Impaired D-Serine-Mediated cotransmission mediates cognitive dysfunction in epilepsy

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Date

2013-08-07

Authors

Klatte, Katharina
Kirschstein, Timo
Otte, David
Pothmann, Leonie
Muller, Lorenz
Tokay, Tursonjan
Kober, Maria
Uebachs, Mischa
Zimmer, Andreas
Beck, Heinz

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Journal ISSN

Volume Title

Publisher

Neurobiology of Disease

Abstract

The modulation of synaptic plasticity by NMDA receptor (NMDAR)-mediated processes is essential for many forms of learning and memory. Activation of NMDARs by glutamate requires the binding of a coagonist to a regulatory site of the receptor. In many forebrain regions, this coagonist is D-serine. Here, we show that experimental epilepsy in rats is associated with a reduction in the CNS levels of D-serine, which leads to a desaturation of the coagonist binding site of synaptic and extrasynaptic NMDARs. In addition, the subunit composition of synaptic NMDARs changes in chronic epilepsy. The desaturation of NMDARs causes a deficit in hippocampal long-term potentiation, which can be rescued with exogenously supplied D-serine. Importantly, exogenous D-serine improves spatial learning in epileptic animals. These results strongly suggest that D-serine deficiency is important in the amnestic symptoms of temporal lobe epilepsy. Our results point to a possible clinical utility of D-serine to alleviate these disease manifestations.

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Keywords

Epilepsy, D-serine, NMDAR, Research Subject Categories::MEDICINE

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