Abstract
Proper brain functioning requires a fine-tuning between excitatory and inhibitory neurotransmission, a balance maintained through the regulation and release of glutamate and GABA. Rett syndrome (RTT) is a rare genetic disorder caused by mutations in the methyl-CpG binding protein 2 (MECP2) gene affecting the postnatal brain development. Dysfunctions in the GABAergic and glutamatergic systems have been implicated in the neuropathology of RTT and a disruption of the balance between excitation and inhibition, together with a perturbation of the electrophysiological properties of GABA and glutamate neurons, were reported in the brain of the Mecp2-deficient mouse. However, to date, the extent and the nature of the GABA/glutamate deficit affecting the Mecp2-deficient mouse brain are unclear. In order to better characterize these deficits, we simultaneously analyzed the GABA and glutamate levels in Mecp2-deficient mice at 2 different ages (P35 and P55) and in several brain areas. We used a multilevel approach including the quantification of GABA and glutamate levels, as well as the quantification of the mRNA and protein expression levels of key genes involved in the GABAergic and glutamatergic pathways. Our results show that Mecp2-deficient mice displayed regional- and age-dependent variations in the GABA pathway and, to a lesser extent, in the glutamate pathway. The implication of the GABA pathway in the RTT neuropathology was further confirmed using an in vivo treatment with a GABA reuptake inhibitor that significantly improved the lifespan of Mecp2-deficient mice. Our results confirm that RTT mouse present a deficit in the GABAergic pathway and suggest that GABAergic modulators could be interesting therapeutic agents for this severe neurological disorder.
Highlights
The mammalian brain requires a balance between excitatory and inhibitory neurotransmission to sustain proper neuronal function [1]
We found that in WT mice, the glutamate while c-aminobutyric acid (GABA) concentrations increased between P35 and P55 in the SNpr (+268.5%651.4, P,0.001), hippocampus (+765%691.3, P,0.001), cerebellum (+ 726%640.2, P,0.001) and spinal cord (+313%630, P,0.001) (Figure 2, Table 1) while GABA level progressively decreased in the caudate-putamen (289.5%64.1, P,0.01)
We focused our study on several discrete brain regions known to contribute to the Mecp2-deficient phenotype in order to determine whether or not the GABA and glutamate levels were affected in the Mecp2-deficient mice brain
Summary
The mammalian brain requires a balance between excitatory and inhibitory neurotransmission to sustain proper neuronal function [1]. Their results revealed a striking reduction in c-Fos expression in the midbrain of Mecp2-deficient mice while and an increase in activity was observed in the brainstem of the same mice These changes could be due, in part, to a regional variation in the GABA/glutamate ratio since both neurotransmitters are the main inhibitory and excitatory brain mediators. The combination of a GABA reuptake blocker with a serotonin-1a agonist was proven to be beneficial as it offset breathing defects and lengthened the lifespan of Mecp heterozygous mice [25] These results indicate that GABA and/ or glutamate dysfunction could play a key role in the appearance of the RTT phenotype. Given the importance of the GABA and glutamate for the activity of neuronal networks, it is surprising that only a few studies assayed these amino-acids in the brain of Mecp2-deficient mice. An in vivo treatment with a GABA reuptake inhibitor significantly improved the lifespan of Mecp2-deficient mice suggesting that the modulation of the GABAergic pathway may be a new therapeutic target for the treatment of RTT-associated clinical signs
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