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Vol. 287, Issue 2, 766-772, November 1998

Absence Seizures Decrease Steroid Modulation of t-[35S]Butylbicyclophosphorothionate Binding in Thalamic Relay Nuclei1

Pradeep K. Banerjee , Richard W. Olsen , Niranjala J. K. Tillakaratne, Simon Brailowsky2 , Allan J. Tobin and O. Carter Snead, III

Division of Neurology and the Brain and Behavior Program, Hospital for Sick Children, Toronto (P.K.B., O.C.S.), Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, Ontario M5G 1X8, Canada (P.K.B., O.C.S.); Departments of Pharmacology (R.W.O.), Physiological Sciences (A.J.T., N.J.K.T.) and Neurology (A.J.T.), the Molecular Biology Institute and the Brain Research Institute, University of California, Los Angeles, California (R.W.O., A.J.T.) and Neurociencias, Instituto de Fisiologia Celular, U.N.A.M., Mexico D.F. 04510, Mexico (S.B.)


    Abstract
Top
Abstract
Introduction
Methods
Results
Discussion
References

Interaction of gamma -aminobutyric acid (GABA), pentobarbital and two neuroactive steroids on t-butylbicyclophosphorothionate ([35S]TBPS) binding to GABAA receptors in thalamus was studied during absence seizures. In control brain sections, the steroids alphaxalone and tetrahydrodeoxycorticosterone (at low 0.1-1 µM concentrations) increased [35S]TBPS binding in thalamic relay nuclei. Both GABA and pentobarbital dose-dependently decreased [35S]TBPS binding in these nuclei. A significant decrease in the ability of steroids to increase [35S]TBPS binding in thalamic relay nuclei was observed during absence seizures induced by gamma -hydroxybutyric acid (GHB). This loss of steroid effect on binding was 1) selective to steroids only as GABA and pentobarbital modulation of [35S]TBPS binding in these nuclei did not change significantly and 2) not causally related to the generation of GHB-induced absence seizures as it was not observed at the onset of GHB-seizures but developed 30 min after the seizure-onset. We tested whether absence seizures were critical for the development of this loss of steroid effect on [35S]TBPS binding in thalamic relay nuclei. The ability of the steroids to increase [35S]TBPS binding in relay nuclei was preserved when GHB-seizures were blocked. When the duration of GHB-seizures was prolonged, the loss of steroid effect on [35S]TBPS binding in thalamus persisted throughout the seizure-duration. These findings suggest that absence seizures cause a rapid loss of steroid effect on [35S]TBPS binding to GABAA receptors in thalamic relay nuclei.


    Introduction
Top
Abstract
Introduction
Methods
Results
Discussion
References

Generalized absence seizures occur primarily in children and are manifested as rhythmic, bilaterally synchronous 3 Hz spike-wave discharges in the EEG associated with sudden unresponsiveness, eye blinking and myoclonic jerks (Mirsky et al., 1986). Absence seizures occur as synchronized thalamocortical oscillations, and evolve most readily from thalamic relay nuclei (such as ventrobasal nucleus) and the neocortex (Gloor et al., 1990). Several lines of evidence indicate that both GABAA and GABAB receptor-mediated inhibition play a role in the pathogenesis of absence seizures. For example, thalamic relay neurons have the ability to generate GABAB receptor-mediated low threshold calcium spikes (Crunelli and Leresche, 1991). Such calcium spikes have been found to be responsible for the generation of absence epilepsy as well as for physiologically normal spindles waves (McCormick, 1992). A decrease in GABAA receptormediated inhibition in thalamic relay neurons during spindling has been shown to transform the spindle oscillations to rhythms resembling absence seizures (von Krosigk et al., 1993). A similar phenomenon occurs in the feline penicillin model of absence epilepsy where penicillin, a weak GABAA receptor antagonist, transforms spindles to absence seizures (McLachlan et al., 1984). Also, weak antagonism of GABAA receptors by low systemic doses of bicuculline or pentylenetetrazole produces absence-like seizures in rats (Marescaux et al., 1984; Zouhar et al., 1989).

The GABAA receptor is a macromolecular protein that forms a chloride channel. GABAA receptors are regulated by many positive and negative allosteric modulators, including GABA, barbiturates, benzodiazepines and zinc (Macdonald and Olsen, 1994). Also, certain naturally occurring steroid metabolites (neurosteroids) and their synthetic analogs allosterically modulate GABAA receptor binding (Majewska et al., 1986; Sapp et al., 1992) and function (Lambert et al., 1995). In this way, the neurosteroids may function as endogenous modulators of GABAA receptors. Also, there is evidence that certain neurosteroids possess potent anticonvulsant activity (Kokate et al., 1994).

Epileptic seizures may cause plastic changes in GABAA receptors. For example, the sensitivity of GABAA receptors to GABA and to allosteric modulators have been shown to alter gradually during the development of chronic epilepsy (Paul and Skolnick, 1978). Such changes have been postulated to contribute to epileptogenesis (Rabow et al., 1995). In addition to this gradually developing plasticity, epileptic seizures also have been shown to cause more rapid functional changes in GABAA receptors (Kapur and Macdonald, 1997). In our study, to study potential absence seizure-induced changes in GABAA receptors in thalamus, we examined the modulatory effects of GABA, pentobarbital and two neuroactive steroids, alphaxalone and THDOC (a deoxycorticosterone metabolite), on [35S]TBPS binding in the thalamic relay nuclei during the course of GHB-induced absence seizures in rats. GHB is a naturally occurring metabolite of GABA that induces generalized absence-like seizures in rats and in a number of other animal species (Doherty et al., 1978; Snead, 1988). TBPS is a cage convulsant, a class of compounds shown to inhibit competitively picrotoxin binding (Ticku and Olsen, 1979). The measurement of specific [35S]TBPS binding is used as a marker for the GABA-associated chloride ionophore and as a pharmacological tool to study allosteric interactions between various modulatory sites in the GABAA receptor complex and the chloride channel (Squires et al., 1983).

    Methods
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Abstract
Introduction
Methods
Results
Discussion
References

Materials. Radioactive [35S]TBPS (70-100 Ci/mmol) was purchased from Du Pont-New England Nuclear (Boston, MA). GBL, alphaxalone and THDOC were purchased from Sigma Chemical Co. (St. Louis, MO). The specific GABAB receptor agonist, (-)-baclofen and the GABAB receptor antagonist, CGP 35348 (Olpe and Karlsson, 1990; Karlsson et al., 1992) were a gift from Dr. R. Bernasconi. All other chemicals were obtained from standard commercial sources and were of highest available purity.

Surgery and EEG recordings of absence seizures induced by GHB. Adult male Sprague Dawley rats (200-300 g) were used in all experiments. Animals were maintained on a 12-hr light/dark cycle and given free access to food and water. Monopolar EEG recording electrodes were surgically implanted on the surface of frontoparietal cortex under halothane anesthesia. The tips of these electrodes were aimed at frontal and parietal cortices bilaterally. Seven days after surgery, EEG recordings were made continuously with the animals freely moving in a heated shielded Plexiglas container. GHB-seizure was induced by i.p. administration of gamma -butyrolactone (GBL, 100 mg/kg), the biologically inactive prodrug of GHB (Snead, 1991). Control animals were implanted with epidural electrodes and had EEG recorded but received a comparable volume of saline rather than GBL.

[35S]TBPS autoradiography. Animals were sacrificed at various time intervals starting at 15 min, 30 min, 1 hr, 2 hr, 3 hr, 4 hr and 6 hr after the onset of GHB-seizures. Brains were excised and chilled in isopentane (-40°C) for 1 min and brought to -20°C for cryosectioning. Coronal sections (25-µm thick) were thaw-mounted on gelatin-coated slides and processed for binding assay. [35S]TBPS binding was carried out according to the method described earlier (Edgar and Schwartz, 1990). Tissue sections were preincubated in 50 mM K2HPO4/NaH2PO4 (pH 7.4) buffer containing 200 mM NaCl and 1 mM EDTA for 10 min at room temperature. The preincubation was followed by a 3-hr incubation in the same buffer (without EDTA) containing 2 nM [35S]TBPS at room temperature either in the presence or absence of alphaxalone/THDOC (10 nM-100 µM), GABA or pentobarbital (1-100 µM) or other drugs. Incubation was terminated with two 15-min washes in the same buffer and a dip in deionized water (at room temperature). Nonspecific binding was estimated in adjacent tissue sections in the presence of 100 µM picrotoxin. After the binding experiments, the sections were dried and apposed to x-ray films along with 14C standard radioactive scales (Amersham, IL) for 5 to 6 days at room temperature.

CGP 35348 and (-)-baclofen treatments. To study the effect of GHB-seizures on allosteric modulation of [35S]TBPS binding by steroids, the duration of GHB-seizures was altered using the GABAB receptor antagonist, CGP 35348 or the GABAB receptor agonist, (-)-baclofen. CGP 35348 (400 mg/kg) or (-)-baclofen (5 mg/kg) was given i.p. 30 or 60 min, respectively, before GBL administration. After GBL administration, the duration of absence seizure was quantitated as described below. In the control group of experiments, saline (instead of GBL) was given 30 or 60 min after CGP 35348 or (-)-baclofen, respectively. CGP 35348-pretreated rats were killed 30 and 60 min after GBL or saline treatment, although (-)-baclofen-pretreated rats were sacrificed 2, 4 and 6 hr after GBL or saline treatment for [35S]TBPS assay.

Data analysis. GHB-induced absence seizures were quantitated as described earlier (Banerjee and Snead, 1994). Cumulative duration of spike wave seizures (in sec) during each 20 min epoch after GBL administration was scored. The autoradiograms were quantitated using a microcomputer-based densitometer system (Imaging Research Inc., Ontario, Canada). Briefly, a standard curve between the ROD of 14C standards and their tissue radioactivity equivalents (pmol/mg of tissue) was constructed using nonlinear regression analysis. The average ROD values of the selected brain regions were in the linear portion of this standard curve. The pmol/mg value in each brain region was calculated by interpolation using the image analyzer. Five to seven readings per region from both the hemispheres were averaged in triplicate sections from four to six different animals.

Statistics. All data comparing the effect of steroids, GABA and pentobarbital on [35S]TBPS binding at different stages of GHB-seizures were analyzed by one-way analysis of variance followed by Bonferroni's or Neuman-Keul's test for post hoc comparisons between multiple group means. Two individual group means were compared using a two tailed, independent Student's t test.

    Results
Top
Abstract
Introduction
Methods
Results
Discussion
References

Modulation of [35S]TBPS binding in thalamus by neuroactive steroids, GABA and pentobarbital. Neuroactive steroids enhance the function of GABAA receptors (Lambert et al., 1995), allosterically enhance the binding of GABA and benzodiazepine receptor site agonists and inhibit [35S]TBPS binding in rat brain (Majewska et al., 1986). However, more detailed concentration-response studies have suggested that at submicromolar concentrations certain steroids enhance [35S]TBPS binding in some brain areas, including thalamus and deep layers of frontal cortex in rats (Sapp et al., 1992). In our study, we also observed a biphasic effect of steroids on [35S]TBPS binding in thalamus.

In control (GHB-naive) brain sections, alphaxalone and THDOC (10 nM-1 µM) increased [35S]TBPS binding by 30 to 35% (P < .05 at 0.1-1 µM concentrations) in thalamic ventrobasal nucleus. However, at higher concentrations (10-100 µM), [35S]TBPS binding was significantly decreased (50-60%; P < .01) by both steroids (figs. 1, 2 A and B). A similar biphasic effect of these steroids was also observed in other thalamic nuclei. Both GABA and pentobarbital (1-100 µM) dose-dependently decreased [35S]TBPS binding in the ventrobasal nucleus and other thalamic nuclei (fig. 3).


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Fig. 1.   Concentration-dependent biphasic effect of neuroactive steroids, alphaxalone and THDOC, on [35S]TBPS binding in GHB-naive thalamic ventrobasal nucleus. Values are mean ± S.E.M. from five rats. 0, Specific [35S]TBPS binding in the absence of steroid.


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Fig. 2.   Effect of alphaxalone (1 µM) on [35S]TBPS binding in control and GHB-treated brain sections. A and B are the autoradiograms of two adjacent brain sections from a control (GHB-naive) rat labeled with [35S]TBPS in the absence (A) or presence of 1 µM alphaxalone (B). C and D are two consecutive sections from a rat sacrificed 1 h after the onset of GHB-induced absence seizures, and labeled with [35S]TBPS in the absence (C) or presence of 1 µM alphaxalone (D). Note in D that alphaxalone-mediated increase in [35S]TBPS binding (during GHB-seizures) is decreased or lost only in thalamic relay nuclei (i.e., ventrobasal nucleus, VB and central lateral nucleus, CL) but not elsewhere in thalamus. CTX, cortex and HP, hippocampus. R.O.D., relative optical density.


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Fig. 3.   Concentration-dependent inhibition of [35S]TBPS binding in GHB-naive thalamic ventrobasal nucleus by GABA and pentobarbital. 0, [35S]TBPS binding in the absence of GABA or pentobarbital. Values are mean ± S.E.M. from four rats.

Absence-like seizures induced by GHB. After systemic GBL (the prodrug of GHB) administration, bursts of bilaterally synchronous 4 to 6 Hz spike-wave discharges appeared in the EEG as recorded from the surface of the frontoparietal cortex. These EEG changes occurred within 5 to 10 min of GBL administration and lasted for more than 2 hr. About 3 hr after GBL administration, the animals appeared normal both electrographically and behaviorally (fig. 4). The half life of GHB in the rat brain after GBL administration has been shown to be approximately 15 min (Shumate and Snead, 1977).


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Fig. 4.   EEG recordings of GHB-induced bilaterally synchronous spike-wave discharges from a rat frontoparietal cortex. A shows the background EEG activity. Within 10 min after systemic administration of GBL (100 mg/kg; i.p.) high voltage, 5 to 6 Hz spike-wave complexes evolved from cortex (B). C and D denote continuous spike-wave discharges 30 min and 1 hr, respectively, after the onset of GHB-seizures. Occasional low voltage spike-wave bursts were seen 2 hr after the onset of seizures (E). F shows normalization of EEG 3 hr after the onset of seizures. LFr-Pr and RFr-Pr, left and right frontoparietal leads, respectively. Calibration: 150 µV, 2 sec.

Neuroactive steroids failed to modulate [35S]TBPS binding in thalamic relay nuclei during the course of GHB-induced absence seizures. We did not observe a noticeable change in the basal [35S]TBPS binding in the thalamus during the entire course of GHB-seizures (see fig. 5). However, alphaxalone and THDOC (in low doses, 10-1000 nM) failed to increase [35S]TBPS binding in the thalamic relay nuclei during the entire course of GHB-seizures, i.e., between 0.5 to 2 hr after the onset of seizures (figs. 2, 5, 6, A and B; P < .05 at 100 nM and 1 µM concentrations). This loss of steroid effect on binding did not occur at the onset of GHB-seizures or about 15 min after the onset of GHB-seizures, rather it becomes apparent only 30 min after the onset of GHB-seizures (fig. 5). As the GHB-seizures resolved and EEG and behavior normalized, i.e., about 3 hr after the onset of seizures, the effect of the neuroactive steroids on [35S]TBPS binding was also restored (fig. 5). At higher concentrations of steroids (10-100 µM) the neurosteroid effect on [35S]TBPS binding was not lost, steroids at higher concentrations continued to modulate [35S]TBPS binding in thalamic relay nuclei during the entire course of GHB-seizures (fig. 6, A and B).


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Fig. 5.   Effect of GHB-seizures on GABA and alphaxalone (FAX) modulation of [35S]TBPS binding in thalamic ventrobasal nucleus. Values are mean ± S.E.M. from six rats. Although GABA (1 µM) continues to inhibit binding during the entire course of GHB-seizures (P < .01 at all stages of GHB-seizures, one-way analysis of variance followed by Bonferroni's test), the effect of alphaxalone (1 µM) is markedly decreased during the course of GHB-seizures (depicted by the arrows). C, Specific [35S]TBPS binding in GHB-naive ventrobasal nucleus, ON, onset of GHB-seizures.


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Fig. 6.   Loss of alphaxalone (A) and THDOC (B) modulation of [35S]TBPS binding in thalamic ventrobasal nucleus 1 hr after the onset of GHB-induced absence seizures. Values are mean ± S.E.M. from six rats. Note that the modulation of [35S]TBPS binding by either steroid is decreased at lower concentrations only (10-1000 nM). At higher concentrations, steroid-modulation of binding is not significantly altered. *P < .05 when compared against respective control values (one-way analysis of variance followed by Bonferroni's test). 0, Specific [35S]TBPS binding in the absence of steroid.

The observed loss of neurosteroid modulation of [35S]TBPS binding in the thalamus was region-specific, being observed only in those thalamic areas that become involved in the generation of GHB-seizures. For example, the midline thalamus, an area from which GHB-induced seizures evolve rarely (Banerjee et al., 1993), showed no apparent loss of steroid modulation of [35S]TBPS binding during GHB-seizures (see fig. 2). We also determined the effect of GABA and pentobarbital (1-100 µM) on binding during GHB-seizures, and found that neither GABA nor pentobarbital modulation of [35S]TBPS binding in the ventrobasal nucleus was altered during the entire course of GHB-seizures (see fig. 5).

To rule out the possibility that in the present assay conditions, GHB interacted with [35S]TBPS binding and thereby reduced steroid-modulation of binding, we performed [35S]TBPS binding in the presence of either steroid and 200 µM GHB (a concentration of GHB that is known to occur in the thalamus after an i.p. injection of 100 mg/kg of GBL) (Snead, 1991). GHB did not significantly alter alphaxalone or THDOC dose-response curves in the [35S]TBPS assay (table 1).

                              
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TABLE 1
Effect of GHB on THDOC and alphaxalone-mediated increase in [35S]TBPS binding in thalamic ventrobasal nucleus

Allosteric uncoupling of steroid and other modulatory sites within the GABAA receptor complex has been reptorted to occur after chronic administration of steroids in primary cultured neurons (Yu and Ticku, 1995). Although there is no evidence if the endogenous neurosteroid levels in thalamus are altered after absence seizures, we tested if the phenomenon of uncoupling was responsible for the observed loss of steroid effect in our study. Preincubation of brain sections with either alphaxalone or THDOC in vitro (10-1000 nM) for 30 to 60 min did not significantly alter the dose response of either steroid in [35S]TBPS binding assay (data not shown).

Based on the above results it appeared that the selective loss in the ability of neuroactive steroids to modulate [35S]TBPS binding in specific thalamic nuclei during GHB-seizures may have resulted due to absence seizure-induced alterations in GABAA receptors. One way to test this hypothesis was to determine if absence seizures were critical for the development of this loss of steroid effect on binding. For this, we determined the effect of steroids on [35S]TBPS binding in thalami of rats where GHB-seizures had been completely blocked.

Steroid-modulation of [35S]TBPS binding in thalamic relay nuclei was preserved when GHB-induced absence seizure was blocked. CGP 35348, a GABAB receptor antagonist, is known to block absence seizures (Snead, 1992). In our study, pretreating the rats with CGP 35348 (400 mg/kg; i.p.; 30 min before the administration of GBL) completely antagonized the development of GHB-seizures. We sacrificed CGP 35348-pretreated rats 30 and 60 min after the administration of GBL or saline (control) and found that the steroid modulation of [35S]TBPS binding was preserved in either of the above time points in both GBL and control groups (fig. 7). Also, CGP 35348 (1 µM-1 mM) in vitro did not significantly alter alphaxalone or THDOC dose-response in the [35S]TBPS assay.


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Fig. 7.   Alphaxalone modulation of [35S]TBPS binding in thalamic ventrobasal nucleus was preserved when GHB-seizure was blocked by CGP 35348. Values are mean ± S.E.M. from four rats. CGP 35348- (400 mg/kg;i.p) treated rats were killed 1 hr after either saline or GBL administration. 0, Specific [35S]TBPS binding in the absence of alphaxalone.

Because the loss of steroid modulation of [35S]TBPS binding developed after GHB-seizures and persisted till the seizures abated, we also determined if this loss of steroid effect on binding was related to the duration of absence seizures induced by GHB. For this, we measured the modulation of [35S]TBPS binding (by either steroid) in thalami of rats where the duration of GHB-induced absence seizures had been prolonged.

Loss of steroid modulation of [35S]TBPS binding in thalamic relay nuclei persisted when the duration of GHB-seizures was prolonged. (-)-Baclofen, a GABAB receptor agonist, has been reported to significantly prolong the duration of GHB-induced absence seizures (Snead, 1992). Pretreating the animals with 5 mg/kg (-)-baclofen significantly increased the duration of GHB-seizures (fig. 8A; P < .001 at 2 and 3 hr). In (-)-baclofen-pretreated rats, GHB-seizures continued for more than 5 hr as compared to only about 2.5 hr in nonbaclofen treated rats. Steroid modulation of [35S]TBPS binding was determined in thalami of baclofen-treated rats that were killed 2, 4 and 6 hr after the onset of first GHB-seizures. Either steroid (at concentrations ranging 10-1000 nM) failed to increase [35S]TBPS binding in thalamic ventrobasal nucleus at 2- and 4-hr time points (fig. 8B; P < .05 at 100 nM and 1 µM). The effect of steroids on [35S]TBPS binding was restored only after the seizures had dissipated (i.e., at 6 hr time point). In the control group of rats that received saline 60 min after (-)-baclofen, the steroid's effect on [35S]TBPS binding in thalamic relay nuclei was not lost in any of the above time points (see fig. 8B). Also, to rule out the possibility that (-)-baclofen interacted with steroids in the [35S]TBPS binding assay under our experimental conditions, we performed [35S]TBPS binding in the presence of both steroids plus (-) baclofen (1-1000 µM) and found that (-)-baclofen had no significant effect on the dose response of either steroid (data not shown).


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Fig. 8.   (-)-Baclofen induced prolongation in the duration of GHB-induced spike-wave discharges (SWD; A). B shows persistent loss of alphaxalone effect on [35S]TBPS binding in thalamic ventrobasal nucleus 2 and 4 hr after the onset of GHB-seizures in (-)-baclofen-pretreated rats. Values are mean ± S.E.M. from four rats. In the control group, (-)-baclofen-treated rats were killed 2 hr after saline administration. No spike-wave discharges occurred in the control group of rats. In B, 0 depicts specific [35S]TBPS binding in the absence of alphaxalone. *P < .05 when compared against respective control (BAC + SAL) values (one-way analysis of variance followed by Bonferroni's test).

    Discussion
Top
Abstract
Introduction
Methods
Results
Discussion
References

Our binding results show a significant decrease in the ability of neuroactive steroids to influence [35S]TBPS binding in the thalamic relay nuclei during the course of GHB-induced absence seizures. This loss of steroid effect occurred only in those thalamic nuclei that are involved in the genesis of GHB-seizures. For example, the midline thalamic area which is not involved in the generation of GHB-seizures (Banerjee et al., 1993) showed no significant decrease in steroid modulation of [35S]TBPS binding, nor were changes observed in hippocampus, a structure not involved in absence seizures (Banerjee et al., 1993). Also, the observed loss of steroid-modulation of [35S]TBPS binding in thalamus was selective to steroids only, as GABA and pentobarbital modulation of binding in the relay nuclei was preserved during the entire course of GHB-seizures. Further, in our study we did not observe any significant change in the basal [35S]TBPS binding in thalamic relay nuclei during the entire course of GHB-seizures.

It appears from our data that the loss of steroid effect on [35S]TBPS binding was not causally related to the generation of GHB-induced absence seizures. The decrease in steroid modulation of [35S]TBPS binding was not observed at the onset of GHB-seizures, rather it developed 30 min after the onset of GHB-seizures. Because the inclusion of GHB (200 µM, a concentration that is attained in the thalamus at the onset of GHB-induced absence seizures) (Snead, 1991) in vitro did not modify the dose-response curve of steroids in the binding assay, it was unlikely that the observed decrease in neurosteroid modulation of [35S]TBPS binding in the thalamus (during GHB-seizures) was due to a direct effect of GHB. GHB is metabolically derived from GABA and is structurally similar to that compound (Doherty et al., 1978); however, it has been shown that GHB fails to compete for GABAA sites, nor do GABAA receptor agonists or antagonists compete for binding at the GHB site (Snead et al., 1992; Snead and Liu, 1993).

The mechanism for the observed decrease in neurosteroid effect on [35S]TBPS binding after absence seizures is not clear; however, a rapid, absence seizure-induced uncoupling of steroid and TBPS binding sites in the GABAA receptor complex seems likely. Allosteric uncoupling between steroid, benzodiazepine, GABA and barbiturate sites may occur after chronic exposure to neurosteroids or GABA in cultured neurons (Roca et al., 1990; Yu and Ticku, 1995), suggesting that ligands which modulate GABAergic transmission may differentially trigger intracellular plasticity events that result in altered GABAA receptor binding, coupling and/or function. In our study, the time course of the observed loss of steroid effect on binding was short. The decrease in steroid's ability to modulate [35S]TBPS binding in thalamus developed within 30 min after the onset of GHB-seizures. Because there is no evidence whether the levels of endogenous neurosteroids in thalamus alter after absence seizures, we tested the possibility if GHB-seizures increased the endogenous levels of steroids in thalamus and thereby caused a rapid uncoupling of steroid and TBPS binding sites. We found that preincubation of the section in the presence of either steroid (10-1000 nM) in vitro for 30 to 60 min did not change the dose-response of steroids.

The sensitivity of GABAA receptors to GABA and to allosteric modulators have been reported to alter gradually during the development of epileptic seizures (Rabow et al., 1995). For example, benzodiazepines that allosterically enhance GABAA receptor function (Macdonald and Olsen, 1994), fail to increase chloride current in rat hippocampus during status epileticus (Kapur and Macdonald, 1997). This functional plasticity of GABAA receptors develops within 40 min of continuous seizures, and has been suggested to play a role in the benzodiazepine tolerance during status epilepticus (Kapur and Macdonald, 1997). In our study, it is possible that the observed loss of steroid effect on [35S]TBPS binding in thalamus may have resulted due to absence seizure-induced alterations in GABAA receptors. To test this hypothesis we determined whether absence seizure was critical for the development of this loss of steroid effect. Because the ability of either alphaxalone or THDOC to increase [35S]TBPS binding in thalamic relay nuclei was preserved when GHB-seizure was completely blocked, it would appear that the observed loss of steroid effect on binding was caused by absence seizures. It is not known at this time if absence seizure-induced loss in the ability of steroids to enhance [35S]TBPS binding has any functional relevance. Studies involving GABAA receptor-mediated chloride uptake and its modulation by steroids during GHB-seizures are under way in our laboratory.

We wanted to determine if the observed absence seizure-induced selective loss of steroid effect on [35S]TBPS binding was related to the duration of absence seizures. Upon prolonging the duration of GHB-seizure by pretreating the animals with (-)-baclofen, the loss of steroid effect on [35S]TBPS binding in thalamus persisted until the animals become seizure-free (about 6 hr after the seizure-onset). Only after the seizures resolved and the animals become electrographically and behaviorally normal, was the steroid modulation of [35S]TBPS binding in thalamus restored. These data suggested that the duration of GHB-seizures and the loss of the ability of steroids to influence [35S]TBPS binding during GHB-seizures are related.

Thus, we conclude that GHB-induced generalized absence seizures result in a rapid loss of steroid effect on [35S]TBPS binding to GABAA receptors in thalamic relay nuclei. Our data also suggest that absence seizure-induced rapid loss of steroid effect on GABAA receptors may play a role in the maintenance of absence seizures.

    Footnotes

Accepted for publication June 16, 1998.

Received for publication March 26, 1998.

1 This work was supported by the Brain and Behavior Program, Division of Neurology, Hospital for Sick Children, Toronto; National Institutes of Health Grants NS 17117 (O.C.S.), NS 28772 (R.W.O.) and NS 22256 (A.J.T.).

2 Deceased May 28, 1998: to whom this work is dedicated.

Send reprint requests to: Dr. Pradeep K. Banerjee, Department of Neurology/The Epilepsy Research Program, Hospital for Sick Children, 555 University Ave., Toronto, Ontario M5G 1X8, Canada.

    Abbreviations

GHB, gamma -Hydroxybutyric acid; GABA, gamma -aminobutyric acid; THDOC, tetrahydrodeoxycorticosterone; TBPS, t-butylbicyclophosphorothionate; GBL, gamma -butyrolactone; EEG, electroencephalogram; ROD, relative optical density.

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Abstract
Introduction
Methods
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References


0022-3565/98/2872-0766$03.00/0
THE JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS
Copyright © 1998 by The American Society for Pharmacology and Experimental Therapeutics



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