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Published on: August 5, 2014
Involvement of the thalamic parafascicular nucleus in mesial temporal lobe epilepsy
Mélanie Langlois1, Pierre-Olivier Polack, Hélène Bernard
1Grenoble Institut des Neurosciences, Institut National de la Santé et de la Recherche Médicale U 836-Université Joseph Fourier-Commisariat à l'Energie Atomique Centre Hospitalier Universitaire, 38700 La Tronche, France.
Abstract:
Mesial temporal lobe epilepsy (MTLE) is characterized by focal seizures, associated with hippocampal sclerosis, and often resistance to antiepileptic drugs. The parafascicular nucleus (PF) of the thalamus is involved in the generation of physiological oscillatory rhythms. It receives excitatory inputs from the cortex and inhibitory inputs from the basal ganglia, a system implicated in the control of epileptic seizures. The aim of this study was to examine the involvement of the PF in the occurrence of hippocampal paroxysmal discharges (HPDs) in a chronic animal model of MTLE in male mice. We recorded the local field potential (LFP) and the extracellular and intracellular activity of hippocampal and PF neurons during spontaneous HPDs in vivo. The end of the HPDs was concomitant with a slow repolarization in hippocampal neurons leading to an electrical silence. In contrast, it was associated in the PF with a transient increase in the power of the 10-20 Hz band in LFPs and a depolarization of PF neurons resulting in a sustained firing. We tested the role of the PF in the control of HPDs by single 130 Hz electrical stimulation of this nucleus and bilateral intra-PF injection of NMDA and GABA(A) antagonist and agonist. High-frequency PF stimulation interrupted ongoing HPDs at an intensity devoid of behavioral effects. NMDA antagonist and GABA(A) agonist suppressed hippocampal discharges in a dose-dependent way, whereas NMDA agonist and GABA(A) antagonist increased HPDs. Altogether, these data suggest that the PF nucleus plays a role in the modulation of MTLE seizures.
Insights
The parafascicular nucleus (PF) modulates seizures in mesial temporal lobe epilepsy (MTLE). PF stimulation and targeted drug delivery interrupted or suppressed hippocampal discharges, suggesting a role in seizure control.
Area of Science:
- Neuroscience
- Epileptology
- Thalamic research
Background:
- Mesial temporal lobe epilepsy (MTLE) involves focal seizures, hippocampal sclerosis, and drug resistance.
- The parafascicular nucleus (PF) of the thalamus influences brain rhythms and receives cortical and basal ganglia input.
- The basal ganglia system is implicated in controlling epileptic seizures.
Purpose of the Study:
- To investigate the role of the parafascicular nucleus (PF) in hippocampal paroxysmal discharges (HPDs) in a mouse model of MTLE.
- To analyze neuronal activity in the hippocampus and PF during spontaneous HPDs.
- To assess the effect of PF modulation on HPDs.
Main Methods:
- In vivo electrophysiological recordings (LFP, extracellular, and intracellular) of hippocampal and PF neurons during spontaneous HPDs in a chronic MTLE mouse model.
- High-frequency electrical stimulation of the PF nucleus.
- Bilateral intra-PF injections of NMDA and GABA(A) receptor modulators.
Main Results:
- HPD termination correlated with hippocampal repolarization and PF neuron depolarization with sustained firing.
- High-frequency PF stimulation interrupted ongoing HPDs without behavioral side effects.
- NMDA antagonists and GABA(A) agonists suppressed HPDs dose-dependently, while NMDA agonists and GABA(A) antagonists increased them.
Conclusions:
- The parafascicular nucleus (PF) plays a significant role in modulating MTLE seizures.
- PF nucleus activity is altered during HPDs, suggesting its involvement in seizure generation or termination.
- Targeting the PF nucleus offers a potential therapeutic strategy for MTLE treatment.
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