Focal epileptiform activity in the prefrontal cortex is associated with long-term attention and sociability deficits

There is a well-described association between childhood epilepsy and pervasive cognitive and behavioral deficits. Often these children not only have ictal EEG events, but also frequent interictal abnormalities. The precise role of these interictal discharges in cognition remains unclear. In order to...

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Main Authors: Amanda E. Hernan, Abigail Alexander, Kyle R. Jenks, Jeremy Barry, Pierre-Pascal Lenck-Santini, Elena Isaeva, Gregory L. Holmes, Rod C. Scott
Format: Article
Language:English
Published: Elsevier 2014-03-01
Series:Neurobiology of Disease
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0969996113003240
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author Amanda E. Hernan
Abigail Alexander
Kyle R. Jenks
Jeremy Barry
Pierre-Pascal Lenck-Santini
Elena Isaeva
Gregory L. Holmes
Rod C. Scott
author_facet Amanda E. Hernan
Abigail Alexander
Kyle R. Jenks
Jeremy Barry
Pierre-Pascal Lenck-Santini
Elena Isaeva
Gregory L. Holmes
Rod C. Scott
author_sort Amanda E. Hernan
collection DOAJ
description There is a well-described association between childhood epilepsy and pervasive cognitive and behavioral deficits. Often these children not only have ictal EEG events, but also frequent interictal abnormalities. The precise role of these interictal discharges in cognition remains unclear. In order to understand the relationship between frequent epileptiform discharges during neurodevelopment and cognition later in life, we developed a model of frequent focal interictal spikes (IIS). Postnatal day (p) 21 rats received injections of bicuculline methiodine into the prefrontal cortex (PFC). Injections were repeated in order to achieve 5 consecutive days of transient inhibitory/excitatory imbalance resulting in IIS. Short-term plasticity (STP) and behavioral outcomes were studied in adulthood. IIS is associated with a significant increase in STP bilaterally in the PFC. IIS rats did not show working memory deficits, but rather showed marked inattentiveness without significant alterations in motivation, anxiety or hyperactivity. Rats also demonstrated significant deficits in social behavior. We conclude that GABAergic blockade during early-life and resultant focal IIS in the PFC disrupt neural networks and are associated with long-term consequences for behavior at a time when IIS are no longer present, and thus may have important implications for ADHD and autism spectrum disorder associated with childhood epilepsy.
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spelling doaj.art-ce7b2806d1fd475ea262edd552d279a02022-12-21T21:32:02ZengElsevierNeurobiology of Disease1095-953X2014-03-01632534Focal epileptiform activity in the prefrontal cortex is associated with long-term attention and sociability deficitsAmanda E. Hernan0Abigail Alexander1Kyle R. Jenks2Jeremy Barry3Pierre-Pascal Lenck-Santini4Elena Isaeva5Gregory L. Holmes6Rod C. Scott7Department of Neurology, Program in Experimental and Molecular Medicine Dartmouth, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756, USA; Department of Neurological Sciences, University of Vermont College of Medicine, Burlington, VT, USA 05405; Correspondence to: A. Hernan, 95 Carrigan Drive, Stafford 118F, Burlington, VT 05405, USA.Department of Neurology, Program in Experimental and Molecular Medicine Dartmouth, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756, USADepartment of Neurology, Program in Experimental and Molecular Medicine Dartmouth, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756, USADepartment of Neurology, Program in Experimental and Molecular Medicine Dartmouth, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756, USA; Department of Neurological Sciences, University of Vermont College of Medicine, Burlington, VT, USA 05405Department of Neurological Sciences, University of Vermont College of Medicine, Burlington, VT, USA 05405State Key Laboratory for Molecular and Cellular Biology, Kiev 01601, Ukraine; Department of Neurological Sciences, University of Vermont College of Medicine, Burlington, VT, USA 05405Department of Neurological Sciences, University of Vermont College of Medicine, Burlington, VT, USA 05405Department of Neurological Sciences, University of Vermont College of Medicine, Burlington, VT, USA 05405; University College London, Institute of Child Health, London WC1N 1EH, UK; Correspondence to: R. Scott, 95 Carrigan Drive, Stafford 118D, Burlington, VT 05405, USA.There is a well-described association between childhood epilepsy and pervasive cognitive and behavioral deficits. Often these children not only have ictal EEG events, but also frequent interictal abnormalities. The precise role of these interictal discharges in cognition remains unclear. In order to understand the relationship between frequent epileptiform discharges during neurodevelopment and cognition later in life, we developed a model of frequent focal interictal spikes (IIS). Postnatal day (p) 21 rats received injections of bicuculline methiodine into the prefrontal cortex (PFC). Injections were repeated in order to achieve 5 consecutive days of transient inhibitory/excitatory imbalance resulting in IIS. Short-term plasticity (STP) and behavioral outcomes were studied in adulthood. IIS is associated with a significant increase in STP bilaterally in the PFC. IIS rats did not show working memory deficits, but rather showed marked inattentiveness without significant alterations in motivation, anxiety or hyperactivity. Rats also demonstrated significant deficits in social behavior. We conclude that GABAergic blockade during early-life and resultant focal IIS in the PFC disrupt neural networks and are associated with long-term consequences for behavior at a time when IIS are no longer present, and thus may have important implications for ADHD and autism spectrum disorder associated with childhood epilepsy.http://www.sciencedirect.com/science/article/pii/S0969996113003240Pediatric epilepsyInterictal spikesAttentionSocial behaviorShort-term plasticityPrefrontal cortex
spellingShingle Amanda E. Hernan
Abigail Alexander
Kyle R. Jenks
Jeremy Barry
Pierre-Pascal Lenck-Santini
Elena Isaeva
Gregory L. Holmes
Rod C. Scott
Focal epileptiform activity in the prefrontal cortex is associated with long-term attention and sociability deficits
Neurobiology of Disease
Pediatric epilepsy
Interictal spikes
Attention
Social behavior
Short-term plasticity
Prefrontal cortex
title Focal epileptiform activity in the prefrontal cortex is associated with long-term attention and sociability deficits
title_full Focal epileptiform activity in the prefrontal cortex is associated with long-term attention and sociability deficits
title_fullStr Focal epileptiform activity in the prefrontal cortex is associated with long-term attention and sociability deficits
title_full_unstemmed Focal epileptiform activity in the prefrontal cortex is associated with long-term attention and sociability deficits
title_short Focal epileptiform activity in the prefrontal cortex is associated with long-term attention and sociability deficits
title_sort focal epileptiform activity in the prefrontal cortex is associated with long term attention and sociability deficits
topic Pediatric epilepsy
Interictal spikes
Attention
Social behavior
Short-term plasticity
Prefrontal cortex
url http://www.sciencedirect.com/science/article/pii/S0969996113003240
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