The P2X7 receptor contributes to seizures and inflammation-driven long-lasting brain hyperexcitability following hypoxia in neonatal mice.

Autor: Smith J; Department of Physiology and Medical Physics, RCSI University of Medicine and Health Sciences, Dublin, Ireland.; FutureNeuro, SFI Research Centre for Chronic and Rare Neurological Diseases, RCSI University of Medicine and Health Sciences, Dublin, Ireland., Menéndez Méndez A; Department of Physiology and Medical Physics, RCSI University of Medicine and Health Sciences, Dublin, Ireland., Alves M; Department of Physiology and Medical Physics, RCSI University of Medicine and Health Sciences, Dublin, Ireland., Parras A; Department of Biomedical Sciences, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland., Conte G; Department of Physiology and Medical Physics, RCSI University of Medicine and Health Sciences, Dublin, Ireland., Bhattacharya A; Neuroimmunology Discover, Neuroscience, Janssen R&D, San Diego, California, USA., Ceusters M; Neuroscience Therapeutic Area, Janssen Research and Development, Janssen Pharmaceutica NV, Beerse, Belgium.; The Marc Ceusters Company BV, Diest, Belgium., Nicke A; Walther Straub Institute of Pharmacology and Toxicology, Ludwig Maximilian University of Munich, Munich, Germany., Henshall DC; Department of Physiology and Medical Physics, RCSI University of Medicine and Health Sciences, Dublin, Ireland.; FutureNeuro, SFI Research Centre for Chronic and Rare Neurological Diseases, RCSI University of Medicine and Health Sciences, Dublin, Ireland., Jimenez-Mateos EM; Discipline of Physiology, School of Medicine, Trinity Biomedical Sciences Institute, Trinity College Dublin, The University of Dublin, Dublin, Ireland., Engel T; Department of Physiology and Medical Physics, RCSI University of Medicine and Health Sciences, Dublin, Ireland.; FutureNeuro, SFI Research Centre for Chronic and Rare Neurological Diseases, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Jazyk: angličtina
Zdroj: British journal of pharmacology [Br J Pharmacol] 2023 Jul; Vol. 180 (13), pp. 1710-1729. Date of Electronic Publication: 2023 Feb 14.
DOI: 10.1111/bph.16033
Abstrakt: Background and Purpose: Neonatal seizures represent a clinical emergency. However, current anti-seizure medications fail to resolve seizures in ~50% of infants. The P2X7 receptor (P2X7R) is an important driver of inflammation, and evidence suggests that P2X7R contributes to seizures and epilepsy in adults. However, no genetic proof has yet been provided to determine what contribution P2X7R makes to neonatal seizures, its effects on inflammatory signalling during neonatal seizures, and the therapeutic potential of P2X7R-based treatments on long-lasting brain excitability.
Experimental Approach: Neonatal seizures were induced by global hypoxia in 7-day-old mouse pups (P7). The role of P2X7Rs during seizures was analysed in P2X7R-overexpressing and knockout mice. Treatment of wild-type mice after hypoxia with the P2X7R antagonist JNJ-47965567 was used to determine the effects of the P2X7R on long-lasting brain hyperexcitability. Cell type-specific P2X7R expression was analysed in P2X7R-EGFP reporter mice. RNA sequencing was used to monitor P2X7R-dependent hippocampal downstream signalling.
Key Results: P2X7R deletion reduced seizure severity, whereas P2X7R overexpression exacerbated seizure severity and reduced responsiveness to anti-seizure medication. P2X7R deficiency led to an anti-inflammatory phenotype in microglia, and treatment of mice with a P2X7R antagonist reduced long-lasting brain hyperexcitability. RNA sequencing identified several pathways altered in P2X7R knockout mice after neonatal hypoxia, including a down-regulation of genes implicated in inflammation and glutamatergic signalling.
Conclusion and Implications: Treatments based on targeting the P2X7R may represent a novel therapeutic strategy for neonatal seizures with P2X7Rs contributing to the generation of neonatal seizures, driving inflammatory processes and long-term hyperexcitability states.
(© 2023 The Authors. British Journal of Pharmacology published by John Wiley & Sons Ltd on behalf of British Pharmacological Society.)
Databáze: MEDLINE
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