Elsevier

Neuroscience

Volume 149, Issue 1, 12 October 2007, Pages 131-143
Neuroscience

Developmental neuroscience
Quantitative analysis of parvalbumin-immunoreactive cells in the human epileptic hippocampus

https://doi.org/10.1016/j.neuroscience.2007.07.029Get rights and content

Abstract

Hippocampal sclerosis is the most frequent pathology encountered in mesial temporal structures resected from patients with intractable temporal lobe epilepsy and it mainly involves hippocampal neuronal loss and gliosis. These alterations are accompanied by changes in the expression of a variety of molecules in the surviving neurons, as well as axonal reorganization in both excitatory and inhibitory circuits. The alteration of a subpopulation of GABAergic interneurons that expresses the calcium binding protein parvalbumin (PV) is thought to be a key factor in the epileptogenic process. We investigated the distribution and density of parvalbumin-immunoreactive (PV-ir) neurons in surgically resected hippocampal tissue from epileptic patients with and without sclerosis. Using quantitative stereological methods, we show for the first time that there is no correlation between total neuronal loss and PV-ir neuronal loss in any of the hippocampal fields. We also observed higher values of the total neuronal density in the sclerotic subiculum, which is accompanied by a lower density of PV-ir when compared with non-sclerotic epileptic and autopsy hippocampi. These findings suggest that, the apparently normal subiculum from sclerotic patients also shows unexpected changes in the density and proportion of PV-ir neurons.

Section snippets

Experimental procedures

Human brain tissue was obtained from two sources: from autopsies (supplied by Dr. R. Alcaraz, Forensic Pathology Service, Basque Institute of Legal Medicine, Bilbao, Spain) and postoperative tissue from 11 patients, suffering pharmacoresistant TLE (Department of Neurosurgery, Hospital de la Princesa, Madrid, Spain).

According to the Helsinki Declaration, the patient’s consent was obtained in all cases (BMJ 1991;302:1194) and all protocols were approved by the institutional ethical committee

Results

The cytoarchitectonic division of the hippocampal fields (Fig. 1A) was established on basis of the descriptions in Amaral and Insausti (1990), but also considering the CA4 field according to the definition of Rosene and Van Hoesen (1987).

The distinction between CA1 and the subiculum was established by the presence of clusters of modified pyramidal cells in the superficial aspect of the subiculum (Fig. 1). The CA1 field was divided in three subfields to account for the regional differences in

Discussion

In the current study, we have used quantitative methods to show for the first time that the lower density of PV-ir cells is not directly related to the overall loss of neurons in the human sclerotic hippocampus. Indeed, this is the case both in the polymorphic layer of the DG and in the stratum pyramidale of the CA fields. We also observed a notable greater overall neuron density coupled with a severe decrease in the density of PV-ir cells in the subiculum of sclerotic hippocampi when compared

Acknowledgments

We thank Dr. R. G. Sola and his team (Neurosurgery Service, Hospital de la Princesa, Madrid, Spain) for providing the tissue from epileptic patients and for their contributions, and we thank R. F. Senso for technical assistance.

This work was supported by the following institutions: Spanish Ministry of Education and Science (BFI2003-02745, BFI2003-01018, BFU2006-13395); Comunidad de Madrid (grant 08.5/0027/2001.1); and research fellowships for A.A. (Ricerca Fondazione Mariani, Grant R-04-40) and

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      Malfunctioning of PV-containing basket cells as well as of SST-containing O-LM and bistratified cells has been associated with the development of epilepsy. Thus, TLE patients, even without signs of Ammon’s horn sclerosis, show a selective loss of PV-containing basket cells in the subiculum (Andrioli et al., 2007), and in animal models of TLE, PV-containing interneurons of the subiculum and of sector CA1 selectively degenerate (Dinocourt et al., 2003; Knopp et al., 2008; Drexel et al., 2011). Furthermore, silencing of PV-containing basket cells and axo-axonic cells of the subiculum results in recurrent series of pre- or interictal spikes (IS) and spontaneously recurrent seizures (Drexel et al., 2017).

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    1

    Both authors contributed equally to this work.

    2

    Present address: Department of Neurobiology, Yale University School of Medicine, New Haven, CT 06520, USA.

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