Chronic activation of CREB and p90RSK in human epileptic hippocampus

Sun Ah Park1, Tai Seung Kim, Kyeong Sook Choi

  • 1Department of Neurology, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, CPO Box 8044, Seoul 120-752, Korea.

Insights

Chronic activation of CREB and p90RSK in the hippocampus is linked to pathological changes in mesial temporal lobe epilepsy (MTLE). These signaling molecules are significantly increased in MTLE patients, particularly in reactive astrocytes.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Epilepsy Research

Background:

  • Mesial temporal lobe epilepsy (MTLE) causes significant neuronal death and reactive gliosis in the hippocampus.
  • The precise molecular mechanisms driving these pathological changes in MTLE are not fully understood.
  • Extracellular signal-regulated kinase (ERK) pathway activation has been observed in reactive glia within human epileptic hippocampi.

Purpose of the Study:

  • To investigate the downstream signaling molecules of ERK involved in the pathogenesis of MTLE.
  • To determine the activation status and protein levels of CREB and p90RSK in the epileptic hippocampus of MTLE patients.

Main Methods:

  • Western blot analysis was employed to assess the phosphorylation and protein levels of CREB and p90RSK.
  • Immunohistochemical analysis was used to examine the cellular distribution of activated CREB and p90RSK in hippocampal subfields and adjacent temporal lobes.

Main Results:

  • Western blot analysis revealed strong activation of CREB (cAMP response element-binding protein) and p90RSK (90 kDa ribosomal S6 kinase) in MTLE patients.
  • Increased active forms of CREB and p90RSK were due to elevated phosphorylation and protein levels.
  • Activation was observed throughout hippocampal subfields, notably in proliferating reactive astrocytes associated with Ammon's horn sclerosis (AHS), but not significantly in adjacent temporal lobes.

Conclusions:

  • Chronic activation of CREB and p90RSK in the epileptic hippocampus is closely associated with the histopathological features of AHS in MTLE.
  • These findings highlight the potential role of CREB and p90RSK signaling in the molecular pathology of MTLE.