Vascular smooth muscle TRPC3 channels facilitate the inverse hemodynamic response during status epilepticus

Michael A Cozart1, Kevin D Phelan2, Hong Wu3

  • 1Department of Pharmacology and Toxicology, Little Rock, Arkansas, United States of America. macozart2@uams.edu.

Scientific Reports
|January 23, 2020
PubMed

Insights

Targeting TRPC3 channels in smooth muscle cells can improve cerebral blood flow during seizures. This study shows that blocking these channels reduces seizure duration and improves neurovascular coupling in status epilepticus.

Area of Science:

  • Neuroscience
  • Cardiovascular Biology
  • Genetics

Background:

  • Status epilepticus (SE) involves reduced cerebral blood flow (inverse hemodynamic response, IHR).
  • Canonical transient receptor potential 3 (TRPC3) channels in vascular smooth muscle cells (VSMCs) mediate vasoconstriction and are implicated in seizure propagation.
  • The role of cerebrovascular TRPC3 channels in SE-induced IHR remains unclear.

Purpose of the Study:

  • To investigate the contribution of TRPC3 channels in cerebral VSMCs to seizure-induced IHR.
  • To determine the effect of ablating VSMC-specific TRPC3 channels on neurovascular coupling and SE duration.

Main Methods:

  • Development of a smooth muscle-specific TRPC3 knockout (TRPC3smcKO) mouse model.
  • Simultaneous electroencephalogram (EEG) recordings and laser speckle contrast imaging (LSCI) to assess neurovascular coupling.
  • Quantification of cerebral blood flow changes and seizure activity.

Main Results:

  • Control mice exhibited variable IHRs with limited, uncorrelated cerebral blood flow increases during SE.
  • TRPC3smcKO mice demonstrated enhanced, less variable cerebral blood flow positively correlated with neuronal activity.
  • Genetic ablation of smooth muscle TRPC3 channels significantly shortened SE duration by eliminating a secondary seizure phase.

Conclusions:

  • TRPC3 channels in cerebral VSMCs contribute significantly to the IHR during SE.
  • Targeting VSMC TRPC3 channels represents a potential therapeutic strategy to mitigate SE progression by improving neurovascular coupling.

Related Concept Videos

Regulation of Stroke Volume01:27

Regulation of Stroke Volume

The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
4.6K
Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein01:20

Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein

Antiepileptic drugs, such as levetiracetam (Keppra) and brivaracetam (Briviact), have emerged as crucial tools in managing epilepsy. These medications exert their therapeutic effects by targeting the synaptic vesicle protein SV2A, a transmembrane glycoprotein primarily found in the brain.
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
750
Voltage-gated Ion Channels01:26

Voltage-gated Ion Channels

Voltage-gated ion channels are transmembrane proteins that open and close in response to changes in the membrane potential. They are present on the membranes of all electrically excitable cells such as neurons, heart, and muscle cells.
Generally, all voltage-gated ion channels have a 'voltage-sensing domain' that spans the lipid bilayer. The charged residues in the sensor move in response to the membrane potential changes that open the channel allowing ions movement. There are several...
10.1K
Antiepileptic Drugs: Potassium Channel Activators01:20

Antiepileptic Drugs: Potassium Channel Activators

Ezocgabine or retigabine, an antiepileptic drug of remarkable efficacy, has revolutionized the management of seizures. It is a potassium channel activator, explicitly targeting the family of Q subtype potassium channels. It enhances the transmembrane potassium currents, regulating neuronal excitability. This action stabilizes the resting membrane potential, a pivotal factor in mitigating the hyperexcitability that characterizes epilepsy.
Ezogabine has gained approval as an adjunctive treatment...
555
Antihypertensive Drugs: Action of Calcium Channel Blockers01:18

Antihypertensive Drugs: Action of Calcium Channel Blockers

Calcium ions are essential to contract smooth muscle cells in blood vessels. They enter these cells through voltage-dependent calcium channels, specifically L-type calcium channels in the cell membrane. These L-type calcium channels are integral to the excitation-contraction coupling process in smooth muscle. When a stimulus is received by smooth muscle cells, their membrane depolarizes. This alteration in membrane potential instigates the opening of L-type calcium channels. As a result,...
1.4K
Vascular Spasm01:16

Vascular Spasm

The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last...
3.1K