Abstract

Alzheimer’s disease (AD) is a neurodegenerative disorder characterized by progressive cognitive decline. Pathologic accumulation of soluble amyloid-β (Aβ) oligomers impairs synaptic plasticity and causes epileptic seizures, both of which contribute to cognitive dysfunction in AD. However, whether seizures could regulate Aβ-induced synaptic weakening remains unclear. Here we show that a single episode of electroconvulsive seizures (ECS) increased protein expression of membrane-associated STriatal-Enriched protein tyrosine Phosphatase (STEP61) and decreased tyrosine-phosphorylation of its substrates N-methyl D-aspartate receptor (NMDAR) subunit GluN2B and extracellular signal regulated kinase 1/2 (ERK1/2) in the rat hippocampus at 2 days following a single ECS. Interestingly, a significant decrease in ERK1/2 expression and an increase in APP and Aβ levels were observed at 3-4 days following a single ECS when STEP61 level returned to the baseline. Given that pathologic levels of Aβ increase STEP61 activity and STEP61-mediated dephosphorylation of GluN2B and ERK1/2 leads to NMDAR internalization and ERK1/2 inactivation, we propose that upregulation of STEP61 and downregulation of GluN2B and ERK1/2 phosphorylation mediate compensatory weakening of synaptic strength in response to acute enhancement of hippocampal network activity, whereas delayed decrease in ERK1/2 expression and increase in APP and Aβ expression may contribute to the maintenance of this synaptic weakening.

1. Introduction

Alzheimer’s disease (AD) is a neurodegenerative disorder characterized by progressive and irreversible cognitive decline [1]. Although AD pathology shows amyloid plaques that consist of insoluble amyloid-β (Aβ) [2], the abnormal accumulation of soluble Aβ oligomeric peptides correlates closely with cognitive dysfunction in early AD and disrupts synaptic plasticity [3], which is widely believed to underlie learning and memory [3, 4]. Specifically, soluble Aβ oligomers at pathologic levels inhibit long-term potentiation (LTP) and enhance long-term depression (LTD) of excitatory synaptic strength in the hippocampus, a brain region susceptible for neurodegeneration in AD [3]. Interestingly, the pathological accumulation of amyloid precursor protein (APP) and oligomeric Aβ also causes aberrant neuronal hyperexcitability in cortical and hippocampal neuronal networks of AD mouse models [59], consistent with the fact that humans and animal models with early-onset autosomal dominant familial AD have epileptic seizures [1021]. Experimental inhibition of epileptic seizures prevents memory loss in AD transgenic model mice [17], suggesting that Aβ-induced aberrant increases in neuronal network activity also contribute to cognitive dysfunction in AD. However, whether seizures could regulate Aβ-induced synaptic weakening remains unclear.

STriatal-Enriched protein tyrosine Phosphatase 61 (STEP61) has recently emerged as a key regulator of Aβ-induced synaptic weakening [11, 2226] and as a postsynaptic density protein highly regulated by hyperexcitability in hippocampal neurons [27]. Application of Aβ oligomers to cortical cultures reduces surface expression of glutamate-gated ionotropic receptors including N-methyl D-aspartate receptors (NMDARs) and α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptors (AMPARs) by upregulating STEP61 activity [11, 22, 2426]. While STEP61 levels are elevated in the cortices of several AD mouse models [22, 28], genetic ablation of STEP61 blocks Aβ-induced reduction in surface AMPAR and NMDAR expression [22, 25] and prevents memory loss and LTP impairment in AD mouse models [25, 26], suggesting a critical role of STEP61 in mediating Aβ-induced synaptic weakening and cognitive dysfunction in AD. We have also reported that prolonged enhancement of hippocampal network activity in primary culture leads to elevated STEP61 expression and STEP61-dependent reduction in tyrosine- (Tyr-) phosphorylation of its substrates, NMDAR subunit GluN2B and AMPAR subunit GluA2 [27].

Given that STEP61 level is elevated in human AD which displays epileptic seizures as a comorbid condition [1013], we hypothesize that hippocampal neuronal hyperexcitability induced by seizures will increase STEP61 level, leading to compensatory downregulation of synaptic strength by dephosphorylating GluN2B, GluA2, and ERK1/2, key proteins critical for synaptic plasticity. To test this hypothesis, we induced a single electroconvulsive seizure (ECS) or chronic ECS (a single ECS each day for 7 consecutive days) in adult rats to elevate hippocampal network activity in vivo [2932] and examined protein expression of STEP61 and Aβ, as well as tyrosine-phosphorylation of STEP61 substrates GluN2B, GluA2, and ERK1/2. ECS is an animal model for electroconvulsive therapy (ECT), which provides an efficient and relatively fast acting treatment for depression, anxiety, and other psychiatric conditions in humans [33]. During ECS, sufficient current administration reliably elicits nonrecurring stage 4-5 tonic-clonic seizures [2932]. We chose ECS to globally elevate brain activity in vivo because a single ECS does not induce cell death or notable structural remodeling [33] which are evident in pilocarpine- or kainate-induced chronic epilepsy models [34, 35]. Furthermore, ECS does not involve invasive surgical methodologies as often used in kindling following intracranial electrode placement [34, 35].

We discovered that a single ECS increases the expression of membrane-associated STEP61 and decreases Tyr1472-phosphorylation of GluN2B and Tyr204/187-phosphorylation of ERK1/2 in the hippocampus at 48 hours (h) following a single ECS. Interestingly, upregulation of APP and Aβ levels was observed at 72–96 h following a single ECS when STEP61 level returned to the baseline. Chronic ECS results in a transient increase in APP and Aβ expression at 48 h and Aβ expression at 96 h following chronic ECS but did not alter STEP61 expression and Tyr-phosphorylation of its substrates. Furthermore, a persistent decrease in GluN2B expression was observed over a course of 96 h following chronic ECS. These results suggest that elevated expression of APP, Aβ, and STEP61 and dephosphorylation of GluN2B and ERK1/2 may contribute to compensatory weakening of synaptic strength in response to seizure-induced hippocampal network hyperexcitability.

2. Material and Methods

2.1. Materials

Antibodies used include anti-STEP61 (catalogue SC-23892, Santa Cruz), anti-GluN2B (#14544, Cell Signaling), anti-ERK1/2 (SC-154, Santa Cruz), anti-GluA2 (#5306, Cell Signaling), anti-APP (#SC-28365, Santa Cruz), and anti-β-actin (#4967, Cell Signaling). Phosphorylation site specific antibodies used include anti-GluN2B-pTyr1472 which recognizes phosphorylated Tyr-1472 of GluN2B (P1516-1472, PhosphoSolutions), anti-ERK1/2-pThr202/Tyr204 which recognizes phosphorylated Thr202/Tyr204 of ERK1 and Thr185/Tyr187 of ERK2 (#9106, Cell Signaling), anti-GluA2-p3Y which recognizes phosphorylated Tyr869, Tyr873, and Tyr876 (3Y) of GluA2 (#3921S, Cell Signaling), and anti-GluA2-pY876 which recognizes phosphorylated Tyr876 of GluA2 (#4027S, Cell Signaling).

2.2. Animals

The Institutional Animal Care and Use Committee at the University of Illinois at Urbana-Champaign approved all experimental procedures involving animals in this study.

2.3. Electroconvulsive Seizure (ECS)

Male Sprague-Dawley rats (bred in house; strain origin: Charles River Laboratories) were weaned at postnatal day (P) 28, housed in groups of 2–4 male littermates, and weighed 3 times per week. All animals were maintained in standard conditions with a 12-hour (h) light-dark cycle and ad libitum access to food and water. Male rats were used to eliminate potential confounding sex differences. Rats received either a single ECS or chronic ECS (a single ECS each day for 7 consecutive days) as previously described [30, 36, 37] with the following modification. All ECS were induced between 7:30 and 10:00 a.m. in adult rats weighing 200–250 grams. One at a time, rats were connected via ear-clip electrodes to a pulse generator (Ugo Basile, Comerio, Italy), and a 0.5 sec, 100 pulses/sec, 55 mA shock was delivered to elicit a stage 4-5 seizure. All ECS lasted <10 sec, after which rats were returned to their home cage. Sham “no seizure” animals (NS) were handled identically, including ear-clip electrodes attachment, but no current was delivered. One experiment for a single ECS or chronic ECS included one NS rat and one ECS-treated rat per each time point following the last ECS.

2.4. Whole Brain Lysate Preparation

At specific time point following a single ECS or chronic ECS, animals were sacrificed by CO2 inhalation and rapidly decapitated. The hippocampi were dissected from their brains and homogenized in ice-cold homogenization buffer (solution A) containing (in mM) 320 sucrose, 1 NaHCO3, 1 MgCl2, 0.5 CaCl2, 1 NaVO3, 10 Na4O7P2, 50 NaF, and Halt protease inhibitors (Thermo Fisher Scientific) (1.25 mL total volume per pair of hippocampi). The crude membrane fraction (P2) was isolated from the hippocampi homogenates as previously described [38] with the following modification. After centrifuging for 10 min at 1,400 g, the postnuclear supernatants were separated (S1) from insoluble tissue and nuclear pellet (P1). The pellets were reconstituted in ice-cold solution A (1.25 mL total volume per pair of hippocampi) and centrifuged for additional 10 min at 710 g. The resultant supernatant was combined with the S1 fraction, and the entire volume was then spun at 13,800 g for 10 min. The supernatant (S2) was removed, and the remaining pellet (P2 membrane fraction) was resuspended in ice-cold solution B containing (in mM) 320 sucrose, 1 NaHCO, 1 NaVO3, 10 Na4O7P2, 50 NaF, and protease inhibitor cocktails (1 mL total volume per pair of hippocampi). BCA assay (Pierce) analysis was performed to determine protein concentrations across samples, which were subsequently normalized to 1 mg/mL in solution B. The S1, S2, and P2 lysates were stored at −80°C until use.

2.5. Western Blot Analysis

After adding SDS sample buffer, the lysates (S1, P2, and S2) were heated at 37°C or 75°C for 30 min. Lysate samples were run on SDS-polyacrylamide gel electrophoresis (SDS-PAGE) gels and transferred to polyvinyl difluoride (PVDF) membrane (Millipore). Each gel contained lysates from one experiment for a single ECS or chronic ECS, including from one NS rat and one ECS-treated rat per each time point following the last ECS. Immunoblot analysis was performed as previously described [39, 40] with the following modifications. Each blot was blocked in 5% milk and 0.1% Tween-20 in Tris buffered saline (TBS) for 1 h and then incubated in primary antibodies in washing buffer (1% milk and 0.1% Tween-20 in TBS) overnight at 4°C. Primary antibodies used include anti-STEP61 (1 : 200), anti-GluN2B (1 : 1000), anti-GluA2 (1 : 1000), anti-APP (1 : 200), anti-β-actin (1 : 1000), anti-GluN2B-pTyr1472 (1 : 1000), anti-GluA2-p3Y (1 : 1000), anti-GluA2-pY876 (1 : 500), and anti-ERK1/2- pThr202/Tyr204 (1 : 1000). After incubating in HRP-conjugated secondary antibody in washing buffer for 1 h, blots were visualized with enhanced chemifluorescence substrate (ECL, Thermo Fisher Scientific) and developed with a Konica SRX-101A film processor. Densitometric quantification was performed with ImageJ Software (National Institutes of Health) as previously described [39, 40]. The band intensity of a protein of interest was divided by the β-actin band intensity per each time point. The ratio of NS control group was taken as 100%, and the ratio of ECS-treated group at each time point was normalized to the ratio of NS control to obtain the % of relative protein expression.

2.6. Statistical Analysis

All data shown represent the mean value ± SEM. The number of rats is expressed as sample size . Statistical analyses were performed with either Microsoft Excel or Origin (version 8.5; OriginLab). For most data sets, a priori value was considered statistically significant following one-way ANOVA and post hoc ANOVA tests (Fisher’s test). For Figure 1(a), Student’s -test was used due to low sample size ( rats per postnatal day). For the statistical analysis of the levels of Tyr204/187-phosphorylated ERK1/2 in Figure 4(a) and Aβ in Figure 5(a), Student’s -test was used because one-way ANOVA and post hoc ANOVA tests (Fisher’s test) were not adequate to perform in the data sets that contained a large variability when 5 sets of independent experiments for a single ECS were compared. For Student’s -test, a priori value was considered statistically significant.

3. Results and Discussion

3.1. A Single ECS but Not Chronic ECS Transiently Increased STEP61 Expression in the Hippocampus

To test whether elevation of hippocampal network activity in vivo regulates STEP61 level, ECS was induced in rats and their hippocampal membrane fractions were collected for western blot analysis. First, we examined the developmental expression of STEP61 in male rats (Figure 1(a)). Hippocampal STEP61 expression began to increase at P12 compared to P3–P10 (% of P10, , -test compared to P10) (Figure 1(a)). Although highly variable, STEP61 expression steadily increased from P12 to P28 and reached a plateau at P42 with statistical significance (% of P10, , -test compared to P10 and P12) (Figure 1(a)). Since hippocampal STEP61 expression stabilized by P42 (Figure 1(a)), ECS were induced only in male rats that were at >P42 and weighed 220–240 g. For the induction of ECS, male rats received a single electric shock (0.5 sec, 100 pulses/sec, 55 mA) for once (a single ECS) or 7 consecutive days (chronic ECS) as previously described [30, 36] (Figures 1(b) and 1(c)). “No seizure” animals (NS) were handled identically, but no current was delivered. STEP61 protein level in the crude membrane P2 fractions of hippocampus progressively increased up to % by 48 h following induction of a single ECS compared to NS groups (, Figure 1(d); see Supplemental Figure  1 of the Supplementary Material available online at http://dx.doi.org/10.1155/2016/2123748). Interestingly, elevated STEP61 level decreased back to the level of NS group by 72 h after a single ECS (Figure 1(d), Supplemental Figure  1). Although an increasing trend has been observed for STEP61 expression over the course of 96 h following chronic ECS, this trend did not reach statistical significance due to a large standard deviation (Figure 1(e), Supplemental Figure  1). A single ECS or chronic ECS did not alter STEP61 expression in postnuclear supernatant (S1) fraction (Supplemental Figure  2). Taken together, these data indicate that a single ECS but not chronic ECS caused a transient but significant increase in membrane-associated STEP61 expression in the hippocampus in vivo.

3.2. A Single ECS but Not Chronic ECS Transiently Decreased Tyr1472-Phosphorylation of GluN2B in the Hippocampus

Enriched in the postsynaptic density, STEP61 dephosphorylates NMDAR subunit GluN2B at Tyr1472, leading to internalization of GluN2B-containing NMDAR [11, 22, 24, 25, 41, 42]. We hypothesized that a single ECS-induced increase in STEP61 expression would decrease Tyr1472-phosphorylation of GluN2B in the hippocampus. Consistent with our hypothesis, western blot analysis of hippocampal P2 lysates revealed a significant reduction in the level of Tyr1472-phosphorylated GluN2B (GluN2B-pY1472) compared to NS group from 48 to 72 h following a single ECS (Supplemental Figure  3), with the most reduction seen at 48 h (Figure 2(a), % of NS, ) when STEP61 expression was transiently enhanced (Figure 1(d)). The level of Tyr1472-phosphorylated GluN2B was returned to the level of NS group by 96 h after a single ECS (Figure 2(a), Supplemental Figure  3) when elevated STEP61 level decreased back to the level of NS group (Figure 1(d)). Total GluN2B expression did not change following a single ECS (Figure 2(a), Supplemental Figure  3). Although chronic ECS did not alter the level of Tyr1472-phosphorylated GluN2B compared to NS control (Figure 2(b), Supplemental Figure  3), there was a modest but significant reduction in total GluN2B expression from 0 h to 24 h and 72 h to 96 h following chronic ECS compared to NS control (Figure 2(b), 96 h: %, ). These data indicate that a single ECS transiently reduced Tyr1472-phosphorylation of GluN2B whereas chronic ECS persistently reduced total GluN2B expression in the hippocampus.

3.3. A Single ECS but Not Chronic ECS Increased the Level of Tyr876-Phosphorylated GluA2 in the Hippocampus

STEP61 reduces Tyr-phosphorylation of AMPAR subunit GluA2 and mediates AMPAR internalization upon acute stimulation of group 1 metabotropic glutamate receptors (mGluR) and application of Aβ [24, 26]. Although it is unclear which specific Tyr residue (s) in GluA2 is directly dephosphorylated by STEP61, AMPAR internalization is reported to involve dephosphorylation of Tyr869, Tyr873, and Tyr876 (3Tyr) within the intracellular GluA2 C-terminal region (GluA-p3Y) [43]. We therefore hypothesized that a single ECS-induced increase in STEP61 expression would decrease the level of 3Tyr-phosphorylated GluA2 as well as Tyr876-phosphorylated GluA2 in the hippocampus. There was an increasing trend for the level of 3Tyr-phosphorylated GluA2 over the course of 96 h following a single ECS compared to NS control, although this increase did not reach statistical significance due to a large standard deviation (Figure 3(a), Supplemental Figure  4). To our surprise, the level of Tyr876-phosphorylated GluA2 was unaltered at 48 h following a single ECS (Figure 3(b), Supplemental Figure  4, % of NS, ) when STEP61 expression was significantly increased compared to NS control (Figure 1(d)). Instead, the level of Tyr876-phosphorylated GluA2 was significantly increased by 2-fold at 96 h following a single ECS (Figure 3(b), % of NS, ) when STEP61 expression was similar to that of NS control (Figure 1(d)). A single ECS had no effect on total GluA2 expression (Figure 3(c), Supplemental Figure  4). Chronic ECS did not alter the levels of 3Tyr-phosphorylated GluA2, Tyr876-phosphorylated GluA2, and total GluA2 (Figures 3(d)3(f), Supplemental Figure  5). These data indicate that a single ECS regulates Tyr876-phosphorylation of GluA2 in the hippocampus.

3.4. A Single ECS and Chronic ECS Differently Altered Tyr204/187-Phosphorylation of ERK1/2 in the Hippocampus

STEP61-mediated dephosphorylation of ERK1/2 at Tyr204/187 inactivates ERK1/2, opposing synaptic strengthening during LTP [44, 45]. Thus, we next tested whether a single ECS-induced increase in STEP61 expression would decrease Tyr204/187-phosphorylation of ERK1/2 in the hippocampus. There was an initial increasing trend for the level of Tyr204/187-phosphorylated ERK1/2 (ERK-pY204/187) until 24 h following a single ECS (Figure 4(a), ). At 48 h following a single ECS when STEP61 expression was significantly increased (Figure 1(d)), the level of Tyr204/187-phosphorylated ERK1/2 was markedly reduced to % of NS (, Figure 4(a), Supplemental Figure  6). As STEP61 level reduced to those of NS groups from 48 h to 96 h after a single ECS (Figure 1(d)), the level of Tyr204/187-phosphorylated ERK1/2 also gradually increased to the level of NS groups (Figure 4(a), Supplemental Figure  6). Total ERK1/2 expression was significantly reduced at 72 h to 96 h following a single ECS (Figure 4(a), Supplemental Figure  6; 72 h: % of NS, , 96 h: % of NS, ). Interestingly, chronic ECS caused about a 6-fold increase in the level of Tyr204/187-phosphorylated ERK1/2 at 0 h time point compared to NS group (Figure 4(b), Supplemental Figure  6; 0 h: % of NS, ). However, this initial increase was decreased to the level of NS group by 24 h after chronic ECS (Figure 4(b), between 0 h and 24 h). There was no change in total ERK1/2 expression in the hippocampus following chronic ECS (Figure 4(b), Supplemental Figure  6). Collectively, these results show that a single ECS and chronic ECS dynamically modulate Tyr204/187-phosphorylation of ERK1/2.

3.5. A Single ECS and Chronic ECS Increased the Expression of APP and Aβ Oligomers in the Hippocampus

The Aβ peptide is derived from the cleavage of the amyloid precursor protein (APP) by β-secretase and γ-secretase at the Golgi and to a lesser extent endoplasmic reticulum [46]. Aβ oligomers have been shown to reduce surface expression of NMDARs and AMPARs by upregulating STEP61 activity [11, 22, 2426]. Furthermore, an Aβ-mediated disruption of the proteasome leads to increased STEP61 levels in human AD brains and AD mouse models [11, 22, 25, 26]. Since Aβ is produced and secreted from neurons in response to synaptic activity [4749], we next examined whether ECS could increase the production of Aβ peptides by performing western blotting in crude soluble S2 fractions of the hippocampus. Upon induction of a single ECS, the level of Aβ oligomers increased by 3-fold compared to the NS group at 72 h (Figure 5(a), Supplemental Figure  7; Aβ-72 h: %, ) when STEP61 level is similar to that of NS group (Figure 1(d)). APP expression was also increased by 3-fold at 72–96 h following a single ECS (Figure 5(a), Supplemental Figure  7; APP-72 h: %, , APP-96 h: %, ). Chronic ECS also caused a 2- to 3-fold increase in the expression of Aβ oligomers at 48 h and 96 h (Figure 5(b), Supplemental Figure  8; Aβ-48 h: %, , Aβ-96 h: %, ) and a 2-fold increase in the expression of APP at 48 h following chronic ECS (Figure 5(b), Supplemental Figure  8; %). These data indicate that both a single ECS and a chronic ECS led to a delayed increase in the levels of APP and Aβ oligomers in the hippocampus.

3.6. The Physiologic Consequences of STEP61 Regulation in the Hippocampus by ECS

We show that STEP61 level was markedly increased in rat hippocampus at 48 h after a single induction of ECS (Figure 1(d)), which induces global elevation of hippocampal neuronal activity [33]. Consistent with this increase in STEP61 expression, the level of Tyr1472-phosphorylated GluN2B was reduced at 48–72 h following a single ECS without altering total GluN2B expression (Figure 2(a)). Considering that STEP61-mediated dephosphorylation of GluN2B leads to internalization of GluN2B-containing NMDARs [11], upregulation of STEP61 (Figure 1(d)) may serve as a compensatory mechanism to reduce surface density of NMDARs in the hippocampus in response to seizures (Figure 6). Consistent with the previous report on ECS-induced decreases in PSD-95 and GluN2A/B expression [50], chronic ECS caused a persistent decrease in total GluN2B expression over the course of 96 h following chronic ECS (Figure 2(b)). NMDAR activation requires coincident binding of glutamate and membrane depolarization produced by opening of AMPARs [51]. Hence, although chronic ECS did not alter GluA2 level (Figure 3(f)), a persistent decline in GluN2B expression (Figure 2(b)) could facilitate synaptic weakening in response to repetitive seizures.

STEP61 mediates AMPAR internalization upon mGluR activation and Aβ application by dephosphorylating GluA2 [24, 26], suggesting a possibility that a single ECS-induced increase in STEP61 expression could lead to synaptic weakening by decreasing Tyr-phosphorylation of GluA2. Unexpectedly, the level of Tyr876-phosphorylated GluA2 was enhanced at 96 h following a single ECS (Figure 3(b)). No significant changes were seen in the level of 3Tyr-phosphorylated GluA2 and total GluA2 following a single ECS (Figures 3(a) and 3(c)). Since the level of Tyr876-phosphorylated GluA2 was unaltered at 48 h following a single ECS when STEP61 was increased (Figures 1(d) and 3(b)), Tyr876 of GluA2 might not have been directly regulated by STEP61. It is also possible that STEP61 dephosphorylates a specific residue within the 3Tyr motif, but that kinase-mediated phosphorylation of another residue within the same motif could mask the STEP61 effect. Identification of specific phosphorylation sites regulated by STEP61 may aid future studies to dissect the role of STEP61 in ECS-induced regulation of GluA2 Tyr-phosphorylation.

The level of Tyr204/187-phosphorylated ERK1/2 was markedly decreased at 48 h following a single ECS (Figure 4(a)), when STEP61 expression was at its peak (Figure 1(d)). Since STEP61-mediated dephosphorylation of ERK1/2 at Tyr204/187 inactivates ERK1/2 [44, 45], our results suggest a significant reduction in ERK1/2 activity by ECS-induced upregulation of STEP61. The total ERK1/2 expression was also reduced at 72–96 h following a single ECS (Figure 4(a)). Considering that activation of ERK1/2 drives synaptic delivery of AMPAR [52] and activity-dependent regulation of gene transcription during LTP [53], ERK1/2 inactivation at 48 h and ERK1/2 reduction at 72–96 h following a single ECS would also facilitate synaptic weakening (Figure 6). Interestingly, chronic ECS caused a 6-fold increase in the level of Tyr204/187-phosphorylated ERK1/2 at 0 h following chronic ECS compared to NS control, which was returned to the level of NS control by 24 h after chronic ECS (Figure 4(b)). These temporal changes in ERK1/2 activity are consistent with previous reports in cultured neurons that ERK1/2 undergoes rapid activation in response to glutamate stimulation, followed by a STEP61-dependent delayed inactivation to baseline [44, 54, 55]. Taken together, our results suggest that upregulation of STEP61 and downregulation of its substrates critical for synaptic plasticity may provide efficient means to mediate synaptic weakening (Figure 6).

3.7. The Physiologic Consequences of APP and Aβ Regulation in the Hippocampus by ECS

Previous studies have shown that application of Aβ oligomers activates STEP61, which subsequently leads to internalization of NMDAR and AMPAR [11, 22]. We speculate that the delayed 3-fold increase in APP and Aβ expression at 72–96 h following a single ECS (Figure 5(a)) would enhance STEP61 activity, leading to a persistent reduction in NMDAR and AMPAR surface expression at these time points when STEP61 levels returned back to NS control levels (Figure 6). Such persistent decrease in synaptic strength is expected to lead to the elimination of synapses [5658]. Indeed, decreases in synapse density are evident in the hippocampi of patients with early AD and correlate strongly with memory impairment [5961]. Furthermore, a single ECS has been shown to cause memory deficits in rats when it was administered right after the hippocampus-dependent learning experience [50, 62], consistent with clinical observations of retrograde amnesia as one severe side effect for electroconvulsive therapy in humans [63]. Hence, it will be interesting to test if seizure-induced increase in APP and Aβ expression and downregulation of NMDAR and ERK1/2 through STEP61 could be the basis of cognitive deficits in early AD and ECT.

Interestingly, a transient 2-fold increase in APP and Aβ expression was observed at 48 h after chronic ECS compared to NS control, which was followed by a 3-fold increase in Aβ expression at 96 h time point (Figure 5(b)). The initial increase in APP expression could be the basis for the delayed increase in Aβ levels. Animals administered with chronic ECS display increased dentate granule cell neurogenesis [64] and molecular layer mossy fiber sprouting [65, 66]. Since APP regulates neurite outgrowth as well as cell adhesion and promotes neuronal survival [6770], chronic ECS-induced increase in APP expression may regulate hippocampal neurogenesis and mossy fiber sprouting. Interestingly, similar 3-4-fold increase in APP levels has been found in the postmortem temporal lobe from patients with early AD [71] and from patients with intractable temporal lobe epilepsy with abnormal neurite outgrowth [72]. The AD transgenic mouse models with elevated APP expression display spontaneous seizures, sharp wave discharges, and mossy fiber sprouting as well as ectopic expression of inhibitory neuropeptides in their hippocampus [5, 14, 15, 1721]. Importantly, hippocampal neurons in transgenic APP-overexpressing AD mice display hyperexcitability well before plaque formation [6]. Since Aβ application increases the activity of excitatory neurons in acute brain slices [20] and neuronal activity stimulates synthesis and synaptic release of Aβ [4749], we speculate that chronic ECS-induced initial increase in APP expression may result in neuronal hyperexcitability, which in turn causes heightened Aβ expression, ultimately leading to pathologic positive feedback loop of Aβ production [73].

3.8. The Mechanisms Underlying ECS-Induced Expression of STEP61 and APP

Previous studies have shown that STEP61 expression is regulated by multiple mechanisms. STEP61 is locally translated in dendrites upon mGluR5 activation through a mechanism dependent on ERK1/2 phosphorylation [24]. Interestingly, fragile X mental retardation protein (FMRP) binds to and inhibits translation of STEP mRNA [74] whereas genetic ablation of FMRP leads to increased STEP expression [75, 76]. Hence, it is possible that the initial increasing trend in ERK1/2 phosphorylation induced by a single ECS (Figure 4(a)) could increase STEP61 expression by 48 h (Figure 1(d)) by triggering local dendritic synthesis of STEP61 upon FMRP inhibition. In addition, STEP61 undergoes proteasome-dependent degradation upon polyubiquitination [77], suggesting another possibility that a single ECS could elevate STEP61 expression by inhibiting proteasomal STEP61 degradation. Lastly, both a single ECS and a chronic ECS stimulate robust induction of immediate early genes and subsequent downstream genes important for neural plasticity [30, 31, 66, 7883]. Considering that 48 h blockade of neuronal activity or NMDAR in cultured hippocampal neurons leads to a significant reduction in STEP61 mRNA and protein expression [27], a single ECS may stimulate transcription of STEP61 in the hippocampus through NMDAR activation. Further investigation is needed to investigate if enhancement of hippocampal network activity upon a single ECS increases STEP61 protein level by enhancing transcription and translation of STEP61 and/or inhibiting its proteasomal degradation.

It is unclear how a single and a chronic ECS caused a delayed increase in APP and Aβ expression in the hippocampus (Figure 5). Previous studies have shown that APP synthesis and processing are stimulated by interleukin-1 (IL-1) [8486], which is synthesized and released from activated microglia [87, 88]. Consistently, neuronal expression of APP is associated with heightened IL-1 immunoreactivity in human temporal lobe epilepsy [72]. Interestingly, activated microglia are found in the hippocampus 24 h after a single or repeated ECS, and the number of activated microglial cells remained increased for weeks after ECS [89]. Though highly speculative, it is possible that ECS-induced persistent activation of microglia could stimulate IL-1 synthesis and release, leading to delayed APP production in neurons following a single ECS or a chronic ECS.

Chronic ECS did not induce significant alterations in the levels of STEP61, GluA2, and ERK1/2 compared to NS groups (Figures 14). While chronic ECS is therapeutically used to reduce stress [33], it is also possible that the “no seizure” (NS) animals might have been hyperstressed by the repeated exposures to handling and the ECS apparatus, even though current was not delivered. Considering the interdependence of stress and STEP61 expression [90], heightened stress in the NS animals in combination with dampened stress levels in chronic ECS-received rats may account for the lack of effects on STEP61 regulation following chronic ECS administration.

4. Conclusion

Here, we show that a single ECS transiently increases protein expression of membrane-associated STEP61 and decreases Tyr-phosphorylation of NMDAR subunit GluN2B and ERK1/2 in the hippocampus. A delayed decrease in the levels of ERK1/2 as well as a delayed enhancement of APP and Aβ expression is also seen in the hippocampus following a single ECS. Chronic ECS treatment also leads to a persistent decrease in GluN2B level and a transient increase in APP and Aβ production. To our knowledge this is the first study reporting the temporal expression of APP, Aβ, STEP61 and its substrates at various time points following a single ECS and chronic ECS. We propose that this regulation causes a transient weakening of synaptic strength to combat global enhancement of hippocampal neuronal activity induced by ECS. This regulation may also contribute to hippocampus-dependent memory loss induced by ECS, supporting antiepileptic drugs as potential therapy for cognitive dysfunction in early AD [17]. Given that Aβ-induced increase in STEP61 expression is involved in NMDAR and AMPAR internalization during synaptic weakening in AD [11, 22, 2426], the work reported here emphasizes the need to dissect the detailed molecular mechanisms underlying activity-dependent regulation of STEP61. These mechanistic insights may help to explain the heightened STEP61 expression present in AD [11, 22, 25] and fragile X syndrome [76] which have epileptic seizures as comorbid conditions.

Competing Interests

The authors declare that they have no competing interests.

Authors’ Contributions

Sung-Soo Jang and Sara E. Royston contributed equally. Gunhee Lee and Shuwei Wang contributed equally.

Acknowledgments

The authors thank Dr. Neil Fournier in Dr. Ronald Duman’s laboratory (Yale University School of Medicine) who trained Sara Royston in inducing ECS in rats. They thank Max Crouse for his technical assistance with ECS and whole brain lysate preparation.

Supplementary Materials

The Supplementary Material shows all raw data collected for Figures 1-5 in the hippocampal membrane P2 fractions of male rats treated with a single ECS and chronic ECS.

  1. Supplementary Material