Muscarinic M1 receptors modulate endotoxemia-induced loss of synaptic plasticity

Aleksandar R Zivkovic1, Oliver Sedlaczek2, Rebecca von Haken3

  • 1Department of Anesthesiology, Heidelberg University Hospital, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany. aleksandar.zivkovic@med.uni-heidelberg.de.

Insights

Septic encephalopathy impairs brain function, affecting synaptic plasticity in the hippocampus. Targeting small conductance calcium-activated potassium (SK) channels or boosting cholinergic activity may treat this condition.

Area of Science:

  • Neuroscience
  • Pathophysiology
  • Pharmacology

Background:

  • Septic encephalopathy causes rapid cortical dysfunction.
  • Magnetic resonance imaging (MRI) revealed hippocampal abnormalities in patients with septic delirium.
  • An animal model was used to investigate hippocampal dysfunction during sepsis.

Purpose of the Study:

  • To investigate the mechanisms underlying hippocampal dysfunction in sepsis.
  • To explore potential therapeutic targets for septic encephalopathy.

Main Methods:

  • Induction of endotoxemia in rats using lipopolysaccharide (LPS) injections.
  • Electrophysiological recordings in brain slices to assess synaptic plasticity.
  • Assessment of long-term potentiation (LTP) deficits.

Main Results:

  • Endotoxemia induced a deficit in long-term potentiation (LTP).
  • Apamin, an SK channel blocker, completely reversed the LTP deficit.
  • Physostigmine (an acetylcholinesterase inhibitor) and TBPB (an M1 agonist) partly restored LTP.

Conclusions:

  • Small conductance calcium-activated potassium (SK) channels play a role in endotoxemia-induced synaptic dysfunction.
  • Enhancing cholinergic function or M1 receptor activity can restore synaptic plasticity deficits.
  • Pharmacological interventions targeting SK channels or cholinergic pathways may treat septic delirium.

Related Concept Videos

Cholinergic Receptors: Muscarinic01:25

Cholinergic Receptors: Muscarinic

The pharmacological actions of acetylcholine are elicited via its binding to two families of cholinergic receptors or cholinoceptors, namely, muscarinic and nicotinic receptors. Muscarinic receptors are G protein-coupled receptors and have five subtypes, M1–M5. All mAChR subtypes are activated by acetylcholine and blocked by the antagonist, atropine. 
The subtypes M1, M3, and M5 couple with the Gq subunit and activate the phospholipase C (PLC) activity, mobilizing intracellular Ca2+....
6.0K
Cholinergic Antagonists: Pharmacological Actions01:28

Cholinergic Antagonists: Pharmacological Actions

Antimuscarinic drugs block muscarinic receptors in multiple systems, including the gut, eye, smooth muscles, respiratory tract, cardiovascular, and central nervous systems. They produce similar effects with varying selectivity depending on the specific agent and tissue. Here are the key pharmacological actions of antimuscarinics:
Gastrointestinal Effects: Antimuscarinics reduce gut contractions, increase gastric emptying, and slow intestinal transit. They partly inhibit gastric acid secretion...
2.0K
Direct-Acting Cholinergic Agonists: Pharmacological Actions00:59

Direct-Acting Cholinergic Agonists: Pharmacological Actions

Direct-acting cholinergic agonists exert their pharmacological actions by mimicking the effects of acetylcholine on postsynaptic muscarinic receptors to generate parasympathetic responses. These agents elicit a range of physiological responses, including cardiovascular effects. For example, activation of muscarinic receptors induces bradycardia, decreased cardiac output, reduced peripheral resistance, and consequent hypotension. In the eye, stimulation of M3 receptors leads to smooth muscle...
2.6K
Parasympathetic Signaling01:30

Parasympathetic Signaling

Parasympathetic signaling plays a crucial role in regulating various physiological processes. It involves the release of acetylcholine (ACh) by parasympathetic neurons, which can have localized and short-lived effects. The majority of ACh released is rapidly inactivated at the synapse by the enzyme acetylcholinesterase (AChE), which hydrolyzes Ach into choline and acetate. Additionally, the tissue cholinesterase deactivates any ACh diffusing into the surrounding tissues.
The effects of...
4.0K
Neurochemical Transmission: Sites of Drug Action01:26

Neurochemical Transmission: Sites of Drug Action

Neurochemical transmission, the conduction of electrical impulses between neurons mediated by neurotransmitters, plays a vital role in various physiological processes. Autonomic drugs exert their effects by modulating neurotransmission within the autonomic nervous system. For instance, drugs such as hemicholinium block the precursor uptake necessary for synthesizing acetylcholine, an essential autonomic neurotransmitter. Following synthesis, neurotransmitters are stored in vesicles. Metyrosine...
3.9K
Chemical Synapses01:26

Chemical Synapses

Chemical synapses are specialized sites between two neurons or between a neuron and a non-neuronal cell like a muscle, glandular or sensory cell.
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
12.4K