Loss of dynorphin-mediated inhibition of voltage-dependent Ca2+ currents in hippocampal granule cells isolated from epilepsy patients is associated with mossy fiber sprouting
Section snippets
Patient data
Surgical specimens from 14 patients with pharmaco-resistant TLE were obtained for electrophysiological analysis (see Table 1; average age at surgery 33.5±10.9 years). The mean duration of TLE in the patients was 19.2±11.7 years (mean±S.E.M.) and the mean age at the onset of seizures was 14.3±9.0 years. All patients suffered from complex partial seizures, with additional simple partial seizures in 11 patients and additional secondary generalized seizures in nine patients. One patient also
Dynorphin immunohistochemistry
Dynorphin immunohistochemistry was performed on 13/14 specimens investigated electrophysiologically (see Table 1, no dynorphin staining could be obtained for patient A6). In all tested specimens dynorphin immunoreactivity was observed within granule cell bodies with some intercellular variation (Fig. 1). In addition, mossy fiber terminals appeared as clusters of immunoreaction product near cell bodies and proximal dendrites of hilar neurons in the CA4 region and of pyramidal cells in the CA3
Discussion
The mossy fiber bundle is composed of the axons of dentate granule cells which form glutamatergic synapses on dendrites of CA3 pyramidal neurons and interneurons in the CA3 and hilar region of the hippocampus. In addition to glutamate, mossy fibers contain and co-release dynorphin, enkephalins and zinc.5., 20., 21., 28. These substances may exert modulatory effects on NMDA receptors, GABA receptors and VDCCs.
In human epilepsy, sprouting and reorganization of the mossy fiber bundle is one of the
Conclusion
We conclude that dynorphin inhibits VDCCs in granule cells from patients with lesion-associated epilepsy without mossy fiber sprouting. Thus, in these patients, release of dynorphin from granule cell dendrites11 may lead to inhibition of VDCCs. Such inhibition may markedly attenuate the propagation of excitatory postsynaptic potentials towards the soma. In contrast, dynorphin fails to inhibit VDCCs in granule cells of hippocampi with recurrent mossy fiber sprouting, even though it is present in
Acknowledgements
This research was supported by a University of Bonn Center grant BONFOR 111/2, the Sonderforschungsbereich SFB 400 of the Deutsche Forschungsgemeinschaft, DFG EL 122/7-1 and the joint German-Israeli research program. We thank Prof. Schramm, Dr Behrens and Dr van Roost for providing neurosurgical specimens and M. Reitze and D. Langendörfer for expert technical assistance.
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