Aquaporin-4 Reduces Post-Traumatic Seizure Susceptibility by Promoting Astrocytic Glial Scar Formation in Mice.

Seizures are important neurologic complications following traumatic brain injury (TBI) and are reported for up to 50% of patients with TBI. Despite several studies, no drug strategy has been able to alter the biological events leading to epileptogenesis. The glial water channel aquaporin-4 (AQP4) was shown to facilitate cytotoxic cell swelling in ischemia and glial scar formation following stab wound injury. In this study, we examined post-traumatic seizure susceptibility of AQP4-deficient mice (AQP4-/-) after injection of pentylenetetrazole (PTZ) 1 month after controlled cortical impact (CCI) and compared them to wild-type sham injury controls. After PTZ injection, AQP4-/- mice demonstrated dramatically shortened seizure latency (120 ± 40 seconds vs. 300 ± 70 seconds, p <0.001) and increased seizure severity (grade 7.5 ± 0.4 vs. 5.8 ± 0.4, p <0.001) compared to their wild-type counterparts. Morphometric analysis demonstrated a significant two-fold reduction in astrocytosis with concomitant increase in microgliosis in injured AQP4-null mice compared to their injured wild-type counterparts (44 ± 2 cells/hpf vs. 24 ± 3 cells/hpf, respectively, p <0.0001). Minocycline, an inhibitor of microglia, reversed the post-TBI epilepsy phenotype of AQP4-null mice. After minocycline treatment, AQP4-/- mice demonstrated similar latency of seizures evoked by PTZ (723 ± 35 seconds vs. 696 ± 38 seconds, p > 0.05) and severity of seizures evoked by PTZ (grade 4 ± 0.5 vs. 3.81 ± 0.3, p > 0.05) compared to wild-type counterparts. Immunohistochemical analysis demonstrated decreased immunostaining of microglia to levels comparable to wild-type (12 ± 2 cells/hpf vs. 11 ± 4 cells/hpf, respectively, p > 0.05). Taken together, these results suggest a protective role of AQP4 in post-traumatic seizure susceptibility by promoting astrogliosis, formation of a glial scar, and preventing microgliosis.