Although certain metabolic characteristics such as interictal glucose hypometabolism are well established for temporal lobe epilepsy (TLE), its pathogenesis still remains unclear. Here, we performed a comprehensive study of brain metabolism in a mouse model of TLE, induced by pilocarpine-status epilepticus (SE). To investigate glucose metabolism, we injected mice 3.5-4 weeks after SE with [1,2-13 C]glucose before microwave fixation of the head. Using 1 H and 13 C nuclear magnetic resonance spectroscopy, gas chromatography-mass spectrometry and high-pressure liquid chromatography, we quantified metabolites and 13 C labeling in extracts of cortex and hippocampal formation (HF). Hippocampal levels of glutamate, glutathione and alanine were decreased in pilocarpine-SE mice compared with controls. Moreover, the contents of N-acetyl aspartate, succinate and reduced nicotinamide adenine dinucleotide (phosphate) NAD(P)H were decreased in HF indicating impairment of mitochondrial function. In addition, the reduction in 13 C enrichment of hippocampal citrate and malate suggests decreased tricarboxylic acid (TCA) cycle turnover in this region. In cortex, we found reduced 13 C labeling of glutamate, glutamine and aspartate via the pyruvate carboxylation and pyruvate dehydrogenation pathways, suggesting slower turnover of these amino acids and/or the TCA cycle. In conclusion, mitochondrial metabolic dysfunction and altered amino-acid metabolism is found in both cortex and HF in this epilepsy model. Keywords: 13 C isotope; glutamate; mitochondria; neurometabolism; NMR spectroscopy; temporal lobe epilepsy
Journal of Cerebral Blood
INTRODUCTIONTemporal lobe epilepsy (TLE) is one of the most common forms of human epilepsy and is associated with a high level of drug resistance among patients. The mechanisms underlying the pathogenesis of TLE still remain unclear, although increasing evidence points to a disturbance in amino-acid neurotransmitter homeostasis and energy metabolism, as well as neuronal injury. Metabolic characteristics of human TLE include interictal glucose hypometabolism and a decrease in the levels of the neuronal marker N-acetyl aspartate (NAA) in the epileptogenic region. 1,2 Increased levels of extracellular glutamate in epileptogenic hippocampi have been reported before and during seizures 3 and interictally. 4 Moreover, it has been suggested that the uptake of glutamate from the extracellular space by astrocytes is slower in the epileptic brain as the expression of glutamine synthetase, the glial enzyme that converts glutamate to glutamine, was decreased in the epileptogenic hippocampi from patients with TLE. 5,6 Changes in brain metabolism in rat models of TLE resemble those reported in human TLE such as interictal glucose hypometabolism demonstrated in lithium-pilocarpine rats, 7 as well as alterations in NAA and glutamate reported in post-status epilepticus (SE) models induced by kainic acid and lithiumpilocarpine. [8][9][10] There are, however, few comprehensive studies on brain metabolism in mouse model...