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During the development of epilepsy in adult animals, newly-generated granule cells integrate abnormally into the hippocampus. These new cells migrate to ectopic locations in the hilus, develop aberrant basal dendrites, contribute to mossy fiber sprouting and exhibit changes in apical dendrite structure and dendritic spine number. Mature granule cells do not appear to exhibit migration defects, basal dendrites and mossy fiber sprouting, but whether they exhibit apical dendrite abnormalities or spine changes is not known. To address these questions, we examined the apical dendritic structure of BrdU-birthdated, GFP-expressing granule cells born two months before pilocarpine-induced status epilepticus. In contrast to immature granule cells, exposing mature granule cells to status epilepticus did not significantly disrupt the branching structure of their apical dendrites. Mature granule cells did, however, exhibit significant reductions in spine density and spine number relative to age-matched cells from control animals. These data demonstrate that while mature granule cells are resistant to developing the gross structural abnormalities exhibited by younger granule cells, they show similar plastic rearrangement of their dendritic spines.
Temporal lobe epilepsy is a common and debilitating disease that, in addition to seizures, is sometimes associated with significant cognitive and memory deficits. Recently, attention has focused on the impact of seizures and epileptogenesis on adult neurogenesis. In both animals and humans, hippocampal granule cells are generated throughout life and into old age (Altman and Das, 1965; Kaplan and Hinds, 1977; Eriksson et al., 1998; van Praag et al., 2002). While the exact role of these new cells remains controversial, numerous animal studies have linked them to learning and memory (for review see Deng et al., 2010). During the development of epilepsy, however, newly-generated granule cells integrate abnormally into the brain. Indeed, abnormal, adult-generated granule cells appear to account for much of the pathological plastic rearrangement of the epileptic dentate gyrus. Specifically, new cells appear to underlie mossy fiber sprouting (Parent et al., 1997; Kron et al., 2010), in which granule cells innervate the dentate inner molecular layer, creating recurrent excitatory connections (Nadler, 2003). New cells migrate to ectopic locations in the dentate hilus (Scharfman et al., 2000; Parent et al., 2006), where they exhibit abnormal morphological and physiological properties (Pierce et al., 2005; Cameron et al., 2011; Pierce et al., 2011). New cells form basal dendrites (Walter et al., 2007), which project into the dentate hilus and establish additional recurrent connections with other granule cells (Ribak et al., 2000; Shapiro and Ribak, 2006; Thind et al., 2008), and new cells exhibit a variety of apical dendrite abnormalities (Murphy et al., 2011).
While previous studies indicate that mature granule cells are comparatively resistant to developing the more extravagant plastic changes exhibited by immature cells, such as formation of hilar basal dendrites (Jessberger et al., 2007; Walter et al., 2007), it seems improbable that they are entirely unaffected by the epileptogenic process. Indeed, numerous studies going back decades (here citing just a few examples; Scheibel and Scheibel, 1973, Geinisman et al., 1988; Houser, 1990; Bundman et al., 1994; von Campe et al., 1997; da Silva et al., 2006; Murphy and Danzer, 2011) have identified changes among granule cells during epileptogenesis. Although cell age was not determined in these studies, it is likely that most reflect changes among mature neurons given the relative proportions of mature to immature cells (Mathews et al., 2010). To explore this possibility, granule cells born two months before pilocarpine-induced status epilepticus were examined one month after the injury. A smaller group of cells born one week before status epilepticus (immature cells) was also included for comparative purposes. Cells were birthdated and their morphology revealed by treating GFP-expressing mice with the thymidine analog BrdU (Walter et al., 2007; Murphy et al., 2011). Recent findings have led to the hypothesis that aberrant integration of adult-generated granule cells contributes to the etiology of temporal lobe epilepsy (Parent and Murphy, 2008). Despite the heightened role of these immature cells, it is still important to elucidate whether and how their more mature neighbors respond to the insult.
All procedures conformed to NIH and institutional guidelines for the care and use of animals. Studies were conducted on Thy1-GFP expressing mice maintained on a C57BL/6 background (Feng et al., 2000). Mice were hemizygous (carried one copy) for the Thy1-GFP transgene. Although multiple litters were used to generate sufficient animals for study, littermates were represented in both control and experimental groups to reduce variability.
To examine the impact of status epilepticus (SE) on mature cells, 12 one-month-old male mice (control, n=7; SE, n=5) were given once-daily subcutaneous (s.c.) injections of BrdU (100 mg/kg in Ringers solution) for three days. Two months later, mice were injected with 1mg/kg methyl scopolamine nitrate s.c. followed by 380 mg/kg pilocarpine. Injections were given between 10AM and noon to control for diurnal variations. The development of status epilepticus in pilocarpine-treated mice was confirmed by behavioral observation. Three hours after the onset of status epilepticus, mice were given two doses of 10 mg/kg diazepam at 15 minute intervals. Control animals received saline instead of pilocarpine, but were given all other drugs and treatments. Four weeks after pilocarpine treatment, mice were anesthetized with pentobarbital (100 mg/kg) and perfused with PBS+1U/ml heparin followed by 2.5% paraformaldehyde and 4% sucrose in PBS, pH 7.4. Brains were post-fixed overnight, cryoprotected in sucrose (10, 20, 30%), and sectioned coronally at 60 μm. Slide-mounted sections were stored at −80°C. Cells generated using this protocol are designated as “mature/no SE” or “mature+SE”, depending on whether the animals received saline or pilocarpine-status epilepticus, respectively.
For comparative purposes, thirteen male mice were injected with BrdU beginning one week prior to pilocarpine treatment and were perfusion fixed four weeks after treatment. Mice were either one- or three-months-old at the time of pilocarpine-treatment (control, 1 month, n=3; control, 3 months, n=3; SE, 1 month, n=4; SE, 3 months, n=3). One-month-old animals were included in an attempt to increase the yield of immature/no SE cells, since constitutive neurogenesis is higher in young animals. Yields were low because the Thy1 promoter does not begin to drive GFP expression until the cells are ≈4 weeks old, and many cells were too faint for reliable reconstruction at the five week time point. Treatments to increase neurogenesis (e.g., wheel running) would improve yields, but also introduce potentially confounding variables (Arida et al., 1998), so animals were housed under standard conditions. Cells generated using this protocol were five weeks old at the time of perfusion, and are designated as “immature/no SE” or “immature+SE”, depending on whether the animals received saline or pilocarpine-status epilepticus, respectively. All other treatments were identical to those described for examining mature granule cells.
Immunohistochemistry was conducted for BrdU and GFP in accord with established protocols (Murphy et al., 2011). Briefly, slide-mounted brain sections were incubated overnight at 4°C in 1:200 mouse monoclonal anti-BrdU antibodies (Becton, Dickinson and Company, Franklin Lakes, NJ) and 5 μg/ml rabbit polyclonal anti-GFP (AB3080, Chemicon, Temecula, CA) or 1:1500 chicken anti-GFP (#AB13970, Abcam) antibodies. Alexa Fluor 594 goat anti-mouse, Alexa Fluor 488 goat anti-rabbit and Alexa Fluor 488 goat anti-chicken secondary antibodies were used, as appropriate, at a 1:750 dilution (Molecular Probes, Eugene, OR).
Neuronal selection and reconstruction were conducted with the investigator blinded to treatment group. BrdU-positive, GFP-expressing dentate granule cells were identified by screening immunostained sections under epifluorescent illumination. All double-labeled cells meeting the following criteria were selected for analysis:
Cells meeting these criteria were imaged using a Leica SP5 confocal system set up on a DMI6000 inverted microscope equipped with a 63× oil immersion objective (NA 1.4). For dendritic reconstructions, 3-dimensional Z-series stacks were captured at 0.5 μm increments with a resolution of 0.12μm/pixel.
Neurons were digitally reconstructed from confocal image stacks using Neurolucida software (Microbrightfield, Inc.). Dendritic endings were encoded either as “natural” if they ended normally within the tissue section, or “truncated” if they were cut at either the upper or lower surface of the tissue slice. The position of each cell within the upper or lower blade of the dentate, and cell position relative to the hilar border and relative to bregma coordinates (Paxinos and Franklin, 2001) was recorded. The number of truncated endings and cell position were statistically equivalent among groups (data not shown). Image stacks were also used to encode the location of the hilar – granule cell body layer border, the granule cell body layer – molecular layer border and the location of the hippocampal fissure. The molecular layer was further subdivided into inner, middle and outer regions, with the inner region being the first 17% of the molecular layer (West and Andersen, 1980; Deller et al., 1999; van Groen et al., 2003; Danzer et al., 2004; Murphy et al., 2011), and the middle and outer being an equal split of the remainder. These subdivisions are only approximate, however, because exact divisions between layers are not clearly discernable.
Dendritic spines were counted from 3-dimensional z-series confocal image stacks using Neurolucida software. Z-series stacks were captured at 0.2 μm increments with a 63× (1.4 NA) objective at 6× optical zoom. Stacks were obtained from the inner, middle and outer molecular layers, corresponding to the three distinct lamina of the dentate molecular layer. Only dendritic segments fully contained within the tissue section were imaged for spine count analysis. Spines were defined as protrusions from the dendritic shaft exceeding 0.25 μm in length. Confocal z-series stacks facilitate the visualization of spines above and below the dendrite, as well as spines along the sides of the dendrite. Spines above and below the dendrite still tend to be somewhat obscured, however, so counts presented here may underestimate actual spine numbers.
Statistical tests were conducted using Sigma Plot software (version 11.0). For comparisons of mature/no SE and mature+SE groups, which consisted entirely of animals treated with pilocarpine at three months of age, data were assessed for normality and equal variance, and parametric or non-parametric tests were run as appropriate. Actual tests used are noted in the results. For comparisons of immature/no SE and immature+SE groups, which contained animals that received pilocarpine (or saline) at either one or three months of age, data were assessed for normality and equal variance, and were normalized using a rank transformation if necessary. Significance was then determined used a two-way ANOVA controlling for age and treatment with a Holm-Sidak post-test. P values < α=0.05 were accepted as significant.
Confocal maximum projections were generated from z-series stacks using Leica's LAS-AF Confocal Application Suite (version 2.2.0 build 4758). Images were processed using an erosion filter run for one iteration with a three pixel radius to reduce background artifact. Z-series stacks were also cropped in the z-dimension to remove structures of other neurons that would otherwise obscure the cell of interest in two dimensional projections (Walter et al., 2007). Final figure preparation, including adjustments of brightness and contrast, was done using Photoshop software (version 7.0). Identical adjustments were made to images meant for comparison.
To assess the impact of status epilepticus (SE) on the structure of mature granule cells, Thy1-GFP expressing mice were treated with BrdU to label adult-generated granule cells, and were subsequently treated with pilocarpine to induce SE. Sections from these animals were screened to identify BrdU-labeled, GFP-expressing cells for analysis, with the co-incidence of both labels revealing cell age and morphology (Fig.1). Four groups of BrdU-labeled, GFP-expressing adult-generated cells were examined: 1) Mature/no SE: BrdU-labeled, GFP expressing cells from animals treated with BrdU twelve weeks earlier (n=18 cells). 2) Mature+SE: Cells from animals treated with BrdU eight weeks before pilocarpine SE, and killed four weeks after SE (n=21 cells). 3) Immature/no SE: BrdU-labeled, GFP expressing cells from animals treated with BrdU five weeks earlier (n=10 cells). 4) Immature+SE: Cells from animals treated with BrdU one week before pilocarpine SE, and killed four weeks after SE (n=19). Previous studies have demonstrated that immature granule cells (<1-2 weeks old) exposed to status epilepticus develop dendritic abnormalities (Jessberger et al., 2007; Walter et al., 2007; Kron et al., 2010) and exhibit reductions in spine density and number (Murphy et al., 2011). Since these studies often utilized different species, models and time points, however, groups three and four were included to confirm that these young cells exhibit similar behavior under the present conditions. Groups are shown schematically in figure 2.
Granule cells in the mature+SE group had qualitatively normal apical dendritic trees (Fig.3), exhibiting typical fan-like spreading with dendritic branches terminating at the hippocampal fissure (Claiborne et al., 1990). The apical dendrites of these cells were indistinguishable from age-matched mature/no SE granule cells. Basal dendrites were absent among mature/no SE cells, and were largely absent among mature+SE cells, although 11.1% of this latter group (2 of 18) possessed large basal dendrites (152 and 153 microns in length) projecting into the hilus. This difference, however, was not significant (p=0.467, z-test), and could be within the normal range, since granule cells from control animals do occasionally possess basal dendrites (Walter et al., 2007).
To generate more quantitative measures of dendritic structure, digital reconstructions were made of mature/no SE and mature+SE granule cells. Standard measures of dendritic structure were similar between groups (Table 1). The trajectory of the initial segment of the apical dendrite – measured relative to a line drawn perpendicular to the granule cell body layer – was also equivalent among groups (mature/no SE, 14.8° [0-33]; mature+SE, 14.2° [0-38]; p=0.962, Mann-Whitney rank sum test [RST]). Finally, the number of self-crossing dendritic branches – a measure used to assess the degree to which dendritic branches occupy overlapping space in the molecular layer – did not differ between mature/no SE and mature+SE cells (Table 1). Self-crossing dendrites were assessed from a two-dimensional perspective.
Mature+SE granule cells showed consistent reductions in spine density across all three subregions of the dentate molecular layer relative to mature/no SE cells (Figs.4 & 5; IML, p=0.006; MML, p=0.004; OML, p=0.044; RST). Since the dendritic trees for these cells were also reconstructed, it was possible to calculate spine numbers for each molecular layer subregion and for entire cells (spine density × dendrite length). Spine number was significantly reduced for mature+SE cells in the inner and middle molecular layers relative to mature/no SE cells (Fig.4; IML, p=0.018; MML, p=0.009; RST). No significant difference was evident between groups in the outer molecular layer (Fig.4), spine density reductions in this region being offset by slightly greater dendrite length for mature+SE cells (Table 1). Total spine number (all regions combined) for mature+SE cells, however, was still reduced significantly relative to mature/no SE cells (p=0.040, RST).
Groups were also assessed to determine whether a correlation existed between soma area and spine density. Previous studies, examining 12-week-old cells born one week before status epilepticus, found a positive association among these features (Murphy et al., 2011). Interestingly, spine density was significantly correlated with soma area in the inner (R= 0.600, p=0.011; Pearson Product Moment [PPM] Correlation), middle (R=0.780, p<0.0002; PPM Correlation) and outer (R=0.498, p=0.0498; PPM Correlation) molecular layers for mature+SE cells. By contrast, no significant correlations were found for mature/no SE cells (inner, R= 0.120, p=0.635; middle, R=0.328, p=0.183; outer, R=0.360, p=0.142; PPM correlation).
To ensure that the conditions used for the present study were sufficient to induce dendritic abnormalities, immature granule cells exposed to status epilepticus at one week of age were examined one month after the insult. Since status-exposed immature cells have been examined elsewhere (Murphy et al., 2011), only limited analyses of dendritic structure and spine density were conducted here.
Consistent with previous studies (Arisi and Garcia-Cairasco, 2007; Shapiro et al., 2007; Murphy et al., 2011), qualitative examination of apical dendrite morphology revealed gross structural abnormalities among a subset of immature cells exposed to status relative to age-matched control cells (Fig.6). Specifically, while all immature/no SE cells were qualitatively normal, 30% of immature+SE granule cells failed to develop the spreading, fanlike dendritic trees typical of this cell type, instead exhibiting disorganized dendritic trees (3 of 19); collapsed dendritic trees with overlapping, rather than spreading dendrites (2 of 19; Fig.6, A); and dendrites that projected obliquely rather than directly into the molecular layer (1 of 19; Fig.6, B). Collapsed dendritic trees and oblique dendrites correspond to the “closed parasol” and “windblown” deformations (Scheibel and Scheibel, 1973) described previously among 12-week-old cells exposed to status when they were one week-of-age (Murphy et al., 2011). Also consistent with prior work (Jessberger et al., 2007; Walter et al., 2007), 37% of immature+SE cells possessed basal dendrites projecting into the hilus, while basal dendrites were absent among immature/no SE cells (p=0.034; Mann-Whitney rank sum test).
Dendritic spine density was significantly reduced along dendritic segments located in the inner, middle and outer molecular layers for immature+SE cells relative to immature/no SE cells (Fig.7 and and8;8; IML, p<0.001; MML, p<0.005; OML, p=0.033; two way ANOVA). Notably, animals treated with pilocarpine or saline at three months of age had significantly lower spine densities in the inner molecular layer relative to animals treated at one month of age, regardless of treatment group. The change is indicative of an age-related reduction in spine density in this region. Similar patterns were evident in the middle and outer molecular layers, although the effects were not significant. No interactions between age and treatment were found, indicating that the effects of status on spine density were similar at one and three months.
In the adult brain, the dentate gyrus contains a mix of mature and immature cells, ranging in age from days to months to years. When challenged by brain injury, these differences in age become important, modulating whether and how the cell responds. In the present study, two-month-old granule cells were exposed to status epilepticus and their structure was examined one month later. At two months of age, granule cells are functionally mature, and have passed the critical period during which new granule cells exhibit enhanced LTP by about two weeks (Ge et al., 2007). Two-month-old granule cells were resistant to developing the gross structural abnormalities evident among younger cells exposed to status, and their dendritic trees were quantitatively similar to age-matched cells from control animals. Intriguingly, however, mature cells exposed to status did exhibit significant reductions in dendritic spine density and number, similar to reductions observed among younger cells (Fig.7). Reductions in spine density were present in all three lamina, and reductions in spine number were evident in the inner and middle molecular layers. These latter changes suggest reduced commissural/associational input and reduced input from medial entorhinal cortex, respectively. Together, these findings demonstrate that while mature granule cells are resistant to seizure-induced changes, they are not immune and can undergo significant restructuring.
In the present study, two-month-old granule cells exposed to status epilepticus were found to be resistant to developing the abnormal apical dendritic trees evident among younger cells exposed to status (Murphy et al., 2011). The degree of granule cell pathology, however, can vary considerably among epilepsy models, animal strains and protocol conditions. To confirm that the methodology used here was sufficient to induce granule cell dendritic abnormalities, a group of cells birthdated one week before status epilepticus was examined one month after status. These animals were littermates to animals used to study mature granule cells, and the younger cells in these animals readily developed the apical dendrite abnormalities described by our laboratory previously (Murphy et al., 2011), albeit at an earlier timepoint (one month post SE here instead of three months). These findings confirm that the conditions used were capable of producing granule cell pathology, and strongly support the conclusion that the lack of apical dendrite abnormalities among mature cells reflects actual differences in their inherent plasticity.
One week after cell birth, granule cell apical dendritic trees are still very immature and are actively growing, as evidenced by the presence of growth cones at the dendritic tips (Jones et al., 2003; Overstreet-Wadiche and Westbrook, 2006). It seems likely that status epilepticus disrupts this growth, leading to the abnormal dendritic trees shown in figure 6. Consistent with this interpretation, studies of granule cell morphology using the early neuronal marker doublecortin reveal rapid changes in dendritic structure following seizures (Arisi and Garcia-Cairasco, 2007; Shapiro et al., 2007). By contrast, the apical dendritic trees of two-month-old granule cells are structurally mature and lack growth cones, although subtle changes in dendritic structure may continue for several months after birth (Zhao et al., 2006). The overall structure of the dendritic tree, therefore, would appear to relatively fixed, at least for the conditions examined here. Dendritic spines, on the other hand, have long been known to be extremely plastic even among mature neurons, and mature granule cells do not appear to differ in this regard.
Although the mechanism underlying the distorted growth of immature granule cells in epilepsy is unknown, disruption of reelin signaling may play an important role. Reelin is synthesized by Cajal-Retzius cells located in the outer molecular layer of the dentate gyrus. Granule cells in reeler mutant mice, which lack reelin expression, exhibit dendritic anomalies similar to those observed among immature granule cells exposed to status epilepticus (Stanfield and Cowan, 1979; Drakew et al., 2002; Förster et al., 2006). Altered reelin signaling in epilepsy (Gong et al., 2007; Fournier et al., 2010; Haas and Frotscher, 2010; Tinnes et al., 2011; Jaako et al., 2011) may disrupt dendritic growth and orientation, impairing young cells while leaving cells already mature at the time of the insult comparatively unaffected.
Dendritic spines are the postsynaptic specializations characteristic of excitatory synapses in the CNS. Spine counts, therefore, provide an indirect measure of excitatory synapse number. Direct measures of synapse number by electron microscopy support the utility of spine counts to assess synaptic input. For example, Cardoso and colleagues (2008) found reduced synapse density in the dentate inner and outer molecular layer following electroconvulsive seizures in rats, consistent with the present findings. Nonetheless, not all spines possess functional synapses, and not all excitatory synapses are at spines (for review see Sorra and Harris, 2000; Fiala et al., 2002). The present data, therefore, should be viewed with this caveat in mind.
Although most earlier studies did not assess granule cell age, a pattern of initial spine loss (Isokawa, 1998; Isokawa, 2000; Kurz et al., 2008; Thind et al., 2010) followed by a recovery in spine density (Isokawa, 1998; Isokawa, 2000; Thind et al., 2010) has been observed repeatedly in animal models of epilepsy. Rapid spine loss – prior to the onset of spontaneous seizures in status epilepticus models of epilepsy – implies that status itself is sufficient to induce the change. For the present study, however, we note that spontaneous seizures typically begin within a few weeks after status epilepticus in the pilocarpine model (Shibley and Smith, 2002; Borges et al., 2003; Goffin et al., 2007), so the possibility that the present findings reflect the impact of these seizures in addition to status should not be excluded. Interestingly, a recent study by Wood and colleagues (2011) does provide some insight into this question. They examined the morphology of newborn granule cells exposed to stimulus-evoked seizures in the kindling model of epilepsy, and found no change in spine density among cells exposed to 12-16 seizures. This finding suggests that seizures alone may not account for the reduction in spine density observed here, and that the period of status epilepticus is required. Alternatively, it is also possible that the consequences of spontaneous seizures in the pilocarpine model are distinct from evoked seizures in the kindling model. Future studies might be able to distinguish among these possibilities by controlling spontaneous seizures with anticonvulsive agents.
Status epilepticus results in loss of mossy cells in the dentate hilus (Borges et al., 2003; Boulland et al., 2007; Jiao and Nadler, 2007) and principal cells in entorhinal cortex (Kumar and Buckmaster, 2006; Castro et al., 2011). These neurons target granule cell dendrites in the molecular layer, so rapid spine loss may reflect deafferentation. Excitotoxic injury (Swann et al., 2000) and/or homeostatic mechanisms (Kempermann, 2006) may also play a role. Consistent with the latter possibility, Jakubs and colleagues (2006) found that granule cells born one week after electrically-induced status epilepticus and examined 4-6 weeks later using patch-clamp electrodes exhibited significant reductions in excitatory post-synaptic current (EPSC) frequency. This time course closely matches that of the present study, and the reduction in EPSC frequency is consistent with the reduction in spine density observed here among immature+SE cells. Jakubs and colleagues observed normal EPSC frequency among mature cells exposed to status. This is in contrast to what the reduction in spine density for mature+SE cells observed here would predict, although since very different methods were used to identify mature cells (BrdU birthdating vs. membrane rise time constant) it is not clear these reflect the same populations. Differences between epilepsy models and species (mouse vs. rat) could also be important. Nonetheless, our findings suggest that pilocarpine-status epilepticus and/or the occurrence of spontaneous seizures lead to a widespread reduction in afferent contacts to immature and mature populations of granule cells one month after the insult.
Physiological studies will be required to elucidate how changes in spine number alter brain function. Notably, a reduction in the number of synaptic inputs does not necessarily imply reduced excitability. Changes in network dynamics, afferent activity patterns, intrinsic neuronal properties and synaptic strength are likely to be important as well. Indeed, work by Kobayashi and colleagues (2003) demonstrated an increase in spontaneous field potentials in the dentate five days after pilocarpine status epilepticus in rats, a time point when widespread spine loss has been observed in other studies (Isokawa, 1998; Isokawa, 2000; Kurz et al., 2008; Thind et al., 2010). The finding suggests that even if spine loss acts to maintain homeostasis, the adaption is not sufficient to preserve normal activity patterns. Finally, the source of afferent input to remaining spines is clearly altered in epileptic animals – at least in the inner molecular layer – where normal commissural/associational inputs are replaced by recurrent excitatory connections with other granule cells (Nadler, 2003; Murphy et al., 2011). The overall reduction in spine numbers observed here, therefore, masks the fact that many of these remaining spines reflect de novo recurrent excitatory inputs.
In summary, the present study confirms previous findings that adult-generated granule cells are responsible for the most pronounced neuroplastic changes associated with epilepsy. Importantly, while newborn cells exhibited the most striking changes, mature cells were also affected, exhibiting significant reductions in spine density in all three lamina of the dentate molecular layer and overall reductions in spine number. These findings indicate that both mature and immature granule cells may contribute in significant ways to epileptogenesis and to comorbidities associated with the disease.
This work was supported by the National Institute of Neurological Disorders and Stroke (SCD, Award Number R01NS062806). OWC and VRS received support from CAPES (Brazil) and CNPQ (Brazil). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Neurological Disorders and Stroke or the National Institutes of Health. Thy1-GFP mice were kindly provided by Dr. Guoping Feng (Duke University). We would like to thank Keri Kaeding and Dr. John McAuliffe for useful comments on earlier versions of this manuscript.
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