用眼镜蛇毒因子急性消耗补体C3可减轻癫痫状态引起的记忆障碍

IF 2.8 3区 医学 Q2 CLINICAL NEUROLOGY Epilepsia Open Pub Date : 2024-11-05 DOI:10.1002/epi4.13030
Nicole D. Schartz, Yibo Li, Alexandra L. Sommer, Amy L. Brewster
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引用次数: 0

摘要

目的:癫痫状态(SE)会显著增加无诱因癫痫发作、记忆丧失和颞叶癫痫的发病风险。我们之前的研究表明,SE 会增加海马中的补体 C3 信号传导,这与记忆缺失相似。此外,C3基因敲除(KO)小鼠对SE诱导的记忆损伤有保护作用,这表明C3在这一病理生理学中的机制作用。在这项研究中,我们利用眼镜蛇毒液因子(CVF)--一种导致C3耗竭的结构类似物--来研究SE后C3消减对癫痫发生过程中出现的记忆障碍的保护作用:方法:使用化学惊厥剂皮洛卡品诱导雄性大鼠发生 SE。两周后,对照组(C)和 SE 组大鼠接受药物(V)或 CVF 治疗。在四组(C + V、C + CVF、SE + V 和 SE + CVF)中使用新物体识别(NOR)测试评估识别记忆。用免疫印迹法测定海马蛋白中 C3 以及突触、星形胶质细胞和血脑屏障(BBB)稳定性标记物 Psd95、GFAP 和白蛋白的水平:在 NOR 测试中,C + V 组和 C + CVF 组大鼠花更多时间探索新物体。SE + V组大鼠对两个物体的探索时间相同,而SE + CVF组大鼠在新物体上花费的时间明显更多,这表明CVF对大鼠的认知能力有一定的挽救作用。虽然CVF介导的C3耗竭不能恢复SE + CVF大鼠海马中Psd95或GFAP的正常蛋白水平,但CVF处理减轻了SE诱导的白蛋白外渗,这表明CVF有可能挽救BBB的稳定性:我们的研究结果表明,使用CVF进行急性C3耗竭可减轻SE诱导癫痫发生过程中出现的记忆障碍。这一发现进一步表明,以C3为靶点可能有望解决与SE和获得性癫痫相关的认知并发症。纯文字摘要:持续时间较长的癫痫发作,即癫痫状态(SE),会增加未来出现更多癫痫发作的几率,并可能导致记忆问题。虽然这些问题的确切原因尚不完全清楚,但据信可能与脑部炎症有关。在这项研究中,我们发现人体免疫反应的激活,尤其是一种名为 C3 的成分,在 SE 发作后出现的记忆问题中扮演了重要角色。
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Acute depletion of complement C3 with cobra venom factor attenuates memory deficits induced by status epilepticus

Objective

Status epilepticus (SE) significantly increases the risk for the development of unprovoked seizures, memory loss, and temporal lobe epilepsy. Our prior studies showed that SE increases complement C3 signaling in the hippocampus, which parallels memory deficits. Additionally, C3 knockout (KO) mice were protected against SE-induced memory impairments, suggesting a mechanistic role for C3 in this pathophysiology. In this study, we utilized cobra venom factor (CVF), a structural analog of C3 that results in its depletion, to investigate the protective effects of post-SE C3 ablation on memory deficits that develop during epileptogenesis.

Methods

SE was induced in male rats using the chemoconvulsant pilocarpine. Two weeks later, control (C) and SE rats were treated with either vehicle (V) or CVF. Recognition memory was assessed using the novel object recognition (NOR) test in four groups (C + V, C + CVF, SE + V, and SE + CVF). Immunoblotting was used to measure hippocampal protein levels of C3 along with synaptic, astrocyte, and blood–brain barrier (BBB) stability markers, Psd95, GFAP, and albumin, respectively.

Results

In the NOR test, rats in the C + V and C + CVF groups spent more time exploring the novel object. SE + V rats explored both objects equally, while SE + CVF rats spent significantly more on the novel object, suggesting a rescue of cognitive performance by CVF. While CVF-mediated C3 depletion did not restore normal protein levels of Psd95 or GFAP in hippocampi of SE + CVF rats, CVF treatment attenuated SE-induced extravasation of albumin, suggesting potential rescue of BBB stability.

Significance

Our findings indicate that acute C3 depletion with CVF can attenuate memory deficits that develop during SE-induced epileptogenesis. This finding further suggests that targeting C3 could hold promise in addressing cognitive comorbidities associated with SE and acquired epilepsy.

Plain Language Summary

A long-lasting seizure, known as status epilepticus (SE), can raise the chance of having more seizures in the future and can lead to memory problems. While the exact reasons for these issues are not completely known, it is believed that brain inflammation might be involved. In this study, we show that the activation of the body's immune response, especially a part called the C3 component, plays a role in the memory problems that occur after an episode of SE.

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来源期刊
Epilepsia Open
Epilepsia Open Medicine-Neurology (clinical)
CiteScore
4.40
自引率
6.70%
发文量
104
审稿时长
8 weeks
期刊最新文献
Efficacy and tolerability of low versus standard daily doses of antiseizure medications in newly diagnosed focal epilepsy. A multicenter, randomized, single-blind, non-inferiority trial (STANDLOW). Three cases of atypical Rasmussen's encephalitis with delayed-onset seizures. GATAD2B-related developmental and epileptic encephalopathy (DEE): Extending the epilepsy phenotype and a literature appraisal. Intrinsic brain network stability during kainic acid-induced epileptogenesis. Diagnostic yield of utilizing 24-72-hour video electroencephalographic monitoring in the diagnosis of seizures presenting as paroxysmal events in resource-limited settings.
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