Regulation of the ionic milieu of the extracellular space of the brain is important in seizures, but our understanding in this area is incomplete, especially in chronic epilepsy. Recent investigations suggest that the homeostasis of extracellular potassium ((K+)o) and calcium ((Ca++)o) is distributed in the chronically epileptic brain and that this type of tissue has a heightened sensitivity to the epileptogenic effects of displacing extracellular ionic concentrations away from their normal resting levels. Our laboratory has developed and characterized a number of interconnected models of limbic seizures which are centered in the hippocampus. The epileptic states associated with these models are rapidly produced but, once established, are long- lasting. This fact makes them particulary well-suited to study the homestasis of (K+)o and (Ca++)o in various epileptic conditions. In this project, complementary in vivo and in vitro studies will be carried out to address the role of (K+)o and (Ca++)o in chronic epilepsy and status epilepticus. The use of ion-sensitive microelectrodes in vivo will be combined with manipulations of the ambient, resting (K+)o and (Ca++)o in hippocampal slices to test 4 hypotheses. Hypothesis 1 states that an elevated (K+)o and/or decreased (Ca++)o is causative for the initiation of seizures in the hippocampus. Hypothesis 2 states that (K+)o and (Ca++)o homeostasis is disturbed in chronic hippocampal epilepsy and in the hippocampus exhibiting status epilepticus. Hypothesis 3 states that chronically epileptic tissue has an increased sensitivity to the epileptogenic effects of elevated (K+)o and/or decreased (Ca++)o. Hypothesis 4 states that the ambient (K+)o and (Ca++)o influence the consequences of intense neuronal activation, determining whether responses are epileptic or not. The information from these experiments will elucidate basic mechanisms of epilepsy in order that we can better understand the cause and consequences of this disorder.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Research Project (R01)
Project #
1R01NS025605-01
Application #
3410889
Study Section
Neurology A Study Section (NEUA)
Project Start
1988-02-01
Project End
1991-01-31
Budget Start
1988-02-01
Budget End
1989-01-31
Support Year
1
Fiscal Year
1988
Total Cost
Indirect Cost
Name
University of Virginia
Department
Type
Schools of Medicine
DUNS #
001910777
City
Charlottesville
State
VA
Country
United States
Zip Code
22904
Zhang, De Xing; Bertram, Edward H (2015) Suppressing limbic seizures by stimulating medial dorsal thalamic nucleus: factors for efficacy. Epilepsia 56:479-88
Kendirli, M Tansel; Rose, Dominique T; Bertram, Edward H (2014) A model of posttraumatic epilepsy after penetrating brain injuries: effect of lesion size and metal fragments. Epilepsia 55:1969-77
Bertram, Edward H (2013) Neuronal circuits in epilepsy: do they matter? Exp Neurol 244:67-74
Sloan, David M; Zhang, Dexing; Bertram 3rd, Edward H (2011) Excitatory amplification through divergent-convergent circuits: the role of the midline thalamus in limbic seizures. Neurobiol Dis 43:435-45
Sloan, David M; Zhang, DeXing; Bertram 3rd, Edward H (2011) Increased GABAergic inhibition in the midline thalamus affects signaling and seizure spread in the hippocampus-prefrontal cortex pathway. Epilepsia 52:523-30
Thom, Maria; Mathern, Gary W; Cross, J Helen et al. (2010) Mesial temporal lobe epilepsy: How do we improve surgical outcome? Ann Neurol 68:424-34
Sloan, David M; Bertram 3rd, Edward H (2009) Changes in midline thalamic recruiting responses in the prefrontal cortex of the rat during the development of chronic limbic seizures. Epilepsia 50:556-65
Bertram, Edward H (2009) Temporal lobe epilepsy: where do the seizures really begin? Epilepsy Behav 14 Suppl 1:32-7
Rajasekaran, Karthik; Sun, Chengsan; Bertram, Edward H (2009) Altered pharmacology and GABA-A receptor subunit expression in dorsal midline thalamic neurons in limbic epilepsy. Neurobiol Dis 33:119-32
Bertram, Edward H; Zhang, DeXing; Williamson, John M (2008) Multiple roles of midline dorsal thalamic nuclei in induction and spread of limbic seizures. Epilepsia 49:256-68

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