The entorhinal cortex is closely associated with the consolidation and recall of memories, Alzheimer disease, schizophrenia, and temporal lobe epilepsy. Norepinephrine is a neurotransmitter that plays a significant role in these physiological functions and neurological diseases. Whereas the entorhinal cortex receives profuse noradrenergic innervations from the locus coeruleus of the pons and expresses high densities of adrenergic receptors, the function of norepinephrine in the entorhinal cortex is still elusive. Accordingly, we examined the effects of norepinephrine on neuronal excitability in the entorhinal cortex and explored the underlying cellular and molecular mechanisms. Application of norepinephrine-generated hyperpolarization and decreased the excitability of the neurons in the superficial layers with no effects on neuronal excitability in the deep layers of the entorhinal cortex. Norepinephrine-induced hyperpolarization was mediated by ␣ 2A adrenergic receptors and required the functions of G␣ i proteins, adenylyl cyclase, and protein kinase A. Norepinephrine-mediated depression on neuronal excitability was mediated by activation of TREK-2, a type of two-pore domain K ؉ channel, and mutation of the protein kinase A phosphorylation site on TREK-2 channels annulled the effects of norepinephrine. Our results indicate a novel action mode in which norepinephrine depresses neuronal excitability in the entorhinal cortex by disinhibiting protein kinase A-mediated tonic inhibition of TREK-2 channels.
The entorhinal cortex (EC)2 is an essential structure in the limbic system that is closely related to emotional control (1), consolidation and recall of memories (2, 3), Alzheimer disease (4, 5), schizophrenia (6, 7), and temporal lobe epilepsy (8, 9). The physiological and pathological roles of the EC are likely to be determined by its unique position in the brain; the EC serves as the interface to control the flow of information into and out of the hippocampus. Afferents from the olfactory structures, parasubiculum, perirhinal cortex, claustrum, amygdala, and neurons in the deep layers of the EC (layers V-VI) (10, 11) converge onto the superficial layers (layer II/III) of the EC, whereas the axons of principal neurons in layer II form the major component of perforant path that innervates the dentate gyrus and CA3 (12), and those of the pyramidal neurons in layer III form the temporoammonic pathway and synapse onto the distal dendrites of pyramidal neurons in the CA1 and subiculum (12)(13)(14). The output from the hippocampus is then projected to the deep layers of the EC that relay information back to the superficial layers (15-18) and to other cortical areas (10).The EC receives abundant noradrenergic projections from the locus coeruleus in the brain stem (19 -21) and expresses ␣ 1 (22), ␣ 2 (23-25), and  (26) adrenergic receptors (ARs), although the identities of cells expressing these ARs in the EC remain to be determined. Accordingly, application of norepinephrine (NE) in the EC has been shown to inhibit glu...