Abstract

Absence seizures are associated with generalised synchronous 2.5–4 Hz spike-wave discharges causing brief and sudden alteration of awareness during childhood, which is known as childhood absence epilepsy (CAE). CAE is also associated with impaired learning, psychosocial challenges, and physical danger. Absence seizures arise from disturbances within the cortico-thalamocortical (CTC) network, including dysfunctional feed-forward inhibition (FFI); however, the precise mechanisms remain unclear. In epileptic stargazers, a genetic mouse model of CAE with chronic seizures, levels of γ-aminobutyric acid (GABA), and expression of GABA receptors are altered within the CTC network, implicating altered GABAergic transmission in absence seizures. However, the expression of GABA synthesising enzymes (GAD65 and GAD67) and GABA transporters (GAT-1 and 3) have not yet been characterised within absence seizure models. We found a specific upregulation of GAD65 in the somatosensory cortex but not the thalamus of epileptic stargazer mice. No differences were detected in GAD67 and GAT-3 levels in the thalamus or somatosensory cortex. Then, we assessed if GAD65 upregulation also occurred in Gi-DREADD mice exhibiting acute absence seizures, but we found no change in the expression profiles of GAD65/67 or GAT-3. Thus, the upregulation of GAD65 in stargazers may be a compensatory mechanism in response to long-term dysfunctional FFI and chronic absence seizures.

Highlights

  • Childhood absence epilepsy (CAE) is one of the most prevalent paediatric epilepsies, accounting for 10–17% of all diagnosed epilepsy cases in school-aged children [1,2]

  • The second objective of this study was to determine if acute functional silencing of PV+ feed-forward inhibition (FFI) interneurons in Gi-designer receptors exclusively activated by designer drug (DREADDs) (Designer Receptors Exclusively Activated by Designer Drug) mice [14,15] alters the level of glutamic acid decarboxylase (GAD) and/or GABA transporter (GAT) and gamma-aminobutyric acid (GABA) levels over a short time scale

  • Tissue sections from epileptic stargazers and non-epileptic control mice were double labeled with antibodies against PV and either GAD65, GAD67, GAT1, or GAT3

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Summary

Introduction

Childhood absence epilepsy (CAE) is one of the most prevalent paediatric epilepsies, accounting for 10–17% of all diagnosed epilepsy cases in school-aged children [1,2]. Absence seizures are the clinical manifestation of CAE and are characterised by brief behavioural arrest, loss of awareness, and an electrographic signature of spike-wave discharges (SWDs) measuring 2.5–4 Hz on an electroencephalogram (EEG) [3,4]. These brief episodes of impaired consciousness may occur hundreds of times a day and can increase the chance of physical injury when undertaking activities such as swimming and cycling [5]. Current treatment options for CAE are insufficient as up to 30% of patients are pharmaco-resistant, reporting intolerable side effects and/or seizure aggravation. To develop novel therapeutic targets and discover new anti-epileptic drugs (AEDs), it is crucial to first understand the precise cellular and molecular mechanisms underlying absence seizures in different models of CAE

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