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Research ArticleNew Research, Disorders of the Nervous System

Functional Neuroplasticity in the Nucleus Tractus Solitarius and Increased Risk of Sudden Death in Mice with Acquired Temporal Lobe Epilepsy

Isabel D. Derera, Brian P. Delisle and Bret N. Smith
eNeuro 23 October 2017, 4 (5) ENEURO.0319-17.2017; https://doi.org/10.1523/ENEURO.0319-17.2017
Isabel D. Derera
1Department of Physiology, College of Medicine, University of Kentucky, Lexington, KY 40536
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Brian P. Delisle
1Department of Physiology, College of Medicine, University of Kentucky, Lexington, KY 40536
2Epilepsy Center, University of Kentucky, Lexington, KY 40536
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Bret N. Smith
1Department of Physiology, College of Medicine, University of Kentucky, Lexington, KY 40536
2Epilepsy Center, University of Kentucky, Lexington, KY 40536
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  • Figure 1.
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    Figure 1.

    Pilocarpine-induced SE (pilo-SE) increases the risk of sudden death. Pilocarpine-treated mice (Pilo-SE; n = 15) have a decreased survival rate (23%) compared to control mice (n = 10, 100%; Log-rank Mantel–Cox; p = 0.0002). Mice that survived SE died suddenly and unexpectedly at post-SE time points associated with the development of spontaneous seizures.

  • Figure 2.
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    Figure 2.

    Increased action potential frequency in GABAergic NTS neurons from pilo-SE mice is dependent on glutamate receptor activation. A, Representative traces showing action potential firing (Na+ currents) in GABAergic NTS neurons in slices from control mice recorded in normal ACSF (nACSF) at three different time points (i.e., 1, 6, and 12 wks) after vehicle treatment. B, Representative traces showing action potential firing in GABAergic NTS neurons from mice that survived pilo-SE under normal recording conditions (nACSF) at three different time points after SE. C, Representative traces of action potential firing in control mice in the presence of kynurenic acid (KYN; 1 mM) at the same time points. D, Representative traces of action potential firing in the presence of KYN in pilo-SE mice. E, Action potential firing frequency is significantly greater in pilo-SE mice compared with age-matched control mice at 1, 6, and 12 wks posttreatment (unpaired t test; *, p < 0.05). F, In the presence of KYN, action potential firing frequency in NTS GABA neurons from pilo-SE mice was not significantly different from that of control mice (unpaired t test; p > 0.05).

  • Figure 3.
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    Figure 3.

    Significantly increased sEPSC frequency in GABAergic NTS neurons from pilo-SE mice. A, Representative traces showing sEPSCs in a GABAergic NTS neuron from control mice 1, 6, and 12 wks posttreatment. B, Representative traces showing sEPSCs in a GABAergic NTS neuron from pilo-SE mice 1, 6, and 12 wks posttreatment. C, sEPSC frequency is significantly higher in GABAergic NTS neurons from pilo-SE mice compared with control mice 1, 6, and 12 wks posttreatment (unpaired t test; *, significant). D, sEPSC amplitude is not significantly different (unpaired t test; p > 0.05) between control and pilo-SE mice at any time point.

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    Figure 4.

    Significantly increased mEPSC frequency in GABAergic NTS neurons from pilo-SE mice. A, Representative traces showing mEPSCs in a GABAergic NTS neuron from a control mouse 1, 6, and 12 wks posttreatment. B, Representative traces showing mEPSCs in a GABAergic NTS neuron from a pilo-SE mouse 1, 6, and 12 wks posttreatment. C, mEPSC frequency is significantly higher in GABAergic NTS neurons from pilo-SE mice compared with control mice at 6 and 12 wks posttreatment (unpaired t test; *, p < 0.05). D, mEPSC amplitude is not significantly different between control and pilo-SE mice at any time point (unpaired t test).

  • Figure 5.
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    Figure 5.

    PPr and frequency-dependent depression are unaltered in pilo-SE mice. A, Representative traces of eEPSC responses in GABAergic NTS neurons 1 wk posttreatment from control and pilo-SE mice. B, Representative traces of eEPSC responses in GABAergic NTS neurons 6 wks posttreatment from control and pilo-SE mice. C, Representative traces of eEPSC responses in GABAergic NTS neurons 12 wks posttreatment from control and pilo-SE mice. D, The PPr was not significantly different between control and pilo-SE mice at any time point posttreatment (unpaired t test; p > 0.05). E, The ratio of the 5th response amplitude to that of the 1st response was also not significantly altered in pilo-SE mice at any time point (unpaired t test; p > 0.05).

Tables

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    Table 1.

    Statistical table

    Outcome measureData structureType of testConfidence interval
    a. Survival curveNominal data, nonnormal distributionLog-rank (Mantel–Cox)0.03526 to 0.3404
    b. Action potential firing frequency ACSFWeek 1: normal distribution
    Week 6: normal distribution
    Week 12: normal distribution
    Unpaired t testWeek 1: 0.83 to 3.23
    Week 6: 0.02 to 2.42
    Week 12: 0.01 to 4.10
    c. Action potential firing frequency KYNWeek 1: normal distribution
    Week 6: normal distribution
    Week 12: normal distribution
    Unpaired t testWeek 1: –2.28 to 4.61
    Week 6: –1.52 to 1.24
    Week 12: –2.46 to 1.90
    d. sEPSC frequencyWeek 1: normal distribution
    Week 6: normal distribution
    Week 12: normal distribution
    Unpaired t testWeek 1: 1.01 to 5.74
    Week 6: 0.03 to 2.41
    Week 12: 0.12 to 2.30
    e. sEPSC amplitudeWeek 1:normal distribution
    Week 6:normal distribution
    Week 12:normal distribution
    Unpaired t testWeek 1: –4.88 to 6.12
    Week 6: –3.93 to 3.56
    Week 12: –7.66 to 1.72
    f. mEPSC frequencyWeek 1: normal distribution
    Week 6: normal distribution
    Week 12: normal distribution
    Unpaired t testWeek 1: –0.54 to 1.52
    Week 6: 0.65 to 2.74
    Week 12: 0.30 to 1.81
    g. mEPSC amplitudeWeek 1: normal distribution
    Week 6: normal distribution
    Week 12: normal distribution
    Unpaired t testWeek 1: –4.60 to 5.50
    Week 6: –4.96 to 0.97
    Week 12: –7.66 to 0.69
    h. PPrWeek 1: normal distribution
    Week 6: normal distribution
    Week 12: normal distribution
    Unpaired t testWeek 1:–0.13 to 0.44
    Week 6: –0.12 to 0.66
    Week 12: –0.10 to 0.21
    i. Mean A5/A1Week 1: normal distribution
    Week 6: normal distribution
    Week 12: normal distribution
    Unpaired t testWeek 1: –0.24 to 0.27
    Week 6: –0.17 to 0.64
    Week 12:–0.09 to 0.29
    j. Input resistanceWeek 1: normal distribution
    Week 6: normal distribution
    Week 12: normal distribution
    Unpaired t testWeek 1: –2.00 to 1.86
    Week 6: –1.12 to 0.75
    Week 12: –2.13 to 0.99
    k. Resting membrane potentialWeek 1: normal distribution
    Week 6: normal distribution
    Week 12: normal distribution
    Unpaired t testWeek 1: –18.72 to 8.75
    Week 6: –11.82 to 9.65
    Week 12:–11.37 to 7.67
    l. Heart rateNormal distributionTwo-way ANOVABaseline: –73.56 to 100.80
    24 h: –188.60 to –14.23
    Week 6: –94.12 to 80.28
    Week 12: –86.80 to 99.64
    m. SDNNNormal distributionTwo-way ANOVABaseline: –0.96 to 0.62
    24 h: 0.03 to 1.62
    Week 6: –0.78 to 0.79
    Week 12:
    n. RMSSDNormal distributionTwo-way ANOVABaseline: –2.63 to 2.11
    24 h: –1.87 to 2.97
    Week 6: –2.482 to 2.261
    Week 12: –0.92 to 0.77
    • View popup
    Table 2.

    Resting membrane potential and input resistance of GABAergic NTS neurons in mice that survived SE is not significantly different from age-matched control mice at any time point (unpaired t test; p > 0.05)

    TimeInput resistance (MΩ)Resting membrane potential (mV)
    ControlPilo-SEControlPilo-SE
    Week 11160 ± 6001590 ± 490–47.65 ± 5.35–51.69 ± 4.25
    Week 61369 ± 3461180 ± 293–52.23 ± 3.69–53.32 ± 3.63
    Week 122477 ± 6111905 ± 429–55.93 ± 3.31–57.57 ± 3.33
    • View popup
    Table 3.

    Heat rate and heart rate variability (HRV) in mice that survived SE.

    TimeControl (n = 6)Pilo-SE (n = 8)
    Heart rate (bpm)SDNN (ms)RMSSD (ms)Heart rate (bpm)SDNN (ms)RMSSD (ms)
    Baseline539.42 ±
    14.23
    10.60 ± 0.132.96 ± 0.65525.8 ±
    22.02
    10.77 ± 0.213.22 ± 0.38
    24 h534.66 ±
    8.92
    10.68 ± 0.083.37 ± 0.51636.10 ± 39.129.85 ±
    0.34
    2.86 ± 0.59
    Week 6549.96 ±
    12.93
    10.48 ± 0.133.21 ± 1.25556.90 ± 26.2610.47 ± 0.233.32 ± 0.45
    Week 12530.54 ±
    9.28
    10.68 ± 0.093.12 ± 0.66524.10 ± 18.1910.75 ± 0.193.27 ± 0.62
    • Heart rate and the standard deviation of the N-to-N interval (SDNN) were increased 24 h after SE, but no differences were detected at other time points (heart rate: two-way ANOVA, F(3,46) = 2.52, p = 0.069; SDNN: two-way ANOVA, F(3,46) = 2.25, p = 0.094). The root mean squared of the standard deviation (RMSSD) was not significantly different at any time point (two-way ANOVA, F(3,46) = 0.135, p = 0.939).

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Functional Neuroplasticity in the Nucleus Tractus Solitarius and Increased Risk of Sudden Death in Mice with Acquired Temporal Lobe Epilepsy
Isabel D. Derera, Brian P. Delisle, Bret N. Smith
eNeuro 23 October 2017, 4 (5) ENEURO.0319-17.2017; DOI: 10.1523/ENEURO.0319-17.2017

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Functional Neuroplasticity in the Nucleus Tractus Solitarius and Increased Risk of Sudden Death in Mice with Acquired Temporal Lobe Epilepsy
Isabel D. Derera, Brian P. Delisle, Bret N. Smith
eNeuro 23 October 2017, 4 (5) ENEURO.0319-17.2017; DOI: 10.1523/ENEURO.0319-17.2017
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