Frontiers in Neurology,
Journal Year:
2023,
Volume and Issue:
14
Published: June 22, 2023
The
balance
between
the
activity
of
Na+/K+/Cl-
cotransporter
(NKCC1)
that
introduces
Cl-
into
cell
and
K+/Cl-
(KCC2)
transports
outside
is
critical
in
determining
inhibitory
or
excitatory
outcome
GABA
release.
Mounting
evidence
suggests
impairment
GABAergic
neurotransmission
plays
a
crucial
role
pathophysiology
epilepsy,
both
patients
animal
models.
Previous
studies
indicate
decreased
KCC2
expression
linked
to
audiogenic
seizures
GASH/Sal
hamsters,
highlighting
imbalance
can
cause
neuronal
hyperexcitability.
In
this
study,
we
aimed
investigate
whether
NKCC1
also
affected
by
could,
therefore,
play
hyperexcitability
within
epilepsy
model.
protein
strain
wild
type
hamsters
was
analyzed
immunohistochemistry
Western
blotting
techniques.
Brain
regions
examined
included
cortex,
hippocampus,
hypothalamus,
inferior
colliculus
pons-medulla
oblongata,
which
were
evaluated
at
rest
after
sound-inducing
hamsters.
A
complementary
analysis
gene
slc12a2
conducted
real-time
PCR.
Finally,
mRNA
levels
glutamate
decarboxylase
GAD67
measured
as
an
indicator
induction
caused
significant
changes
epileptic
despite
similar
brain
pattern
absence
seizures.
Interestingly,
regulation
demonstrated
regional
specificity,
exclusively
increased
hippocampus
hypothalamus.
Complementary
PCR
revealed
post-transcriptional
only
addition,
modulated
region-specific
manner.
hypothalamus
hamster
upregulation
overlaps
with
release
these
during
Our
results
seizure
causes
dysregulation
animals,
These
observations
provide
for
how
affect
excitability,
support
contribution
development
secondary
foci
epileptogenic
activity.
Neuron,
Journal Year:
2023,
Volume and Issue:
111(10), P. 1591 - 1608.e4
Published: March 8, 2023
Post-hemorrhagic
hydrocephalus
(PHH)
refers
to
a
life-threatening
accumulation
of
cerebrospinal
fluid
(CSF)
that
occurs
following
intraventricular
hemorrhage
(IVH).
An
incomplete
understanding
this
variably
progressive
condition
has
hampered
the
development
new
therapies
beyond
serial
neurosurgical
interventions.
Here,
we
show
key
role
for
bidirectional
Na-K-Cl
cotransporter,
NKCC1,
in
choroid
plexus
(ChP)
mitigate
PHH.
Mimicking
IVH
with
blood
led
increased
CSF
[K+]
and
triggered
cytosolic
calcium
activity
ChP
epithelial
cells,
which
was
followed
by
NKCC1
activation.
ChP-targeted
adeno-associated
viral
(AAV)-NKCC1
prevented
blood-induced
ventriculomegaly
persistently
clearance
capacity.
These
data
demonstrate
trans-choroidal,
NKCC1-dependent
mechanism.
Inactive,
phosphodeficient
AAV-NKCC1-NT51
failed
ventriculomegaly.
Excessive
fluctuations
correlated
permanent
shunting
outcome
humans
hemorrhagic
stroke,
suggesting
targeted
gene
therapy
as
potential
treatment
intracranial
hemorrhage.
Aging and Disease,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Jan. 1, 2024
The
blood-brain
barrier
(BBB)
plays
a
critical
role
in
maintaining
ion
and
fluid
homeostasis,
essential
for
brain
metabolism
neuronal
function.
Regulation
of
nutrient,
water,
transport
across
the
BBB
is
tightly
controlled
by
specialized
transporters
channels
located
within
its
unique
cellular
components.
These
dynamic
processes
not
only
influence
BBB’s
structure
but
also
impact
vital
signaling
mechanisms,
optimal
Disruption
ion,
pH,
balance
at
associated
with
pathology
has
been
implicated
various
neurological
conditions,
including
stroke,
epilepsy,
trauma,
neurodegenerative
diseases
such
as
Alzheimer’s
disease
(AD).
However,
knowledge
gaps
exist
regarding
dysregulation
on
function
dementias.
Several
factors
contribute
to
this
gap:
complex
nature
these
historical
research
focus
mechanisms
technical
challenges
studying
in
vivo
models
lack
efficient
vitro
dementia
models.
This
review
provides
an
overview
current
roles
poses
specific
questions:
1)
How
are
expression
activity
key
altered
AD
vascular
(VaD);
2)
Do
changes
dysfunction
progression;
3)
Can
restoring
mitigate
improve
clinical
outcomes.
Addressing
will
provide
greater
insight
into
disorders.
Abstract
Background
Astrogliosis
and
white
matter
lesions
(WML)
are
key
characteristics
of
vascular
contributions
to
cognitive
impairment
dementia
(VCID).
However,
the
molecular
mechanisms
underlying
VCID
remain
poorly
understood.
Stimulation
Na‐K‐Cl
cotransport
1
(NKCC1)
its
upstream
kinases
WNK
(with
no
lysine)
SPAK
(the
STE20/SPS1‐related
proline/alanine‐rich
kinase)
play
a
role
in
astrocytic
intracellular
Na
+
overload,
hypertrophy,
swelling.
Therefore,
this
study,
we
assessed
effect
inhibitor
ZT‐1a
on
pathogenesis
function
mouse
model
induced
by
bilateral
carotid
artery
stenosis
(BCAS).
Methods
Following
sham
or
BCAS
surgery,
mice
were
randomly
assigned
receive
either
vehicle
(DMSO)
treatment
regimen
(days
14–35
post‐surgery).
Mice
then
evaluated
for
functions
Morris
water
maze,
WML
ex
vivo
MRI‐DTI
analysis,
astrogliosis/demyelination
immunofluorescence
immunoblotting.
Results
Compared
control
mice,
BCAS‐Veh
exhibited
chronic
cerebral
hypoperfusion
memory
impairments,
accompanied
significant
MRI
DTI‐detected
oligodendrocyte
(OL)
death.
Increased
activation
WNK‐SPAK‐NKCC1‐signaling
proteins
was
detected
tissues
C3d
GFAP
cytotoxic
astrocytes
but
not
S100A10
homeostatic
mice.
In
contrast,
ZT‐1a‐treated
displayed
reduced
expression
phosphorylation
NKCC1,
decreased
astrogliosis,
OL
death,
WML,
along
with
improved
functions.
Conclusion
BCAS‐induced
upregulation
WNK‐SPAK‐NKCC1
signaling
contributes
matter‐reactive
impairment.
Pharmacological
inhibition
activity
has
therapeutic
potential
alleviating
VCID.
Neurobiology of Disease,
Journal Year:
2023,
Volume and Issue:
180, P. 106102 - 106102
Published: March 26, 2023
Epilepsy
is
based
on
abnormal
neuronal
activities
that
have
historically
been
suggested
to
arise
from
an
excess
of
excitation
and
a
defect
inhibition,
or
in
other
words
excessive
glutamatergic
drive
not
balanced
by
GABAergic
activity.
More
recent
data
however
indicate
signaling
defective
at
focal
seizure
onset
may
even
be
actively
involved
generation
providing
excitatory
inputs.
Recordings
interneurons
revealed
they
are
active
initiation
their
selective
time-controlled
activation
using
optogenetics
triggers
seizures
more
general
context
increased
excitability.
Moreover,
appears
mandatory
many
models.
The
main
pro-ictogenic
effect
the
depolarizing
action
GABAA
conductance
which
occur
when
activity
causes
Cl-
accumulation
neurons.
This
process
combine
with
background
dysregulation
Cl-,
well
described
epileptic
tissues.
equilibrium
maintained
(Na+)/K+/Cl-
co-transporters,
can
therefore
favor
effects
GABA.
In
addition,
these
co-transporters
further
contribute
this
as
mediate
K+
outflow
together
extrusion,
responsible
for
extracellular
space
subsequent
increase
local
role
obvious
but
its
complex
dynamics
balance
between
flux
polarity
excitability
still
remain
established,
especially
tissues
where
receptors
ion
regulators
disrupted
rather
plays
2
faces
Janus
role.
Frontiers in Pharmacology,
Journal Year:
2023,
Volume and Issue:
14
Published: Aug. 4, 2023
Therapeutics
discovery
and
development
for
Alzheimer’s
disease
(AD)
has
been
an
area
of
intense
research
to
alleviate
memory
loss
the
underlying
pathogenic
processes.
Recent
drug
approaches
have
utilized
in
silico
computational
strategies
candidate
selection
which
opened
door
repurposing
drugs
AD.
Computational
analysis
gene
expression
signatures
patients
stratified
by
APOE4
risk
allele
AD
led
FDA-approved
bumetanide
as
a
top
agent
that
reverses
transcriptomic
brain
improves
deficits
animal
models
Bumetanide
is
loop
diuretic
inhibits
kidney
Na
+
-K
-2Cl
−
cotransporter
isoform,
NKCC2,
treatment
hypertension
edema
cardiovascular,
liver,
renal
disease.
Electronic
health
record
data
revealed
exposed
lower
incidences
35%–70%.
In
brain,
proposed
antagonize
NKCC1
isoform
mediates
cellular
uptake
chloride
ions.
Blocking
neuronal
leads
decrease
intracellular
thus
promotes
GABAergic
receptor
mediated
hyperpolarization,
may
ameliorate
conditions
associated
with
GABAergic-mediated
depolarization.
expressed
neurons
all
cells
including
glia
(oligodendrocytes,
microglia,
astrocytes)
vasculature.
consideration
repurposed
AD,
this
review
evaluates
its
pharmaceutical
properties
respect
estimated
levels
across
doses
can
improve
neurologic
distinguish
between
non-NKCC1
mechanisms.
The
available
indicate
efficacy
occur
at
are
below
those
required
inhibition
transporter
implicates
mechansims
improvement
dysfunctions
deficits.
Alternatively,
peripheral
mechanisms
involve
outside
central
nervous
system
(e.g.,
epithelia
immune
system).
Clinical
improved
neurological
reviewed.
Regardless
mechanism,
model
potential
reduce
incidence
provide
support
clinical
investigation
therapeutic
agent.
Life,
Journal Year:
2024,
Volume and Issue:
14(1), P. 143 - 143
Published: Jan. 19, 2024
In
physiological
conditions,
the
intracellular
chloride
concentration
is
much
lower
than
extracellular.
As
GABAA
channels
are
permeable
to
anions,
reversal
potential
of
very
close
that
Cl−,
which
most
abundant
free
anion
in
intra-
and
extracellular
spaces.
Intracellular
regulated
by
activity
ratio
NKCC1
KCC2,
two
chloride-cation
cotransporters
import
export
respectively.
Due
closeness
between
value
resting
membrane
neurons,
small
changes
have
a
major
functional
impact,
makes
uniquely
flexible
signaling
system.
neurons
adult
brain,
slightly
more
negative
potential,
hyperpolarizing.
Alterations
common
feature
numerous
conditions
as
they
consequence
an
imbalance
NKCC1-KCC2
ratio.
(including
Alzheimer’s
disease,
schizophrenia,
Down’s
syndrome),
becomes
depolarizing,
causes
network
desynchronization
behavioral
impairment.
other
(neonatal
inflammation
neuropathic
pain),
however,
hypernegative,
affects
behavior
through
potent
circuit
deactivation.