Long-term GABA A receptor alterations occur in hippocampal dentate granule neurons of rats that develop epilepsy after status epilepticus in adulthood. Hippocampal GABA A receptor expression undergoes marked reorganization during the postnatal period, however, and the effects of neonatal status epilepticus on subsequent GABA A receptor development are unknown. In the current study, we utilize single cell electrophysiology and antisense mRNA amplification to determine the effect of status-epilepticus induced by lithium-pilocarpine in postnatal day 10 rat pups on GABA A receptor subunit expression and function in hippocampal dentate granule neurons. We find that rats subjected to lithium-pilocarpine-induced status epilepticus at postnatal day 10 show long-term GABA A receptor changes including a two-fold increase in α1 subunit expression (compared with lithiuminjected controls) and enhanced type I benzodiazepine augmentation that are opposite of those seen after status epilepticus in adulthood and may serve to enhance dentate gyrus inhibition. Further, unlike adult rats, postnatal day 10 rats subjected to status epilepticus do not become epileptic. These findings suggest age-dependent differences in the effects of status epilepticus on hippocampal GABA A receptors that could contribute to the selective resistance of the immature brain to epileptogenesis.
Keywordsepilepsy; seizure; developing brain; dentate gyrus; benzodiazepine; mRNA amplification GABA A receptors (GABARs) are heteromeric protein complexes that mediate most fast synaptic inhibition in fore-brain. Many distinct subunit subtypes exist, and their distribution varies in a regional and cell type-specific manner Sperk et al., 1997;Barnard et al., 1998). GABARs can be assembled in different subunit combinations to produce a variety of different receptor compositions, pharmacological profiles, and intrinsic receptor characteristics (Pritchett et al., 1989;Sieghart, 1995;Barnard et al., 1998 refractory temporal lobe epilepsy demonstrate marked alterations in GABAR properties in hippocampal dentate granule neurons (DGNs; Buhl et al., 1996;Gibbs et al., 1997; BrooksKayal et al., 1998 BrooksKayal et al., , 1999. GABAR subunit expression in DGNs vary during early postnatal development Fritschy et al., 1994;Brooks-Kayal et al., 2001), however, and the effects of neonatal SE on GABARs is not known. Here we examine the effect of SE in postnatal day 10 (P10) rat pups on subsequent GABAR development in DGN and find increased α1 subunit expression and type I benzodiazepine augmentation when the rats reach adulthood. These findings are opposite of those seen after SE in adulthood and could contribute to the selective resistance of the immature brain to epileptogenesis.
EXPERIMENTAL PROCEDURES Lithium-pilocarpine injectionsAll studies were carried out in accordance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals and with the approval of The Children's Hospital of Philadelphia Animal Care and Use Committee. Maximum care ...