Non‐synaptic interictal epileptiform discharges propagating from CA3 to CA1 induce synaptic depression in the hippocampus

Abstract Objective Patients with epilepsy contend with memory impairment associated with the prevalence of interictal epileptiform discharges (IEDs). IEDs can propagate without synaptic transmission in both in vivo and in vitro rodent hippocampi. We focused our investigation on the effects of these...

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Main Authors: Lauren H. Zukowski, Jiaxin Zhou, Snigdha Chawla, Chia‐Chu Chiang, Dominique M. Durand
Format: Article
Language:English
Published: Wiley 2025-08-01
Series:Epilepsia Open
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Online Access:https://doi.org/10.1002/epi4.70098
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author Lauren H. Zukowski
Jiaxin Zhou
Snigdha Chawla
Chia‐Chu Chiang
Dominique M. Durand
author_facet Lauren H. Zukowski
Jiaxin Zhou
Snigdha Chawla
Chia‐Chu Chiang
Dominique M. Durand
author_sort Lauren H. Zukowski
collection DOAJ
description Abstract Objective Patients with epilepsy contend with memory impairment associated with the prevalence of interictal epileptiform discharges (IEDs). IEDs can propagate without synaptic transmission in both in vivo and in vitro rodent hippocampi. We focused our investigation on the effects of these non‐synaptically propagating IEDs on synaptic plasticity. Specifically, we tested the hypothesis that such IEDs generate long‐term depression. Methods IEDs were induced in mouse longitudinal hippocampal slices (i.e., cut along the septotemporal axis of the hippocampus) using 4‐aminopyridine (4‐AP). Changes in amplitudes and slopes of the population excitatory evoked postsynaptic potentials (pEPSPs) were measured from the CA1 apical dendrite following stimulation at the Schaffer collaterals. Direct current stimulation (DCS) was applied to study the interaction between applied electric fields and IED‐induced synaptic plasticity. Results Following long‐term potentiation, 4‐AP‐induced IEDs were observed to propagate along the slice and in the slice generated significant depression as evidenced by a significant decrease in pEPSP slope. Analysis revealed an inverse relationship between IED frequency and synaptic depression magnitude, with lower‐frequency IEDs producing more pronounced synaptic downregulation. In addition, anodal DCS effectively canceled the LTD‐like effect induced by 4‐AP IEDs, restoring synaptic strength. In contrast, cathodal DCS failed to modify or reverse the 4‐AP‐induced synaptic depression. Significance This study provides insights into how non‐synaptic IEDs contribute to synaptic plasticity alterations, offering a potential mechanism for memory impairment in epilepsy. The results highlight the therapeutic potential of anodal DCS for mitigating IED‐related cognitive deficits. Plain Language Summary People with epilepsy often have memory problems, which may be linked to abnormal brain activity called interictal epileptiform discharges (IEDs). In this study, we found that these discharges can weaken connections between brain cells, possibly explaining some memory issues. We also found that applying a gentle electrical current to the brain (called anodal direct current stimulation) could prevent this weakening. These results suggest a possible new approach to reduce memory problems in epilepsy.
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spelling doaj-art-550f8d70bf814eb69e4f1b54b70906cc2025-08-20T04:03:26ZengWileyEpilepsia Open2470-92392025-08-011041217122910.1002/epi4.70098Non‐synaptic interictal epileptiform discharges propagating from CA3 to CA1 induce synaptic depression in the hippocampusLauren H. Zukowski0Jiaxin Zhou1Snigdha Chawla2Chia‐Chu Chiang3Dominique M. Durand4Department of Biomedical Engineering, Neural Engineering Center Case Western Reserve University Cleveland Ohio USADepartment of Biomedical Engineering, Neural Engineering Center Case Western Reserve University Cleveland Ohio USADepartment of Biomedical Engineering, Neural Engineering Center Case Western Reserve University Cleveland Ohio USADepartment of Biomedical Engineering, Neural Engineering Center Case Western Reserve University Cleveland Ohio USADepartment of Biomedical Engineering, Neural Engineering Center Case Western Reserve University Cleveland Ohio USAAbstract Objective Patients with epilepsy contend with memory impairment associated with the prevalence of interictal epileptiform discharges (IEDs). IEDs can propagate without synaptic transmission in both in vivo and in vitro rodent hippocampi. We focused our investigation on the effects of these non‐synaptically propagating IEDs on synaptic plasticity. Specifically, we tested the hypothesis that such IEDs generate long‐term depression. Methods IEDs were induced in mouse longitudinal hippocampal slices (i.e., cut along the septotemporal axis of the hippocampus) using 4‐aminopyridine (4‐AP). Changes in amplitudes and slopes of the population excitatory evoked postsynaptic potentials (pEPSPs) were measured from the CA1 apical dendrite following stimulation at the Schaffer collaterals. Direct current stimulation (DCS) was applied to study the interaction between applied electric fields and IED‐induced synaptic plasticity. Results Following long‐term potentiation, 4‐AP‐induced IEDs were observed to propagate along the slice and in the slice generated significant depression as evidenced by a significant decrease in pEPSP slope. Analysis revealed an inverse relationship between IED frequency and synaptic depression magnitude, with lower‐frequency IEDs producing more pronounced synaptic downregulation. In addition, anodal DCS effectively canceled the LTD‐like effect induced by 4‐AP IEDs, restoring synaptic strength. In contrast, cathodal DCS failed to modify or reverse the 4‐AP‐induced synaptic depression. Significance This study provides insights into how non‐synaptic IEDs contribute to synaptic plasticity alterations, offering a potential mechanism for memory impairment in epilepsy. The results highlight the therapeutic potential of anodal DCS for mitigating IED‐related cognitive deficits. Plain Language Summary People with epilepsy often have memory problems, which may be linked to abnormal brain activity called interictal epileptiform discharges (IEDs). In this study, we found that these discharges can weaken connections between brain cells, possibly explaining some memory issues. We also found that applying a gentle electrical current to the brain (called anodal direct current stimulation) could prevent this weakening. These results suggest a possible new approach to reduce memory problems in epilepsy.https://doi.org/10.1002/epi4.70098IEDssynaptic depressionDCSnon‐synaptic propagation
spellingShingle Lauren H. Zukowski
Jiaxin Zhou
Snigdha Chawla
Chia‐Chu Chiang
Dominique M. Durand
Non‐synaptic interictal epileptiform discharges propagating from CA3 to CA1 induce synaptic depression in the hippocampus
Epilepsia Open
IEDs
synaptic depression
DCS
non‐synaptic propagation
title Non‐synaptic interictal epileptiform discharges propagating from CA3 to CA1 induce synaptic depression in the hippocampus
title_full Non‐synaptic interictal epileptiform discharges propagating from CA3 to CA1 induce synaptic depression in the hippocampus
title_fullStr Non‐synaptic interictal epileptiform discharges propagating from CA3 to CA1 induce synaptic depression in the hippocampus
title_full_unstemmed Non‐synaptic interictal epileptiform discharges propagating from CA3 to CA1 induce synaptic depression in the hippocampus
title_short Non‐synaptic interictal epileptiform discharges propagating from CA3 to CA1 induce synaptic depression in the hippocampus
title_sort non synaptic interictal epileptiform discharges propagating from ca3 to ca1 induce synaptic depression in the hippocampus
topic IEDs
synaptic depression
DCS
non‐synaptic propagation
url https://doi.org/10.1002/epi4.70098
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