Targeting aberrant dendritic integration to treat cognitive comorbidities of epilepsy

N. Masala,Martin Pofahl,A. Haubrich,K. U. S. Islam,Negar Nikbakht,Maryam Pasdarnavab,K. Bohmbach,Kunihiko Araki,Fateme Kamali,C. Henneberger,K. Golcuk,Laura A. Ewell,S. Blaess,T. Kelly,H. Beck

Published 2020 in bioRxiv

ABSTRACT

Memory deficits are a debilitating symptom of epilepsy, but little is known about mechanisms underlying cognitive deficits. Here, we describe a Na+ channel-dependent mechanism underlying altered hippocampal dendritic integration, degraded place coding, and deficits in spatial memory. Two-photon glutamate uncaging experiments revealed that the mechanisms constraining the generation of Na+ spikes in hippocampal 1st order pyramidal cell dendrites are profoundly degraded in experimental epilepsy. This phenomenon was reversed by selectively blocking Nav1.3 sodium channels. In-vivo two-photon imaging revealed that hippocampal spatial representations were less precise in epileptic mice. Blocking Nav1.3 channels significantly improved the precision of spatial coding, and reversed hippocampal memory deficits. Thus, a dendritic channelopathy may underlie cognitive deficits in epilepsy and targeting it pharmacologically may constitute a new avenue to enhance cognition. One Sentence Summary Impaired input computations via aberrant dendritic spikes in chronic epilepsy degrade neuronal place codes and spatial memory

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