fig. 5Ba,c), nor sAHP areas (from −92.0 ± 4.2 to −76.1 ± 5.0 mV*s; paired Student's t test: t = 2.0; df = 17; p = 0.056; Fig. 5Ba,d). This differential effect of Cd+Ni aCSF also indicates the absence of a KCa-sAHP component in post-SE neurons.
Blocking voltage-gated Ca2+ channels or KCa3.1 channels differentially affects sAHPs in chronic-phase non-SE and post-SE neurons. A, The effect of changing from standard aCSF to Cd+Ni aCSF on the sAHPs in non-SE neurons. a, Two overlaid representative traces of the sAHPs in a single neuron before, and 30 min after, changing from standard aCSF (Control) to Cd+Ni aCSF. b–d, Summary bar diagrams showing early sAHP amplitudes (b), late sAHP amplitudes (c), and sAHP areas (d) before (Control) and after changing to Cd+Ni. While both early and late sAHP amplitudes are reduced by Cd+Ni, the reduction in early sAHP amplitude is more conspicuous. B, Same as in A, but for post-SE neurons. Note that changing to Cd+Ni aCSF has no effect on the sAHPs in these neurons. C, The effect of TRAM34 on the sAHPs in chronic-phase non-SE neurons. a, Two overlaid representative traces of the sAHPs in a single neuron before, and 30 min after, applying 5 μm TRAM34. b–d, Summary bar diagrams showing early sAHP amplitudes (b), late sAHP amplitudes (c), and sAHP areas (d) before (Control) and after applying the drug (TRAM34). While both early and late sAHP amplitudes are reduced by TRAM34, the reduction in early sAHP amplitude is more conspicuous. D, Same as in C, but for post-SE neurons. Note that TRAM34 has no effect on the sAHPs in these neurons. E, Comparison of the sAHPs recorded in Cd+Ni aCSF (i.e., the isolated NKA-sAHPs) between non-SE and post-SE neurons. a–c, The summary bar diagrams show early sAHP amplitudes (a), late sAHP amplitudes (b), and sAHP areas (c) in the two subgroups. No significant differences are found. F, Comparison of the sAHPs recorded in TRAM34 (predominantly NKA-sAHPs) between non-SE and post-SE neurons. a–c, The summary bar diagrams show early sAHP amplitudes (a), late sAHP amplitudes (b), and sAHP areas (c) in the two subgroups. No differences in early and late sAHPs are found between the two subgroups of neurons, but the sAHP area is significantly enhanced in the latter subgroup. *p < 0.05, **p ≤ 0.01. n.s., Not significant.
Blocking KCa3.1 current differentially affects the sAHPs in non-SE and post-SE neurons
For the last test of the latter hypothesis, we used the selective KCa3.1 channel antagonist TRAM34, which was previously shown to suppress KCa-sAHP CA1 pyramidal cells (King et al., 2015; Turner et al., 2016; Tiwari et al., 2018). In non-SE neurons (n = 6), bath-applied TRAM34 (5 μm) reduced most strongly the early sAHP amplitudes (to 56.1% of control; from −10.7 ± 0.9 to −6.0 ± 0.8 mV; paired Student's t test: t = 10.4; df = 5; **p = 0.004; Fig. 5Ca,b), but also the late sAHP amplitudes (to 65.8% of control; from −4.42 ± 0.94 to −2.91 ± 0.42 mV; paired Student's t test: t = 2.2; df = 5; *p = 0.04; Fig. 5Ca,c) and the sAHP areas (to 64.4% of control; from −87.3 ± 13.6 to −56.2 ± 10.1 mV*s; paired Student's t test: t = 4.6; df = 5; **p = 0.006; Fig. 5Ca,d). In contrast, in post-SE neurons (n = 7) TRAM34 had no significant effect on early sAHP amplitudes (from −6.3 ± 0.8 to −5.9 ± 0.7 mV; paired Student's t test: t = 0.3; df = 6; p = 0.8; Fig. 5Da,b), late sAHP amplitudes (from −4.38 ± 0.44 to −3.94 ± 0.29 mV; paired Student's t test; t = 1.2; df = 6; p = 0.42; Fig. 5Da,c), and sAHP areas (from −88.3 ± 8.5 to −88.5 ± 9.9 mV*s; paired Student's t test: t = 0.05; df = 6; p = 0.98; Fig. 5Da,d). This differential effect of TRAM34 also indicates the absence of a KCa-sAHP component in post-SE neurons.
As further analyses, we compared chronic-phase non-SE and post-SE neurons with respect to sAHPs recorded under Cd+Ni or TRAM34. In these conditions, the sAHPs consist almost entirely of the NKA-sAHP component (Tiwari et al., 2018). In slices perfused with Cd+Ni aCSF, the early sAHP amplitudes (−5.1 ± 0.8 and −5.9 ± 0.8 mV; unpaired Student's t test: t = 0.6; df = 26; p = 0.50; Fig. 5Ea), late sAHP amplitudes (−2.72 ± 0.49 and −4.13 ± 0.49 mV; unpaired Student's t test: t = 1.8; df = 26; p = 0.08; Fig. 5Eb), and sAHP areas (−66.8 ± 8.2 and −76.1 ± 5.0 mV*s; unpaired Student's t test: t = 1.0; df = 26; p = 0.08; Fig. 5Ec) of non-SE neurons (n = 10) and post-SE neurons (n = 18) were similar. Likewise, in slices treated with TRAM34, early sAHP amplitudes (−6.0 ± 0.8 and −5.9 ± 0.7 mV; unpaired Student's t test: t = 0.09; df = 11; p = 0.9; Fig. 5Fa) and late sAHP amplitudes (−2.9 ± 0.4 to −3.9 ± 0.3 mV; unpaired Student's t test: t = 2.0; df = 11; p = 0.06; Fig. 5Fb) were similar in the two groups (n = 6 and 7, respectively). Intriguingly, NKA-sAHP areas were significantly larger in post-SE neurons (by 57.6% of control; −56.2 ± 10.1 to −88.5 ± 9.9 mV*s; unpaired Student's t test: t = 2.3; df = 11; *p = 0.04; Fig. 5Fc). As the latter effect was not seen in Cd+Ni aCSF, we conclude that the NKA-sAHP component is not altered appreciably in post-SE neurons.
Isolated KCa-sAHP and IsAHP are reduced in post-SE neurons
Isolation of KCa-sAHP by blocking NKA activity provides only a limited time window for monitoring this component (Fig. 4), as protracted NKA inhibition leads to the dissipation of ion gradients and to the deterioration of cellular function. Therefore, to record “pure” KCa-sAHP, we perfused slices with an aCSF whose composition was designed to block Na+-dependent spikes and to allow the evocation of Ca2+ spikes (Lancaster and Nicoll, 1987; Yue and Yaari, 2006; Tiwari et al., 2018; see Materials and Methods). These spikes were readily evoked by 90-ms-long depolarizing current pulses of 0.4–0.6 nA. In the same neurons and experimental conditions, we also used discontinuous voltage-clamp recordings to monitor the current generating the KCa-sAHP, referred to as IsAHP. The latter current was evoked by 100-ms-long voltage steps to −15 mV from a holding potential of −70 mV (see Materials and Methods).
A representative Ca2+ spike followed by a KCa-sAHP recorded in a chronic-phase non-SE neuron is shown in Figure 6Aa. Its underlying IsAHP is shown in Figure 6Ab. In non-SE neurons, the time to peak, peak amplitude, and duration of isolated KCa-sAHPs averaged 250.2 ± 1.0 ms, −9.5 ± 1.2 mV, and 4.3 ± 0.3 s, respectively (n = 23).
PKA inhibition with RPcAMP or H89 largely restores the suppressed KCa-sAHP and IsAHP in chronic-phase post-SE neurons. Aa, b, Representative recordings of a KCa-sAHP evoked by a Ca2+ spike (shown in inset; a) and an IsAHP evoked by a depolarizing pulse (b) in a non-SE neuron. B, Same as in A, but recordings were made in a post-SE neuron. C, Same as in A, but recordings were made in non-SE slices treated for >1 h with the PKA inhibitor RPcAMP (100 μm). D, Same as in B, but recordings were made in post-SE slices treated for >1 h with the PKA inhibitor RPcAMP. E, Same as in C, but recordings were made in non-SE slices treated for >1 h with the PKA inhibitor H89 (10 μm). F, Same as in D, but recordings were made in post-SE slices treated for >1 h with the PKA inhibitor H89. Note that in this condition the KCa-sAHP and IsAHP in the non-SE and post-SE neurons appear similar in size. G, Summary bar diagram of KCa-sAHP amplitudes (measured at the peak of the sAHP) in non-SE and post-SE neurons recorded in normal aCSF and in RPcAMP or H89-containing aCSF. H, Summary bar diagram of IsAHP amplitudes (measured at peak current) in non-SE and post-SE neurons recorded in normal aCSF and RPcAMP or H89 containing aCSF. Note that both KCa-sAHP and IsAHP values are markedly and significantly reduced in post-SE neurons, and are largely restored by treating slices with PKA inhibitors (RPcAMP or H89). I, Spikes were evoked by a series of 1-s-long depolarizing current pulses in non-SE and post-SE neurons, all treated with H89. The two plots depict the number of spikes versus stimulus intensity in the two groups of neurons. Although post-SE neurons fire more spikes, the difference between the two plots is not significant, indicating that H89 treatment reduces the excitability of post-SE neurons to near the non-SE level. ***p ≤ 0.001. n.s., Not significant.
In chronic-phase post-SE neurons (n = 23), KCa-sAHPs (Fig. 6Ba) were remarkably (44.7%) smaller in amplitude compared with non-SE neurons (−4.2 ± 0.6 and −9.5 ± 1.2 mV, respectively; unpaired Student's t test: t = 4.0; df = 44; ***p = 0.0002; Fig. 6G). These differences were not consequent to changes in the Ca2+ spikes, as no differences were found in their thresholds (0.48 ± 0.04 and 0.58 ± 0.05 nA, respectively; unpaired Student's t test: t = 1.6; df = 44; p = 0.12) and peak amplitudes (63.1 ± 2.2 and 63.4 ± 2.8 mV, respectively; unpaired Student's t test: t = 0.08; df = 44; p = 0.92). Congruently, the IsAHP values recorded in post-SE neurons (Fig. 6Bb) were also much smaller (33.7%) than in non-SE neurons (56.1 ± 9.3 and 166.0 ± 11.3 pA, respectively; unpaired Student's t test: t = 7.5; df = 44; ***p = 0.0001; Fig. 6H).
Together, these data indicate that KCa-sAHP is markedly reduced in chronic-phase post-SE neurons due to a decrease in its underlying IsAHP.
Protein kinase A blockers normalize KCa-sAHP, IsAHP, and spike output in post-SE neurons
Activation of PKA by cAMP inhibits KCa-sAHP and IsAHP in CA1 pyramidal cells (Madison and Nicoll, 1986; Pedarzani and Storm, 1993, 1995). Therefore, we tested whether KCa-sAHP reduction in chronic-phase post-SE neurons might be mediated by persistently activated PKA. To that end, we treated chronic-phase slices with the cell-permeable PKA inhibitor RPcAMP (Dostmann et al., 1990; Wang et al., 1991). The drug (100 μm) was applied to the slice 1 h before and throughout the recording session. In non-SE neurons, KCa-sAHP amplitudes in RPcAMP-treated neurons (−9.0 ± 1.3 mV; n = 6) were similar to those in untreated neurons (−9.5 ± 1.2 mV; n = 23; unpaired Student's t test: t = 0.2; df = 27; p = 0.76; Fig. 6G). Likewise, IsAHP amplitudes were also similar in the RPcAMP-treated subgroup (142.7 ± 12.6 pA) and the untreated subgroup (166.0 ± 11.3 pA; unpaired Student's t test: t = 1.0; df = 27; p = 0.20; Fig. 6H). Thus, inhibiting PKA with RPcAMP by itself had no significant effect on KCa-sAHP in non-SE neurons.
Intriguingly, KCa-sAHP amplitudes in RPcAMP-treated post-SE neurons (−7.1 ± 1.1 mV; n = 5; Fig. 6Da) were significantly 1.7-fold larger than in untreated post-SE neurons (−4.2 ± 0.6 mV; n = 23; unpaired Student's t test: t = 2.1; df = 26; *p = 0.02; Fig. 6Ba) and slightly but insignificantly smaller (79.7%) than those in drug-treated non-SE neurons treatment (−9.0 ± 1.3 mV; n = 6; unpaired Student's t test: t = 0.7; df = 26; p = 0.30 Fig. 6Ca,G). Likewise, IsAHP amplitudes in drug-treated post-SE neurons (100.5 ± 17.1 pA; n = 5; Fig. 6Db) were significantly 1.8-fold larger than in untreated post-SE neurons (56.1 ± 9.3 pA; n = 23; unpaired Student's t test, t = 2.1; df = 26; *p = 0.04; Fig. 6Bb) and slightly but insignificantly smaller in amplitude (70.4%) than those in RPcAMP-treated non-SE neurons treatment (142.7 ± 12.6 pA; n = 6; unpaired Student's t test: t = 1.5; df = 26; p = 0.10; Fig. 6Cb,H).
Treating non-SE neurons with RPcAMP did not affect Ca2+-spike rheobase currents (from 0.48 ± 0.04 to 0.54 ± 0.09 nA; unpaired Student's t test, t = 0.7; df = 27; p = 0.57) and amplitudes (from 63.1 ± 2.2 to 60.6 ± 1.9 mV; unpaired Student's t test: t = 0.6; df = 27; p = 0.42). Similarly in post-SE neurons, drug treatment did not affect Ca2+-spike rheobase currents (from 0.58 ± 0.05 to 0.62 ± 0.10 nA; unpaired Student's t test: t = 0.3; df = 26; p = 0.56) and amplitudes (from and 63.4 ± 2.8 to 58.2 ± 1.8 mV; unpaired Student's t test: t = 0.8; df = 26; p = 0.38). Together, these results indicate that inhibiting PKA restores KCa-sAHP and its underlying current to nearly normal values.
We performed similar experiments using another cell-permeable PKA inhibitor, H89 (Chijiwa et al., 1990). The drug (10 μm) was applied to the slice 1 h before and throughout the recording session. In non-SE neurons, KCa-sAHP amplitudes in H89-treated neurons (−9.6 ± 1.2 mV; n = 6) were similar to those in untreated neurons (−9.5 ± 1.2 mV; n = 23; unpaired Student's t test: t = 0.04; df = 27; p = 0.96; Fig. 6G). Likewise, IsAHP amplitudes were not significantly different in the H89-treated subgroup (131.1 ± 11.8 pA; n = 6) compared with the untreated subgroup (166.0 ± 11.3 pA; n = 23; unpaired Student's t test: t = 1.5; df = 27; p = 0.11; Fig. 6H). Thus, inhibiting PKA with H89 by itself had no significant effect on KCa-sAHP in non-SE neurons.
As seen with RPcAMP, KCa-sAHP amplitudes in H89-treated post-SE neurons (−8.7 ± 0.7; n = 6; Fig. 6Fa), were significantly 2.1-fold larger than in untreated post-SE neurons (−4.2 ± 0.6; n = 23; unpaired Student's t test: t = 3.6; df = 27; ***p = 0.001) and very slightly and insignificantly smaller in amplitude (90.4%) than those in H89-treated non-SE neurons (−9.6 ± 1.2 mV; n = 6; unpaired Student's t test: t = 0.6; df = 10; p = 0.53; Fig. 6Ea,G). Likewise, IsAHP amplitudes in H89-treated post-SE neurons (106 ± 13.50 pA; n = 6; Fig. 6Fb) were significantly 1.9-fold larger than in untreated post-SE neurons (56.1 ± 9.3; n = 23; unpaired Student's t test: t = 2.5; df = 27; *p = 0.02; Fig. 6Bb) and slightly and insignificantly smaller in amplitude (81.3%) than in H89-treated non-SE neurons (131.1 ± 11.8 pA; n = 6; unpaired Student's t test: t = 1.4; df = 10; p = 0.20; Fig. 6Eb,H).
Treating non-SE neurons with H89 did not affect Ca2+-spike rheobase currents (from 0.48 ± 0.04 to 0.43 ± 0.06 nA; unpaired Student's t test: t = 0.6; df = 27; p = 0.53) and amplitudes (from 63.1 ± 2.2 to 62.3 ± 3.7 mV; unpaired Student's t test: t = 0.2; df = 27; p = 0.86). Similarly, in post-SE neurons, H89 treatment did not affect Ca2+-spike rheobase currents (from 0.48 ± 0.04 to 0.62 ± 0.05 nA; unpaired Student's t test: t = 1.7; df = 27; p = 0.07) and amplitudes (from 63.4 ± 2.8 to 53.9 ± 3.4 mV; unpaired Student's t test: t = 1.6; df = 27; p = 0.12). Thus, inhibiting PKA with H89 restores KCa-sAHP and its underlying current to almost normal values.
Together, these findings suggest that persistent PKA activation underlies KCa-sAHP and IsAHP suppression in chronic-phase post-SE neurons. Therefore, we tested whether restoring KCa-sAHP with H89 will also reverse the increase in spike output of chronic-phase post-SE neurons. These experiments were conducted in standard aCSF containing 10 μm H89. Spikes were evoked in non-SE and post-SE H89-treated neurons using 1-s-long positive current pulses, as described above (Fig. 1A). As seen in the Ns/I plots (Fig. 6I), post-SE neurons (n = 10; one additional neuron was excluded as an outlier, because increasing I caused a decrease in Ns and associated sAHP) tended to generate slightly more spikes than non-SE neurons (n = 12), but the difference in spike response gain values was not significant (47.6 ± 5.0 and 43.9 ± 3.9 Ns/I, respectively; Mann–Whitney test, p = 0.75; compare Fig. 1B). Thus, restoring the KCa-sAHP in post-SE neurons by inhibiting PKA largely reverses the increase in their excitability.
TRAM34 differentially affects KCa-sAHP and IsAHP in non-SE and post-SE neurons
We next tested the effects of TRAM34 (5 μm) on the isolated KCa-sAHP and IsAHP in chronic-phase neurons. In non-SE neurons (n = 9), TRAM34 markedly and significantly decreased KCa-sAHP amplitudes (to 56.2% of control; from −9.5 ± 1.2 to −5.3 ± 0.7 mV; paired Student's t test: t = 2.6; df = 8; **p = 0.004; Fig. 7Aa,C) and IsAHP amplitudes (to 31.5% of control; from 166.4 ± 11.3 to 52.4 ± 13.8 pA; paired Student's t test, t = 5.0; df = 8; **p = 0.004; Fig. 7Ab,D). In contrast, in post-SE neurons (n = 8), TRAM34 affected neither KCa-sAHP amplitudes (from −4.2 ± 0.6 to −3.3 ± 0.5 mV; paired Student's t test: t = 0.8; df = 7; p = 0.27; Fig. 7Ac,E) nor IsAHP amplitudes (from 56.1 ± 9.3 to 38.6 ± 15.3 pA; paired Student's t test: t = 0.1; df = 7; p = 0.35; Fig. 7Ad,F).
TRAM34 suppresses the native and restored KCa-sAHP and IsAHP in chronic-phase non-SE and post-SE neurons. Aa, b, Representative recordings of KCa-sAHPs evoked by Ca2+ spikes (shown overlaid in inset; a) and IsAHP values evoked by depolarizing pulses (b) in a non-SE neuron before (Control) and after the addition of 5 μm TRAM34 to the aCSF. c, d, Likewise, in a post-SE neuron. B, Same as in A, but recordings were made in slices treated with the PKA inhibitor H89. Note that in this condition TRAM34 also strongly suppresses the KCa-sAHP and IsAHP in the post-SE neuron. C, Summary bar diagram of KCa-sAHP amplitudes in non-SE neurons before (Control) and after the addition of TRAM34 to the aCSF. D, Summary bar diagram of IsAHP amplitudes in non-SE neurons before (Control) and after the addition of TRAM34 to the aCSF. E, Same as in C, but for post-SE neurons. F, Same as in D, but for post-SE neurons. Note that both KCa-sAHPs and IsAHPs restored by H89 treatment are sensitive to TRAM34. **p ≤ 0.01, ***p ≤ 0.001. n.s., Not significant.
In non-SE neurons, TRAM34 had no effects on Ca2+ spike rheobase currents (from 0.48 ± 0.04 to 0.51 ± 0.04 nA; paired Student's t test: t = 0.5; df = 8; p = 0.60) and amplitudes (from 63.1 ± 2.2 to 66.5 ± 1.7 mV; paired Student's t test: t = 1.2; df = 8; p = 0.23). In post-SE subgroups, TRAM34 also had no effects on Ca2+ spike rheobase currents (from 0.58 ± 0.05 to 0.54 ± 0.05 nA; paired Student's t test: t = 0.6; df = 7; p = 0.52) and amplitudes (from 63.1 ± 2.2 to 66.5 ± 1.7 mV; paired Student's t test: t = 1.2; df = 7; p = 0.10).
We similarly tested the effects of TRAM34 on the isolated KCa-sAHP and IsAHP in H89-treated chronic-phase neurons. In H89-treated non-SE neurons (n = 5), TRAM34 markedly and significantly decreased KCa-sAHP amplitudes (to 30.4% of control; from −9.6 ± 1.2 to −2.9 ± 0.4 mV; paired Student's t test: t = 4.8; df = 4; ***p = 0.0009; Fig. 7Ba,C) and IsAHP amplitudes (to 23.3% of control; from 131.1 ± 11.8 to 30.5 ± 6.1 pA; paired Student's t test: t = 6.0; df = 4; ***p = 0.0001; Fig. 7Bb,D). In H89-treated post-SE neurons in which both KCa-sAHP and IsAHP were restored (n = 5), TRAM34 also markedly and significantly decreased KCa-sAHP amplitudes (to 20.9% of control; from −8. 7 ± 0.7 to −1.8 ± 0.6 mV; paired Student's t test: t = 9.3; df = 4; ***p = 0.0001; Fig. 7Bc,E) and IsAHP amplitudes (to 29.3% of control; from 106.7 ± 13.5 to 31.3 ± 4.5 pA; paired Student's t test: t = 5.3; df = 4; ***p = 0.0007; Fig. 7Bd,F).
In H89-treated non-SE neurons, TRAM34 had no effects on Ca2+ spike rheobase currents (from 0.43 ± 0.06 to 0.55 ± 0.09 nA; n = 5; paired Student's t test, t = 1.9; df = 4; p = 0.30) and amplitudes in (from 62.3 ± 3.7 to 71.0 ± 3.6 mV; paired Student's t test: t = 2.7; df = 4; p = 0.13). Likewise, in H89-treated post-SE neurons, TRAM34 had no effects on Ca2+ rheobase currents (from 0.62 ± 0.05 to 0.57 ± 0.03 nA; paired Student's t test: t = 0.9; df = 4; p = 0.43) and amplitudes in (from 53.9 ± 3.4 to 62.1 ± 1.3 mV; paired Student's t test: t = 1.5; df = 4; p = 0.05).
These results confirm that KCa-sAHP and IsAHP in rat CA1 pyramidal cells are generated largely by KCa3.1 channels. Their marked reduction in chronic-phase post-SE neurons is due mainly to PKA-mediated downregulation of KCa3.1 channels and is acutely reversible by PKA inhibition. The identity of the channels generating the residual TRAM34 insensitive KCa-sAHP and IsAHP has yet to be determined.
TRAM34 differentially affects spike output in non-SE and post-SE neurons
Finally, we examined the effects of TRAM34 on spike output in chronic-phase neurons in standard aCSF. Spikes and sAHPs were evoked using 1-s-long positive current pulses, as described above (Fig. 1A). The firing responses evoked by 0.3 nA pulses in a representative non-SE neuron before and after application of TRAM34 are shown in Figure 8A. TRAM34 caused a marked increase in spike output in all cases (n = 6; Fig. 8Aa,b). As evident from the Ns/I plots (Fig. 8Ba), TRAM34 caused a significant increase in spike response gain values (from 32.0 ± 3.6 to 51.4 ± 7.4 Ns/I; Wilcoxon signed rank test, *p = 0.04).
TRAM34 differentially affects spike outputs and sAHPs in chronic-phase non-SE and post-SE neurons. A, Spikes were evoked in a non-SE neuron by 1-s-long depolarizing current pulses from resting Vm of −70 mV. a, b, Representative recordings of spike responses and subsequent sAHPs evoked by 0.3 nA stimuli in the same neuron in standard aCSF before (a) and after (b) the addition of 5 μm TRAM34. The insets depict the spike responses in an enlarged format. The sAHPs evoked in the two conditions are enlarged and overlaid in c. Note the increased spike output and reduced sAHP in TRAM34. Ba, Summary plots of number of spikes versus stimulus intensity for non-SE neurons before (Control) and after TRAM34 application. Note that TRAM34 significantly increases spike output in these neurons. b, Summary plots of early sAHP amplitudes (measured at time point 1 s after the stimulus) versus the number of spikes evoked in non-SE neurons before (Control) and after TRAM34 application. c, Same as in b, but for late sAHP amplitudes (measured at time point 7 s after the stimulus). Note that in these non-SE neurons, TRAM34 significantly suppresses the early sAHPs but not the late sAHPs. C, Same as in A, but for post-SE neurons. D, Same as in B, but for post-SE neurons. Note that in post-SE neurons, TRAM34 has no significant effects on spike outputs and sAHPs. Ea, Comparison of summary plots of number of spikes versus stimulus intensity between TRAM34-treated non-SE neurons and untreated post-SE neurons. b, Same as in a, but for summary plots of early sAHP amplitudes versus the number of spikes. c, Same as in a, but for summary plots of late sAHP amplitudes versus the number of spikes. Note that TRAM34-treated non-SE neurons are similar to post-SE neurons with respect to spike output and sAHP size.
The TRAM34-induced enhanced spike output was associated with sAHP reduction (Fig. 8Ac), consistent with the notion that the increase in spike output is secondary to KCa-sAHP inhibition by TRAM34. Congruently, analyses of the TRAM34-induced sAHP reduction indicated that the early sAHP/Ns ratio was significantly reduced (from 0.32 ± 0.07 to 0.11 ± 0.01; Wilcoxon signed rank test, *p = 0.02 mV/Ns; Fig. 8Bb), whereas the late sAHP/Ns ratio was not (from 0.06 ± 0.01 to 0.05 ± 0.01 mV/Ns; Wilcoxon signed rank test, p = 0.34; Fig. 8Bc).
We next tested whether TRAM34-induced enhancement of spike output is occluded in post-SE neurons (n = 8). As shown in a representative recording from such a neuron, adding TRAM34 did not noticeably affect spike output (Fig. 8Ca,b). Indeed, analyses of the Ns/I plots indicated that spike response gain values were not affected by TRAM34 in these neurons (from 64.3 ± 10.7 to 64.0 ± 7.2 Ns/I; Mann–Whitney test, p = 0.82; Fig. 8Da). Likewise, the small sAHPs in post-SE neurons were not further reduced by TRAM34 (Fig. 8Cc), as evident from analyses of early sAHP/Ns ratios (from 0.15 ± 0.04 to 0.11 ± 0.05 mV/Ns; Mann–Whitney test, p = 0.28; Fig. 8Db) and late sAHP/Ns ratios (0.07 ± 0.02 to 0.07 ± 0.03 mV/Ns; Mann–Whitney test, p = 0.28; Fig. 8Dc).
These data show that the effects of TRAM34 are occluded in chronic-phase post-SE neurons, as expected if this drug targets KCa3.1 channels that are already downregulated. Congruently, TRAM34-treated non-SE neurons (n = 6) and TRAM34-untreated post-SE neurons (n = 8), manifested similar spike response gain values (51.4 ± 7.4 and 64.3 ± 10.7 Ns/I, respectively; Mann–Whitney test, p = 0.91; Fig. 8Ea). They were also alike in early sAHP/Ns (0.11 ± 0.01 and 0.15 ± 0.04 mV/Ns, respectively; Mann–Whitney test, p = 0.07; Fig. 8Eb) and late sAHP/Ns ratios (0.05 ± 0.01 to 0.07 ± 0.02 mV/Ns, respectively; Mann–Whitney test, p = 0.53; Fig. 8Ec).
Discussion
In the present study, we show that the sAHP, a key determinant of neuronal spike output, is strongly reduced in chronic-phase post-SE (i.e., epileptic) CA1 pyramidal cells, causing these neurons to fire more spikes in response to an excitatory stimulus. The sAHP reduction is due to a selective decrease in the KCa-sAHP component and its underlying current IsAHP, whereas the NKA-sAHP component is resilient to the epileptogenic process. Given that IsAHP is largely mediated by KCa3.1 channels, our study suggests that these channels are downregulated in the epileptic neurons. This effect likely is due to enhanced PKA activity, as PKA inhibition restores IsAHP to near non-SE levels. The KCa-sAHP reduction and resultant increase in spike output of principal neurons, may contribute to the emergence of the chronic epileptic condition in post-SE rats.
Potential mechanisms underlying KCa3.1 downregulation in epileptogenesis
Multiple mechanisms are implicated in IsAHP generation and regulation, and aberration of any one of them may contribute to its persistent downregulation in epileptic neurons. Because PKA activation inhibits IsAHP (Madison and Nicoll, 1986; Pedarzani and Storm, 1993; Haug and Storm, 2000), but fails to modify NKA transport activity in CA1 pyramidal cells (Mohan et al., 2019), we explored its possible involvement in this phenomenon. Intriguingly, the PKA inhibitors H89 and RPcAMP restored most of the TRAM34-sensitive IsAHP that was downregulated in epileptic neurons. These drugs did not modify IsAHP in non-SE slices. Therefore, we conclude that IsAHP is downregulated in the epileptic neurons consequent to enhanced PKA activity.
The KCa3.1 channel is ubiquitously expressed in the plasma membrane of neural and non-neural cells (Wulff and Castle, 2010; Turner et al., 2015). It is voltage independent and is exclusively gated by the binding of intracellular Ca2+ to calmodulin, a Ca2+-binding protein tethered tightly to the proximal C terminus of KCa3.1 channel α subunit (Fanger et al., 1999; Khanna et al., 1999; Morales et al., 2013). Studies in non-neural tissues and in expression systems have demonstrated inhibition of KCa3.1 activity by PKA-mediated phosphorylation at sites located at the calmodulin-binding region of the channel (Neylon et al., 2004; Choi et al., 2012; Wong and Schlichter, 2014).
The IsAHP reduction by PKA-mediated phosphorylation is normally reversed by serine/threonine phosphatases (PPs), such as PP-1, PP-2A, and/or PP-2B (Pedarzani et al., 1998; Vogalis et al., 2004). Inhibition of these PPs also would reduce IsAHP by augmenting the effect of ongoing PKA-mediated KCa3.1 phosphorylation. Our finding that PKA inhibitors restore IsAHP is more congruent with increased PKA activity than with decreased PP activity as the main mechanism of IsAHP reduction in epileptic neurons. In either case, however, PKA activity is the main cause of KCa3.1 downregulation in the epileptic neurons.
What may cause a sustained increase in PKA activity in epileptic neurons? Multiple primary messengers converge via G-protein-coupled receptors (GPCRs) and the PKA signaling pathway to suppress IsAHP (Madison and Nicoll, 1986; Pedarzani and Storm, 1993; Haug and Storm, 2000). Upregulation of one or more of these messengers and/or receptors following pilocarpine-induced SE would persistently enhance KCa3.1 phosphorylation, leading to IsAHP reduction in epileptic neurons. For example, it was shown that pilocarpine-SE induces a sustained increase in the tonic activity of mesolimbic dopaminergic neurons (Cifelli and Grace, 2012), some of which also project to CA1 (Verney et al., 1985). Enhanced release of dopamine onto CA1 pyramidal cells likely would cause IsAHP suppression via PKA activation (Pedarzani and Storm, 1995).
Further studies with selective GPCRs antagonists are required to identify primary messengers whose enhanced activity in epileptic tissue may induce IsAHP suppression in principal neurons.
KCa3.1 downregulation and enhanced neuronal firing in epileptogenesis
As previously described, the spike output of chronic-phase post-SE neurons was increased compared with chronic-phase non-SE neurons or early-phase post-SE neurons (the two latter groups manifested similar spike outputs). This increase in firing was associated with a decrease in the early sAHP and likely is the consequence of the reduced negative feedback normally provided by KCa-sAHP.
Numerous studies have shown previously that blocking KCa-sAHP enhances spike output in normal CA1 pyramidal cells (Madison and Nicoll, 1984; Lancaster and Nicoll, 1987; Pedarzani and Storm, 1993, 1995; King et al., 2015). The question then arises of whether KCa-sAHP suppression is the main mechanism responsible for the increased spike output in epileptic CA1 pyramidal cells (Tamir et al., 2017). Three findings are pertinent to this question. First, the spike output of chronic-phase non-SE neurons or early-phase post-SE neurons treated with TRAM34 to block KCa-sAHP was quantitatively similar to that of the epileptic neurons. Second, the facilitation of spike output by TRAM34 was occluded in the epileptic neurons. Third, restoring KCa-sAHP in epileptic neurons by inhibiting PKA activity decreased spike output back to near non-SE values. Altogether, these results strongly suggest that KCa-sAHP reduction in epileptic neurons is the predominant mechanism underlying the increase in spike output.
Constancy of the NKA-sAHP in epileptogenesis
Unlike the KCa-sAHP component, the NKA-sAHP component did not change in post-SE neurons, suggesting that neuronal NKA activity is resilient to the epileptogenic process. Former studies of NKA transport activity, using biochemical methodology in homogenized hippocampal tissue from pilocarpine-treated animals, reported either an increase (rats; Fernandes et al., 1996) or a decrease (mice; Funck et al., 2014) in chronic-phase post-SE rat tissue. Whatever the reason for the discrepant results, these studies do not provide insight into specific changes in neuronal NKAs, as homogenized tissue comprises multiple cell types. Our observations of NKA activity in single identified neurons suggest that major alterations in neuronal NKA transport activity do not occur in pilocarpine-SE-induced epileptogenesis.
Notwithstanding, the selective decrease in KCa-sAHP in epileptic neurons and the resultant increase in their excitability imply that NKAs are bestowed a critical role in controlling the excitability of epileptic tissue (i.e., transient reductions in NKA activity would be more likely to provoke seizures in neuronal tissue lacking functional KCa3.1 channels than in tissue containing operative channels). Given that the transport activity of neuronal NKAs is also continuously regulated by phosphorylation/dephosphorylation (Mohan et al., 2019), as well as by ATP availability (Erecińska and Dagani, 1990), endogenous “cardiotonic” steroids (Bagrov et al., 2009), and numerous other factors (Therien and Blostein, 2000), it is conceivable that even physiological fluctuations in NKA activity that normally are innocuous may provoke seizures in epileptic brain.
Concluding remarks
Epileptogenesis induced by SE is associated with multiple translational and post-translation modifications of gene expression (Pitkänen et al., 2015). The epileptic condition likely results from several alterations in synaptic and neuronal functions, conjointly perturbing the delicate excitation/inhibition balance that normally prevents the outbreak of seizures. Previous studies of the pilocarpine-SE model have disclosed several acquired channelopathies that may contribute to epileptogenesis and/or to the maintenance of the epileptic condition—upregulation of T-type voltage-gated Ca2+ channels (Su et al., 2002; Yaari et al., 2007; Becker et al., 2008) and of persistent Na+ channels (Chen et al., 2011; Royeck et al., 2015), as well as the downregulation of dendritic A-type K+ channels (Bernard et al., 2004) and of HCN channels (Jung et al., 2007, 2010). The design of new antiepileptogenic and antiepileptic treatments based on these putative drug targets is beginning to yield encouraging results (Doeser et al., 2015; van Loo et al., 2015). The novel acquired channelopathy described here, namely, the almost complete downregulation of KCa3.1 activity, provides another innovative and promising target for developing new treatments for TLE, hopefully overcoming the pharmacoresistance to traditional drugs.
Footnotes
This work was supported by the Israeli Science Foundation and the Deutsch-Israelische Projectkooperation program of the Deutsche Forschungsgemeinschaft.
- Correspondence should be addressed to Yoel Yaari at yoely{at}ekmd.huji.ac.il