Fatal uncoupling in the epileptic brain

Fatal uncoupling in the epileptic brain
The photo was obtained by filling an astrocyte with a marker (biocytin, red) in a section of the brain. When coupling is intact, this molecule diffuses into neighboring astrocytes and an entire functional network thus becomes visible. Credit: Institute of Cellular Neurosciences/University of Bonn

Epilepsy is a very prevalent neurological disorder. Approximately one-third of patients are resistant to currently available therapies. A team of researchers under the guidance of the Institute of Cellular Neurosciences at the University of Bonn has discovered a new cause to explain the development of temporal lobe epilepsy: At an early stage, astrocytes are uncoupled from each other. This results in the extracellular accumulation of potassium ions and neurotransmitters, which cause hyperexcitability of the neurons. The results are being published in advance online in the journal Brain. The print version will be published in May.

Approximately two percent of the population suffers from epilepsy. "Despite intense research efforts, the causes of this disease are still largely unclear," says Prof. Dr. Christian Steinhäuser, Director of the Institute of Cellular Neurosciences of the University of Bonn. Approximately one-third of patients are therapy-resistant. "In some frequent forms such as , this percentage is even significantly higher," says the researcher. For this reason, scientists are searching for new strategies in epilepsy research to develop new, more efficient therapeutic approaches.

Astrocytes: from "brain glue" to an important partner to neurons

One such new approach in the research into causes of epilepsy has now been found by a team working with Prof. Steinhäuser. Together with neurosurgeons from the University of Bonn Hospital as well as epilepsy specialists from the Freiburg University Hospital, the Institute of Cellular Neurosciences of the University of Bonn investigated the functional properties of . These are nervous system cells which belong to the . They were originally considered only to be "glue" holding the brain together, but in recent years, astrocytes have increasingly turned out to be an important partner to neurons.

Accumulation of potassium ions leads to hyperexcitability

"Epilepsy research is dominated by the assumption that altered properties of neurons cause epilepsy," says Prof. Steinhäuser. His working group has now demonstrated that malfunctions of glial cells play a crucial role in the development of epilepsy. Brain tissue removed from patients with temporal lobe epilepsy was observed by the researchers to be completely lacking in astrocytes. "In this condition, no functional networks of coupled astrocytes can be formed," says first author Dr. Peter Bedner. Because astrocytic networks are missing, and neurotransmitters, such as glutamate, which are important for signal transmission, can accumulate in this tissue. This leads to hyperexcitability of the affected neurons and ultimately to epileptic seizures.

Fatal uncoupling in the epileptic brain
In the tissue of patients with temporal lobe epilepsy, the biocytin remains in the cell that was initially filled. It cannot spread to neighboring cells since the cells are uncoupled. Credit: Institute of Cellular Neurosciences/University of Bonn

Is the loss of astrocytic coupling the cause of epilepsy or is this merely a consequence of hyperexcitability? To be able to address this question, the scientists specifically developed a mouse model which recapitulates key characteristics of temporal lobe epilepsy in humans. "In this model, we were able to demonstrate that during the development of epilepsy, the coupling between the astrocytes is lost very early, and changes in the are observed only later on," reports Prof. Steinhäuser.

Uncoupling is reversible at an early stage

The scientists suspect that uncoupling of astrocytes is mediated by inflammation. The causes are likely so-called cytokines which are released in the brain by activated microglial cells or astrocytes. "We were able to demonstrate that uncoupling of astrocytes - at least in the of epilepsy - can be reversed," says Prof. Steinhäuser. The scientists now hope that their results from basic research will enable the development of new therapies to treat epilepsy.

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More information: "Astrocyte uncoupling as a cause of human temporal lobe epilepsy," Brain, DOI: 10.1093/brain/awv067
Journal information: Brain

Provided by University of Bonn
Citation: Fatal uncoupling in the epileptic brain (2015, March 18) retrieved 27 February 2021 from https://medicalxpress.com/news/2015-03-fatal-uncoupling-epileptic-brain.html
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