~ Pergamon
0306-4522(94)00550-8
Neuroscience Vol. 65, No. 3, pp. 661-670, 1995
Elsevier ScienceLtd
Copyright © 1995 IBRO
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SPATIOTEMPORAL SELECTIVE EFFECTS ON
BRAIN-DERIVED NEUROTROPHIC FACTOR AND trkB
MESSENGER RNA IN RAT HIPPOCAMPUS BY
ELECTROCONVULSIVE SHOCK
N. LINDEFORS,*t E. BRODIN:~ and M. METSIS§
tDepartment of Clinical Neuroscience, Section for Psychiatry and Psychology, ~:Department of
Physiology and Pharmacology, and §Department of Medical Biochemistry and Biophysics, Laboratory
for Molecular Neurobiology, Karolinska Institutet, P.O. S-171 76 Stockholm, Sweden
Abstract--Electroconvulsive therapy is used in the treatment of affective disorders and schizophrenia and
experimental electroconvulsive shock may serve as an animal model for this treatment. The aim of this
study was to investigate a possible role for neurotrophins in the mechanism of action of experimental
electroconvulsive shock and thus in clinical electroconvulsive therapy. The effect of electroconvulsive
shock on levels of messenger RNAs encoding the neurotrophin brain-derived neurotrophic factor and the
receptor trkB in rat hippocampus was determined by in situ hybridization with RNA probes 1, 3, 9 and
27 h following the shock. Brain-derived neurotrophic factor messenger RNA levels were increased at l,
3 and 9 h following the shock and normalized after 27 h. Granule cells of the dentate gyrus showed a more
rapid response as compared to hilar cells and pyramidal cells of CA1. Total trk B messenger RNA levels,
including the transcripts for both the truncated and full length trk B receptor protein (gp9Y rkB and
gpl45 trkB, respectively), showed a pattern of increase very similar to that of the brain-derived neurotrophic
factor messenger RNA. However, using a probe selective for the full length (gpl4Y rkB) trkB messenger
RNA, we determined a delayed pattern of activation with significant increase only at 3 and 9 h after the
shock. In hippocampus total trkB messenger RNA was found to consist of approximately one-quarter
of mRNA encoding gpl45 trkB and three-quarters encoding gp95/rkB as revealed by RNAase protection.
While brain-derived neurotrophic factor and the truncated trkB messenger RNAs appear to increase
with a similar pattern, suggesting a similar mechanism of activation by electroconvulsive shock, full length
receptor trk B messenger RNA appears to increase with a delayed pattern suggesting a separate mechanism
of activation. Electroconvulsive shock-induced seizures seem to include activation of a brain neurotrophin
known to be important for neuronal plasticity.
Electroconvulsive therapy (ECT) is used in the treat-
ment of severe depression and in some cases is also
an effective antipsychotic agent. 47 In treatment of
schizophrenia, ECT is particularly efficient in the case
of catatonic or affective presentation. The develop-
ment of efficient neuroleptic drugs has put ECT in a
secondary position in schizophrenia treatment. Never-
theless, recent data indicate that ECT may be ben-
eficial given together with neuroleptics in treatment
of treatment-resistant schizophrenia. 4z The mechan-
ism of action of ECT in treatment of depression and
schizophrenia remains obscure. Experimental electro-
convulsive shock (ECS) is often used as an animal
model for ECT. Using a similar shock paradigm as
in clinical ECT, experimental ECS can affect both
neurotransmitter receptors and neuropeptides and
transmitter synthesizing enzymes at the protein or
*To whom correspondence should be addressed.
Abbreviations: BDNF, brain-derived neurotrophic factor;
CA, cornu ammonis, i.e. Ammons horn of hippo-
campus; ECS, electroconvulsive shock; ECT, electrocon-
vulsive therapy; EDTA, ethylenediaminetetra-acetate;
SSC, saline-sodium citrate buffer.
mRNA level. 9'1°'18'31'32 Transcription factor mRNAs
for zif/268, c-fos, c-jun and jun-B have been reported
to increase transiently following ECS, in particular in
the hippocampus) 1 In successful clinical use, short
ECT series of approximately five to l0 repeated
treatment shocks produce a long-lasting attenuation
of disease symptoms when appropriate indications
are fulfilled. 47 This suggests that ECT induces a stable
change in neuronal function in regions of the brain
involved in the pathophysiology of depression or
catatonic schizophrenia.
The hippocampus is important for cognitive
functions such as spatial orientation and memory
formation? Experimental kindling epileptogenesis
shows that the hippocampal formation is prone to
start epileptogenic activity. 17 Since ECS as well as
ECT include epileptic convulsions, the hippocampus
might be a relevant area to study for their mechan-
isms of action. Anatomically, the hippocampus re-
ceives major afferent glutamatergic projections from
the entorhinal cortex and cholinergic afferents from
the septal area. 3 Afferent pathways also include
monoaminergic neurons from midbrain dopamin-
ergic, serotonergic and noradrenergic cell groups. The
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