Abstract

Vascular endothelial growth factor (VEGF) was first described as an angiogenic agent, but has recently also been shown to exert various neurotrophic and neuroprotective effects in the nervous system. These effects of VEGF are mainly mediated by its receptor, VEGFR-2, which is also referred to as the fetal liver kinase receptor 1 (Flk-1). VEGF is up-regulated in neurons and glial cells after epileptic seizures and counteracts seizure-induced neurodegeneration. In vitro, VEGF administration suppresses ictal and interictal epileptiform activity caused by AP4 and 0 Mg2+ via Flk-1 receptor. We therefore explored whether increased VEGF signaling through Flk-1 overexpression may regulate epileptogenesis and ictogenesis in vivo. To this extent, we used transgenic mice overexpressing Flk-1 postnatally in neurons. Intriguingly, Flk-1 overexpressing mice were characterized by an elevated threshold for seizure induction and a decreased duration of focal afterdischarges, indicating anti-ictal action. On the other hand, the kindling progression in these mice was similar to wild-type controls. No significant effects on blood vessels or glia cells, as assessed by Glut1 and GFAP immunohistochemistry, were detected. These results suggest that increased VEGF signaling via overexpression of Flk-1 receptors may directly affect seizure activity even without altering angiogenesis. Thus, Flk-1 could be considered as a novel target for developing future gene therapy strategies against ictal epileptic activity.

Highlights

  • Vascular endothelial growth factor (VEGF or VEGF-A) is a member of homodimeric glycoproteins and was initially shown to increase vascular permeability in tumor ascites fluid [1]

  • VEGF enhances neuronal proliferation [2,3,4,5,6,7], survival [8,9,10,11,12] and axonal outgrowth [13,14]. Both VEGF-A and VEGF-B, as well as their receptors, VEGFR-1, VEGFR-2 and neuropilin, are widely expressed in the brain with differential expression in distinct population of cells [15]. Immunohistological evaluation reveals their co-localization in all types of neural cells, including pyramidal neurons of the cortex and hippocampus, both in rodents after status epilepticus (SE), and human tissue resected from patients with focal cortical dysplasia-induced intractable epilepsy [15,16,17]

  • There was no significant difference between the fetal liver kinase receptor 1 (Flk-1) OE and WT mice in the number of stimulations needed to reach each stage of kindling, including the fully kindled stage that was reached after 21.667.5 and 22.864.6 days, respectively (Fig. 1B)

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Summary

Introduction

Vascular endothelial growth factor (VEGF or VEGF-A) is a member of homodimeric glycoproteins and was initially shown to increase vascular permeability in tumor ascites fluid [1]. Both VEGF-A and VEGF-B, as well as their receptors, VEGFR-1, VEGFR-2 and neuropilin, are widely expressed in the brain with differential expression in distinct population of cells [15] Immunohistological evaluation reveals their co-localization in all types of neural cells, including pyramidal neurons of the cortex and hippocampus, both in rodents after status epilepticus (SE), and human tissue resected from patients with focal cortical dysplasia-induced intractable epilepsy [15,16,17]. This suggests possible autocrine/paracrine mechanisms of action, and possible role in epileptogenesis and/or ictogenesis

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