Identifying the temporal electrophysiological and molecular changes that contribute to TSC-associated epileptogenesis

Tuberous sclerosis complex (TSC), caused by heterozygous mutations in TSC1 or TSC2, frequently results in intractable epilepsy. Here, we made use of an inducible Tsc1-knockout mouse model, allowing us to study electrophysiological and molecular changes of Tsc1-induced epileptogenesis over time. We r...

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Main Authors: Linda M.C. Koene, Eva Niggl, Ilse Wallaard, Martina Proietti-Onori, Diana C. Rotaru, Ype Elgersma
Format: Article
Language:English
Published: American Society for Clinical investigation 2021-12-01
Series:JCI Insight
Subjects:
Online Access:https://doi.org/10.1172/jci.insight.150120
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author Linda M.C. Koene
Eva Niggl
Ilse Wallaard
Martina Proietti-Onori
Diana C. Rotaru
Ype Elgersma
author_facet Linda M.C. Koene
Eva Niggl
Ilse Wallaard
Martina Proietti-Onori
Diana C. Rotaru
Ype Elgersma
author_sort Linda M.C. Koene
collection DOAJ
description Tuberous sclerosis complex (TSC), caused by heterozygous mutations in TSC1 or TSC2, frequently results in intractable epilepsy. Here, we made use of an inducible Tsc1-knockout mouse model, allowing us to study electrophysiological and molecular changes of Tsc1-induced epileptogenesis over time. We recorded from pyramidal neurons in the hippocampus and somatosensory cortex (L2/L3) and combined this with an analysis of transcriptome changes during epileptogenesis. Deletion of Tsc1 resulted in hippocampus-specific changes in excitability and adaptation, which emerged before seizure onset and progressed over time. All phenotypes were rescued after early treatment with rapamycin, an mTOR inhibitor. Later in epileptogenesis, we observed a hippocampal increase of excitation-to-inhibition ratio. These cellular changes were accompanied by dramatic transcriptional changes, especially after seizure onset. Most of these changes were rescued upon rapamycin treatment. Of the genes encoding ion channels or belonging to the Gene Ontology term action potential, 27 were differentially expressed just before seizure onset, suggesting a potential driving role in epileptogenesis. Our data highlight the complex changes driving epileptogenesis in TSC, including the changed expression of multiple ion channels. Our study emphasizes inhibition of the TSC/mTOR signaling pathway as a promising therapeutic approach to target epilepsy in patients with TSC.
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spelling doaj.art-30631dcebd77448d89413b76dcd651662022-12-22T00:22:50ZengAmerican Society for Clinical investigationJCI Insight2379-37082021-12-01623Identifying the temporal electrophysiological and molecular changes that contribute to TSC-associated epileptogenesisLinda M.C. KoeneEva NigglIlse WallaardMartina Proietti-OnoriDiana C. RotaruYpe ElgersmaTuberous sclerosis complex (TSC), caused by heterozygous mutations in TSC1 or TSC2, frequently results in intractable epilepsy. Here, we made use of an inducible Tsc1-knockout mouse model, allowing us to study electrophysiological and molecular changes of Tsc1-induced epileptogenesis over time. We recorded from pyramidal neurons in the hippocampus and somatosensory cortex (L2/L3) and combined this with an analysis of transcriptome changes during epileptogenesis. Deletion of Tsc1 resulted in hippocampus-specific changes in excitability and adaptation, which emerged before seizure onset and progressed over time. All phenotypes were rescued after early treatment with rapamycin, an mTOR inhibitor. Later in epileptogenesis, we observed a hippocampal increase of excitation-to-inhibition ratio. These cellular changes were accompanied by dramatic transcriptional changes, especially after seizure onset. Most of these changes were rescued upon rapamycin treatment. Of the genes encoding ion channels or belonging to the Gene Ontology term action potential, 27 were differentially expressed just before seizure onset, suggesting a potential driving role in epileptogenesis. Our data highlight the complex changes driving epileptogenesis in TSC, including the changed expression of multiple ion channels. Our study emphasizes inhibition of the TSC/mTOR signaling pathway as a promising therapeutic approach to target epilepsy in patients with TSC.https://doi.org/10.1172/jci.insight.150120Neuroscience
spellingShingle Linda M.C. Koene
Eva Niggl
Ilse Wallaard
Martina Proietti-Onori
Diana C. Rotaru
Ype Elgersma
Identifying the temporal electrophysiological and molecular changes that contribute to TSC-associated epileptogenesis
JCI Insight
Neuroscience
title Identifying the temporal electrophysiological and molecular changes that contribute to TSC-associated epileptogenesis
title_full Identifying the temporal electrophysiological and molecular changes that contribute to TSC-associated epileptogenesis
title_fullStr Identifying the temporal electrophysiological and molecular changes that contribute to TSC-associated epileptogenesis
title_full_unstemmed Identifying the temporal electrophysiological and molecular changes that contribute to TSC-associated epileptogenesis
title_short Identifying the temporal electrophysiological and molecular changes that contribute to TSC-associated epileptogenesis
title_sort identifying the temporal electrophysiological and molecular changes that contribute to tsc associated epileptogenesis
topic Neuroscience
url https://doi.org/10.1172/jci.insight.150120
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