Epilepsy is one of the most common, yet frightening, neurological disorders encountered in childhood. Of major concern is the cognitive and behavior deterioration seen in some children, particularly after prolonged seizures. There is now a considerable amount of data implicating excessive release of excitatory amino acids (EAA's), principally glutamate, as a cause for neuronal toxicity and a major effort is now being made to develop pharmacological agents that block EAA receptors. However, EAAs arc in learning, memory, and brain plasticity, raising concern about using these agents in the developing animal. Work from our laboratory has demonstrated that the long-term effects of prolonged seizures are age-dependent. Using kainic acid, pilocarpine, and continuous hippocampal stimulation we have demonstrated that prolonged seizures in rats below 20 days of age have substantially fewer behavioral abnormalities and no alteration in seizure susceptibility when compared to older animals. Furthermore, histological lesions can not be demonstrated in young animals despite seizures that are more severe than in older animals. If the immature brain is resistant to the long- term effects of prolonged seizures the question of whether EAA blockers should be administered is even more pertinent. To expand earlier observations we will determine if prolonged seizures in the immature brain are associated with physiological or morphological changes. Following induction of seizures using the pilocarpine or perforant pathway stimulation models in immature and mature rats we will examine hippocampal inhibition using evoked potentials and possible cell loss using cell counting techniques. To examine the physiological basis for this remarkable age-related effect, we will use microdialysis to measure glutamate and GABA release following during perforant pathway stimulation or pilocarpine administration. To examine the long-term effects of EAA receptor antagonists on the developing brain, we will administer NMDA and non- NMDA receptor antagonists to rats with prolonged seizures and age- matched controls. Outcome measures will include learning and memory as measured by the Morris water maze, seizure threshold using flurothyl inhalation, long term potentiation (LTP), a physiological model of learning in vivo, and histological analysis. Results of this study should provide additional insights into our understanding of the long- term consequences of seizures on the developing brain.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Research Project (R01)
Project #
5R01NS027984-05
Application #
2266707
Study Section
Neurology A Study Section (NEUA)
Project Start
1991-09-30
Project End
1998-08-31
Budget Start
1995-09-30
Budget End
1996-08-31
Support Year
5
Fiscal Year
1995
Total Cost
Indirect Cost
Name
Children's Hospital Boston
Department
Type
DUNS #
076593722
City
Boston
State
MA
Country
United States
Zip Code
02115
Khan, Omar I; Zhao, Qian; Miller, Forrest et al. (2010) Interictal spikes in developing rats cause long-standing cognitive deficits. Neurobiol Dis 39:362-71
Holmes, Gregory L; Zhao, Qian (2008) Choosing the correct antiepileptic drugs: from animal studies to the clinic. Pediatr Neurol 38:151-62
Zhou, Jun-Li; Lenck-Santini, Pierre-Pascal; Holmes, Gregory L (2007) Postictal single-cell firing patterns in the hippocampus. Epilepsia 48:713-9
Zhou, Jun-Li; Shatskikh, Tatiana N; Liu, Xianzeng et al. (2007) Impaired single cell firing and long-term potentiation parallels memory impairment following recurrent seizures. Eur J Neurosci 25:3667-77
Zhou, Jun-Li; Lenck-Santini, Pierre-Pascal; Zhao, Qian et al. (2007) Effect of interictal spikes on single-cell firing patterns in the hippocampus. Epilepsia 48:720-31
Zhou, Jun-Li; Zhao, Qian; Holmes, Gregory L (2007) Effect of levetiracetam on visual-spatial memory following status epilepticus. Epilepsy Res 73:65-74
Shatskikh, Tatiana N; Raghavendra, Meghana; Zhao, Qian et al. (2006) Electrical induction of spikes in the hippocampus impairs recognition capacity and spatial memory in rats. Epilepsy Behav 9:549-56
Holmes, Gregory L; Lenck-Santini, Pierre-Pascal (2006) Role of interictal epileptiform abnormalities in cognitive impairment. Epilepsy Behav 8:504-15
Zhao, Qian; Marolewski, Ariane; Rusche, James R et al. (2006) Effects of uridine in models of epileptogenesis and seizures. Epilepsy Res 70:73-82
Lai, Ming-Chi; Holmes, Gregory L; Lee, Ko-Hung et al. (2006) Effect of neonatal isolation on outcome following neonatal seizures in rats--the role of corticosterone. Epilepsy Res 68:123-36

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