Acute Effects of LGI1 on Network Excitability
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Acute effects of LGI1 on network excitability Eleonora Lugarà A thesis submitted to University College London for the degree of Doctor of Philosophy University College London Department of Clinical and Experimental Epilepsy UCL Queen Square Institute of Neurology Queen Square London WC1N 3BG March 2019 1 Declaration I, Eleonora Lugarà, confirm that the work presented in this thesis is my own. When information has been derived from other sources or are from the contribution of others, I confirm that this has been clearly indicated in the thesis. 2 Abstract LGI1 (leucine rich glioma inactivated1) is a secreted trans-synaptic protein and is part of the brain extracellular matrix. LGI1 interacts presynaptically with Kv1.1 potassium channels and ADAM23, a structural transmembrane protein. Postsynaptically, LGI1 also influences AMPA and NMDA receptors via the ADAM22 adhesion protein. Mutations in the gene encoding LGI1 lead to temporal lobe epilepsy in humans and animal models. Autoantibodies against LGI1 have been detected in the serum of adult patients with limbic encephalitis and seizures. Although LGI1 is strongly implicated in the generation and spread of seizures in genetic and developmental forms of epilepsy, the mechanisms by which LGI1 affects neuronal networks are still debated. This thesis aimed to determine whether an acute reduction of LGI1 in the brain leads to network hyperactivity and epilepsy in rodent animals and the mechanisms behind it. Initially, in vivo experiments on rats demonstrated that LGI1 concentrations in the brain are reduced after generation of chronic seizures using the perforant path stimulation model. I then chose and validated a silencing RNA (shRNA) against LGI1 which reduced endogenous LGI1 levels in primary cultures. In the transduced neurons, spontaneous calcium activity was significantly higher, without affecting the viability of the cells. Also the MBR (mean bursting rate) of transduced neuronal cultures measured with a MEA (multielectrode arrays) system was increased. In ex vivo granule cells, shRNA-LGI1 increased neuronal firing. Local field potential (LFP) of ex vivo slices after injection of shRNA-LGI1 in the hippocampus, revealed an increase in the short-term facilitation of mossy fibers to CA3 pyramidal cell synapses. Application of Kv1 family blocker, αDendrotoxin, occluded the increased facilitation in shRNA-LGI1 injected mice. My results indicate that an acute reduction of LGI1 is sufficient to increase neuronal network excitability in in vitro and ex vivo systems and that LGI1 concentrations are reduced in the brains of animals during the development of epilepsy. 3 Impact Statement Epilepsy is a major health burden, affecting about 1% of the worldwide population. Although many are treated effectively by antiseizure drugs, approximately 30% have drug-resistant, refractory epilepsy. For these people, epilepsy can be a devastating condition with major consequences including unemployment, injuries, depression and increased mortality. The epilepsies have a multitude of causes from acquired brain lesions, developmental disorders and genetic mutations. My thesis focuses on LGI1 (leucine rich glioma inactivated protein 1) a brain protein which is part of a matrix which surrounds neurons. LGI1 has many interactions with pre and post synaptic ion channels and several trans-synaptic partners, important for brain and circuit development and neuronal transmission. Importantly, mutations in the gene encoding LGI1 lead to familial temporal lobe epilepsy with audiogenic features (ADTLE, autosomal dominant lateral temporal epilepsy). In recent years, specific auto antibodies against LGI1 have also been shown to be a cause of epilepsy, characterised by focal dystonic seizures and cognitive impairment. However, it is not clear whether it is the targeting of LGI1 by antibodies or the consequent inflammation that is the cause of the condition. The aim of my work was to identify the acute role of LGI1 in brain circuits and epilepsy. In particular, in this thesis I show that LGI1 is downregulated after acquired chronic epilepsy and this is associated with changes in network excitability associated with LGI1 partners. This indicates that loss of LGI1 may play a broader role in the epilepsies, and may be common feature amongst a number of aetiologies. I then validated a method to downregulate LGI1 in neuronal circuits and demonstrated that local alterations of LGI1 levels in specific brain circuits, affect network excitability. These novel findings confirm that reduction of LGI1 alone affects brain circuits and neuronal behaviour, suggesting a pathophysiological role in acquired epilepsy, a genetic epilepsy and acute limbic encephalitis due to IgG-LGI1. This work opens up promising prospects to develop protective strategies for epilepsy by redressing the loss of LGI1 4 through small molecule and gene delivery approaches. The insights from this thesis will, therefore, hopefully lead to improved therapies for those people with drug-resistant epilepsies. 5 Acknowledgements This work would not have been possible without the input, help and supervision of many people. I dedicate this thesis to all of you, who enlightened these years in London and my daily life. First and foremost, I am very grateful to Professor Matthew Walker for giving me the chance to work in his lab, for teaching me so much about epilepsy and the brain, and for being such a positive and supportive supervisor. Thank you for having always patience with me for all the failed experiments and for all the right advices during these years. You are a role model by whom I will always be inspired. A sincere and invaluable thanks to Dr. Gabriele Lignani, my secondary supervisor, mentor and friend. Gabriele hugely contributed to shape this project and get me through tough times, helping me with every aspect of the project and encouraging me to think critically. Thank you for involving me in many collaborative works and for all the coffees we shared. Any student who has and will have the chance to be guided by you is a lucky student. Thanks to all the Epilepsy Department (DCEE), it has been a great family with which I spent a lot of time during these three and half years. A special mention to Professor Dimitri Kullmann for adopting me in his weekly lab meetings and supporting part of the in vivo works. A warm acknowledgement to Dr. Gareth Morris, for all the coffees and help with electrophysiology, English and broccoli, but especially for the latter ones. Thanks to Dr. Erica Tagliatti, for her advices on molecular biology, immunohistochemistry, imaging and uncountable other topics. Good luck for your promising future career. Thanks to Jenna Carpenter, for the precious help with virus design, cell cultures and long talks during weekends and nights at work. Thanks to Dr. Tawfeeq Shekh-Ahmad, for his great help in calcium imaging, in vivo works, ugly molarity calculations and the delicious baklava. Thanks to (Dr.) Sylvain Rama, Marion Mercier, Vincent Magloire, Tom Jensen, Edward Maguire for all the patch clamp and LFP tips. Thanks to my previous colleagues 6 in Walker’s lab: (Dr.) Amy Nick, Pi-Shan Chang, Ramona Eckel and Sophie Williams for being so nice to me. Thanks to Dr. Elodie Chabrol, for teaching me the value of communicating science in an accessible and creative way. Thanks to Dr. Nicol Birsa, Dr. Carmelo Milioto and Dr. Nancy Malintan for their insights into western blot. Thanks to Dr. Sarah Crisp and Dr. Michael Chou for their help with the autoantibody work. Thanks to Dr. Jonathan Cornford, Yichen Qiu, Dr. Christine Dixon, Dr. Andreas Lieb, Dr. Albert Snowball, Dr. Elizabeth Nicholson, Dr. Bao-Luen Chang, Dr. Mikail Weston, Steffan Jones, Olga Tiurikova, Dr. Janosch Heller and many many many other colleagues in the Department and in the Institute of Neurology. I am very grateful for having had the chance to contribute to a fantastic PhD program founded by the Marie Skłodowska-Curie Actions (ECMED project). I had the pleasure to know irreplaceable fellows with which I have built a relationship that goes well beyond collaborations, borders and research projects. Thanks to Antonia, Mehwish, Eduardo, Sandra, Shaobo, Anatoly, Danylo, Alessandra R., Marion, Alessandra P., Armand, Anvesh and Greg. I look forward to see you all again. Thanks to my brilliant students, Elizabeth Brockman and Liam Colclough. These teaching experiences have been a journey from which I have learnt a lot as well. Thanks to my lifetime friends: Sara, Francesca, Valentina, Guendalina, Cristina, Emily, Valentina (Valigia), Roberta (Sbomb), Francesca (Pepper), Chiaretta & Mattia. I cannot wait to buy a teleportation machine to be closer to all of you. Thanks to newer friends which make my life in London rich and vibrant: Carolina, Ilaria & Michele, Karine and Xun. Thanks to Dr. Marco Leite, for all the discussions about statistics, for the Python scripts, for your endless curiosity and your kindness: you are a wonderful human being. A heartfelt thanks to my beloved family: Silvia, Leonardo, Beatrice, Nonna Mary, Elena, Adriano and Claudia. I bring you always in my heart and despite the distance you always found creative ways to support me and send me your love. 7 Table of Content Declaration .................................................................................................................. 2 Abstract ....................................................................................................................... 3 Impact Statement .......................................................................................................