Cleavage of Na(+) channels by calpain increases persistent Na(+) current and promotes spasticity after spinal cord injury

Nat Med. 2016 Apr;22(4):404-11. doi: 10.1038/nm.4061. Epub 2016 Mar 14.

Abstract

Upregulation of the persistent sodium current (I(NaP)) in motoneurons contributes to the development of spasticity after spinal cord injury (SCI). We investigated the mechanisms that regulate I(NaP) and observed elevated expression of voltage-gated sodium (Nav) 1.6 channels in spinal lumbar motoneurons of adult rats with SCI. Furthermore, immunoblots revealed a proteolysis of Nav channels, and biochemical assays identified calpain as the main proteolytic factor. Calpain-dependent cleavage of Nav channels after neonatal SCI was associated with an upregulation of I(NaP) in motoneurons. Similarly, the calpain-dependent cleavage of Nav1.6 channels expressed in human embryonic kidney (HEK) 293 cells caused the upregulation of I(NaP). The pharmacological inhibition of calpain activity by MDL28170 reduced the cleavage of Nav channels, I(NaP) in motoneurons and spasticity in rats with SCI. Similarly, the blockade of I(NaP) by riluzole alleviated spasticity. This study demonstrates that Nav channel expression in lumbar motoneurons is altered after SCI, and it shows a tight relationship between the calpain-dependent proteolysis of Nav1.6 channels, the upregulation of I(NaP) and spasticity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Calpain / genetics
  • Calpain / metabolism*
  • Dipeptides / administration & dosage
  • Gene Expression Regulation / drug effects
  • HEK293 Cells
  • Humans
  • Motor Neurons / metabolism
  • Motor Neurons / pathology*
  • NAV1.1 Voltage-Gated Sodium Channel / biosynthesis
  • NAV1.1 Voltage-Gated Sodium Channel / metabolism
  • NAV1.6 Voltage-Gated Sodium Channel / biosynthesis*
  • NAV1.6 Voltage-Gated Sodium Channel / metabolism
  • Patch-Clamp Techniques
  • Rats
  • Riluzole / administration & dosage
  • Spinal Cord / metabolism
  • Spinal Cord / pathology
  • Spinal Cord Injuries / genetics*
  • Spinal Cord Injuries / metabolism
  • Spinal Cord Injuries / pathology

Substances

  • Dipeptides
  • NAV1.1 Voltage-Gated Sodium Channel
  • NAV1.6 Voltage-Gated Sodium Channel
  • Scn1a protein, rat
  • Scn8a protein, rat
  • Riluzole
  • Calpain
  • calpain inhibitor III