PMID- 23145776 OWN - NLM STAT- MEDLINE DCOM- 20130111 LR - 20211203 IS - 1528-1167 (Electronic) IS - 0013-9580 (Print) IS - 0013-9580 (Linking) VI - 53 IP - 11 DP - 2012 Nov TI - Rapamycin has paradoxical effects on S6 phosphorylation in rats with and without seizures. PG - 2026-33 LID - 10.1111/epi.12013 [doi] AB - PURPOSE: Accumulating data have demonstrated that seizures induced by kainate (KA) or pilocarpine activate the mammalian target of rapamycin (mTOR) pathway and that mTOR inhibitor rapamycin can inhibit mTOR activation, which subsequently has potential antiepileptic effects. However, a preliminary study showed a paradoxical exacerbation of increased mTOR pathway activity reflected by S6 phosphorylation when rapamycin was administrated within a short period before KA injection. In the present study, we examined this paradoxical effect of rapamycin in more detail, both in normal rats and KA-injected animals. METHODS: Normal rats or KA-treated rats pretreated with rapamycin at different time intervals were sacrificed at various time points (1, 3, 6, 10, 15, and 24 h) after rapamycin administration or seizure onset for western blotting analysis. Phosphorylation of mTOR signaling target of Akt, mTOR, Rictor, Raptor, S6K, and S6 were analyzed. Seizure activity was monitored behaviorally and graded according to a modified Racine scale (n = 6 for each time point). Neuronal cell death was detected by Fluoro-Jade B staining. KEY FINDINGS: In normal rats, we found that rapamycin showed the expected dose-dependent inhibition of S6 phosphorylation 3-24 h after injection, whereas a paradoxical elevation of S6 phosphorylation was observed 1 h after rapamycin. Similarly, pretreatment with rapamycin over 10 h before KA inhibited the KA seizure-induced mTOR activation. In contrast, rapamycin administered 1-6 h before KA caused a paradoxical increase in the KA seizure-induced mTOR activation. Rats pretreated with rapamycin 1 h prior to KA exhibited an increase in severity and duration of seizures and more neuronal cell death as compared to vehicle-treated groups. In contrast, rapamycin pretreated 10 h prior to KA had no effect on the seizures and decreased neuronal cell death. The paradoxical effect of rapamycin on S6 phosphorylation was correlated with upstream mTOR signaling and was reversed by pretreatment of perifosine, an Akt inhibitor. SIGNIFICANCE: These data indicate the complexity of S6 regulation and its effect on epilepsy. Paradoxical effects of rapamycin need to be considered in clinical applications, such as for potential treatment for epilepsy and other neurologic disorders. CI - Wiley Periodicals, Inc. (c) 2012 International League Against Epilepsy. FAU - Chen, Linglin AU - Chen L AD - School of Medicine, Zhejiang University City College, Hangzhou, Zhejiang, China FAU - Hu, Lin AU - Hu L FAU - Dong, Jing-Yin AU - Dong JY FAU - Ye, Qing AU - Ye Q FAU - Hua, Nan AU - Hua N FAU - Wong, Michael AU - Wong M FAU - Zeng, Ling-Hui AU - Zeng LH LA - eng GR - R01 NS056872/NS/NINDS NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Epilepsia JT - Epilepsia JID - 2983306R RN - EC 2.7.1.1 (mTOR protein, rat) RN - EC 2.7.11.1 (Ribosomal Protein S6 Kinases) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Male MH - Phosphorylation/drug effects/physiology MH - Rats MH - Rats, Sprague-Dawley MH - Ribosomal Protein S6 Kinases/antagonists & inhibitors/*metabolism MH - Seizures/*drug therapy/*metabolism MH - Sirolimus/*pharmacology/therapeutic use MH - TOR Serine-Threonine Kinases/metabolism MH - Treatment Outcome PMC - PMC3502022 MID - NIHMS408557 COIS- Disclosure None of the authors has any conflict of interest to disclose. We confirm that we have read the Journal's position on issues involved in ethical publication and affirm that this report is consistent with those guidelines. EDAT- 2012/11/14 06:00 MHDA- 2013/01/12 06:00 PMCR- 2013/11/01 CRDT- 2012/11/14 06:00 PHST- 2012/11/14 06:00 [entrez] PHST- 2012/11/14 06:00 [pubmed] PHST- 2013/01/12 06:00 [medline] PHST- 2013/11/01 00:00 [pmc-release] AID - 10.1111/epi.12013 [doi] PST - ppublish SO - Epilepsia. 2012 Nov;53(11):2026-33. doi: 10.1111/epi.12013.