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Acta Physiologica 2010; Volume 200, Supplement 681
Abstracts of the 61st National Congress of the Italian Physiological Society
9/15/2010-9/17/2010
Varese, Italy
ANOMALOUS LEVELS OF CL- TRANSPORTERS IN HUMAN PERITUMORAL CORTICAL TISSUE MAKE GABA EXCITATORY
Abstract number: P71
PALMA1,2 E, CONTI1 L, ROSETI1,2 C, CIPRIANI1 R, LAURO1 C, LIMATOLA1 C
1Istituto Pasteur-Fondazione Cenci Bolognetti & Dipartimento di Fisiologia e Farmacologia-Centro di Eccellenza BEMM, Universit di Roma La Sapienza, Rome, Italy
2San Raffaele Pisana IRCCS, Rome, Italy
Epilepsy commonly can develop among patients with brain tumors, frequently even as the presenting symptom. The molecular pathophysiology of these seizures has been elucidated with findings that both the tumoral and peritumoral microenvironments may exhibit epileptogenic phenotypes. g-aminobutyric acid (GABA) is the chief inhibitory neurotransmitter in the mammalian SNC. In neurons the regulation of chloride is mediated by NKCC1 and KCC2 co-transporters; NKCC1 intrudes Cl-, leading to increase [Cl-]i, while KCC2 causes an efflux of chloride. Cell membranes isolated from peritumoral tissues (~ 210% glioma infiltration) of patients afflicted with gliomas (IV WHO grade) have been injected into Xenopus oocytes and compared to oocytes injected with healthy cortex. Using voltage clamp recordings, we found that the GABA currents in oocytes injected with membranes from peritumoral tissues had a more depolarized GABAA equilibrium potential (EGABA) compared with healthy cortex. The EGABA shift was blocked by the NKCC1 blocker bumetanide (10 mM). Since it has been reported a modulation of KCC2 by intracellular Zn2+, the EGABA shift has been reverted by using the Zn2+ chelator TPEN. In addition Western blot analysis has been performed on membranes extracted from peritumoral tissues resected from the same patients and from cortical tissues obtained from the same healthy patients. In the peritumoral tissues we found an increase of the expression of both NKCC1 and KCC2 transporters (70% and 25% respectively) compared to healthy tissues. Our preliminary results suggest a key role of KCC2 and NKCC1 Cl- co-transporters in tumor related epilepsy.
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Acta Physiologica 2010; Volume 200, Supplement 681 :P71