Abstract
Granule cell dispersion (GCD) has been found in the dentate gyrus (dg) of patients with temporal lobe epilepsy (TLE) and a history of febrile seizures but was also recently observed in pediatric patients that did not suffer from epilepsy. This indicates that GCD might not always be disease related, but instead could reflect normal morphological variation. Thus, distribution of newborn granule cells within the hilar region is part of normal dg development at early stages but could be misinterpreted as pathological GCD. In turn, pathological GCD may be caused, for example, by genetic mutations, such as the reeler mutation. GCD in the reeler mutant goes along with an increased susceptibility to epileptiform activity. Pathological GCD in combination with epilepsy is caused by experimental administration of the glutamate receptor agonist kainic acid in rodents. In consequence, the interpretation of GCD and the role of febrile seizures remain controversial. Here, we asked whether febrile temperatures alone might be sufficient to trigger GCD and used hippocampal slice cultures as in vitro model to analyze the effect of a transient temperature increase on the dg morphology. We found that a heat-shock of 41°C for 6 h was sufficient to induce GCD and degeneration of a fraction of granule cells. Both of these factors, broadening of the granule cell layer (gcl) and increased neuronal cell death within the gcl, contributed to the development of a significantly reduced packaging density of granule cells. In contrast, Reelin expressing Cajal–Retzius (CR) cells in the molecular layer were heat-shock resistant. Thus, their number was not reduced, and we did not detect degenerating CR cells after heat-shock, implying that GCD was not caused by the loss of CR cells. Importantly, the heat-shock-induced deterioration of dg morphology was accompanied by a massive microgliosis, reflecting a robust heat-shock-induced immune response. In contrast, in the study that reported on GCD as a non-specific finding in pediatric patients, no microglia reaction was observed. Thus, our findings underpin the importance of microglia as a marker to distinguish pathological GCD from normal morphological variation.
Highlights
Epilepsy encompasses a variety of neurological pathologies, in particular recurrent seizures of hyperexcitable nerve cells and the associated imbalance between excitation and inhibition (Bozzi et al, 2012)
granule cell dispersion (GCD) has been observed in the dentate gyrus of pediatric patients that did not suffer from epilepsy, suggesting that GCD may be within the normal variation range of granule cell layer morphology (Roy et al, 2020)
Ammonshorn sclerosis and/or dispersion of dentate granule cell are frequently observed in epileptic hippocampal tissue, and febrile seizures early in life are suspected to be causally linked to these pathologies
Summary
Epilepsy encompasses a variety of neurological pathologies, in particular recurrent seizures of hyperexcitable nerve cells and the associated imbalance between excitation and inhibition (Bozzi et al, 2012). Complex febrile seizures in early life are thought to be associated with the development of temporal lobe epilepsy (TLE), a disease with strong clinical relevance, and are suspected to be causally linked to hippocampal lesions later in life (Rocca et al, 1987; Abou-Khalil et al, 1993; Cendes et al, 1993; French et al, 1993; Bender et al, 2004; Vezzani and Granata, 2005; Dube et al, 2009; Koyama, 2013). Juvenile complex febrile seizures were reported to induce dentate granule cell ectopia (Koyama et al, 2012), possibly caused by impaired Reelin signaling. GCD has been observed in the dentate gyrus (dg) of pediatric patients that did not suffer from epilepsy, suggesting that GCD may be within the normal variation range of granule cell layer (gcl) morphology (Roy et al, 2020)
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