Abstract
Accumulating data suggest that sodium–hydrogen exchangers (NHEs) play a key role in modulating seizure activity by regulating neuronal pH in the brain. Amiloride, an inhibitor of NHEs, has been demonstrated to be effective in many seizure models, although its efficacy for prolonged febrile seizures (FS) remains unclear. In this study, we investigated whether amiloride could produce neuroprotective effects in a prolonged FS model in which FS were induced in rat pups at postnatal day 10 using a heated air approach. Amiloride was administered by intraperitoneal injection at three different doses (0.65, 1.3 and 2.6 mg/kg). Pretreatment with amiloride significantly delayed the onset of the first episode of limbic seizures, whereas posttreatment with amiloride decreased escape latency in the Morris water maze test compared to post-FS treatment with saline. Amiloride also inhibited seizure-induced aberrant neurogenesis. In conclusion, this study demonstrated the antiseizure activity of amiloride. In particular, posttreatment with amiloride resulted in cognitive improvement; this finding provides crucial evidence of the neuroprotective function of amiloride and of the therapeutic potential of amiloride in FS.
Similar content being viewed by others
References
Jeong JH, Lee JH, Kim K, Jo YH, Rhee JE, Kwak YH, Kim DK, Noh H (2014) Rate of and risk factors for early recurrence in patients with febrile seizures. Pediatr Emerg Care 30:540–545
Seinfeld DS, Pellock JM (2013) Recent research on febrile seizures: a review. J Neurol Neurophysiol 4:1–14
Patterson JL, Carapetian SA, Hageman JR, Kelley KR (2013) Febrile seizures. Pediatr Ann 42:249–254
Fetveit A (2008) Assessment of febrile seizures in children. Eur J Pediatr 167:17–27
Pediatrics AAo (2011) Neurodiagnostic evaluation of the child with a simple febrile seizure. Pediatrics 127:389
Martinos MM, Yoong M, Patil S, Chin RF, Neville BG, Scott RC, de Haan M (2012) Recognition memory is impaired in children after prolonged febrile seizures. Brain 135:3153–3164
Yang L, Li F, Zhang H, Ge W, Mi C, Sun R, Liu C (2009) Astrocyte activation and memory impairment in the repetitive febrile seizures model. Epilepsy Res 86:209–220
Chang YC, Huang AM, Kuo YM, Wang ST, Chang YY, Huang CC (2003) Febrile seizures impair memory and cAMP response-element binding protein activation. Ann Neurol 54:706–718
Millar JS (2006) Evaluation and treatment of the child with febrile seizure. Am Fam Physician 73:1761–1764
Wheless JW, Clarke DF, Carpenter D (2005) Treatment of pediatric epilepsy: expert opinion, 2005. J Child Neurol 20(Suppl 1):S1–S56
Bergman DA, Baltz RD, Cooley JR, Hickson GB, Miles PV, Shook JE, Zurhellen WM (1999) Practice parameter: long-term treatment of the child with simple febrile seizures. Pediatrics 103:1307–1309
Shinnar S, Glauser TA (2002) Febrile seizures. J Child Neurol 17(Suppl 1):S44–S52
Simonato M, French JA, Galanopoulou AS, O’Brien TJ (2013) Issues for new antiepilepsy drug development. Curr Opin Neurol 26:195
Ali A, Ahmad F, Dua Y, Pillai K, Vohora D (2008) Seizures and sodium hydrogen exchangers: potential of sodium hydrogen exchanger inhibitors as novel anticonvulsants. CNS Neurol Disord Drug Targets 7:343–347
Villafuerte FC, Swietach P, Youm JB, Ford K, Cardenas R, Supuran CT, Cobden PM, Rohling M, Vaughan-Jones RD (2014) Facilitation by intracellular carbonic anhydrase of Na+–HCO3− co-transport but not Na+/H+ exchange activity in the mammalian ventricular myocyte. J Physiol 592:991–1007
Verma V, Bali A, Singh N, Jaggi AS (2015) Implications of sodium hydrogen exchangers in various brain diseases. J Basic Clin Physiol Pharmacol 26:417–426
N’Gouemo P (2008) Amiloride delays the onset of pilocarpine-induced seizures in rats. Brain Res 1222:230–232. doi:10.1016/j.brainres.2008.05.010
Luszczki J, Czernecki R, Wojtal K, Borowicz K, Czuczwar S (2008) Agmatine enhances the anticonvulsant action of phenobarbital and valproate in the mouse maximal electroshock seizure model. J Neural Trans 115:1485–1494. doi:10.1007/s00702-008-0046-3
Ali A, Ahmad FJ, Pillai KK, Vohora D (2004) Evidence of the antiepileptic potential of amiloride with neuropharmacological benefits in rodent models of epilepsy and behavior. Epilepsy Behav 5:322–328. doi:10.1016/j.yebeh.2004.01.005
Shapiro LA, Ribak CE, Jessberger S (2008) Structural changes for adult-born dentate granule cells after status epileptic us. Epilepsia 49:13–18
Eghbal-Ahmadi M, Avishai-Eliner S, Hatalski CG, Baram TZ (1999) Differential regulation of the expression of corticotropin-releasing factor receptor type 2 (CRF2) in hypothalamus and amygdala of the immature rat by sensory input and food intake. J Neurosci 19:3982–3991
Baram TZ, Gerth A, Schultz L (1997) Febrile seizures: an appropriate-aged model suitable for long-term studies. Brain Res Dev Brain Res 98:265–270
Schuchmann S, Schmitz D, Rivera C, Vanhatalo S, Salmen B, Mackie K, Sipilä ST, Voipio J, Kaila K (2006) Experimental febrile seizures are precipitated by a hyperthermia induced respiratory alkalosis. Nat Med 12:817–823
Sarkisian MR, Holmes GL, Carmant L, Liu Z, Yang Y, Stafstrom CE (1999) Effects of hyperthermia and continuous hippocampal stimulation on the immature and adult brain. Brain Dev 21:318–325
Prévost F, Costa M, Carmant L, Lepore F, Guillemot J-P (2010) Effects of hyperthermic seizures on the developing primary visual cortex of the rat. Neuroscience 171:1120–1130
Xiong ZG, Zhu XM, Chu XP, Minami M, Hey J, Wei WL, MacDonald JF, Wemmie JA, Price MP, Welsh MJ, Simon RP (2004) Neuroprotection in ischemia: blocking calcium-permeable acid-sensing ion channels. Cell 118:687–698. doi:10.1016/j.cell.2004.08.026
Chesler M, Kaila K (1992) Modulation of pH by neuronal activity. Trends Neurosci 15:396–402
Yao H, Ma E, Gu XQ, Haddad GG (1999) Intracellular pH regulation of CA1 neurons in Na+/H+ isoform 1 mutant mice. J Clin Invest 104:637–645. doi:10.1172/JCI6785
Puka N, Lehmann A (1994) In vivo acidosis reduces extracellular concentrations of taurine and glutamate in the rat hippocampus. J Neurosci Res 37:641–646
Chu XP, Xiong ZG (2012) Physiological and pathological functions of acid-sensing ion channels in the central nervous system. Curr Drug Targets 13:263–271
Rajab E, Abdeen Z, Hassan Z, Alsaffar Y, Mandeel M, Al Shawaaf F, Al-Ansari S, Kamal A (2014) Cognitive performance and convulsion risk after experimentally-induced febrile-seizures in rat. Int J Dev Neurosci 34:19–23
Xiong Y, Zhou H, Zhang L (2014) Influences of hyperthermia-induced seizures on learning, memory and phosphorylative state of CaMKII α in rat hippocampus. Brain Res 1557:190–200
Tsai ML, Hung KL, Tsan YY, Tung WT (2015) Long-term neurocognitive outcome and auditory event-related potentials after complex febrile seizures in children. Epilepsy Behav 47:55–60. doi:10.1016/j.yebeh.2015.04.067
Jessberger S, Nakashima K, Clemenson GD Jr, Mejia E, Mathews E, Ure K, Ogawa S, Sinton CM, Gage FH, Hsieh J (2007) Epigenetic modulation of seizure-induced neurogenes is and cognitive decline. J Neurosci 27:5967–5975
Chena J, Quana Q-Y, Yang F, Wang Y, Wang J-C, Zhao G, Jiang W (2010) Effects of lamotrigine and topiramate on hippocampal neurogenesis in experimental temporal-lobe epilepsy. Brain Res 1313:270–282
Bender RA, Dubé C, Gonzalez-Vega R, Mina EW, Baram TZ (2003) Mossy fiber plasticity and enhanced hippocampal excitability, without hippocampal cell loss or altered neurogenesis, in an animal model of prolonged febrile seizures. Hippocampus 13:399–412
Hung YW, Yang DI, Huang PY, Lee TS, Kuo TB, Yiu CH, Shih YH, Lin YY (2012) The duration of sustained convulsive seizures determines the pattern of hippocampal neurogenesis and the development of spontaneous epilepsy in rats. Epilepsy Res 98:206–215. doi:10.1016/j.eplepsyres.2011.09.015
Shi X-Y, Sun R-P, Wang J-W (2007) Consequences of pilocarpine-induced recurrent seizures in neonatal rats. Brain Dev 29:157–163
Willems L, Tamburini J, Chapuis N, Lacombe C, Mayeux P, Bouscary D (2012) PI3K and mTOR signaling pathways in cancer: new data on targeted therapies. Curr Oncol Rep 14:129–138. doi:10.1007/s11912-012-0227-y
Tang JY, Chang HW, Chang JG (2013) Modulating roles of amiloride in irradiation-induced antiproliferative effects in glioblastoma multiforme cells involving Akt phosphorylation and the alternative splicing of apoptotic genes. DNA Cell Biol 32:504–510. doi:10.1089/dna.2013.1998
Acknowledgments
This work was supported by grants from the National Science Foundation of China (Grant Numbers 81071051, 81271432). The funders played no role in study design, data collection and analysis, the decision to publish, or preparation of the manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflicts of interest.
Additional information
Tang-Peng Ou-Yang and Ge-Min Zhu have contributed equally to this study.
Rights and permissions
About this article
Cite this article
Ou-Yang, TP., Zhu, GM., Ding, YX. et al. The Effects of Amiloride on Seizure Activity, Cognitive Deficits and Seizure-Induced Neurogenesis in a Novel Rat Model of Febrile Seizures. Neurochem Res 41, 933–942 (2016). https://doi.org/10.1007/s11064-015-1777-9
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11064-015-1777-9