The major contribution of brain GABAergic function to anoxic survival.

THE PAPER BY ELLEFSEN ET AL. (3) is a fascinating large-scale analysis of genes associated with GABA neurotransmission in an extremely important model of anoxia tolerance, the crucian carp, Carassius carassius. Under conditions of anoxia the crucian carp brain increases its extracellular GABA levels in conjunction with elevating GABA activity. In the mammalian brain GABA is known to play an inhibitory role, and this neurotransmitter may function as part of a defense system against the effects of the massive release of excitatory neurotransmitters that occurs during ischemia/anoxia (10). In the ischemic mammalian brain, however, GABAergic activity is decreased (18), defense systems are overwhelmed, and the net effect is catastrophic cell death within minutes of the onset of anoxia. Understanding the mechanisms underlying brain survival in anoxia-tolerant organisms can contribute important information on the key pathways that may contribute to neuroprotection in the face of anoxia and hypoxia/ischemia. The current study reports quantification of 22 genes involved in GABA neurotransmission by real-time RT-PCR including GABA-A receptor subunits, GABA-B receptor subunits, enzymes involved in GABA synthesis and metabolism, GABA transporters, GABA-A receptor-associated proteins, and the KCL cotransporter. Amongst GABA-A receptor subunits, alpha 4, alpha 6, and delta were the predominant forms in crucian carp brain, while the major GABA transporters expressed were GAT2a, GAT2b, and GAT3. At 1-day anoxia the GABA-A receptor alpha 3 subunit decreased significantly compared with controls, and at day 7 the alpha 3 and alpha 6 and delta subunits were decreased. After 1-day anoxia the GABA transporters GAT2a and GAT3 were significantly reduced, whereas at 7-day anoxia GAT2a, GAT2b, and GAT3 expression were decreased. The key finding that levels of GATs were decreased would be consistent with the observed increase in extracellular GABA as well as elevated GABAergic function in the brain of the anoxic crucian carp (9). The GABA-synthesizing enzyme GAD65 was also decreased at 7 days of anoxia. In contrast to the aforementioned alterations, expression levels of GABA-B receptor subunits were unchanged during anoxia. Importantly there was no change in expression of the potassium chloride cotransporter KCC2, which plays an essential role in maintaining GABAergic activity by restoring chloride homeostasis following opening of the GABA-A receptor channel. KCC2 is decreased in mammals after an excitotoxic insult (16, 17). Strategies for anoxic brain survival. The crucian carp employs unique mechanisms for anoxic brain survival. This organism is capable of upregulating key glycolytic enzymes and enhancing anaerobic glycolysis while maintaining much neural activity for continued motor and sensory functions. Unlike all other vertebrates the genus Carassius employs ethanol as the major end product of glycolysis instead of lactate, and thus the crucian carp can maintain high level glycolysis without experiencing the detrimental consequences that would otherwise ensue from lactate buildup (12). In its anoxic survival strategy the crucian carp has been contrasted with the freshwater turtle in which the anoxic brain demonstrates a profoundly decreased energy consumption associated with a comatose-like state. The turtle achieves its anoxia tolerance through a tight regulation of excitatory neurotransmission, elevated levels of inhibitory neurotransmission, and diminished ATP utilization through decreased ion pumping (termed “channel arrest”) and through decreases in other ATP consuming processes including protein synthesis (8, 10). Comparisons between anoxia-tolerant organisms and mammals. After 6 h of anoxia the crucian carp brain demonstrates a doubling of extracellular GABA levels, and in prolonged anoxia a fivefold increase is observed (9, 13). In turtle brain there is a large and sustained increase in extracellular GABA levels rising from 0.3 to 27 M over 2–3 h of anoxia, and increases in GABA-A receptor density are found that continue over at least 24 h of anoxia (14, 10). These elevations in GABAergic activity in the crucian carp and turtle brains appear to contribute to a reduction in ATP use in anoxia. In mammalian models GABA may also contribute a protective function. In rats subjected to excitotoxic seizures the GABA-synthesizing enzymes GAD65 and GAD67 are increased in expression, which would be consistent with an enhanced GABAergic activity (5). In studies on ischemic preconditioning in mammalian models an enhancement of GABA release and an increase in GABA-A receptor number are found in conjunction with a decrease in glutamate release (7). Neuroprotection through enhanced GABAergic function has been demonstrated in mammalian models either by preventing GABA reuptake and metabolism or through increasing GABA-A receptor activity (18). Recent gene therapy interventions for Parkinson’s disease also point to a key neuroprotective role for GABAergic neurotransmission, and experiments involving viral-mediated GAD overexpression are very promising in this regard (6). Constitutive preconditioning in the brain. Ischemic preconditioning is a phenomenon described in mammals whereby a mild brief ischemic episode can result in a later protection against a more severe ischemic episode. Preconditioning has been reported in a variety of tissues including brain, heart, and kidney and may result from either ischemia or other stimuli such as exercise or a slight increase in temperature. In the crucian carp brain the subunit composition of the GABA-A receptors reported in the current paper may represent an example of constitutive preconditioning. As discussed by Ellefsen et al. (3) GABA-A receptors in crucian carp comprise delta and alpha 4/alpha 6 subunits, which are extrasynaptic in mammals, and it is reported that delta subunit-containing receptors do not desensitize in response to long-term binding of GABA (1). Hence delta subunit-containing receptors may be continuously functional and may not require to be induced in Address for reprint requests and other correspondence: H. M. Prentice, College of Biomedical Science, Florida Atlantic Univ., Boca Raton, FL33431 (e-mail:[email protected]). Physiol Genomics 36: 59–60, 2009; doi:10.1152/physiolgenomics.90380.2008.