International Journal of Molecular Sciences,
Journal Year:
2025,
Volume and Issue:
26(10), P. 4764 - 4764
Published: May 16, 2025
Approximately
one-third
of
epileptic
patients
do
not
respond
adequately
to
drug
therapy,
leading
the
development
drug-resistant
epilepsy.
Given
established
role
dysregulated
expression
two
cation-chloride
cotransporter
proteins,
NKCC1
and
KCC2,
in
susceptibility
convulsion
generation
epilepsy
development,
present
study
evaluates
anticonvulsant
potential
bumetanide
(BUM,
10
mg/kg,
i.p.)
probenecid
(PROB,
50
i.p.),
adenosine
receptor
activation
(NECA,
1
modify
efficacy
BUM,
changes
KCC2
protein
levels
carbamazepine
(CBZ)-resistant
animals.
In
window-pentylenetetrazole
(PTZ)
kindling
model,
male
Wistar
rats
that
undergo
full
develop
CBZ-resistance.
The
combination
BUM
+
PROB
appears
have
an
effect
on
CBZ-resistant
convulsions,
while
alterations
cotransporters
are
observed
Despite
absence
therapeutic
managing
convulsions
through
(BUM
NECA),
receptors
exhibits
capacity
modulate
hippocampus
This
provides
initial
evidence
for
a
new
regulating
pathological
Trends in Neurosciences,
Journal Year:
2021,
Volume and Issue:
44(5), P. 378 - 392
Published: Feb. 24, 2021
KCC2,
best
known
as
the
neuron-specific
chloride-extruder
that
sets
strength
and
polarity
of
GABAergic
currents
during
neuronal
maturation,
is
a
multifunctional
molecule
can
regulate
cytoskeletal
dynamics
via
its
C-terminal
domain
(CTD).
We
describe
molecular
cellular
mechanisms
involved
in
multiple
functions
KCC2
splice
variants,
ranging
from
developmental
apoptosis
control
early
network
events
to
formation
plasticity
cortical
dendritic
spines.
The
versatility
actions
at
subcellular
levels
also
evident
mature
neurons
plasticity,
disease,
aging.
Thus,
has
emerged
one
most
important
molecules
shape
overall
phenotype.
Neuropharmacology,
Journal Year:
2021,
Volume and Issue:
205, P. 108910 - 108910
Published: Dec. 6, 2021
The
Na-K-2Cl
cotransporter
NKCC1
and
the
neuron-specific
K-Cl
KCC2
are
considered
attractive
CNS
drug
targets
because
altered
neuronal
chloride
regulation
consequent
effects
on
GABAergic
signaling
have
been
implicated
in
numerous
disorders.
While
modulators
not
yet
clinically
available,
loop
diuretic
bumetanide
has
used
clinical
studies
to
treat
brain
disorders
as
a
tool
for
inhibition
preclinical
models.
Bumetanide
is
known
anticonvulsant
neuroprotective
under
some
pathophysiological
conditions.
However,
shown
several
species
from
neonates
adults
(mice,
rats,
dogs,
by
extrapolation
humans),
at
low
doses
of
approved
diuresis,
this
negligible
access
into
CNS,
reaching
levels
that
much
lower
than
what
needed
inhibit
cells
within
parenchyma.
Several
discovery
strategies
over
last
∼15
years
develop
brain-permeant
compounds
that,
ideally,
should
be
selective
eliminate
diuresis
mediated
renal
NKCC2.
employed
improve
pharmacokinetic
pharmacodynamic
properties
blockers
include
evaluation
other
diuretics;
development
lipophilic
prodrugs
bumetanide;
side-chain
derivatives
unbiased
high-throughput
screening
approaches
based
large
chemical
compound
libraries.
main
outcomes
(1),
non-acidic
diuretics
such
azosemide
torasemide
may
advantages
inhibitors
vs.
(2),
achieve
significantly
higher
parent
activity;
(3),
novel
do
exhibit
any
functionally
relevant
improvement
accessibility
or
selectivity
(4)
discovered
resolve
inherent
problems
bumetanide,
but
achieved.
Thus,
further
research
optimize
design
inhibitors.
Another
major
challenge
identify
mechanisms
whereby
various
NKCC1-expressing
cellular
these
(e.g.,
neurons,
oligodendrocytes
astrocytes)
outside
parenchyma
blood-brain
barrier,
choroid
plexus,
endocrine
immune
system),
well
molecular
off-target
effects,
might
contribute
their
reported
therapeutic
adverse
effects.
Frontiers in Cellular Neuroscience,
Journal Year:
2022,
Volume and Issue:
15
Published: Jan. 5, 2022
The
construction
of
the
brain
relies
on
a
series
well-defined
genetically
and
experience-
or
activity
-dependent
mechanisms
which
allow
to
adapt
external
environment.
Disruption
these
processes
leads
neurological
psychiatric
disorders,
in
many
cases
are
manifest
already
early
postnatal
life.
GABA,
main
inhibitory
neurotransmitter
adult
is
one
major
players
assembly
formation
neuronal
circuits.
In
prenatal
immediate
period
acting
GABA
A
receptors,
depolarizes
excites
targeted
cells
via
an
outwardly
directed
flux
chloride.
this
way
it
activates
NMDA
receptors
voltage-dependent
calcium
channels
contributing,
through
intracellular
rise,
shape
establish,
new
synapses
elimination
others,
direction
-mediated
neurotransmission
(depolarizing
hyperpolarizing)
depends
levels
chloride
[Cl
−
]
i
,
turn
maintained
by
cation-chloride
importer
exporter
KCC2
NKCC1,
respectively.
Thus,
premature
hyperpolarizing
action
its
persistent
depolarizing
effect
beyond
period,
behavioral
deficits
associated
with
morphological
alterations
excitatory
(E)/inhibitory
(I)
imbalance
selective
areas.
aim
review
summarize
recent
data
concerning
functional
role
GABAergic
transmission
building
up
refining
circuits
development
dysfunction
neurodevelopmental
disorders
such
as
Autism
Spectrum
Disorders
(ASDs),
schizophrenia
epilepsy.
particular,
we
focus
novel
information
co-transporters
(CCC)
generate
cognitive
impairment
diseases.
We
discuss
also
possibility
re-establish
proper
balance
within
areas
CCC.
Physiological Reviews,
Journal Year:
2022,
Volume and Issue:
103(2), P. 1095 - 1135
Published: Oct. 27, 2022
Synaptic
inhibition
plays
a
crucial
role
in
regulating
neuronal
excitability,
which
is
the
foundation
of
nervous
system
function.
This
largely
mediated
by
neurotransmitters
GABA
and
glycine
that
activate
Cl
−
-permeable
ion
channels,
means
strength
depends
on
gradient
across
membrane.
In
neurons,
primarily
two
secondarily
active
cation-chloride
cotransporters
(CCCs),
NKCC1
KCC2.
CCC-mediated
regulation
critical
for
healthy
brain
function,
as
dysregulation
CCCs
has
emerged
key
mechanism
underlying
neurological
disorders
including
epilepsy,
neuropathic
pain,
autism
spectrum
disorder.
review
begins
with
an
overview
chloride
transporters
before
explaining
dependent
relationship
between
these
CCCs,
regulation,
inhibitory
synaptic
transmission.
We
then
discuss
evidence
how
can
be
regulated,
activity
their
protein
interactions,
underlie
plasticity.
For
readers
who
may
interested
conducting
experiments
we
have
included
section
techniques
estimating
recording
intracellular
,
advantages
limitations.
Although
focus
this
also
examine
regulated
glial
cells,
turn
regulate
excitability
through
tight
nonneuronal
cell
type
synapses.
Finally,
relatively
extensive
growing
literature
contributes
to
disorders.
Nature Communications,
Journal Year:
2021,
Volume and Issue:
12(1)
Published: Oct. 15, 2021
Between
6-20%
of
the
cellular
proteome
is
under
circadian
control
and
tunes
mammalian
cell
function
with
daily
environmental
cycles.
For
viability,
to
maintain
volume
within
narrow
limits,
variation
in
osmotic
potential
exerted
by
changes
soluble
must
be
counterbalanced.
The
mechanisms
consequences
this
compensation
have
not
been
investigated
before.
In
cultured
cells
tissue
we
find
that
involves
electroneutral
active
transport
Na+,
K+,
Cl-
through
differential
activity
SLC12A
family
cotransporters.
cardiomyocytes
ex
vivo
vivo,
compensatory
ion
fluxes
confer
electrical
activity.
Perturbation
protein
abundance
has
commensurate
effects
on
composition
across
cycle.
Thus,
regulation
impacts
homeostasis
substantial
for
physiology
electrically
such
as
cardiomyocytes.
Frontiers in Molecular Neuroscience,
Journal Year:
2022,
Volume and Issue:
14
Published: Jan. 3, 2022
Throughout
early
phases
of
brain
development,
the
two
main
neural
signaling
mechanisms-excitation
and
inhibition-are
dynamically
sculpted
in
neocortex
to
establish
primary
functions.
Despite
its
relatively
late
formation
persistent
developmental
changes,
GABAergic
system
promotes
ordered
shaping
neuronal
circuits
at
structural
functional
levels.
Within
this
frame,
interneurons
participate
first
spontaneous
later
sensory-evoked
activity
patterns
that
precede
cortical
functions
mature
brain.
Upon
their
subcortical
generation,
embryonic
must
orderly
migrate
settle
respective
target
layers
before
they
can
actively
engage
network
activity.
During
process,
changes
molecular
synaptic
level
allow
not
only
coordinated
but
also
pruning
connections
as
well
excitatory
inhibitory
synapses.
At
postsynaptic
site,
shift
from
an
towards
response
is
required
enable
synchronization
within
networks.
Concomitantly,
progressive
specification
different
interneuron
subtypes
endows
with
distinct
local
region-specific
modulation
firing.
Finally,
apoptotic
process
further
refines
populations
by
constantly
maintaining
a
controlled
ratio
neurons.
Interestingly,
many
these
fundamental
complex
processes
are
influenced-if
directly
controlled-by
electrical
Interneurons
on
subcellular,
cellular,
affected
high
frequency
patterns,
such
spindle
burst
gamma
oscillations
rodents
delta
brushes
humans.
Conversely,
maturation
structure
function
each
scales
feeds
back
contributes
generation
essential
for
proper
peri-
postnatal
development.
Overall,
more
precise
description
conducting
role
terms
how
contribute
specific
patterns-as
impinge
orchestra
members-will
lead
better
understanding
physiological
pathophysiological
development
nervous
system.
Cerebral Cortex,
Journal Year:
2022,
Volume and Issue:
33(10), P. 5906 - 5923
Published: Dec. 27, 2022
Abstract
The
Na-K-2Cl
cotransporter
NKCC1
is
widely
expressed
in
cells
within
and
outside
the
brain.
However,
our
understanding
of
its
roles
brain
functions
throughout
development,
as
well
neuropsychiatric
neurological
disorders,
has
been
severely
hindered
by
lack
reliable
data
on
developmental
(sub)cellular
expression
patterns.
We
provide
here
first
properly
controlled
analysis
protein
various
cell
types
mouse
using
custom-made
antibodies
an
knock-out
validated
immunohistochemical
procedure,
with
parallel
based
advanced
mRNA
approaches.
are
at
remarkably
high
levels
oligodendrocytes.
In
immature
neurons,
was
located
somata,
whereas
adult
only
could
be
clearly
detected.
immunoreactivity
also
seen
microglia,
astrocytes,
developing
pericytes,
progenitor
dentate
gyrus.
Finally,
a
differential
splice
variants
observed,
NKCC1a
predominating
non-neuronal
NKCC1b
neurons.
Taken
together,
cellular
basis
for
enable
identification
major
limitations
promises
development
neuron-targeting
NKCC1-blockers.
Pharmacological Research,
Journal Year:
2023,
Volume and Issue:
189, P. 106698 - 106698
Published: Feb. 14, 2023
Despite
recent
advances
in
understanding
the
causes
of
epilepsy,
especially
genetic,
comprehending
biological
mechanisms
that
lead
to
epileptic
phenotype
remains
difficult.
A
paradigmatic
case
is
constituted
by
epilepsies
caused
altered
neuronal
nicotinic
acetylcholine
receptors
(nAChRs),
which
exert
complex
physiological
functions
mature
as
well
developing
brain.
The
ascending
cholinergic
projections
potent
control
forebrain
excitability,
and
wide
evidence
implicates
nAChR
dysregulation
both
cause
effect
epileptiform
activity.
First,
tonic-clonic
seizures
are
triggered
administration
high
doses
agonists,
whereas
non-convulsive
have
kindling
effects.
Second,
sleep-related
epilepsy
can
be
mutations
on
genes
encoding
subunits
widely
expressed
(CHRNA4,
CHRNB2,
CHRNA2).
Third,
animal
models
acquired
time-dependent
alterations
innervation
observed
following
repeated
seizures.
Heteromeric
nAChRs
central
players
epileptogenesis.
Evidence
for
autosomal
dominant
hypermotor
(ADSHE).
Studies
ADSHE-linked
expression
systems
suggest
epileptogenic
process
promoted
overactive
receptors.
Investigation
ADSHE
indicates
mutant
lifelong
hyperexcitability
altering
i)
function
GABAergic
populations
neocortex
thalamus,
ii)
synaptic
architecture
during
synaptogenesis.
Understanding
balance
effects
adult
networks
essential
plan
rational
therapy
at
different
ages.
Combining
this
knowledge
with
a
deeper
functional
pharmacological
properties
individual
will
advance
precision
personalized
medicine
nAChR-dependent
epilepsy.
Frontiers in Molecular Neuroscience,
Journal Year:
2021,
Volume and Issue:
14
Published: Nov. 24, 2021
The
membrane
responses
upon
activation
of
GABA(A)
receptors
critically
depend
on
the
intracellular
Cl
−
concentration
([Cl
]
i
),
which
is
maintained
by
a
set
transmembrane
transporters
for
.
During
neuronal
development,
but
also
under
several
pathophysiological
conditions,
prevailing
expression
loader
NKCC1
and
low
extruder
KCC2
causes
elevated
[Cl
,
result
in
depolarizing
GABAergic
responses.
However,
are
not
necessarily
excitatory,
as
reduces
input
resistance
neurons
thereby
shunt
excitatory
inputs.
To
summarize
our
knowledge
effect
GABA
excitability,
this
review
discusses
theoretical
considerations
experimental
studies
illustrating
relation
between
conductances,
reversal
potential
excitability.
In
addition,
evidences
complex
spatiotemporal
interaction
glutamatergic
inputs
described.
Moreover,
mechanisms
that
influence
beyond
presented.
And
finally,
vitro
vivo
directly
investigated
whether
mediates
excitation
or
inhibition
during
early
developmental
stages
summarized.
summary,
these
suggest
can
act
inhibitory
neurotransmitter
even
conditions
maintain
substantial
PLoS Biology,
Journal Year:
2022,
Volume and Issue:
20(1), P. e3001526 - e3001526
Published: Jan. 27, 2022
The
NKCC1
ion
transporter
contributes
to
the
pathophysiology
of
common
neurological
disorders,
but
its
function
in
microglia,
main
inflammatory
cells
brain,
has
remained
unclear
date.
Therefore,
we
generated
a
novel
transgenic
mouse
line
which
microglial
was
deleted.
We
show
that
shapes
both
baseline
and
reactive
microglia
morphology,
process
recruitment
site
injury,
adaptation
changes
cellular
volume
cell-autonomous
manner
via
regulating
membrane
conductance.
In
addition,
deficiency
results
NLRP3
inflammasome
priming
increased
production
interleukin-1β
(IL-1β),
rendering
prone
exaggerated
responses.
with
this,
central
(intracortical)
administration
blocker,
bumetanide,
potentiated
intracortical
lipopolysaccharide
(LPS)-induced
cytokine
levels.
contrast,
systemic
bumetanide
application
decreased
inflammation
brain.
Microglial
KO
animals
exposed
experimental
stroke
showed
significantly
brain
inflammation,
cerebral
edema
worse
outcome.
Thus,
emerges
as
an
important
player
controlling
homeostasis
responses
through
modulate
injury.
contribution
actions
is
likely
be
relevant
for
disorders.