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Publication : Catamenial-like seizure exacerbation in mice with targeted ablation of extrasynaptic δGABA-a receptors in the brain.

First Author  Clossen BL Year  2017
Journal  J Neurosci Res Volume  95
Issue  10 Pages  1906-1916
PubMed ID  28236431 Mgi Jnum  J:284505
Mgi Id  MGI:6390361 Doi  10.1002/jnr.24028
Citation  Clossen BL, et al. (2017) Catamenial-like seizure exacerbation in mice with targeted ablation of extrasynaptic deltaGABA-a receptors in the brain. J Neurosci Res 95(10):1906-1916
abstractText  Neurosteroids play a key role in catamenial epilepsy, a menstrual cycle-related seizure clustering in women with epilepsy. While neurosteroids act on all GABA-A receptor isoforms, they cause greater effects on extrasynaptic deltaGABA-A receptors that mediate tonic inhibition in the brain. Previously, we identified a potential GABA-A receptor mechanism for catamenial epilepsy. However, the precise functional role of extrasynaptic deltaGABA-A receptors in the pathophysiology of catamenial epilepsy remains unclear. In this study, we utilized mice lacking extrasynaptic deltaGABA-A receptors (deltaKO) to investigate whether reduction of tonic inhibition affects catamenial seizure susceptibility or intensity. Intact female wildtype (WT) and deltaKO mice were subjected to hippocampus kindling until they exhibited stage 5 seizures. Elevated gonadal hormone-based neurosteroid levels were induced by standard gonadotropin regimen and neurosteroid withdrawal (NSW) was triggered by finasteride. NSW increased susceptibility to, as well the intensity of evoked catamenial-like seizures in WT and deltaKO mice. However, fully kindled deltaKO mice exhibited an accelerated and augmented response to NSW, with a more rapid increase in seizure susceptibility and intensity than WT mice undergoing the NSW paradigm. Moreover, deltaKO mice in NSW showed reduced benzodiazepine sensitivity, but in stark contrast to the increased neurosteroid sensitivity observed in WT animals, deltaKO mice displayed no change in neurosteroid sensitivity in response to NSW. The increased catamenial seizure exacerbation and alterations in antiseizure drug responses are consistent with NSW-induced changes in the abundance of deltaGABA-A receptors. Collectively, these findings provide evidence of a potential protective role for extrasynaptic deltaGABA-A receptors in catamenial-like seizures. (c) 2017 Wiley Periodicals, Inc.
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