Enhanced GABAergic network and receptor function in pediatric cortical dysplasia Type IIB compared with Tuberous Sclerosis Complex

Tuberous Sclerosis Complex (TSC) and cortical dysplasia Type IIB (CDIIB) share histopathologic features that suggest similar epileptogenic mechanisms. This study compared the morphological and electrophysiological properties of cortical cells in tissue from pediatric TSC (n=20) and CDIIB (n=20) pati...

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Main Authors: Carlos Cepeda, Véronique M. André, Jason S. Hauptman, Irene Yamazaki, My N. Huynh, Julia W. Chang, Jane Y. Chen, Robin S. Fisher, Harry V. Vinters, Michael S. Levine, Gary W. Mathern
Format: Article
Language:English
Published: Elsevier 2012-01-01
Series:Neurobiology of Disease
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0969996111002816
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author Carlos Cepeda
Véronique M. André
Jason S. Hauptman
Irene Yamazaki
My N. Huynh
Julia W. Chang
Jane Y. Chen
Robin S. Fisher
Harry V. Vinters
Michael S. Levine
Gary W. Mathern
author_facet Carlos Cepeda
Véronique M. André
Jason S. Hauptman
Irene Yamazaki
My N. Huynh
Julia W. Chang
Jane Y. Chen
Robin S. Fisher
Harry V. Vinters
Michael S. Levine
Gary W. Mathern
author_sort Carlos Cepeda
collection DOAJ
description Tuberous Sclerosis Complex (TSC) and cortical dysplasia Type IIB (CDIIB) share histopathologic features that suggest similar epileptogenic mechanisms. This study compared the morphological and electrophysiological properties of cortical cells in tissue from pediatric TSC (n=20) and CDIIB (n=20) patients using whole-cell patch clamp recordings and biocytin staining. Cell types were normal-appearing and dysmorphic–cytomegalic pyramidal neurons, interneurons, and giant/balloon cells, including intermediate neuronal–glial cells. In the cortical mantle, giant/balloon cells occurred more frequently in TSC than in CDIIB cases, whereas cytomegalic pyramidal neurons were found more frequently in CDIIB. Cell morphology and membrane properties were similar in TSC and CDIIB cases. Except for giant/balloon and intermediate cells, all neuronal cell types fired action potentials and displayed spontaneous postsynaptic currents. However, the frequency of spontaneous glutamatergic postsynaptic currents in normal pyramidal neurons and interneurons was significantly lower in CDIIB compared with TSC cases and the GABAergic activity was higher in all neuronal cell types in CDIIB. Further, acutely dissociated pyramidal neurons displayed higher sensitivity to exogenous application of GABA in CDIIB compared with TSC cases. These results indicate that, in spite of similar histopathologic features and basic cell membrane properties, TSC and CDIIB display differences in the topography of abnormal cells, excitatory and inhibitory synaptic network properties, and GABAA receptor sensitivity. These differences support the notion that the mechanisms of epileptogenesis could differ in patients with TSC and CDIIB. Consequently, pharmacologic therapies should take these findings into consideration.
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spelling doaj.art-ee84afb089b442e385284359d22250022022-12-21T21:56:40ZengElsevierNeurobiology of Disease1095-953X2012-01-01451310321Enhanced GABAergic network and receptor function in pediatric cortical dysplasia Type IIB compared with Tuberous Sclerosis ComplexCarlos Cepeda0Véronique M. André1Jason S. Hauptman2Irene Yamazaki3My N. Huynh4Julia W. Chang5Jane Y. Chen6Robin S. Fisher7Harry V. Vinters8Michael S. Levine9Gary W. Mathern10Intellectual and Developmental Disabilities Research Center, David Geffen School of Medicine, University of California Los Angeles, USA; Corresponding author at: Intellectual and Developmental Disabilities Research Center, Semel Institute for Neuroscience, Room 58-258, UCLA School of Medicine, 760 Westwood Plaza, Los Angeles, CA 90024, USA. Fax: +1 310 206 5060.Intellectual and Developmental Disabilities Research Center, David Geffen School of Medicine, University of California Los Angeles, USAIntellectual and Developmental Disabilities Research Center, David Geffen School of Medicine, University of California Los Angeles, USA; Department of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, USAIntellectual and Developmental Disabilities Research Center, David Geffen School of Medicine, University of California Los Angeles, USADepartment of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, USADepartment of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, USAIntellectual and Developmental Disabilities Research Center, David Geffen School of Medicine, University of California Los Angeles, USAIntellectual and Developmental Disabilities Research Center, David Geffen School of Medicine, University of California Los Angeles, USADepartment of Neurology, Section of Neuropathology, David Geffen School of Medicine, University of California Los Angeles, USAIntellectual and Developmental Disabilities Research Center, David Geffen School of Medicine, University of California Los Angeles, USAIntellectual and Developmental Disabilities Research Center, David Geffen School of Medicine, University of California Los Angeles, USA; Department of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, USATuberous Sclerosis Complex (TSC) and cortical dysplasia Type IIB (CDIIB) share histopathologic features that suggest similar epileptogenic mechanisms. This study compared the morphological and electrophysiological properties of cortical cells in tissue from pediatric TSC (n=20) and CDIIB (n=20) patients using whole-cell patch clamp recordings and biocytin staining. Cell types were normal-appearing and dysmorphic–cytomegalic pyramidal neurons, interneurons, and giant/balloon cells, including intermediate neuronal–glial cells. In the cortical mantle, giant/balloon cells occurred more frequently in TSC than in CDIIB cases, whereas cytomegalic pyramidal neurons were found more frequently in CDIIB. Cell morphology and membrane properties were similar in TSC and CDIIB cases. Except for giant/balloon and intermediate cells, all neuronal cell types fired action potentials and displayed spontaneous postsynaptic currents. However, the frequency of spontaneous glutamatergic postsynaptic currents in normal pyramidal neurons and interneurons was significantly lower in CDIIB compared with TSC cases and the GABAergic activity was higher in all neuronal cell types in CDIIB. Further, acutely dissociated pyramidal neurons displayed higher sensitivity to exogenous application of GABA in CDIIB compared with TSC cases. These results indicate that, in spite of similar histopathologic features and basic cell membrane properties, TSC and CDIIB display differences in the topography of abnormal cells, excitatory and inhibitory synaptic network properties, and GABAA receptor sensitivity. These differences support the notion that the mechanisms of epileptogenesis could differ in patients with TSC and CDIIB. Consequently, pharmacologic therapies should take these findings into consideration.http://www.sciencedirect.com/science/article/pii/S0969996111002816Tuberous Sclerosis ComplexCortical dysplasiaElectrophysiologySynaptic activityPatch clamp recordings
spellingShingle Carlos Cepeda
Véronique M. André
Jason S. Hauptman
Irene Yamazaki
My N. Huynh
Julia W. Chang
Jane Y. Chen
Robin S. Fisher
Harry V. Vinters
Michael S. Levine
Gary W. Mathern
Enhanced GABAergic network and receptor function in pediatric cortical dysplasia Type IIB compared with Tuberous Sclerosis Complex
Neurobiology of Disease
Tuberous Sclerosis Complex
Cortical dysplasia
Electrophysiology
Synaptic activity
Patch clamp recordings
title Enhanced GABAergic network and receptor function in pediatric cortical dysplasia Type IIB compared with Tuberous Sclerosis Complex
title_full Enhanced GABAergic network and receptor function in pediatric cortical dysplasia Type IIB compared with Tuberous Sclerosis Complex
title_fullStr Enhanced GABAergic network and receptor function in pediatric cortical dysplasia Type IIB compared with Tuberous Sclerosis Complex
title_full_unstemmed Enhanced GABAergic network and receptor function in pediatric cortical dysplasia Type IIB compared with Tuberous Sclerosis Complex
title_short Enhanced GABAergic network and receptor function in pediatric cortical dysplasia Type IIB compared with Tuberous Sclerosis Complex
title_sort enhanced gabaergic network and receptor function in pediatric cortical dysplasia type iib compared with tuberous sclerosis complex
topic Tuberous Sclerosis Complex
Cortical dysplasia
Electrophysiology
Synaptic activity
Patch clamp recordings
url http://www.sciencedirect.com/science/article/pii/S0969996111002816
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