Summary:Purpose: Spontaneous seizures in rats emerge several weeks after induction of status epilepticus with pharmacologic treatment or electrical stimulation, providing an animal model for human temporal lobe epilepsy. In this study, we investigated whether status epilepticus caused changes in the function of voltage-gated sodium channels in entorhinal cortex layer V neurons, a cellular group important for the genesis of limbic seizures.Methods: We induced status epilepticus in rats, by using lithium-pilocarpine, and then 2-12 weeks later, used whole-cell voltage-clamp to examine voltage-activated sodium currents of acutely dissociated layer V neurons.Results: Transient sodium currents of entorhinal cortex layer V neurons isolated from 9-to 12-week post-status epilepticus rats were similar to currents in age-matched controls; however, low-threshold persistent sodium currents were significantly larger. This increase in persistent activity was not seen 2-3 weeks after pilocarpine treatment; thus it occurred after a delay comparable to the delay in the appearance of spontaneous seizures.Conclusions: Increased persistent currents are expected to accentuate neuronal excitability and thus may contribute to the genesis of spontaneous seizures after status epilepticus. Key Words: Pilocarpine-Voltage-gated sodium channel-Patch-clamp.Voltage-gated sodium channels provide the predominant voltage-activated excitatory current in brain neurons. Increasing evidence has linked abnormal sodium channel function to the etiology of epilepsy. For example, mutations in sodium channel genes cause inherited generalized epilepsy syndromes (1). Changes in the expression and function of wild-type sodium channels also may be involved in the epileptogenesis. Various animal models of temporal lobe epilepsy (TLE) are associated both with changes in the levels of messenger RNAs (mRNAs) for different sodium channel subtypes (2-4) and with modulation of sodium current behavior (5,6). Alterations in sodium channel mRNA also have been described in tissue samples from human TLE patients (7,8). These studies have focused on the hippocampus; however, none has specifically investigated sodium channel behavior in the entorhinal cortex (EC), which forms the principal interface between the hippocampus and neocortex and has been implicated in the genesis of ictal activity associated with TLE (9). In the present study, we demonstrate an increase in a low-threshold persistent sodium current in projection neurons from layer V of rat medial EC, after lithium-pilocarpine-induced status epilepticus (SE), a model of human TLE (10). This change in persistent current is consistent with neuronal hyperexcitability and thus may contribute to epileptogenesis in post-SE animals.
MATERIALS AND METHODSMale Long-Evans rats (Charles River; P35-P47) were injected with LiCl (127 mg/kg, all injections were i.p.), and the next day injected with scopolamine methyl bromide (1 mg/kg), followed 15 min later with pilocarpine hydrochloride (30 mg/kg). Only rats showing category V ...