Journal of Neuroscience · 2019 · 23 citations · 42 references
Life SciencesNeurobiologyNeuroscienceCell SignalingMolecular NeuroscienceSignal TransductionEpilepsy PathologyEtiology Of EpilepsyNeurochemical Signaling PathwaysNeuroprotectionReceptor Signaling In NeuronsReceptor Tyrosine Kinase SignalingNeurotrophin Signaling PathwaysPhospholipase C PathwayPhospholipase C SignalingPi3 Kinase-akt SignalingReceptor Tyrosine Kinase ActivationReceptor Tyrosine Kinase CascadesSeizure PathophysiologyTrkb Signaling
Temporal lobe epilepsy (TLE) is a common and commonly devastating form of human epilepsy for which only symptomatic therapy is available. One cause of TLE is an episode of <i>de novo</i> prolonged seizures [status epilepticus (SE)]. Understanding the molecular signaling mechanisms by which SE transforms a brain from normal to epileptic may reveal novel targets for preventive and disease-modifying therapies. SE-induced activation of the BDNF receptor tyrosine kinase, TrkB, is one signaling pathway by which SE induces TLE. Although activation of TrkB signaling promotes development of epilepsy in this context, it also reduces SE-induced neuronal death. This led us to hypothesize that distinct signaling pathways downstream of TrkB mediate the desirable (neuroprotective) and undesirable (epileptogenesis) consequences. We subsequently demonstrated that TrkB-mediated activation of phospholipase Cγ1 is required for epileptogenesis. Here we tested the hypothesis that the TrkB-Shc-Akt signaling pathway mediates the neuroprotective consequences of TrkB activation following SE. We studied measures of molecular signaling and cell death in a model of SE in mice of both sexes, including wild-type and <i>TrkB<sup>Shc/Shc</sup></i> mutant mice in which a point mutation (Y515F) of TrkB prevents the binding of Shc to activated TrkB kinase. Genetic disruption of TrkB-Shc signaling had no effect on severity of SE yet partially inhibited activation of the prosurvival adaptor protein Akt. Importantly, genetic disruption of TrkB-Shc signaling exacerbated hippocampal neuronal death induced by SE. We conclude that therapies targeting TrkB signaling for preventing epilepsy should spare TrkB-Shc-Akt signaling and thereby preserve the neuroprotective benefits. <b>SIGNIFICANCE STATEMENT</b> Temporal lobe epilepsy (TLE) is a common and devastating form of human epilepsy that lacks preventive therapies. Understanding the molecular signaling mechanisms underlying the development of TLE may identify novel therapeutic targets. BDNF signaling thru TrkB receptor tyrosine kinase is one molecular mechanism promoting TLE. We previously discovered that TrkB-mediated activation of phospholipase Cγ1 promotes epileptogenesis. Here we reveal that TrkB-mediated activation of Akt protects against hippocampal neuronal death <i>in vivo</i> following status epilepticus. These findings strengthen the evidence that desirable and undesirable consequences of status epilepticus-induced TrkB activation are mediated by distinct signaling pathways downstream of this receptor. These results provide a strong rationale for a novel therapeutic strategy selectively targeting individual signaling pathways downstream of TrkB for preventing epilepsy.
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Purification of a new neurotrophic factor from mammalian brain.
Yves‐Alain Barde, David Edgar, H. Thoenen · The EMBO Journal · 1982 · 1.8K citations · Full text
Factors Prognostic of Unprovoked Seizures after Febrile Convulsions
John F. Annegers, W. Allen Hauser, Sally B. Shirts et al. · New England Journal of Medicine · 1987 · 639 citations
Medicine, Neurology, Neuroscience +11