Layer-specific generation and propagation of seizures in slices of developing neocortex: role of excitatory GABAergic

Sylvain Rheims1, Alfonso Represa, Yehezkel Ben-Ari

  • 1Institut de Neurobiologie de la Mediterranee, Institut National de la Santé et de la Recherche Médicale U901, Université de la Méditerranée, Marseille, France. sylvain.rheims@free.fr

Insights

Neonatal seizures in the neocortex transition from interictal to ictal events. This shift involves pyramidal neuron depolarization and is inhibited by bumetanide, highlighting excitatory GABA's role in infantile epilepsies.

Area of Science:

  • Neuroscience
  • Epilepsy Research
  • Neonatal Neurology

Background:

  • The neonatal period is a critical window for seizure susceptibility.
  • Neocortical networks play a central role in infantile epilepsies.
  • Understanding seizure generation mechanisms in immature brains is crucial.

Purpose of the Study:

  • To investigate the transition from interictal seizures (IISs) to ictal seizures (ISs) in immature neocortical networks.
  • To elucidate the roles of different neuronal layers and cell types in seizure generation and propagation.
  • To explore the involvement of excitatory GABA and NKCC1 transporters in neonatal seizures.

Main Methods:

  • Application of 4-aminopyridine (4-AP) to immature (P6-P9) rat neocortical slices.
  • Cell-attached recordings to monitor neuronal activity (action potentials).
  • Single N-methyl-d-aspartate (NMDA) channel recordings to measure cell resting potential (Em).
  • Administration of bumetanide, a NKCC1 co-transporter antagonist.

Main Results:

  • 4-AP induced layer-specific IISs in immature neocortical slices, which transformed into ISs.
  • Transition to ISs correlated with gradual Em depolarization of L2/3 and L5/6 pyramidal neurons, increasing excitability.
  • Deep layer (L5/6) neurons initiated IISs, propagating to superficial layers (L2/3) via interneurons.
  • Bumetanide inhibited IIS generation and prevented their transformation to ISs, suggesting excitatory GABA contributes to epilepsy.

Conclusions:

  • Deep layer neurons are more susceptible to seizures than superficial ones during development.
  • The transition from IISs to ISs involves enhanced excitability of pyramidal neurons due to Em depolarization.
  • Inhibition of NKCC1 by bumetanide offers a potential therapeutic strategy for neonatal seizures by targeting excitatory GABA effects.

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