Kimberle M. Jacobs,
PhD
PhD 1994
Neuroscience,
Brown University
Associate Professor
Anatomy & Neurobiology
Virginia Commonwealth University
Richmond, VA 23298
Spontaneous GABAA inhibitory
currents recorded from a layer V pyramidal neurons.
Averaged spontaneous
inhibitory currents from layer V pyramidal neurons in normal (blue) and
epileptogenic (white) neocortex.
Evoked inhibitory currents
with epileptogenic-like activity (arrows).
Layer V neocortical pyramidal
neuron filled with biocytin during patch clamp recordings.
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We
are currently exploring the type of cellular plasticity that occurs in a
model of developmental epilepsy. There are many causes of this
type of epilepsy, including: a maternal virus or infection, maternal
ingestion of alcohol, cocaine, or other drugs, radiation treatment,
a fetal stroke or traumatic brain
injury. When these occur during the birth and migration of neurons
into the neocortex, they cause a structural change
(malformation). Often this structural change can be observed at
the level of the gross brain. Click here for a
list of web pages that show examples of human malformations.
This structural damage often causes seizures, but can also be associated
with dyslexia, schizophrenia, cerebral palsy, and mental
retardation. These developmental malformations are often the cause
of the most difficult kind of seizures to treat with currently available
anti-epileptogenic drugs. This is particularly true for children
with seizures.
Our goal is
to identify the neurological mechanisms that cause the cortex to be
epileptogenic after malformation. We use a rat model of the
malformation of microgyria (also called polymicrogyria, see
Figure 1 below). Rats normally have a smooth brain with no
gyri or sulci. A sulcus can be induced in rat brain however with a
transcranial freeze lesion just after birth. Rats that have this
'extra' sulcus have an increased likelihood of developing seizures when
challenged with kainic acid or other agents. Recordings that show
the electrical activity of populations of neurons (evoked field
potentials), demonstrate this hyperexcitable state (see
Figure 2 below).
Recordings
from single neurons (whole cell patch clamp, see Figures
3-5 below) show an increased excitatory input in the region next to
the malformed cortex. Anatomical tract tracing experiments have
shown that thalamic input that should have targeted the malformed area
projects to the adjacent epileptiform region.
In humans,
seizures are sometimes delayed for weeks, months, or even years after
the formation of the abnormal structure. In this rat model, there
is also a delay to the onset of field potential epileptiform
activity. This delay is such that no epileptiform activity is
observed at 9 or 10 days of age, but nearly every brain slice from
nearly every lesioned rat tested shows this epileptiform activity by 12
days of age. This suggests there is an abrupt change in brain
state. The abnormal targeting of excitatory afferents to the
region adjacent to the malformation appears to occur prior to onset of
the epileptiform activity. There may be additional cellular
changes that occur on the day of expression of the epileptiform
activity. We are currently exploring changes in inhibitory
interneurons.
The
percentage of subtypes of inhibitory interneurons varies with location
in and around the malformation. There is a significant loss in
numbers of interneurons that stain for parvalbumin within and around the
malformation, but these neurons recover at sites distant to the
malformation (see Figure 6 below, from the work of
Master's student, Kim Hays). This type of inhibitory interneuron
functions to control the horizontal spread of excitatory activity within
neocortex (see Figure 7 below). In contrast,
neurons that stain for somatostatin often control vertical or columnar
activity (see Figure 7 below). These neurons
are likely involved in synchronizing columns of neocortex.
Increased activity of these inhibitory interneurons may produce
hypersynchrony. Thus although this would be an increase in
inhibition, it could still contribute to too much excitation and
epileptiform activity. This type of interneuron is not reduced in
and around the malformation (see Figure 6).
An MD/PhD
student in the lab, Mandy George, has recently shown that the synaptic
input to inhibitory interneuron subtypes is differentially affected in
malformed cortex. The few remaining PV interneurons that reduce
horizontal spread of excitation receive less excitatory input in
malformed cortex (see Figure 8 below). The SS
interneurons that control columnar synchrony receive enhanced excitatory
input (see Figure 8 below). We expect that the
end result of the altered inhibitory interneuron systems is a
strengthened vertical excitatory pulse that is then carried further than
normal horizontally, due to the weakened PV interneurons. This
pattern of increased synchrony and subsequent spreading of activity is
typical for epileptiform activity.
We can
differentially activate the interneuron subtypes, since they express
different surface receptors. For instance, LTS interneurons are
activated by metabotropic glutamate receptor subunit 1 (mGluR1)
agonists. When LTS interneurons are activated by mGluR1 agonists,
they fire action potentials in a rhythmic, oscillating pattern.
This rhythmic inhibition can synchronize the activity of surrounding
excitatory neurons. To study columnar synchrony, Master's
student, Patrick Wolfgang, has recorded field potentials within a
vertical column of neocortex (see Figure 9 below).
Under normal in vitro slice conditions, the mGluR1 receptors are already
activated (see Figure 10 below). Blocking the
mGluR1 receptor changes the shape of the field potential.
Specifically the halfwidth of the field potential decreases in control
cortex. This suggests that local synchrony is decreased, since
cells are no longer firing at exactly the same time, the postsynaptic
response is increased in length (increase in halfwidth). This
happens simultaneously in superficial and deep layers within control
cortex. In PMG cortex the effects are different in superficial
versus deep layers. The ultimate result is a longer field
potential in superficial layers than in deep layers (see
Figure 10B below). Thus the mGluR1-LTS system functions
abnormally in PMG cortex.
We are using
a system to more directly examine synchrony of action potentials, by
recording multi-unit activity at three sites within neocortex (see
Figure 11 below). This allows us to simultaneously examine
columnar and horizontal activity and to measure the synchrony using
cross-correlograms. Master's student, Patrick Wolfgang, has begun
these studies (see Figures 12-13 below).
Inhibitory
interneurons are likely affected by malformation in a number of
different ways. An undergraduate in the lab, Xuan Pham, learned to
perform field potential recordings last summer. Her data suggest
that inhibitory interneurons may be less effective because electrical
connections between these cells are not functioning (see
Figure 14 below).
Overall we
believe that abnormal connectivity is a major contributor to the
epileptiform activity associated with microgyria (see
Figure 15 below). However, this abnormal connectivity is not
uniform in the subtype of cortical cellular components that it
affects. Despite this, we believe it may be possible to
selectively reduce the activity of the overactive LTS interneurons,
using receptors found only on these cells. Proof of this requires
further study (and students!).
Figure
1 (below): Nissl-stained section through a region of malformed rat
cortex. A transcranial freeze lesion with a day of birth produces
a focal loss of deep layer cells. Neurons of the superficial
layers migrate into position after the loss of these deep layers.
This process is postnatal in rats, but prenatal in humans. This
abnormal 4-layered pattern is typical for human polymicrogyria.
The cortex adjacent to the malformation shows epileptiform
activity. Even if the malformation is removed, the epileptiform
activity remains.
Figure
2 (below): Field potential recordings from normal cortex and the
region adjacent to the malformation. These field potentials
reflect excitatory synaptic currents primarily within the apical
dendrite of pyramidal neurons. The normal, graded, short latency
event occurs in the malformed cortex, but epileptiform activity is also
present. Epileptiform field potentials are all-or-none, show long
latency after the stimulus (time of stimulus shown as circle above
trace), and vary in exact latency and form.
Figure
3 (below): Visualized whole cell patch clamp experiments involve
use of a microscope with a high power objective. The shape of the
cell body and proximal dendrites are easily visualized with this method,
allowing us to choose particular cell types. The example shown
here is a pyramidal neuron, which we can tell by the presence of an
apical dendrite. a glass pipette pulled to a fine tip is attached
to the neuron with suction. After a seal is made, the piece of
neuronal membrane across the tip of the electrode is removed with sudden
suction. Now the inside of the cell is contiguous with the inside
of the pipette. This allows us to clamp the cell at specific
voltages, but also allows us to fill the cell with a dye - see Figure 4.
Figure
4 (below): Shows a layer V neocortical pyramidal neuron filled
with the dye biocytin during whole cell patch clamp recording. the
long process is the apical dendrite. This can be seen to branch
near the superficial layers of this cortical slice. Fine axonal
branching is present in lower layers.
Figure
5 (below): Voltage clamp recordings of excitatory postsynaptic
currents (EPSCs). The frequency of the excitatory events was
greater in the cells adjacent to the microgyral malformation
(paramicrogyral cells).
Figure
6 (below): Shows the distribution of three distinct subtypes of
inhibitory interneurons, stained immunohistochemically. Stained
circles are neuronal cell bodies. Blue stain labels parvalbumin
(PV), a calcium-binding protein. This protein is normally found in
30-50% of inhibitory interneurons. The staining for PV is reduced
within the malformation and adjacent to it, but recovers at distant
sites. Red stain labels the peptide somatostatin (SS). The
cells that stain for SS are often bipolar in morphology, meaning that
their dendrites extend vertically through the neocortical layers.
Their axonal morphology typically shows a similar distribution,
suggesting that they function to synchronize cells in different
layers. Green stain labels Vasointestinal peptide (VIP). The
superficial distribution of these interneurons appear to be altered
throughout regions of freeze-lesioned cortex. This image comes
from the work of 2007 Master's student, Kim Hays.
Figure
7 (below): Shows interneurons filled with the dye biocytin during whole
cell patch clamp recordings. With this technique, we can correlate
the morphology of the cell to its physiology. At the top is a cell
that shows typical basket cell morphology. These cells often stain
for parvalbumin (PV), and typically are fast-spiking (FS), and control
horizontally-spreading excitation. In the middle is a cell that
shows typical bipolar morphology. The dendrites project through
several layers. These cells typically stain for peptides
somatostatin (SS) or VIP. We believe that these cells function to
synchronize activity within a cortical column. Below the pictures
are recordings of the action potential firing pattern from each of these
two types of cells. The FS cells have brief action potentials with
a high frequency pattern. The AP firing pattern, with broader
spikes and showing lower frequency, and some adaptation (slowing of AP
frequency over time) comes from the LTS interneuron subtype that
typically has a bipolar morphology. This figure comes from the
work of MD/PhD student, Mandy George.
Figure
8 (below): Shows intrinsic (A, B) and synaptic (C, D) properties of two
types of interneurons in control (dark colors) and paramicrogyral (PMG,
bright colors) cortex. A and B show that FS and LTS interneuron
subtypes vary in measures of AP halfwidth and adaptation ratio.
This is true in both control and PMG cortex. Also on these
intrinsic measures, FS cells are similar in control and PMG
cortex. LTS cells are also similar in intrinsic properties for
both control and PMG cortex. PMG differs from control cortex in
measures of synaptic properties. The miniature (m)EPSC frequency
is increased in PMG LTS cells compared to control LTS cells. This
increased excitatory input may increase the functioning of LTS
interneurons within PMG cortex. Excitatory input to PMG FS
interneurons is decreased. Thus we hypothesize that these cells
are less likely to be engaged and able to stop horizontally-spreading
excitation within PMG cortex. This may allow the spread of
epileptiform activity. The mEPSC amplitude is not altered in PMG
cortex, suggesting that there is no change in postsynaptic
receptors. This figure comes from the work of MD/PhD
student, Mandy George.
Figure
9 (below): Shows a live piece of cortical tissue. This slice
is ~300 um thick and is kept alive in a special recording chamber with
artificial cerebrospinal fluid (aCSF) flowing over it. Recording
electrodes are glass pipettes in neocortical layers II/III and V (blue
arrows). The stimulating electrode is tungsten and is located in
layer VI, near the border with the white matter. All three
electrodes are aligned in a column, perpendicular to the plane of the
overlying pia at the cortical surface. With this arrangement,
either field potentials or multi-unit activity (action potentials from a
number of cells) are recorded extracellularly. This picture is
from the work of current sophomore undergraduate at VCU, Xuan Pham.
Figure
10 (below): Effect of a drug that blocks metabotropic glutamate receptor
subunit 1 (mGluR1). Within the neocortex, the mGluR1 receptors are
found only on bipolar interneurons (those that stain for SS or VIP, and
function to synchronize excitatory activity across the layers).
Activation of mGluR1 receptors causes oscillations in the bipolar
interneurons, which can then serve to synchronize the activity of
surrounding pyramidal neurons. These graphs show the effect of
this drug on the halfwidth of field potentials recorded from cortex, as
shown in Figure 9. A. Shows the percent change
in field potential halfwidth. The halfwidth of the field potential
is an indication of local synchrony. A larger halfwidth would
indicate less synchrony, since the response is spread out in time.
Not surprisingly, the effect of this mGluR1 antagonist in control cortex
is to reduce local synchrony, resulting in an increased field potential
halfwidth. This effect is significant in deep layers, with a
similar trend in superfiical layers. B. Shows the ratio of
superfical layer field potential halfwidth to deep layer field potential
halfwidth. Because the entire column is changing in the same way
wthin control cortex, the ratio is similar before and after drug
application. In paramicrogyral (PMG) cortex, the halfwidth is
changing in opposite ways in superficial versus deep layers. These
results suggest that activation of bipolar interneurons through mGluR1
receptors functions differently in PMG cortex compared to control
cortex. This figure comes from the work of Master's student,
Patrick Wolfgang.
Figure
11 (below): Shows a live piece of control cortical tissue, similar to
that shown in Figure 9. In this case, two
glass pipette recording electrodes (vertical electrode 1,V1, in
superficial layers and vertical electrode 2, V2, in deep layers) are
shown in a columnar arrangement with the stimulating electrode.
For recordings shown in Figure 12, there was an
additional glass pipette recording electrode at position labeled H1 with
a red dot. This was the horizontal electrode, directly across from
V1. With this arrangement, multi-unit activity (action potentials
from a number of cells) was recorded extracellularly. This
picture is from the work of Master's
student, Patrick Wolfgang.
Figure
12 (below): Spontaneous activity in multi-unit recordings (shown in
black), with electrodes in positions shown in Figure 11.
The red lines above each multi-unit recording trace show the detection
of action potential at a level above noise.
This figure is from the work of Master's
student, Patrick Wolfgang.
Figure
13 (below): Cross-correlograms produced by detecting action potentials
in multi-unit recordings like those shown in Figure 12.
On the left are cross-correlograms for spontaneous activity, between V1
and H1 (top), V1 and V2 (middle) and V2 and H1 (bottom). The red
lines show time 0. A large peak at this position means a high
degree of synchrony between the two recording sites. On the right
are correlograms for evoked activity, triggered by the timing of the
stimulus. The activity arrives later at H1 than at V2 or V1.
This figure is from the work of Master's
student, Patrick Wolfgang.
Figure
14 (below): Shows the effect of a drug that blocks electrical
connections between inhibitory interneurons. Field potentials were
recorded using the arrangement shown in Figure 9.
The drug was applied for 65 minutes. This bar graph shows the
measurement of the peak of the field negativity (representing excitatory
activity in pyramidal neurons). The peak of the excitatory
activity is increased in control tissue for both the superficial layer
recording electrode (layers II/III, Sup), and the deep layer recording
electrode (layer V). "Early Drug" shows the effect of
the drug at 32-47 minutes after beginning application of the drug within
the aCSF. "Late Drug" shows the effect at 62-77 minutes
after beginning the application. The effect was significant at
both time points. This drug did not change the peak of the field
potential recorded in malformed cortex. Normally the electrical
connections help to synchronize the activity of inhibitory interneurons,
making their inhibition more powerful. This explains why relief of
this synchronizing effect increases the excitatory field
potential. Inhibitory interneurons may be less effective in
malformed cortex because they lack this method of inhibitory
synchronization. This graph is from the work of current
sophomore undergraduate at VCU, Xuan Pham.
Figure
15 (below): Cartoon showing network connectivity changes in
malformed (PMG) cortex. There is an increase in excitatory
afferents to pyramidal neurons (blue) and to certain inhibitory cell
subtypes (red).
Examples
of human malformations can be found on the following web pages:
http://www.hcs.harvard.edu/~husn/BRAIN/vol8-spring2001/schiz.htm
http://www.path.sunysb.edu/faculty/woz/NPERESS/webclass7.htm
http://www.bcm.edu/cain_foundation/noframes/html/pages/research/neuronal_migration_disorders_03.htm
http://www.medscape.com/viewarticle/447789_2
http://www.neuropathologyweb.org/chapter11/chapter11dNMD.html
http://www.northwestern.edu/nuin/fac/feng.htm
http://www.lissencephaly.org/medical/info/update95/fig3.htm#Figure3a
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This page is primarily intended for students
considering joining my lab.
If your child or someone you know has been
diagnosed with epilepsy associated with a malformation, there are better
web resources listed below.
Please note this list is not comprehensive.
Medical Information:
Lissencephaly
Net
Lissencephaly
Launch pad
Pediatric
Epilepsy Center
Genetics
NINDS
Definitions:
Polymicrogyria
More on
Polymicrogyria
Lissencephaly
Pachygyria
More General Epilepsy Information:
American
Epilepsy Society
Epilepsy
Foundation
Cure
Epilepsy
Kids
Health: Epilepsy
Centers that Specialize in Malformations:
UCLA
Boston's
Comprehensive Brain Malformation Program
Massachusetts
General Hospital
Cleveland
Clinic
University
of Chicago Comprehensive Epilepsy Center
OHSU
Support Groups:
Polymicrogyria
Support Group
Lissencephaly
Contact Group
Lissencephaly
Loop
Lissencephaly-Pro
Schizencephaly
Support Group
Walker-Warburg
Syndrome
Subcortical
Band Heterotopia (Double Cortex Syndrome)
Miller
Dieker Syndrome
Hemimegalencephaly
Microcephaly
Other Malformation Research Sites"
Baraban
Dobyns
Lee
Rosen
(studies dyslexia associated with malformations)
Walsh
My
old malformation site (desperately needs to be updated!)
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