1
|
Shen HY, Baer SB, Gesese R, Cook JM, Weltha L, Coffman SQ, Wu J, Chen JF, Gao M, Ji T. Adenosine-A 2A Receptor Signaling Plays a Crucial Role in Sudden Unexpected Death in Epilepsy. Front Pharmacol 2022; 13:910535. [PMID: 35754505 PMCID: PMC9218562 DOI: 10.3389/fphar.2022.910535] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Accepted: 05/16/2022] [Indexed: 11/16/2022] Open
Abstract
Adenosinergic activities are suggested to participate in SUDEP pathophysiology; this study aimed to evaluate the adenosine hypothesis of SUDEP and specifically the role of adenosine A2A receptor (A2AR) in the development of a SUDEP mouse model with relevant clinical features. Using a combined paradigm of intrahippocampal and intraperitoneal administration of kainic acid (KA), we developed a boosted-KA model of SUDEP in genetically modified adenosine kinase (ADK) knockdown (Adk+/-) mice, which has reduced ADK in the brain. Seizure activity was monitored using video-EEG methods, and in vivo recording of local field potential (LFP) was used to evaluate neuronal activity within the nucleus tractus solitarius (NTS). Our boosted-KA model of SUDEP was characterized by a delayed, postictal sudden death in epileptic mice. We demonstrated a higher incidence of SUDEP in Adk+/- mice (34.8%) vs. WTs (8.0%), and the ADK inhibitor, 5-Iodotubercidin, further increased SUDEP in Adk+/- mice (46.7%). We revealed that the NTS level of ADK was significantly increased in epileptic WTs, but not in epileptic Adk+/- mutants, while the A2AR level in NTS was increased in epileptic (WT and Adk+/-) mice vs. non-epileptic controls. The A2AR antagonist, SCH58261, significantly reduced SUDEP events in Adk+/- mice. LFP data showed that SCH58261 partially restored KA injection-induced suppression of gamma oscillation in the NTS of epileptic WT mice, whereas SCH58261 increased theta and beta oscillations in Adk+/- mutants after KA injection, albeit with no change in gamma oscillations. These LFP findings suggest that SCH58261 and KA induced changes in local neuronal activities in the NTS of epileptic mice. We revealed a crucial role for NTS A2AR in SUDEP pathophysiology suggesting A2AR as a potential therapeutic target for SUDEP risk prevention.
Collapse
Affiliation(s)
- Hai-Ying Shen
- Department of Neuroscience, Legacy Research Institute, Portland, OR, United States
| | - Sadie B Baer
- Department of Neuroscience, Legacy Research Institute, Portland, OR, United States
| | - Raey Gesese
- Department of Neuroscience, Legacy Research Institute, Portland, OR, United States
| | - John M Cook
- Department of Neuroscience, Legacy Research Institute, Portland, OR, United States
| | - Landen Weltha
- Department of Neuroscience, Legacy Research Institute, Portland, OR, United States
| | - Shayla Q Coffman
- Department of Neuroscience, Legacy Research Institute, Portland, OR, United States
| | - Jie Wu
- Department of Neurobiology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, United States
| | - Jiang-Fan Chen
- Molecular Neuropharmacology Laboratory, School of Optometry and Ophthalmology and Eye Hospital, Wenzhou Medical University, Wenzhou, China
| | - Ming Gao
- Department of Neurobiology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, United States
| | - Teng Ji
- Department of Pediatric Neurology, Randall Children's Hospital, Legacy Emanuel Medical Center, Portland, OR, United States
| |
Collapse
|
2
|
Miranda MF, Hamani C, de Almeida ACG, Amorim BO, Macedo CE, Fernandes MJS, Nobrega JN, Aarão MC, Madureira AP, Rodrigues AM, Andersen ML, Tufik S, Mello LE, Covolan L. Role of adenosine in the antiepileptic effects of deep brain stimulation. Front Cell Neurosci 2014; 8:312. [PMID: 25324724 PMCID: PMC4183090 DOI: 10.3389/fncel.2014.00312] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2014] [Accepted: 09/17/2014] [Indexed: 12/20/2022] Open
Abstract
Despite the effectiveness of anterior thalamic nucleus (AN) deep brain stimulation (DBS) for the treatment of epilepsy, mechanisms responsible for the antiepileptic effects of this therapy remain elusive. As adenosine modulates neuronal excitability and seizure activity in animal models, we hypothesized that this nucleoside could be one of the substrates involved in the effects of AN DBS. We applied 5 days of stimulation to rats rendered chronically epileptic by pilocarpine injections and recorded epileptiform activity in hippocampal slices. We found that slices from animals given DBS had reduced hippocampal excitability and were less susceptible to develop ictal activity. In live animals, AN DBS significantly increased adenosine levels in the hippocampus as measured by microdialysis. The reduced excitability of DBS in vitro was completely abolished in animals pre-treated with A1 receptor antagonists and was strongly potentiated by A1 receptor agonists. We conclude that some of the antiepileptic effects of DBS may be mediated by adenosine.
Collapse
Affiliation(s)
- Maisa F Miranda
- Laboratório de Neurociência Experimental e Computacional, Universidade Federal de São João del-Rei São João del-Rei, Brazil
| | - Clement Hamani
- Disciplina de Neurofisiologia, Universidade Federal de São Paulo São Paulo, Brazil ; Behavioural Neurobiology Laboratory, Centre for Addiction and Mental Health Toronto, Canada ; Division of Neurosurgery, Toronto Western Hospital, University of Toronto Toronto, Canada
| | - Antônio-Carlos G de Almeida
- Laboratório de Neurociência Experimental e Computacional, Universidade Federal de São João del-Rei São João del-Rei, Brazil
| | - Beatriz O Amorim
- Disciplina de Neurofisiologia, Universidade Federal de São Paulo São Paulo, Brazil
| | - Carlos E Macedo
- Departamento de Psicobiologia, Universidade Federal de São Paulo São Paulo, Brazil
| | - Maria José S Fernandes
- Disciplina de Neurologia Experimental, Universidade Federal de São Paulo São Paulo, Brazil
| | - José N Nobrega
- Behavioural Neurobiology Laboratory, Centre for Addiction and Mental Health Toronto, Canada
| | - Mayra C Aarão
- Laboratório de Neurociência Experimental e Computacional, Universidade Federal de São João del-Rei São João del-Rei, Brazil
| | - Ana Paula Madureira
- Laboratório de Neurociência Experimental e Computacional, Universidade Federal de São João del-Rei São João del-Rei, Brazil
| | - Antônio M Rodrigues
- Laboratório de Neurociência Experimental e Computacional, Universidade Federal de São João del-Rei São João del-Rei, Brazil
| | - Monica L Andersen
- Departamento de Psicobiologia, Universidade Federal de São Paulo São Paulo, Brazil
| | - Sergio Tufik
- Departamento de Psicobiologia, Universidade Federal de São Paulo São Paulo, Brazil
| | - Luiz E Mello
- Disciplina de Neurofisiologia, Universidade Federal de São Paulo São Paulo, Brazil
| | - Luciene Covolan
- Disciplina de Neurofisiologia, Universidade Federal de São Paulo São Paulo, Brazil
| |
Collapse
|
3
|
Burnstock G, Krügel U, Abbracchio MP, Illes P. Purinergic signalling: from normal behaviour to pathological brain function. Prog Neurobiol 2011; 95:229-74. [PMID: 21907261 DOI: 10.1016/j.pneurobio.2011.08.006] [Citation(s) in RCA: 314] [Impact Index Per Article: 24.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2011] [Revised: 08/12/2011] [Accepted: 08/15/2011] [Indexed: 02/07/2023]
Abstract
Purinergic neurotransmission, involving release of ATP as an efferent neurotransmitter was first proposed in 1972. Later, ATP was recognised as a cotransmitter in peripheral nerves and more recently as a cotransmitter with glutamate, noradrenaline, GABA, acetylcholine and dopamine in the CNS. Both ATP, together with some of its enzymatic breakdown products (ADP and adenosine) and uracil nucleotides are now recognised to act via P2X ion channels and P1 and P2Y G protein-coupled receptors, which are widely expressed in the brain. They mediate both fast signalling in neurotransmission and neuromodulation and long-term (trophic) signalling in cell proliferation, differentiation and death. Purinergic signalling is prominent in neurone-glial cell interactions. In this review we discuss first the evidence implicating purinergic signalling in normal behaviour, including learning and memory, sleep and arousal, locomotor activity and exploration, feeding behaviour and mood and motivation. Then we turn to the involvement of P1 and P2 receptors in pathological brain function; firstly in trauma, ischemia and stroke, then in neurodegenerative diseases, including Alzheimer's, Parkinson's and Huntington's, as well as multiple sclerosis and amyotrophic lateral sclerosis. Finally, the role of purinergic signalling in neuropsychiatric diseases (including schizophrenia), epilepsy, migraine, cognitive impairment and neuropathic pain will be considered.
Collapse
Affiliation(s)
- Geoffrey Burnstock
- Autonomic Neuroscience Centre, University College Medical School, Rowland Hill Street, London NW3 2PF, UK.
| | | | | | | |
Collapse
|
4
|
Malhotra J, Seth SD, Gupta SK, Gupta YK. Adenosinergic mechanisms in anticonvulsant action of diazepam and sodium valproate. ENVIRONMENTAL TOXICOLOGY AND PHARMACOLOGY 1996; 1:269-277. [PMID: 21781692 DOI: 10.1016/1382-6689(96)00020-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/1995] [Revised: 04/04/1996] [Accepted: 04/22/1996] [Indexed: 05/31/2023]
Abstract
The effects of adenosine receptor agonists and antagonists were studied in pentylenetetrazole (PTZ)-induced seizures in rats. Animals were pretreated with the non-specific adenosine receptor antagonist, theophylline (50 and 100 mg/kg, i.p.), or the specific A(1) adenosine receptor antagonist, 8-cyclopentyl-1,3-dipropylxanthine (DPCPX), in a dose of 1 mg/kg, i.p., followed by 100% anticonvulsant doses of diazepam (4 mg/kg)/sodium valproate (300 mg/kg, i.p.). Subsequently, they were challenged with convulsant doses of PTZ i.e. 60 mg/kg, i.p. It was seen that while DPCPX could not reverse the protection of both the antiepileptic drugs, theophylline significantly reversed this protection, as assessed by percent incidence of seizures and change in latency parameters. In another set of experiments, the rats were pretreated with a combination of subanticonvulsant doses of adenosine (500 mg/kg) or specific adenosine A(1) receptor agonist, cyclopentyladenosine (CPA) and diazepam (0.5 and 1 mg/kg)/sodium valproate (150 mg/kg), prior to PTZ challenge. We observed a decrease in incidence and increase in latency of seizures following either combination. The protection observed was independent of the hypothermic and hypotensive effects of adenosine and CPA. These results indicate that though A(1) agonist enhances the protection of diazepam and sodium valproate, a direct involvement of adenosine A(1) receptor in anticonvulsant action of these drugs is doubtful.
Collapse
|
5
|
Waziri R, Baruah S, Arndt S, Baumert K, Cooney J, Christensen L. Psychosis and vulnerability to ECT-induced seizures. Psychiatry Res 1996; 62:191-201. [PMID: 8771616 DOI: 10.1016/0165-1781(96)02775-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Medical records of patients with major depressive disorders who had received electroconvulsive therapy (ECT) for the first time were studied to test the hypothesis that psychotic patients are more vulnerable to seizures than nonpsychotic patients. This hypothesis was based on studies suggesting a putative purinergic deficiency in psychosis. Results showed that the duration of ECT-induced seizures as a measure of seizure vulnerability was significantly longer in psychotic than in nonpsychotic depressive patients. The association applied for the first ECT as well as for the course of eight ECTs. These findings were still present when covariates such as age, electrical energy applied, dosage of methohexital and succinylcholine, and psychotropic medications such as neuroleptics, benzodiazepines, and tricyclics were included in the statistical analysis. The results are discussed in the context of the role of neurotransmitters such as glutamate, gamma-aminobutyric acid, adenosine, and dopamine on seizure vulnerability and psychosis.
Collapse
Affiliation(s)
- R Waziri
- Psychiatry Research-MEB, University of Iowa, Iowa City 52242-1000, USA
| | | | | | | | | | | |
Collapse
|
6
|
Ring HA, Heller AJ, Marshall WJ, Johnson AL, Reynolds EH. Plasma uric acid in patients receiving anticonvulsant monotherapy. Epilepsy Res 1991; 8:241-4. [PMID: 1868823 DOI: 10.1016/0920-1211(91)90070-v] [Citation(s) in RCA: 28] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
In newly diagnosed adult patients with epilepsy followed prospectively on monotherapy, carbamazepine and phenytoin were associated with a fall in plasma uric acid, but sodium valproate and phenobarbitone were associated with a rise in plasma uric acid. The mechanisms and significance of these findings are discussed.
Collapse
Affiliation(s)
- H A Ring
- Department of Neurology, King's College Hospital, London, U.K
| | | | | | | | | |
Collapse
|
7
|
Schousboe A, Frandsen A, Drejer J. Evidence for evoked release of adenosine and glutamate from cultured cerebellar granule cells. Neurochem Res 1989; 14:871-5. [PMID: 2574422 DOI: 10.1007/bf00964817] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Evoked release of [3H]-D-aspartate which labels the neurotransmitter glutamate pool in cultured cerebellar granule cells was compared with evoked release of adenosine from similar cultures. It was found that both adenosine and [3H]-D-aspartate could be released from the neurons in a calcium dependent manner after depolarization of the cells with either 10-100 microM glutamate or 50 mM KCl. Cultures of cerebellar granule cells treated with 50 microM kainate to eliminate GABAergic neurons behaved in the same way. This together with the observation that cultured astrocytes did not exhibit a calcium dependent, potassium stimulated adenosine release strongly suggest that cerebellar granule cells release adenosine in a neurotransmitter-like fashion together with glutamate which is the classical neurotransmitter of these neurons. Studies of the metabolism of adenosine showed that in the granule cells adenosine is rapidly metabolized to ATP, ADP, and AMP, but in spite of this, adenosine was found to be released preferential to ATP.
Collapse
Affiliation(s)
- A Schousboe
- Department of Biochemistry A, Panum Institute, University of Copenhagen, Denmark
| | | | | |
Collapse
|
8
|
Abstract
The ability of electrically-induced convulsions to alleviate at least some symptoms of mental illness was first reported in the literature 50 years ago; however, the cerebral mechanisms responsible for such therapeutic effects have thus far escaped elucidation. It is thus interesting to note that those seeking explanations for the therapeutic effects of electroconvulsive therapy (ECT) have focused their attention on the convulsion produced by ECT, as opposed to the coma. The present hypothesis emphasizes the coma following the convulsion as a potential explanation of the effectiveness of ECT and other convulsive therapies. It is postulated that the primary effect of the convulsion is to cause the release of adenosine (ARN) from neuronal tissue and that the subsequent depressant effect of ARN on neuronal activity results in the clinical effect observed. Thus hypothesis suggests that chemically-induced coma, particularly coma induced by benzodiazepines, may offer a safe, effective and more acceptable alternative to ECT.
Collapse
Affiliation(s)
- D R O'Brien
- Central Institute of Technology, School of Pharmacy, Trentham, New Zealand
| |
Collapse
|