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Mechanisms of decreased cholinergic arousal in focal seizures: In vivo whole-cell recordings from the pedunculopontine tegmental nucleus

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&NA; Focal limbic seizures often impair consciousness/awareness with major negative impact on quality of life. Recent work has shown that limbic seizures depress brainstem arousal systems, including reduced action potential… Click to show full abstract

&NA; Focal limbic seizures often impair consciousness/awareness with major negative impact on quality of life. Recent work has shown that limbic seizures depress brainstem arousal systems, including reduced action potential firing in a key node: cholinergic neurons of the pedunculopontine tegmental nucleus (PPT). In vivo whole‐cell recordings have not previously been achieved in PPT, but are used here with the goal of elucidating the mechanisms of reduced PPT cholinergic neuronal activity. An established model of focal limbic seizures was used in rats following brief hippocampal stimulation under light anesthesia. Whole‐cell in vivo recordings were obtained from PPT neurons using custom‐fabricated 9–10 mm tapered patch pipettes, and cholinergic neurons were identified histologically. Average membrane potential, input resistance, membrane potential fluctuations and variance were analyzed during seizures. A subset of PPT neurons exhibited reduced firing and hyperpolarization during seizures and stained positive for choline acetyltransferase. These PPT neurons showed a mean membrane potential hyperpolarization of −3.82 mV (±0.81 SEM, P < .05) during seizures, and also showed significantly increased input resistance, fewer excitatory post‐synaptic potential (EPSP)‐like events (P < .05), and reduced membrane potential variance (P < .01). The combination of increased input resistance, decreased EPSP‐like events and decreased variance weigh against active ictal inhibition and support withdrawal of excitatory input as the dominant mechanism of decreased activity of cholinergic neurons in the PPT. Further identifying synaptic mechanisms of depressed arousal during seizures may lead to new treatments to improve ictal and postictal cognition. HighlightsWhole‐cell in vivo recordings were made from PPT neurons in a rat model of limbic seizures.Cholinergic neurons in the PPT show reduced firing and hyperpolarization during seizures.Changes in input resistance, membrane potential variance and EPSP‐like events suggest reduced excitatory input.

Keywords: whole cell; cholinergic neurons; pedunculopontine tegmental; limbic seizures; membrane potential; cell

Journal Title: Experimental Neurology
Year Published: 2019

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