Epilepsy-Associated Reelin Dysfunction Induces Granule Cell Dispersion in the Dentate Gyrus&Z.Star;
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Epilepsy-Associated Reelin Dysfunction Induces Granule Cell Dispersion in the Dentate Gyrusq M Frotscher, Center for Molecular Neurobiology Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany CA Haas, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg, Germany Ó 2017 Elsevier Inc. All rights reserved. Introduction 1 BackgrounddGranule Cell Dispersion in Epilepsyda Migration Defect? 1 Methods 2 Recent Results 3 Unilateral Injection of Kainate, an Agonist of the Excitatory Transmitter Glutamate, Results in the Development of GCD in Mice 3 Reelin’s Role in the Development of GCD 4 Reelin Keeps Adult Granule Cells in Register 5 Summary and Conclusions 5 Future Directions 5 Further Reading 7 Introduction Ammon’s horn sclerosis (AHS) is a hallmark of temporal lobe epilepsy. AHS is characterized by neuronal loss in hippocampal regions CA3 and CA1 and in the hilus of the dentate gyrus, and by granule cell dispersion (GCD). The term sclerosis describes a glial hypertrophy accompanying the neuronal loss. The neuron loss is likely to represent excitotoxic cell death associated with increased calcium entry into the cells. This mechanism of cell death is supported by studies showing that intracellular application of calcium buffers prevents excitotoxic cell death of hilar neurons. Neurons in hippocampal region CA2, which is located in between CA1 and CA3, are less vulnerable and are particularly rich in calcium-binding proteins. The factors that induce a broadening of the granule cell layerdie, granule cell dispersiondare less clear. Does increased neuronal activity force the granule cells to leave their normally tightly packed layer? Does seizure activity stimulate neurogenesis in the den- tate gyrus, leading to an increase in neuron number and thus to a broadening of the granule cell layer? Does glial hypertrophy in AHS play a role in the development of granule cell dispersion? In this article, we summarize our recent studies which addressed these questions. In these studies, we used tissue samples from temporal lobe epilepsy (TLE) patients subjected to hippocampal resection for therapeutical reasons. In addition, we used tissue from mice that had received a unilateral hippocampal injection of kainate. By comparing our results in human tissue and in exper- imental animals, we obtained new insights into the processes leading to the development of granule cell dispersion in epilepsy. BackgrounddGranule Cell Dispersion in Epilepsyda Migration Defect? Granule cell dispersion is best described as an abnormal broadening of the granule cell layer, with many granule cells migrating far into the molecular layer (Fig. 1). GCD is regularly associated with Ammon’s horn sclerosis, but there are also cases of Ammon’s horn sclerosis lacking a prominent GCD. There is strong evidence that Ammon’s horn sclerosis, the degeneration of neurons in hippo- campal regions CA1 and CA3 and in the hilus of the dentate gyrus, represents excitotoxic changes resulting from increased neuronal activity. Does this also hold true for GCD? The neurons that migrate out into the molecular layer do not show signs of neuronal degeneration. Alternatively, is GCD a migration defect of the granule cells during development that eventually leads to epilepsy? It would not be too far-fetched to assume a developmental migration defect, as there are mouse mutants that show a structural phenotype reminiscent of GCD and a functional phenotype of seizures/epilepsy. A more scattered distribution of the granule cells leads to an overlap of the normally segregated input and output sides of the granule cells. In a densely packed granule cell layer, the input side (ie, the granule cell dendritic arbors in the molecular layer) is normally separated from the output side (the mossy fiber axons invading the hilus). A loss of this clear-cut lamination will allow more superficially located granule cells to contact dendrites of deeply located neurons, resulting in an increased granule cell-to-granule cell connectivity. Would this aberrant circuitry contribute to increased excitability of the granule cells, resulting in epileptic activity? q Change history: December 2015. Author Carola Haas and author Michael Frotscher made minor corrections to the text with a major change to the paragraph “Future directions” (the changes are on page 12). In addition, a few references were added. They were not cited in the text since all other references of the original manuscript were also not cited in the text but added as “Further Reading”. Reference Module in Neuroscience and Biobehavioral Psychology http://dx.doi.org/10.1016/B978-0-12-809324-5.00032-8 1 2 Epilepsy-Associated Reelin Dysfunction Induces Granule Cell Dispersion in the Dentate Gyrus (A) (C) (B) (D) Figure 1 Morphology of normal and epileptic human hippocampus stained with cresyl violet. (A) Human control hippocampus with normal distri- bution of neurons in hippocampal subfields and in the dentate gyrus, where the granule cells are located in a dense layer. (B) Epileptic human hippo- campus with characteristic features of Ammon’s horn sclerosis. Selective cell loss is obvious in hippocampal subfields CA1 and CA3. The granule cell layer is dispersed. (C) Granule cell layer of a normal human dentate gyrus. The granule cells are arranged in a densely packed layer. (D) Loss of dense granule cell packing (granule cell dispersion) in temporal lobe epilepsy. Scale bars A, B: 600 mm; C, D: 75 mm. CA1, CA2, CA3, hippocampal subfields; GCL, granule cell layer. Reproduced from Haas, A., Frotscher, M., 2004. Migration disorders and epilepsy. In: Herdegen, T., Delgado- García, J.M. (Eds.), Brain. Damage and Repair. Kluwer Academic Publishers, Dordrecht, pp. 391–402; copyright Kluwer Academic Publishers. One mutant that shows a migration defect similar to GCD is the reeler mouse lacking the extracellular matrix protein reelin. Reelin is known to be synthesized and secreted by Cajal-Retzius cells in the marginal zones of cortex and hippocampus, and there are severe migration defects in these regions in the reeler mutant. Could it be that GCD in epileptic patients is associated with an altered reelin expression? As a first step towards a better understanding of GCD, we looked at reelin expression in tissue samples from epileptic patients with GCD and in samples from autopsy controls. These control patients did not suffer from epileptic seizures and did not show Ammon’s horn sclerosis and GCD. We measured reelin expression by real-time PCR and quantified reelin-expressing cells using in situ hybridization for reelin mRNA. We found a significant decrease in reelin expression in patients with granule cell dispersion with both methods. Moreover, there was an inverse correlation between the number of reelin mRNA-expressing cells in the dentate gyrus and the extent of granule cell dispersion, quantified by measuring the width of the granule cell layer. While these findings pointed to a role of reelin in the development of granule cell dispersion, they could not clarify whether decreased reelin expression during development had caused granule cell dispersion which in turn led to epilepsy or, alternatively, epileptic seizures interfered with reelin expression, leading to GCD. For obvious reasons, these questions could not be addressed in studies of tissue samples from patients. Methods We used tissue samples from TLE patients and a mouse epilepsy model that recapitulates the main histopathological and electro- physiological features of human TLE. A single unilateral injection of the glutamate agonist kainate (KA) into the hippocampus of adult mice induced spontaneous, focal epileptic seizures and Ammon’s horn sclerosis, including GCD. We used cresyl violet stain- ing, immunohistochemistry, in situ hybridization and real-time PCR analysis to monitor cell death, GCD development, neurogen- esis, glial cell proliferation, and reelin expression in human tissue and tissue obtained from kainate-injected mice. Epilepsy-Associated Reelin Dysfunction Induces Granule Cell Dispersion in the Dentate Gyrus 3 Recent Results Unilateral Injection of Kainate, an Agonist of the Excitatory Transmitter Glutamate, Results in the Development of GCD in Mice Increased neuronal activity is associated with an increased release of the excitatory neurotransmitter, glutamate. Thus, glutamate receptor agonists, such as kainate, are often injected into animals to induce epileptic activity. Unilateral injection of kainate into one hippocampus (in mice) was not only found to induce seizure activity but also to lead to Ammon’s horn sclerosis with neuronal degeneration in CA1 and CA3 and granule cell dispersion in the dentate gyrus. Interestingly, these degenerative changes are not found on the contralateral, non-injected side. After a latency period of 2 weeks, the animals developed seizure activity as monitored by EEG recordings. They also developed a prominent granule cell dispersion on the side of kainate injection but not on the contralateral side, indicating that GCD resulted from the injection of the excitotoxin. The broadening of the granule cell layer developed progressively; GCD was evident as early as 1 week post injection and was fully expressed after 6 weeks (Fig. 2). What is the nature of kainate-induced GCD? Is it a migration of fully differentiated granule cells, or does seizure activity increase neurogenesis and aberrant migration of the newly generated granule cells? It is generally accepted that post-migratory neuroblasts that are about to