We studied the properties of GABAA receptors microtransplanted from the human temporal lobe epilepsy (TLE)-associated brain regions to Xenopus oocytes. Cell membranes, isolated from surgically resected brain specimens of drug-resistant TLE patients, were injected into frog oocytes, which rapidly incorporated human GABA A receptors, and any associated proteins, into their surface membrane. The receptors originating from different epileptic brain regions had a similar run-down but an affinity for GABA that was Ϸ60% lower for the subiculum receptors than for receptors issuing from the hippocampus proper or the temporal lobe neocortex. Moreover, GABA currents recorded in oocytes injected with membranes from the subiculum had a more depolarized reversal potential compared with the hippocampus proper or neocortex of the same patients. Quantitative RT-PCR analysis was performed of the GABA A receptor ␣1-to ␣5-, 1-to 3-, ␥2-to ␥3-, and ␦-subunit mRNAs. The levels of expression of the ␣3-, ␣5-, and 1-to 3-subunit mRNAs are significantly higher, with the exception of ␥2-subunit whose expression is lower, in subiculum compared with neocortex specimens. Our results suggest that an abnormal GABA-receptor subunit transcription in the TLE subiculum leads to the expression of GABA A receptors with a relatively low affinity. This abnormal behavior of the subiculum GABA A receptors may contribute to epileptogenesis.temporal lobe epilepsy T he principal brain regions generating partial seizures in humans afflicted by intractable, cryptogenic temporal lobe (TL) epilepsy (TLE) include the hippocampus and the temporal neocortex. However, their role in epileptogenesis remains an open question (1, 2), and the functional and anatomical correlates of TLE are areas of lively debate (3-5). To address these issues, we recently introduced the method of microtransplanting already assembled neurotransmitter receptors from the human epileptic brain to the plasma membrane of Xenopus oocytes (6-8), and we have shown that GABA A receptors, transplanted from TL epileptic brains into oocytes, display an excessive GABA A -receptor run-down, which is very similar to that of GABA currents recorded from pyramidal neurons in TL slices derived from the same patients (9, 10).In this article, we compare the functional properties and the subunit composition of human GABA A receptors expressed across some epileptic regions. Particular attention has been placed on investigating the properties of receptors from the epileptic subiculum, where TLE-associated functional alterations of neuronal GABA responses have been described (11). We report relevant differences compared with other epileptic areas.
Materials and MethodsPatients. Surgical specimens were obtained from the hippocampus and temporal neocortex of six patients with cryptogenic drug-resistant TLE (see Table 2, which is published as supporting information on the PNAS web site); all operations were performed at the Neuromed Neurosurgery Center for Epilepsy (Venafro, Italy). Informed consent was obtain...