Anti-PD-1 treatment protects against seizure by suppressing sodium channel function

© 2023 The Authors. CNS Neuroscience & Therapeutics published by John Wiley & Sons Ltd..

AIMS: Although programmed cell death protein 1 (PD-1) typically serves as a target for immunotherapies, a few recent studies have found that PD-1 is expressed in the nervous system and that neuronal PD-1 might play a crucial role in regulating neuronal excitability. However, whether brain-localized PD-1 is involved in seizures and epileptogenesis is still unknown and worthy of in-depth exploration.

METHODS: The existence of PD-1 in human neurons was confirmed by immunohistochemistry, and PD-1 expression levels were measured by real-time quantitative PCR (RT-qPCR) and western blotting. Chemoconvulsants, pentylenetetrazol (PTZ) and cyclothiazide (CTZ), were applied for the establishment of in vivo (rodents) and in vitro (primary hippocampal neurons) models of seizure, respectively. SHR-1210 (a PD-1 monoclonal antibody) and sodium stibogluconate (SSG, a validated inhibitor of SH2-containing protein tyrosine phosphatase-1 [SHP-1]) were administrated to investigate the impact of PD-1 pathway blockade on epileptic behaviors of rodents and epileptiform discharges of neurons. A miRNA strategy was applied to determine the impact of PD-1 knockdown on neuronal excitability. The electrical activities and sodium channel function of neurons were determined by whole-cell patch-clamp recordings. The interaction between PD-1 and α-6 subunit of human voltage-gated sodium channel (Nav1.6) was validated by performing co-immunostaining and co-immunoprecipitation (co-IP) experiments.

RESULTS: Our results reveal that PD-1 protein and mRNA levels were upregulated in lesion cores compared with perifocal tissues of surgically resected specimens from patients with intractable epilepsy. Furthermore, we show that anti-PD-1 treatment has anti-seizure effects both in vivo and in vitro. Then, we reveal that PD-1 blockade can alter the electrophysiological properties of sodium channels. Moreover, we reveal that PD-1 acts together with downstream SHP-1 to regulate sodium channel function and hence neuronal excitability. Further investigation suggests that there is a direct interaction between neuronal PD-1 and Nav1.6.

CONCLUSION: Our study reveals that neuronal PD-1 plays an important role in epilepsy and that anti-PD-1 treatment protects against seizures by suppressing sodium channel function, identifying anti-PD-1 treatment as a novel therapeutic strategy for epilepsy.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:30

Enthalten in:

CNS neuroscience & therapeutics - 30(2024), 4 vom: 28. Apr., Seite e14504

Sprache:

Englisch

Beteiligte Personen:

Yang, Yuling [VerfasserIn]
Chen, Zhiyun [VerfasserIn]
Zhou, Jing [VerfasserIn]
Jiang, Shize [VerfasserIn]
Wang, Guoxiang [VerfasserIn]
Wan, Li [VerfasserIn]
Yu, Jiangning [VerfasserIn]
Jiang, Min [VerfasserIn]
Wang, Yulong [VerfasserIn]
Hu, Jie [VerfasserIn]
Liu, Xu [VerfasserIn]
Wang, Yun [VerfasserIn]

Links:

Volltext

Themen:

73096E137E
Antibodies, Monoclonal, Humanized
Camrelizumab
Epilepsy
Journal Article
NAV1.6 Voltage-Gated Sodium Channel
Nav1.6
PD‐1 receptor
Programmed Cell Death 1 Receptor
Research Support, Non-U.S. Gov't
Sodium Channels
Sodium channel

Anmerkungen:

Date Completed 16.04.2024

Date Revised 29.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/cns.14504

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363966897