Abstract
Commentary
Both upregulation and downregulation of Ih and of HCN channel expression have been reported in several animal models of epilepsy (4–7) as well as in human epileptic hippocampus (8). However, the complex, apparently contrasting, effects of Ih have impeded further understanding of the physiological consequences of Ih regulation. Two recent studies have addressed directly these issues by studying the contribution of the opposing effects of Ih on dendritic and neuronal excitability. Whereas several previous studies associated downregulation of Ih with increased excitability (6,7), Dyhrfjeld-Johnsen et al. asked whether upregulation of dendritic Ih, which they found after experimental prolonged febrile seizures, could coincide with or even account for hyperexcitability. Importantly, the experimental setup used by Dyhrfjeld-Johnsen et al. allowed for free fluctuations in resting membrane potential, permitting the study of the depolarizing effect of Ih along with its shunting properties.
The experiments by Dyhrfjeld-Johnsen et al. revealed a complex picture: using dendritic recording techniques in hippocampal CA1 pyramidal cells, the investigators observed an upregulated Ih in dendrites of rats that had experienced febrile seizures approximately 4 weeks earlier. In comparison to control animals, this effect was associated with a depolarized membrane potential that was a result of the increased Ih, because it could be abolished by pharmacologically blocking the conductance. Injections of current to these neurons resulted in an increased firing rate, compared with control neurons, demonstrating the hyperexcitability of the neurons with augmented dendritic Ih. When the depolarizing effects of the augmented Ih on membrane potential were blocked (i.e., membrane potential was kept constant), the hyperexcitability was only partially reversed, indicating the involvement of additional, as yet unknown, factors in the modification of neuronal excitability following febrile seizures.
Thus, the results of Dyhrfjeld-Johnsen et al. demonstrated that hippocampal, pyramidal CA1 neurons are hyperexcitable following febrile seizures and that this hyperexcitability was, at least in part, a result of a depolarized membrane potential that was because of upregulated Ih. To isolate the potential role of increased Ih in febrile seizure-induced hyperexcitability from other influences, the authors then turned to computational models in which the physiological consequences of Ih can be studied independently of uncontrolled changes that may occur in vivo. They applied their empirically measured Ih values obtained following febrile seizures to three models based on published work, yet allowed membrane potential to fluctuate rather than fixing it at a given value. Under these conditions, the investigators found that the depolarizing effect of Ih outweighed its shunting effect in each of the models; in other words, the overall effect of Ih was excitatory.
The study by Dyhrfjeld-Johnsen et al. provides an elegant demonstration of how (under certain conditions) Ih may play a proexcitatory role and implies that additional channels/conductances may contribute to the hyperexcitability observed in the febrile seizure model. Their findings raise several questions: in which conditions or contexts does Ih play an excitatory role? Can the balance between the inhibitory and excitatory effects of Ih be dynamically regulated? These questions form the basis for the work by George et al. First, consistent with previous studies, George et al. found that selective pharmacological blocking of Ih resulted in the expected hyperpolarized membrane potential in CA1 pyramidal neurons and increased input resistance. A novel and interesting finding involved the biphasic effects of Ih: recordings of somatic responses to synaptic stimulation, in the presence or absence of Ih, revealed a relationship between the strength of the synaptic stimulus and the function of Ih. While the current had a proexcitatory influence on weak synaptic stimuli, it had an inhibitory effect when stronger, yet still subthreshold, stimuli were applied, as measured by reduced peak EPSP. The biphasic relationship between stimulus strength and Ih could not be reproduced in a simple computational model in which Ih was the only active conductance, because in such a model, Ih always exerted an excitatory effect on subthreshold EPSPs (i.e., the depolarizing effect of Ih was greater than its shunting properties), indicating that the parameters included in the model were not sufficient to represent the real life neuron. The discrepancy between the experimental observations and the computational prediction was resolved when the authors introduced a new player to their computational model—the subthreshold, slowly activating potassium conductance, known as the M-current (IM). Not only did the presence of IM restore the biphasic relationship between stimulus strength and the effect of Ih on excitability, but changes in IM levels could also shift the crossover point at which Ih turned from excitatory to inhibitory. Thus, the computational data predicted that increased IM would promote the inhibitory effects of Ih on somatic EPSPs, whereas low levels of IM would result in a more excitatory Ih. These predictions were tested by measuring the effect of Ih on somatic EPSPs in pyramidal CA1 neurons while pharmacologically blocking IM. Indeed, in the absence of IM, Ih had a pure excitatory effect on both weak and strong stimuli.
Both studies reviewed here challenge the traditional notion of a single role for dendritic Ih in regulating neuronal excitability. They suggest the alternative concept that Ih may play either a pro- or anti-excitatory role, depending on physiological conditions, such as the regulation of other active currents and the nature of the neuronal input to the cell (3,9). While these studies provide experimental support for an important new perspective on Ih, they also point out a number of unexplored questions. For example, at the cellular level, HCN channels are regulated in numerous ways that influence not only the magnitude of Ih, but also its kinetics, voltage dependence, additional biophysical properties, and location within the neuron. Any of these factors can affect the function of HCN channels. Thus, existing studies have found exquisite transcriptional control of HCN channels (5–7), their heteromerization (10), and their interaction with accessory proteins that influence channel surface expression, subcellular localization, and channel properties (11–13). The elucidation of these different aspects of HCN channel regulation, especially in relationship to the coregulation of other ion channels and the physiological context, will further advance the understanding of the function this important class of ion channels. This information will help investigators and clinicians to better understand the pathologies associated with HCN channel dysregulation in the epileptic brain and ultimately will provide targets in the search for better therapies.
