Objective
Prolonged feverâinduced seizures (febrile status epilepticus [FSE]) during early childhood increase the risk for later epilepsy, but the underlying mechanisms are incompletely understood. Experimental FSE (eFSE) in rats successfully models human FSE, recapitulating the resulting epileptogenesis in a subset of affected individuals. However, the powerful viral and genetic tools that may enhance mechanistic insights into epileptogenesis and associated comorbidities, are betterâdeveloped for mice. Therefore, we aimed to determine if eFSE could be generated in mice and if it provoked enduring changes in hippocampalânetwork excitability and the development of spontaneous seizures.
Methods
We employed C57BL/6J male mice, the strain used most commonly in transgenic manipulations, and examined if early life eFSE could be sustained and if it led to hyperexcitability of hippocampal networks and to epilepsy. Outcome measures included vulnerability to the subsequent administration of the limbic convulsant kainic acid (KA) and the development of spontaneous seizures. In the first mouse cohort, adult naive and eFSEâexperiencing mice were exposed to KA. A second cohort of control and eFSEâexperiencing young adult mice was implanted with bilateral hippocampal electrodes and recorded using continuous videoâelectroencephalography (EEG) for 2 to 3Â months to examine for spontaneous seizures (epileptogenesis).
Results
Induction of eFSE was feasible and eFSE increased the susceptibility of adult C57BL/6J mice to KA, thereby reducing latency to seizure onset and increasing seizure severity. Of 24 chronically recorded eFSE mice, 4 (16.5%) developed hippocampal epilepsy with a latent period of ~3Â months, significantly different from the expectation by chance (PÂ =Â .04). The limbic epilepsy that followed eFSE was progressive.
Significance
eFSE promotes proâepileptogenic network changes in a majority of C57BL/6J male mice and frank âtemporal lobeâlikeâ epilepsy in one sixth of the cohort. Mouse eFSE may thus provide a useful tool for investigating molecular, cellular, and circuit changes during the development of temporal lobe epilepsy and its comorbidities.