- Open Access
Analysis of connexin expression during seizures induced by 4-aminopyridine in the rat hippocampus
© Laura et al. 2015
- Received: 28 March 2015
- Accepted: 4 August 2015
- Published: 14 August 2015
In epilepsy, seizures are generated by abnormal synchronous activity in neurons. In the rat hippocampus (HIP), epileptiform activity has been found to be associated with gap junctions (GJs). GJs are formed by the combination of two hemichannels, each composed of six connexins. At low doses, the convulsive drug 4-aminopyridine (4-AP) produces epileptiform activity without affecting glutamate levels; therefore, GJs could participate in its effect. Based on this argument, in this study, the expression of Cx 32, Cx 36 and Cx 43 protein and mRNA in the HIP of rats treated with 4-AP was evaluated. The evaluation of connexins was carried out by chemifluorescent immunoassay, semiquantitative RT-PCR and immunofluorescence to detect the amount and distribution of connexins and of cellular markers in the HIP and dentate gyrus (DG) of animals treated with NaCl and 4-AP in the right entorhinal cortex. In these animals, convulsive behavior and EEG signals were analyzed.
The animals treated with 4-AP showed convulsive behavior and epileptiform activity 60 min after the administration. A significant increase in the protein expression of Cx 32, Cx 36 and Cx 43 was found in the HIP contralateral and ipsilateral to the site of 4-AP administration. A trend toward an increase in the mRNA of Cx 32 and Cx 43 was also found. An increase in the cellular density of Cx 32 and Cx 43 was found in the right HIP and DG, and an increase in the cellular density of oligodendrocytes in the DG and a decrease in the number of cells marked with NeuN were observed in the left HIP.
Cx 32 and Cx 43 associated with oligodendrocytes and astrocytes had an important role in the first stages of seizures induced by 4-AP, whereas Cx36 localized to neurons could be associated with later stages. Additionally, these results contribute to our understanding of the role of connexins in acute seizures and allow us to direct our efforts to other new anticonvulsant strategies for seizure treatment.
Epilepsy is a neurological disease that affects 2-5 % of the population worldwide; 67 million people have epilepsy . In epilepsy, recurrent seizures are generated by abnormal synchronous activity in a group of neurons . Currently, the cellular mechanisms involved in the generation of epilepsy are not known in detail. In vitro studies in the rat hippocampus have found epileptiform activity in the absence of chemical synapses. This fact suggests that other mechanisms may be involved in epilepsy, such as electrotonic coupling between cells [3–5]. Electrotonic coupling is produced by gap junctions (GJs). GJs are intercellular connections formed by the addition of two hemichannels called connexons. Every connexon is formed by six structural transmembrane proteins, called connexins (Cxs). Cxs 26, 30, 32, 36, 43, and 47 are expressed in the rodent hippocampus [6, 7]. Astrocytes express Cxs 30, 43 and 26, oligodendrocytes express Cxs 29, 32 and 47, and neurons express Cxs 36 and 45 [8, 9]. The union of two connexons forms a channel through which ions and small molecules (<1000 Da; AMPc and IP3) pass bidirectionally [10, 11].
Several in vitro and in vivo studies have found a relation between GJs and epileptiform activity [12–14]. In this respect, GJ blockers, such as carbenoxolone, octanol and quinine, have an antiepileptic effect [15–20], whereas GJ openers, such as trimethylamine, facilitate epileptiform activity [17, 21]. Additionally, some authors have reported changes in the expression of Cxs 30, 32, 36 and 43 in seizure and epilepsy models [15–17, 22–27] as well as in patients with mesial temporal lobe epilepsy [28–31]. Nevertheless, the results of these studies are contradictory. There is evidence of the importance of Cxs in brain function. Animals in which different Cxs have been knocked out exhibit alterations in gamma oscillations  and myelination, neuronal hyperexcitability , and a reduction of calcium waves [28, 34]. Some Cxs knockout lines even exhibit epileptiform activity and changes in glutamatergic transmission in the hippocampus [35, 36]. There is electrical coupling between hippocampal cells and in the entorhinal cortex [37–39]. These limbic structures have a role in the hypersynchronization that underlies epileptiform activity, and these brain regions are important sites for seizure generation [12, 20, 40].
4-Aminopyridine is a convulsant drug that blocks potassium channels and prolongs the action potentials of neurons; this effect facilitates the nonspecific release of neurotransmitters such as glutamate in the hippocampus and striatum [41, 42]. Low doses of 4-AP have been observed to produce epileptiform activity without affecting glutamate levels [43, 44], suggesting that other mechanisms could be involved in seizure generation in this model, such as GJs. For this reason and because there have not been any studies that have addressed these issues, in the present study we evaluated protein and mRNA expression of Cxs 32, 36 and 43 in the hippocampus and dentate gyrus (DG) of freely moving rats treated with 4-AP in the right entorhinal cortex (rEC).
Twenty-eight adult male Wistar rats (250–300 g in weight) were used in the present study. All rats were maintained in individual cages in a temperature-controlled room with a 12-h light/dark cycle, with ad libitum access to food and water. All experimental procedures were designed to minimize animal suffering and the total number of animals used. This protocol conformed to the Rules for Research in Health Matters (Mexican Official Norms NOM-062-ZOO-1999, NOM-033-ZOO-1995) and was approved by the local Animal Care Committee.
Rats were first anesthetized with isoflurane in 100 % O2 and then secured in a Stoelting stereotaxic frame with the incisor bar positioned at −3.3 mm. A stainless steel guide cannula (0.5 mm internal diameter) was implanted into each rat through a hole drilled in the skull, and it was positioned in the rEC at the following stereotaxic coordinates relative to bregma (rEC: AP, −8 mm; L, 4.6 mm; V, 4 mm). This cannula was used to insert an injection needle (V, 5 mm) that also served as a recording electrode. The entire surface of the cannula was insulated except for a 1 mm portion of its tip. Three stainless steel screws were attached to the skull, one above bregma and two above the cerebellum, which served as the ground and the reference electrodes, respectively. Three surface electrodes with the same characteristics as the electrodes described above were implanted into the skull over the right frontal cortex (rFC), the left frontal cortex (lFC) and the left occipital cortex (lOC). The guide cannula and surface electrode wires were attached to a socket connector and fixed to the skull with acrylic dental cement. This procedure was completed in animals from both the control and the experimental group to perform the EEG recordings as well as for the immunoassay tests. Animals used to evaluate mRNA and immunohistochemistry by fluorescence were implanted only with the guide cannula.
Drug administration and EEG recording
After surgery, the animals were allowed to recover for 24–48 h and then divided into experimental groups and treated as follows: 3 control groups (one group with n = 4 and two groups with n = 3) received an injection of the vehicle alone (NaCl, 0.9 %), and 60 min after the injection the animals were sacrificed; and 3 experimental groups of animals (n = 6 per group) were injected with 10 nmol 4-AP and sacrificed similarly, 60 min after the injection.
4-AP (Sigma, MO, USA) was diluted in the appropriate concentration of NaCl to maintain iso-osmolarity. Both the vehicle and 4-AP solutions were injected locally into the rEC at a flow rate of 1.0 μl/min for 1 min (final volume: 1 μl) using a microsyringe mounted on a microinjection pump (WPI SP101, FL, USA).
The rats were placed in a containment unit, and the electrodes were connected to a cable fixed to a balanced arm. EEG activity was recorded using a Grass polygraph model 6 with a low-frequency filter at 1 Hz and a high frequency filter at 300 Hz and was sampled at 100 Hz/channel (four channels). Data were stored on a computer hard disk and analyzed with AcqKnowledge software from Biopac Systems MP150 (Biopac Systems, Inc., CA, USA). After recording basal activity for 30 min, vehicle or 4-AP (10 nmol) was administered. Then, the animals were observed continuously for 60 min, during which time EEG activity was recorded. The basal electrical activity of each group was analyzed, and the amplitude and frequency were averaged over a 5 min recording period. The data from the experimental groups were analyzed by measuring the amplitude of a single epileptiform discharge over a 3 min period of the recording. Amplitudes were sampled at different times after the drug administration. The frequency of the EEG epileptiform activity (the number of single epileptiform discharges during a 1 s seizure period) was averaged manually for 3 min for each of the different periods of time studied. Propagation of this epileptiform activity to other areas was also analyzed.
Animal behavior was scored by continuous observation before, during and after vehicle or drug administration, using a modified version of the Racine scale . Briefly, behavior was scored as follows: 0, behavioral arrest (motionless), piloerection, excitement and rapid breathing; 1, movement of the mouth, lips, tongue and vibrissae as well as salivation; 2, head and eye clonus; 3, forelimb clonus, “wet dog shakes”; 4, clonic rearing; 5, clonic rearing with a loss of postural control and uncontrolled jumping.
Synaptosome and glial membrane extraction
Connexin proteins are localized in nerve terminals (synaptosomes) and glial membranes; therefore, we used the method of Li and coworkers  to extract them. After 60 min of vehicle or 4-AP administration, animals from the control and experimental groups belonging to the first set of experiments were decapitated, and the right and left hippocampus were extracted and weighed. Next, the tissue was homogenized in cold PBS (pH 7.3; 0.12 M) containing 0.32 M sucrose, 1 mM NaHCO3, 1 M MgCl2 and 0.5 mM CaCl2 by applying 12–24 strokes (800 rpm; 50 % amplitude) with an ultrasonic tissue processor (Cole-Parmer, IL, USA). Then, the homogenized solution was centrifuged for 10 min (1400 X g). The supernatant was collected, and the nuclear precipitate was homogenized and centrifuged for 10 min (1400 X g); this last supernatant was combined with the previous supernatant, and they were centrifuged for 30 min (13800 X g). The precipitate obtained contained crude synaptosomes and mitochondria, and this precipitate was suspended in cold phosphate-buffered saline (PBS, 0.12 M; pH 7.3) to be used in the immunoassay.
Immunoassay by chemifluorescence
This procedure was performed according to Hendrix and coworkers  with some modifications. Microplates of 96 wells with a solid support were used; the plates contained protein G in order to fix the primary antibody (Thermo Scientific, IL, USA). In every microplate, a primary antibody for Cx 32 (anti-mouse polyclonal antibody; Zymed, CA, USA), Cx 36 (anti-rabbit polyclonal antibody; Santa Cruz Biotechnology, CA, USA) and Cx 43 (anti-rabbit polyclonal antibody; Santa Cruz Biotechnology, CA, USA), diluted 1:500 with PBS (0.12 M, pH 7.3), was incubated overnight at 4 °C. After that, three washes with PBS were applied, each for 10 min with shaking. The microplates were then incubated with blocking solution (0.12 M PBS, pH 7.3; 0.01 % NaN3; and 1 % bovine serum albumin (BSA), pH 7.6) for 1 h at room temperature with shaking. Then, three 10 min washes with PBS containing Tween 20 (0.02 %) and NaN3 (0.01 %) and shaking were performed, followed by one 10 min wash with PBS and shaking at room temperature. Then, the synaptosome and glial membrane extracts in the microplates were incubated with diluted blocking solution for 10 min with shaking at room temperature. After that, the appropriate secondary antibody coupled to horseradish peroxidase (IgG anti-rabbit or IgG anti-mouse; Abcam, CA, USA), diluted 1:500 in blocking solution, was added to every microplate to incubate for 1 h. After that, three washes of 10 min each were performed with PBS containing Tween 20 (0.02 %) and NaN3 (0.01 %) and shaking. Subsequently, one wash of 10 min with only PBS was performed. Finally, the reaction mixture (Amplex-enhancer solution, 10-acetyl-3,7-dihydroxyphenoxazine (ADHP) and stable peroxidase (QuantaRed Enhanced Chemifluorescent HRP Substrate Kit; Thermo Scientific, IL, USA) was added to every microplate and incubated in the dark for 10 min at room temperature with shaking. The reaction was stopped with a QuantaRed stop solution (Thermo Scientific, IL, USA), which was added to every microplate for 15 s while shaking. Immediately, the chemifluorescence was read in each well of the microplates with a CCD detector (USB 4000, Ocean Optics) that contained two optic fibers. The excitation wavelength was 570 nm and the emitted light was captured at 585 nm.
Semiquantitative RT-PCR of connexins
Characteristics of the primers used in the Semiquantitative RT-PCR of connexins
Primer sequence forward and reverse
NCBI data base ref
Expect product (bp)
Hybridization temperature (°C)
C × 32
C × 36
C × 43
Perfusion and immunofluorescence
After 60 min of vehicle or 4-AP administration, animals from the control and experimental groups for the third set of experiments were anaesthetized with Nembutal (60 mg/kg, i.p.) and transcardially perfused with phosphate-buffered saline (PBS, 0.1 M, pH 7.4, 37 °C), followed by 4 % paraformaldehyde (in 0.1 M PBS, pH 7.4) containing 0.1 % glutaraldehyde. The animal’s brain was removed and post-fixed for 12 to 16 h at 4 °C. The brains were then mounted on a vibratome (WPI, FL, USA) and sliced coronally at a thickness of 30 μm. These sections were collected consecutively in separate wells of an incubation chamber containing PBS, and the immunofluorescence procedure was performed as described previously, with some modifications .
Antibodies directed against the Cxs were used, as follows: 32 (mouse monoclonal antiserum, Invitrogen, CA, USA), 36 (rabbit polyclonal antiserum, Invitrogen, CA, USA), and 43 (rabbit polyclonal antiserum, Invitrogen, CA, USA). Antibodies for the identification of neurons and glial cells were also used, as follows: NeuN (mouse monoclonal antiserum, Millipore, CA, USA), oligodendrocytes (mouse monoclonal antiserum, Millipore, CA, USA) and GFAP (rabbit polyclonal antiserum, Invitrogen, CA, USA).
Tissue sections were washed twice for 15 min in PBS (pH 7.4, 0.1 M), and then they were incubated for 30 min at room temperature with shaking in a blocking solution containing 10 % normal goat serum (NGS) and 0.1 % Triton X-100 in PBS. After three 15 min washes, the sections were incubated for 48 h at 4 °C with the primary antibodies (anti-Cx32, anti-Cx36 and anti-Cx43: 1:500; and Anti-NeuN, anti-oligodendrocytes and anti-GFAP: 1:1000), which were diluted in PBS containing 5 % NGS.
The sections were then washed five times with agitation for 15 min each in PBS and incubated with the secondary antibody with agitation for 2 h in darkness at room temperature. Cx36 and GFAP were detected using goat anti-rabbit IgG-Alexa 594 (1:1000, Invitrogen, OR, USA) in PBS containing 5 % NGS, whereas oligodendrocytes were detected using goat anti-mouse IgG-Alexa 594. Cx32 and NeuN were identified using goat anti-mouse IgG-Alexa 488 (1:1000, Invitrogen, OR, USA). Finally, Cx 43 was detected using goat anti-rabbit IgG-FITC (1:1000, Santa Cruz Biotechnology, CA, USA). Sections were washed four times in PBS (15 min each) with agitation in darkness before being mounted on glass slides and coverslipped using Vectashield (Vector Laboratories, Inc. Burlingame, CA, USA), to preserve fluorescence. The sections were examined by fluorescence microscopy (Olympus, U-LH100HG, Japan) and analyzed using ImageJ 1.48 software (NIH, MD, USA). Control sections were incubated without primary antibody or with the primary antibody replaced with NGS, and no fluorescence signal was observed in any of the control sections (data not shown).
Cell counting and cellular density
The somas of neurons and astrocytes, marked with NeuN and GFAP, respectively, were counted in the CA1 and CA3 regions of the right and left hippocampus as well as in the DG region, using four slices per animal. With the 40x objective, three images per region were obtained and analyzed from each slice. The image had an area of 0.075 mm2; in this area, somas were counted until three areas per region were analyzed in each rat . To measure cellular density in the slices stained for Cxs and oligodendrocytes, pixel intensity was measured in three fields; each field had an area of 0.075 mm2 and was obtained with the 40x objective. The analysis was performed in three fields from each studied region (CA1 and CA3 from the right and left hippocampus and the DG) obtained from each rat .
To verify the location of the guide cannula in each experiment, some coronal brain sections (50 μm thick) were taken from rats previously perfused for immunofluorescence and that belonged to different experimental and control groups. These sections were stained with cresyl violet, and if the cannula was implanted incorrectly, the animals were excluded from the study.
The EEG results and the immunoassay and immunofluorescence data are shown as the mean (± SEM), while the RT-PCR data are shown as the percentage change from the control group (mean ± SEM). Comparisons between the control and the experimental groups were performed by applying a Student’s t-test using the GraphPad Prism 6 statistical software package. Statistical significance was defined at p < 0.05.
EEG activity in the control and experimental groups
Behavior of the control and experimental groups
Seizure behavior of rats injected with 4-AP (10 nmol, n = 6) at different times after 4-AP administration
Convulsive behavior after 4-AP injection
Immunoassay and RT-PCR of connexins in the control and experimental groups
Analysis of the expression of the mRNA of the different Cxs showed a tendency toward increased Cx 32 and Cx 43 mRNA levels in the right hippocampus in animals treated with 4-AP compared with the control group (23 % and 10 %, respectively), but the increase was not significant. The rest of the Cxs were unchanged in both the right and left hippocampus (Fig. 3b, c).
Connexin immunofluorescence in the control and experimental groups
In the present study, local administration of 4-AP (10 nmols) into the rEC produced epileptiform activity, which was characterized by hypersynchronous activity, followed by trains of poly-spikes that propagated to all of the studied regions. This finding is consistent with previous studies in our laboratory [19, 20]. This epileptiform activity coincided with the convulsive behavior that was associated with a score of 3 on the modified Racine Scale .
An increase in the amount of Cx 32 protein and a tendency toward an increase in the amount of its mRNA were observed in the right hippocampus of animals treated with 4-AP (10 nmols, rEC; 60 min after its administration). These data suggest a possible relation between the synthesis of Cx 32 mRNA and protein during the convulsive event produced by 4-AP. The present results are consistent with previous studies in which an increase in Cx 32 (mRNA and protein) was observed in neocortex treated with 4-AP [15, 17] as well as in vitro preparations of the hippocampus treated with bicuculline . However, during epileptogenesis, the connection between Cx 32 mRNA and protein could be found in specific regions associated with spontaneous seizure generation because an increase in Cx 32 mRNA has been observed in the neocortex and hippocampus in patients with Temporal Lobe Epilepsy [28, 31]. The present and previous results regarding Cx 32 expression demonstrate the important role of Cx 32 as a compensatory mechanism that blocks the convulsive process and epileptogenesis. Accordingly, some experimental evidence has suggested that Cx 32 expressed in oligodendrocytes could contribute to the buffering of K+, which is released during neuronal activity [47, 48], by enabling the sequential movement of these ions into the periaxonal cytoplasm from the soma of the oligodendrocyte through reflexive junctions. This phenomenon is extended to a network formed by oligodendrocyte-astrocyte junctions; in addition, Cx 32/Cx 43 double-knockout mice show clonic-tonic seizures and early mortality . Although we found an increase in the cellular density of Cx 32 in the cells of the right hippocampus and DG that correspond to the ipsilateral region of 4-AP administration (rEC), this increase is also partially consistent with the increase in the cellular density of labeled oligodendrocytes in the rDG, considering that Cx 32 is mainly expressed in this type of glial cells. These results are consistent with previous studies [16, 23] in which an increase of Cx 32 was found in hippocampal slices treated with bicuculline (an antagonist of GABAA receptors).
Additionally, we found a significant increase in Cx 43 protein and a trend toward up-regulation of its mRNA only in the right hippocampus, ipsilateral to the 4-AP administration. These results agree with previous studies in which an increase in Cx 43 protein was observed in hippocampal slices treated with pilocarpine and bicuculline [16, 50] as well with in vivo and in vitro preparations of the neocortex after 4-AP [15, 17] and bicuculline administration . In addition, an increase in the mRNA of Cx 43 has been observed in the hippocampus of patients with TLE . Therefore, the present data suggest that Cx 43 protein is synthesized and distributed in astrocytes under conditions of constant hyperexcitability for at least 60 min. At this respect, 4-AP increases glutamate levels at synaptic sites [42, 44] probably activating N-methyl-D-aspartate receptors (NMDA-R) which increase the intracellular Ca2+ and produce Ca2+/calmodulin dependent protein kinase II (CaM-KII) activation, this last protein phosphorylates Cx 43 and this effect facilitating coupling between astrocytes [51, 52] as well as it has been reported a potentiation of the gap junction dependent on postsynaptic NMDA-R [53, 54] and phosphorylation of Cx 43 occur following in vitro Co2+−induced seizures ; besides that 4-AP generates hyperexcitability also produces oxidative stress in cells  that could facilitates that more connexins reach the membrane due to a decrease in the endoplasmic reticulum associated degradation of connexins [57, 58]. Additionally, the increase in Cx 43 in astrocytes could facilitate and sustain the epileptiform activity in the hippocampus, as has been demonstrated indirectly in a model in which carbenoxolone administration blocked epileptiform activity 60 min after 4-AP administration . In addition, the hemi-channels formed by Cx 43 can be opened after voltage changes that depolarize the membrane during epileptiform activity . ATP and glutamate are also released from astrocytes through these hemi-channels, producing neuronal death, as has been observed in epileptic tissue . Additionally, an increase in the cellular density of Cx 43 protein was observed in cells of the hippocampus and DG from the right and left hemispheres in this model of 4-AP; however, we did not find any significant changes in the number of astrocytes in these same regions. This could be due to the process of glial scar formation over time because it usually takes several days to see active astrocytes after seizures . In the present study, the experimental animals were sacrificed one hour after 4-AP administration, when an epileptiform pattern was observed.
We also did not find changes in Cx 36 in neurons from the hippocampus and DG. In addition, the number of neurons labeled with NeuN did not differ significantly between the experimental and the control animals in all of the studied regions except CA3. These data contrast with the increase in Cx 36 protein observed in the hippocampus of the experimental animals of this study. However, we did not find any changes in Cx 36 mRNA, which in consistent with previous studies in which no changes in Cx 36 mRNA were observed in hippocampal slices exposed to bicuculline  or in pilocarpine model during the acute phase when epileptiform activity was observed ; however, another study showed an increase in Cx 36 mRNA 60 min after the first seizure . Finally, a third study reported a significant decrease in Cx 36 mRNA and protein in the hippocampus of rats treated with kainic acid and kindling . This discrepancy in results could be due to differences in the animals (ages, strains), the model of seizure induction, the time of treatment, the duration of seizures before the animals were sacrificed and the regions analyzed in each study. However, our results showed an increase in Cx 36 protein only, that could be explained by a compensation of the degraded pool of Cx 36 affected by seizures effects (depolarization, increases in intracellular Ca2+ and oxidative stress in cells) considering the rapid half-life of Cx 36, which is on the order of tens of minutes , in contrast, the average half-lives of Cx 32 and Cx 43 that are approximately 1–4 h [64, 65].
Also of interest is the influence of the external and internal factors that regulate the opening and closing of the gap junctions through interactions with different Cxs. Regarding this process, some excitatory and inhibitory amino acids regulate the electrical coupling between neurons and astrocytes through second messenger signaling systems and kinase proteins . In the present study, 4-AP slowed membrane repolarization and facilitated the release of neurotransmitters, especially glutamate; this neurotransmitter has been shown to influence the conductance of GJs in the hippocampus and to generate seizures . Other regulating factors include pH and the intracellular calcium concentration; increases in both of these factors decrease the conductance of GJs. In the present study, the increase of glutamate produced by 4-AP resulted in the hyperactivation of ionotropic receptors that also modify the calcium concentration and pH of postsynaptic neurons, producing hyperexcitability and modification of the conductance of GJs. In addition, the alkalization mediated by potassium produced during the first seizure events increases electrotonic coupling; later, when it produces acidification at the end of the seizures, this coupling is reduced . Based on these arguments, it is possible to think that the function of GJs formed by Cxs is altered even if the expression of the Cxs does not change significantly.
4-AP administration in the rEC produced epileptiform activity associated with a score of 3 on the modified Racine Scale. Sixty minutes after the establishment of this epileptiform pattern, we observed an increase in the protein expression of Cx 32 and Cx 43, which was associated with a trend toward an increase in their mRNA as well as a trend toward an increase in the principal marker of oligodendrocytes in the right DG; these Cxs were also expressed in principal cells of the hippocampus and DG. Therefore, we suggest that the Cxs particularly associated with glial cells such as oligodendrocytes and astrocytes have an important role in the first stages of seizures induced by 4-AP. It is likely that the participation of Cx 36 in neurons is associated with the later stages of the acute convulsive process induced by 4-AP. These results contribute to our understanding of the role of Cxs in acute seizures and allow us to direct our efforts to other new anticonvulsant strategies for seizure treatment.
This study was supported by the grant from LMC, CONACYT-SEP-CB 106179. We wish to thank Dr. Graciela Gudiño-Cabrera for her assistance with the fluorescence microscopy.
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- Angus-Leppan H, Parsons LM. Epilepsy: epidemiology, classification and natural history. Epilepsy. 2008;36:571–8.Google Scholar
- Fisher RS, van Emde BW, Blume W, Elger C, Genton P, Lee P, et al. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia. 2005;46:470–2.View ArticlePubMedGoogle Scholar
- Jefferys JG, Haas HL. Synchronized bursting of CA1 hippocampal pyramidal cells in the absence of synaptic transmission. Nature. 1982;300:448–50.View ArticlePubMedGoogle Scholar
- Taylor CP, Dudek FE. Synchronous neuronal after discharges in rat hippocampal slices without active chemical synapses. Science. 1982;218:810–2.View ArticlePubMedGoogle Scholar
- Perez-Velazquez JL, Carlen PL. Gap junctions, synchrony and seizures. Trends Neurosci. 2000;23:68–74.View ArticlePubMedGoogle Scholar
- Venance L, Rozov A, Blatow M, Burnashev N, Feldmeyer D, Monyer H. Connexin expression in electrically coupled postnatal rat brain neurons. Proc Natl Acad Sci U S A. 2000;97:10260–5.PubMed CentralView ArticlePubMedGoogle Scholar
- Teubner B, Odermatt B, Guldenagel M, Sohl G, Degen J, Bukauskas F, et al. Functional expression of the new gap junction gene connexin47 transcribed in mouse brain and spinal cord neurons. J Neurosci. 2001;21:1117–26.PubMed CentralPubMedGoogle Scholar
- Nakase T, Naus CC. Gap junctions and neurological disorders of the central nervous system. Biochim Biophys Acta. 2004;1662(1–2):149–58.View ArticlePubMedGoogle Scholar
- Abrams CK, Scherer SS. Gap junctions in inherited human disorders of the central nervous system. Biochim Biophys Acta. 1818;2012:2030–47.Google Scholar
- Söhl G, Maxeiner S, Willecke K. Expression and functions of neuronal gap junctions. Nat Rev Neurosci. 2005;6:191–200.View ArticlePubMedGoogle Scholar
- Dere E, Zlomuzica A. The role of gap junctions in the brain in health and disease. Neurosci Biobehav Rev. 2012;36:206–17.View ArticlePubMedGoogle Scholar
- Traub RD, Whittington MA, Buhl EH, LeBeau FE, Bibbig A, Boyd S, et al. A possible role for gap junctions in generation of very fast EEG oscillations preceding the onset of, and perhaps initiating, seizures. Epilepsia. 2001;42:153–70.PubMedGoogle Scholar
- Carlen PL, Skinner F, Zhang L, Naus C, Kushnir M, Perez Velazquez JL. The role of gap junctions in seizures. Brain Res Brain Res Rev. 2000;32:235–41.View ArticlePubMedGoogle Scholar
- Mylvaganam S, Ramani M, Krawczyk M, Carlen PL. Roles of gap junctions, connexins, and pannexins in epilepsy. Front Physiol. 2014;5:1–12.View ArticleGoogle Scholar
- Szente M, Gajda Z, Said Ali K, Hermesz E. Involvement of electrical coupling in the in vivo ictal epileptiform activity induced by 4-aminopyridine in the neocortex. Neuroscience. 2002;115:1067–78.View ArticlePubMedGoogle Scholar
- Samoilova M, Li J, Pelletier MR, Wentlandt K, Adamchik Y, Naus CC, et al. Epileptiform activity in hippocampal slice cultures exposed chronically to bicuculline: increased gap junctional function and expression. J Neurochem. 2003;86:687–99.View ArticlePubMedGoogle Scholar
- Gajda Z, Gyengési E, Hermesz E, Ali KS, Szente M. Involvement of gap junctions in the manifestation and control of the duration of seizures in rats in vivo. Epilepsia. 2003;44:1596–600.View ArticlePubMedGoogle Scholar
- Gajda Z, Szupera Z, Blazsó G, Szente M. Quinine, a blocker of neuronal cx36 channels, suppresses seizure activity in rat neocortex in vivo. Epilepsia. 2005;46:1581–91.View ArticlePubMedGoogle Scholar
- Medina-Ceja L, Cordero-Romero A, Morales-Villagrán A. Antiepileptic effect of carbenoxolone on seizures induced by 4-aminopyridine: a study in the rat hippocampus and entorhinal cortex. Brain Res. 2008;1187:74–81.View ArticlePubMedGoogle Scholar
- Medina-Ceja L, Ventura-Mejía C. Differential effects of trimethylamine and quinine on seizures induced by 4-aminopyridine administration in the entorhinal cortex of vigilant rats. Seizure. 2010;19:507–13.View ArticlePubMedGoogle Scholar
- Nassiri-Asl M, Zamansoltani F, Zangivand AA. The inhibitory effect of trimethylamine on the anticonvulsant activities of quinine in the pentylenetetrazole model in rats. Prog Neuropsychopharmacol Biol Psychiatry. 2008;32:1496–500.View ArticlePubMedGoogle Scholar
- Söhl G, Güldenagel M, Beck H, Teubner B, Traub O, Gutiérrez R, et al. Expression of connexin genes in hippocampus of kainate-treated and kindled rats under conditions of experimental epilepsy. Brain Res Mol Brain Res. 2000;83:44–51.View ArticlePubMedGoogle Scholar
- Li J, Shen H, Naus CC, Zhang L, Carlen PL. Upregulation of gap junction connexin 32 with epileptiform activity in the isolated mouse hippocampus. Neuroscience. 2001;105:589–98.View ArticlePubMedGoogle Scholar
- Condorelli DF, Mudò G, Trovato-Salinaro A, Mirone MB, Amato G, Belluardo N. Connexin-30 mRNA is up-regulated in astrocytes and expressed in apoptotic neuronal cells of rat brain following kainate-induced seizures. Mol Cell Neurosci. 2002;21:94–113.View ArticlePubMedGoogle Scholar
- Condorelli DF, Trovato-Salinaro A, Mudò G, Mirone MB, Belluardo N. Cellular expression of connexins in the rat brain: neuronal localization, effects of kainate-induced seizures and expression in apoptotic neuronal cells. Eur J Neurosci. 2003;18:1807–27.View ArticlePubMedGoogle Scholar
- Beheshti S, Sayyah M, Golkar M, Sepehri H, Babaie J, Vaziri B. Changes in hippocampal connexin 36 mRNA and protein levels during epileptogenesis in the kindling model of epilepsy. Prog Neuropsychopharmacol Biol Psychiatry. 2010;34:510–5.View ArticlePubMedGoogle Scholar
- Takahashi DK, Vargas JR, Wilcox KS. Increased coupling and altered glutamate transport currents in astrocytes following kainic-acid-induced status epilepticus. Neurobiol Dis. 2010;40:573–85.PubMed CentralView ArticlePubMedGoogle Scholar
- Naus CC, Bechberger JF, Paul DL. Gap junction gene expression in human seizure disorder. Exp Neurol. 1991;111:198–203.View ArticlePubMedGoogle Scholar
- Fonseca CG, Green CR, Nicholson LF. Upregulation in astrocytic connexin 43 gap junction levels may exacerbate generalized seizures in mesial temporal lobe epilepsy. Brain Res. 2002;929:105–16.View ArticlePubMedGoogle Scholar
- Collignon F, Wetjen NM, Cohen-Gadol AA, Cascino GD, Parisi J, Meyer FB, et al. Altered expression of connexin subtypes in mesial temporal lobe epilepsy in humans. J Neurosurg. 2006;105:77–87.View ArticlePubMedGoogle Scholar
- Jin MM, Chen Z. Role of gap junctions in epilepsy. Neurosci Bull. 2011;27:389–406.View ArticlePubMedGoogle Scholar
- Hormuzdi SG, Pais I, LeBeau FE, Towers SK, Rozov A, Buhl EH, et al. Impaired electrical signaling disrupts gamma frequency oscillations in connexin 36-deficient mice. Neuron. 2001;31:487–95.View ArticlePubMedGoogle Scholar
- Sutor B, Schmolke C, Teubner B, Schirmer C, Willecke K. Myelination defects and neuronal hyperexcitability in the neocortex of connexin 32-deficient mice. Cereb Cortex. 2000;10:684–97.View ArticlePubMedGoogle Scholar
- Scemes E, Dermietzel R, Spray DC. Calcium waves between astrocytes from Cx43 knockout mice. Glia. 1998;24:65–73.PubMed CentralView ArticlePubMedGoogle Scholar
- Wallraff A, Köhling R, Heinemann U, Theis M, Willecke K, Steinhäuser C. The impact of astrocytic gap junctional coupling on potassium buffering in the hippocampus. J Neurosci. 2006;26:5438–47.View ArticlePubMedGoogle Scholar
- Rouach N, Koulakoff A, Abudara V, Willecke K, Giaume C. Astroglial metabolic networks sustain hippocampal synaptic transmission. Science. 2008;322:1551–5.View ArticlePubMedGoogle Scholar
- Dudek FE, Snow RW, Taylor CP. Role of electrical interactions in synchronization of epileptiform bursts. Adv Neurol. 1986;44:593–617.PubMedGoogle Scholar
- Dudek EE, Yasumura T, Rash JE. 'Non-synaptic' mechanisms in seizures and epileptogenesis. Cell Biol Int. 1998;22:793–805.View ArticlePubMedGoogle Scholar
- Zsiros V, Maccaferri G. Electrical coupling between interneurons with different excitable properties in the stratum lacunosum-moleculare of the juvenile CA1 rat hippocampus. J Neurosci. 2005;25:8686–95.View ArticlePubMedGoogle Scholar
- Traub RD, Draguhn A, Whittington MA, Baldeweg T, Bibbig A, Buhl EH, et al. Axonal gap junctions between principal neurons: a novel source of network oscillations, and perhaps epileptogenesis. Rev Neurosci. 2002;13:1–30.View ArticlePubMedGoogle Scholar
- Morales-Villagrán A, Tapia R. Preferential stimulation of glutamate release by 4-aminopyridine in rat striatum in vivo. Neurochem Int. 1996;28:35–40.View ArticlePubMedGoogle Scholar
- Medina-Ceja L, Morales-Villagrán A, Tapia R. Action of 4-aminopyridine on extracellular amino acids in hippocampus and entorhinal cortex: a dual microdialysis and electroencehalographic study in awake rats. Brain Res Bull. 2000;53:255–62.View ArticlePubMedGoogle Scholar
- Peña F, Tapia R. Relationships among seizures, extracellular amino acid changes, and neurodegeneration induced by 4-aminopyridine in rat hippocampus: a microdialysis and electroencephalographic study. J Neurochem. 1999;72:2006–14.View ArticlePubMedGoogle Scholar
- Peña F, Tapia R. Seizures and neurodegeneration induced by 4-aminopyridine in rat hippocampus in vivo: role of glutamate- and GABA-mediated neurotransmission and of ion channels. Neuroscience. 2000;101:547–61.View ArticlePubMedGoogle Scholar
- Hendrix EM, Lomneth CS, Wilfinger WW, Hertzberg EL, Mao SJ, Chen L, et al. Quantitative immunoassay of total cellular GAP junction protein connexin32 during liver regeneration using antibodies specific to the COOH-terminus. Tissue Cell. 1992;24:61–73.View ArticlePubMedGoogle Scholar
- Doherty M, Rostad S, Haltiner A. Neocortical gliosis in temporal lobe epilepsy: gender-based differences. Epilepsia. 2007;48:1455–9.View ArticlePubMedGoogle Scholar
- Kamasawa N, Sik A, Morita M, Yasumura T, Davidson KGV, Nagy JI, et al. Connexin-47 and connexin-32 in gap junctions of oligodendrocyte somata, myelin sheaths, paranodal loops and Schmidt-Lanterman incisures: implications for ionic homeostasis and potassium siphoning. Neuroscience. 2005;136:65–86.PubMed CentralView ArticlePubMedGoogle Scholar
- Menichella DM, Majdan M, Awatramani R, Goodenough DA, Sirkowski E, Scherer SS, et al. Genetic and physiological evidence that oligodendrocyte gap junctions contribute to spatial buffering of potassium released during neuronal activity. J Neurosci. 2006;26:10984–91.View ArticlePubMedGoogle Scholar
- Magnotti LM, Goodenough DA, Paul DL. Deletion of oligodendrocyte Cx32 and astrocyte Cx43 causes white matter vacuolation, astrocyte loss and early mortality. Glia. 2011;59:1064–74.PubMed CentralView ArticlePubMedGoogle Scholar
- Su M, Tong XX. Astrocytic gap junction in the hippocampus of rats with lithium pilocarpine-induced epilepsy. Nan fang yi ke da xue xue bao = Journal of Southern Medical University. 2010;30:2738–41.PubMedGoogle Scholar
- Pereda AE, Bell TD, Chang BH, Czernik AJ, Nairn AC, Soderling TR, et al. Ca2+/calmodulin-dependent kinase II mediates simultaneous enhancement of gap-junctional conductance and glutamatergic transmission. Proc Natl Acad Sci U S A. 1998;95:13272–7.PubMed CentralView ArticlePubMedGoogle Scholar
- Axelsen LN, Calloe K, Holstein-Rathlou NH, Nielsen MS. Managing the complexity of communication: regulation of gap junctions by post-translational modification. Front Pharmacol. 2013;4:130.PubMed CentralView ArticlePubMedGoogle Scholar
- Pereda AE, Faber DS. Activity-dependent short-term enhancement of intercellular coupling. J Neurosci. 1996;16:983–92.PubMedGoogle Scholar
- Yang XD, Korn H, Faber DS. Long-term potentiation of electrotonic coupling at mixed synapses. Nature. 1990;348:542–5.View ArticlePubMedGoogle Scholar
- Mylvaganam S, Zhang L, Wu C, Zhang ZJ, Samoilova M, Eubanks J, et al. Hippocampal seizures alter the expression of the pannexin and connexin transcriptome. J Neurochem. 2010;112:92–102.View ArticlePubMedGoogle Scholar
- Bough KJ, Wetherington J, Hassel B, Pare JF, Gawryluk JW, Greene JG, et al. Mitochondrial biogenesis in the anticonvulsant mechanism of the ketogenic diet. Ann Neurol. 2006;60:223–35.View ArticlePubMedGoogle Scholar
- VanSlyke JK, Musil LS. Dislocation and degradation from the ER are regulated by cytosolic stress. J Cell Biol. 2002;157:381–94.PubMed CentralView ArticlePubMedGoogle Scholar
- Su V, Lau AF. Connexins: mechanisms regulating protein levels and intercellular communication. FEBS Lett. 2014;588:1212–20.PubMed CentralView ArticlePubMedGoogle Scholar
- Verselis VK, Srinivas M. Divalent cations regulate connexin hemichannels by modulating intrinsic voltage-dependent gating. J Gen physiol. 2008;132:315–27.PubMed CentralView ArticlePubMedGoogle Scholar
- Orellana JA, Díaz E, Schalper KA, Varga AA, Bennett MV, Sáez JC. Cation permeation through connexin 43 hemichannels is cooperative, competitive and saturable with parameters depending on the permeant species. Biochem Biophys Res Commun. 2011;409:603–9.PubMed CentralView ArticlePubMedGoogle Scholar
- Cavalheiro EA, Naffah-Mazzarcoratti M, Mello LE, Leite JP. The pilocarpine model of seizures. In: Pitkanen A, Schwartzkroin PA, Moshé SL, editors. Models of seizures and epilepsy. USA: Elsevier Academic Press; 2006. p. 433–48.Google Scholar
- Kinjo ER, Higa GS, Morya E, Valle AC, Kihara AH, Britto LR. Reciprocal regulation of epileptiform neuronal oscillations and electrical synapses in the rat hippocampus. PLoS One. 2014;9:e109149.PubMed CentralView ArticlePubMedGoogle Scholar
- Flores CE, Nannapaneni S, Davidson KG, Yasumura T, Bennett MV, Rash JE, et al. Trafficking of gap junction channels at a vertebrate electrical synapse in vivo. Proc Natl Acad Sci U S A. 2012;109:E573–82.PubMed CentralView ArticlePubMedGoogle Scholar
- Mitra S, Annamalai L, Chakraborty S, Johnson K, Song XH, Batra SK, et al. Androgen-regulated formation and degradation of gap junctions in androgen-responsive human prostate cancer cells. Mol Biol Cell. 2006;17:5400–16.PubMed CentralView ArticlePubMedGoogle Scholar
- Fong JT, Kells RM, Falk MM. Two tyrosine-based sorting signals in the Cx43 C-terminus cooperate to mediate gap junction endocytosis. Mol Biol Cell. 2013;24:2834–48.PubMed CentralView ArticlePubMedGoogle Scholar
- Rouach N, Avignone E, Même W, Koulakoff A, Venance L, Blomstrand F, et al. Gap junctions and connexin expression in the normal and pathological central nervous system. Biol Cell. 2002;94:457–75.View ArticlePubMedGoogle Scholar
- Xiong ZQ, Saggau P, Stringer JL. Activity-dependent intracellular acidification correlates with the duration of seizure activity. J Neurosci. 2000;20:1290–6.PubMedGoogle Scholar