Carbamazepine Reduces Sharp Wave-Ripple Complexes and Exerts Synapse-Specific Inhibition of Neurotransmission in Ex Vivo Hippocampal Slices

Higher therapeutic concentrations of the antiseizure medication carbamazepine (CBZ) are associated with cognitive side effects. Hippocampal sharp wave-ripple complexes (SPW-Rs) are proposed to participate in memory consolidation during periods of quiet and slow-wave sleep. SPW-Rs are generated in th...

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Main Authors: Timothy A. Simeone, Segewkal H. Heruye, Joseph A. Kostansek, Mary Y. Yeh, Stephanie A. Matthews, Kaeli K. Samson, Kristina A. Simeone
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/11/6/787
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author Timothy A. Simeone
Segewkal H. Heruye
Joseph A. Kostansek
Mary Y. Yeh
Stephanie A. Matthews
Kaeli K. Samson
Kristina A. Simeone
author_facet Timothy A. Simeone
Segewkal H. Heruye
Joseph A. Kostansek
Mary Y. Yeh
Stephanie A. Matthews
Kaeli K. Samson
Kristina A. Simeone
author_sort Timothy A. Simeone
collection DOAJ
description Higher therapeutic concentrations of the antiseizure medication carbamazepine (CBZ) are associated with cognitive side effects. Hippocampal sharp wave-ripple complexes (SPW-Rs) are proposed to participate in memory consolidation during periods of quiet and slow-wave sleep. SPW-Rs are generated in the CA3 region and are regulated by multiple synaptic inputs. Here, we used a multi-electrode array to determine the effects of CBZ on SPW-Rs and synaptic transmission at multiple hippocampal synapses. Our results demonstrate that CBZ reduced SPW-Rs at therapeutically relevant concentrations (IC<sub>50</sub> = 37 μM) and altered the core characteristics of ripples, important for information processing and consolidation. Moreover, CBZ inhibited neurotransmission in a synapse-specific manner. CBZ inhibition was most potent at the medial-perforant-path-to-CA3 and mossy-fiber-to-CA3 synapses (IC<sub>50</sub>s ~ 30 and 60 μM, respectively) and least potent at medial-perforant-path-to-dentate granule cell synapses (IC<sub>50</sub> ~ 120 μM). These results suggest that the synapse-specific CBZ inhibition of neurotransmission reduces SPW-Rs and that the CBZ inhibition of SPW-Rs may underlie the cognitive impairments observed with therapeutic doses of CBZ.
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spelling doaj.art-b56020e7b7784c7ea5d9445a42f94dc52023-11-22T00:06:37ZengMDPI AGBrain Sciences2076-34252021-06-0111678710.3390/brainsci11060787Carbamazepine Reduces Sharp Wave-Ripple Complexes and Exerts Synapse-Specific Inhibition of Neurotransmission in Ex Vivo Hippocampal SlicesTimothy A. Simeone0Segewkal H. Heruye1Joseph A. Kostansek2Mary Y. Yeh3Stephanie A. Matthews4Kaeli K. Samson5Kristina A. Simeone6Department of Pharmacology & Neuroscience, Creighton University School of Medicine, Omaha, NE 68174, USADepartment of Pharmacology & Neuroscience, Creighton University School of Medicine, Omaha, NE 68174, USADepartment of Pharmacology & Neuroscience, Creighton University School of Medicine, Omaha, NE 68174, USADepartment of Pharmacology & Neuroscience, Creighton University School of Medicine, Omaha, NE 68174, USADepartment of Pharmacology & Neuroscience, Creighton University School of Medicine, Omaha, NE 68174, USADepartment of Pharmacology & Neuroscience, Creighton University School of Medicine, Omaha, NE 68174, USADepartment of Pharmacology & Neuroscience, Creighton University School of Medicine, Omaha, NE 68174, USAHigher therapeutic concentrations of the antiseizure medication carbamazepine (CBZ) are associated with cognitive side effects. Hippocampal sharp wave-ripple complexes (SPW-Rs) are proposed to participate in memory consolidation during periods of quiet and slow-wave sleep. SPW-Rs are generated in the CA3 region and are regulated by multiple synaptic inputs. Here, we used a multi-electrode array to determine the effects of CBZ on SPW-Rs and synaptic transmission at multiple hippocampal synapses. Our results demonstrate that CBZ reduced SPW-Rs at therapeutically relevant concentrations (IC<sub>50</sub> = 37 μM) and altered the core characteristics of ripples, important for information processing and consolidation. Moreover, CBZ inhibited neurotransmission in a synapse-specific manner. CBZ inhibition was most potent at the medial-perforant-path-to-CA3 and mossy-fiber-to-CA3 synapses (IC<sub>50</sub>s ~ 30 and 60 μM, respectively) and least potent at medial-perforant-path-to-dentate granule cell synapses (IC<sub>50</sub> ~ 120 μM). These results suggest that the synapse-specific CBZ inhibition of neurotransmission reduces SPW-Rs and that the CBZ inhibition of SPW-Rs may underlie the cognitive impairments observed with therapeutic doses of CBZ.https://www.mdpi.com/2076-3425/11/6/787cognitive impairmentepilepsyadverse effecthigh frequency oscillations
spellingShingle Timothy A. Simeone
Segewkal H. Heruye
Joseph A. Kostansek
Mary Y. Yeh
Stephanie A. Matthews
Kaeli K. Samson
Kristina A. Simeone
Carbamazepine Reduces Sharp Wave-Ripple Complexes and Exerts Synapse-Specific Inhibition of Neurotransmission in Ex Vivo Hippocampal Slices
Brain Sciences
cognitive impairment
epilepsy
adverse effect
high frequency oscillations
title Carbamazepine Reduces Sharp Wave-Ripple Complexes and Exerts Synapse-Specific Inhibition of Neurotransmission in Ex Vivo Hippocampal Slices
title_full Carbamazepine Reduces Sharp Wave-Ripple Complexes and Exerts Synapse-Specific Inhibition of Neurotransmission in Ex Vivo Hippocampal Slices
title_fullStr Carbamazepine Reduces Sharp Wave-Ripple Complexes and Exerts Synapse-Specific Inhibition of Neurotransmission in Ex Vivo Hippocampal Slices
title_full_unstemmed Carbamazepine Reduces Sharp Wave-Ripple Complexes and Exerts Synapse-Specific Inhibition of Neurotransmission in Ex Vivo Hippocampal Slices
title_short Carbamazepine Reduces Sharp Wave-Ripple Complexes and Exerts Synapse-Specific Inhibition of Neurotransmission in Ex Vivo Hippocampal Slices
title_sort carbamazepine reduces sharp wave ripple complexes and exerts synapse specific inhibition of neurotransmission in ex vivo hippocampal slices
topic cognitive impairment
epilepsy
adverse effect
high frequency oscillations
url https://www.mdpi.com/2076-3425/11/6/787
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