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Hyperexcitable interneurons trigger cortical spreading depression in an Scn1a migraine model
Eva Auffenberg, … , Nikolaus Plesnila, Tobias Freilinger
Eva Auffenberg, … , Nikolaus Plesnila, Tobias Freilinger
Published September 21, 2021
Citation Information: J Clin Invest. 2021;131(21):e142202. https://doi.org/10.1172/JCI142202.
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Research Article Neuroscience

Hyperexcitable interneurons trigger cortical spreading depression in an Scn1a migraine model

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Abstract

Cortical spreading depression (CSD), a wave of depolarization followed by depression of cortical activity, is a pathophysiological process implicated in migraine with aura and various other brain pathologies, such as ischemic stroke and traumatic brain injury. To gain insight into the pathophysiology of CSD, we generated a mouse model for a severe monogenic subtype of migraine with aura, familial hemiplegic migraine type 3 (FHM3). FHM3 is caused by mutations in SCN1A, encoding the voltage-gated Na+ channel NaV1.1 predominantly expressed in inhibitory interneurons. Homozygous Scn1aL1649Q knock-in mice died prematurely, whereas heterozygous mice had a normal lifespan. Heterozygous Scn1aL1649Q knock-in mice compared with WT mice displayed a significantly enhanced susceptibility to CSD. We found L1649Q to cause a gain-of-function effect with an impaired Na+-channel inactivation and increased ramp Na+ currents leading to hyperactivity of fast-spiking inhibitory interneurons. Brain slice recordings using K+-sensitive electrodes revealed an increase in extracellular K+ in the early phase of CSD in heterozygous mice, likely representing the mechanistic link between interneuron hyperactivity and CSD initiation. The neuronal phenotype and premature death of homozygous Scn1aL1649Q knock-in mice was partially rescued by GS967, a blocker of persistent Na+ currents. Collectively, our findings identify interneuron hyperactivity as a mechanism to trigger CSD.

Authors

Eva Auffenberg, Ulrike B.S. Hedrich, Raffaella Barbieri, Daniela Miely, Bernhard Groschup, Thomas V. Wuttke, Niklas Vogel, Philipp Lührs, Ilaria Zanardi, Sara Bertelli, Nadine Spielmann, Valerie Gailus-Durner, Helmut Fuchs, Martin Hrabě de Angelis, Michael Pusch, Martin Dichgans, Holger Lerche, Paola Gavazzo, Nikolaus Plesnila, Tobias Freilinger

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Figure 5

Increased ramp Na+ currents of hippocampal inhibitory neurons in acute brain slices.

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Increased ramp Na+ currents of hippocampal inhibitory neurons in acute b...
(A) Recordings of steady-state fast inactivation of Na+ currents from nucleated patches of inhibitory neurons of wt/wt (top) and mut/wt (bottom) animals. Steady-state inactivation induced by 30 ms–lasting conditioning pulses to different potentials (between –120 mV and 20 mV in 10 mV increments) and 30 ms test pulse to 0 mV (holding potential –90 mV). Shown are currents elicited by test pulse to 0 mV (conditioning pulses of –100 mV, –60 mV, –50 mV, –40 mV, –30 mV, –20 mV, –10 mV shown on the left). (B) Mean voltage-dependence of steady-state Na+-channel activation and fast inactivation (± SEM). Lines represent Boltzmann functions fit. V1/2 and kV slope factor for activation and inactivation curves were not different between genotypes. Dashed box represents the part used for analyzing area under the curve (AUC) shown in C. (C) Box plot of values of AUC of steady-state fast inactivation between –50 mV and 20 mV, indicating a persistent, steady-state Na+ current, which was significantly increased in inhibitory neurons of mut/wt compared with wt/wt animals (P = 0.029; Mann-Whitney rank sum test; wt/wt, n = 8; mut/wt, n = 8). (D) Representative whole-cell recordings elicited by voltage ramps from –80mV to 0 mV showing ramp Na+ currents of fast-spiking neurons, which were blocked by TTX. Bottom traces show net ramp current after subtracting traces recorded with TTX from those without. (E) Box plots of ramp current amplitudes recorded in inhibitory neurons from wt/wt and mut/wt animals. The ramp current was significantly increased in neurons of mut/wt animals compared with wt/wt (**P < 0.01; Mann-Whitney rank sum test; wt/wt: n = 9 cells from 2 animals [9/2]; mut/wt: 7/2). (F) Box plots of integral of recorded ramp currents, which were significantly increased in neurons of mut/wt animals compared with wt/wt (***P < 0.001; Mann-Whitney rank sum test; wt/wt: 9/2; mut/wt: 7/2).

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ISSN: 0021-9738 (print), 1558-8238 (online)

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