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Published on: May 5, 2018
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.
Abstract:
Septic encephalopathy is associated with rapid deterioration of cortical functions. Using magnetic resonance imaging (MRI) we detected functional abnormalities in the hippocampal formation of patients with septic delirium. Hippocampal dysfunction was further investigated in an animal model for sepsis using lipopolysaccharide (LPS) injections to induce endotoxemia in rats, followed by electrophysiological recordings in brain slices. Endotoxemia induced a deficit in long term potentiation which was completely reversed by apamin, a blocker of small conductance calcium-activated potassium (SK) channels, and partly restored by treatment with physostigmine (eserine), an acetylcholinesterase inhibitor, or TBPB, a selective M1 muscarinic acetylcholine receptor agonist. These results suggest a novel role for SK channels in the etiology of endotoxemia and explain why boosting cholinergic function restores deficits in synaptic plasticity. Drugs which enhance cholinergic or M1 activity in the brain may prove beneficial in treatment of septic delirium in the intensive care unit.
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.
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