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Neuronal coding and plasticity in epilepsy

Neuronal coding and plasticity in epilepsy

The research group has a long-standing record of elucidating the pathophysiology of temporal lobe epilepsy (TLE), the most common form of focal epilepsy in adults. It is well established that dentate granule cells (DGCs) form aberrant recurrent synapses in the epileptic hippocampus, creating a pathological network that sustains seizures. Notably, the team discovered that these synapses are not only mislocalised, but also operate via a subtype of glutamatergic receptor—kainate receptors (KARs)—that is not present under normal conditions.

Over the past decade, our research has focused on examining how ectopic KARs affect neuronal coding and drive seizure generation in dentate gyrus cells (DGCs) in animal models of temporal lobe epilepsy (TLE). Initially, we demonstrated that ectopic KARs play a pivotal role in TLE by significantly …

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altering neuronal coding properties and excitability. Working closely with Christophe Mulle, we demonstrated that ectopic KARs containing the GluK2 subunit play a key role in triggering recurrent seizures. This establishes GluK2 as a promising therapeutic target for drug-resistant epilepsy.

Building on this foundation, we initiated a strategic maturation phase in partnership with INSERM Transfert, SATT Aquitaine, Regenxbio, and Kurma Partners to develop a proof-of-concept gene therapy strategy targeting GluK2 in the hippocampus. This collaborative effort resulted in the establishment of Corlieve Therapeutics, co-founded with Christophe Mulle and bringing together :

  • academic partners – INSERM via INSERM Transfert, and CNRS via SATT Aquitaine,
  • alongside industrial partners – Kurma Partners, Regenxbio, Eurazeo, Pureos, and Bpifrance)

See Valérie Crépel, Prix Innovation 2022 and Corlieve Therapeutics rachetée par la biotech uniQure : un transfert réussi.

Following Corlieve’s acquisition by uniQure, the development of the AMT-260 drug candidate was accelerated and has now advanced to a Phase I/IIa clinical trial – see more

Selected references at the bottom of the page

Scientific Interests

We investigate neuronal computation and plasticity in normal and pathological conditions. Our studies are conducted at multiscale levels i.e. from the individual spine to the microcircuit.

Disease conditions: Temporal Lobe Epilepsy and Traumatic Brain Injury.

Key words: hippocampus, cerebellum, synapse, intrinsic property, plasticity, synaptopathy, calcium

Technical skills: (i) in vitro and in vivo electrophysiological recordings; (ii) calcium imaging; (iii) morphometric analysis; (iv) optogenetic; (v) spatial navigation in virtual reality environments.

 

Kainate receptors in the physiopathology of temporal lobe epilepsy

Temporal Lobe Epilepsy (TLE) is the most common form of partial epilepsy in adults is often refractory to pharmacological medication. Moreover, patients with TLE also often suffer from comorbid disorders including cognitive impairments. Therefore, it is crucial to better understand the physiopathology of TLE in order to propose new anti-epileptic strategies and shed light on putative alterations of neuronal computation.

We show that recurrent mossy fibers synapses operate via kainate receptors not present in naïve conditions (Epsztein et al. 2005). These synapses profoundly affect synaptic transmission by generating synaptic events with slow kinetics. Because of this feature, we show that KAR-operated synapses impose an aberrant synaptic temporal integration, a wrong tempo of firing and trigger a long-lasting intrinsic plasticity in epileptic dentate granule cells (Epsztein, Sola et al. 2010; Artinian et al. 2011; Artinian et al 2015). We propose that these changes of neuronal computation may contribute to the impairment of dentate gyrus functions such as gate function and pattern separation in TLE.

In collaboration with C. Mulle (IINS, Bordeaux), we recently demonstrate that GluK2/GluK5 kainate receptors ectopically expressed in dentate granule cells play a major role in recurrent seizures in TLE (Peret, Christie et al. 2014;Crepel and Mulle 2014). This should revitalize the development of new pharmacological agents and strategies directly targeting these KARs as novel antiepileptic drugs: INSERM Transfert filed patent: WO/2015/036618.

Collaborators

INMED
Dr. C Rivera
Dr. R. Khazipov
Dr. R. Cossart
Dr. A. Torcini
Dr. J. Epsztein
Dr. PP Lenck-Santini
Dr. I. Bureau
Dr. Represa

EXTERNAL
Dr. C. Mulle (Institut des Neurosciences, Bordeaux)
Pr. F. Bartolomei (Hopital Timone, Marseille)
Pr. D. Scavarda (Hopital Timone, Marseille)
Dr. Jean-François Perrier (Copenhagen, Danemark)
Dr. M. Simonneau (Centre de Psychiatrie & Neurosciences, Paris)

 

 

Former members

– Jérôme Epsztein (CR1, INSERM)
– Thomas Scalfati (Master Student)
– Saara Valpurla (Master Student, Erasmus)
– Julien Artinian (Post-doc.)
– Geoffrey Marti (Master Student)
– Louisa Christie (Post-Doc.)
– David Ouedraogo (PhD student)
– Yanina Mircheva (Master Student)
– Karen Arnaud (Master Student)

Funding

2013 – 2017 : ANR « Blanc » (TRAUMEP, C. RIVERA & V. CREPEL)
2013-2014: LFCE (A. PERET, V. CREPEL)
2011 : région PACA : Appel à Projets Ouverts (projet APO, V. CREPEL)
2011-2012: LFCE (J. ARTINIAN, V. CREPEL)
2010 – 2014: ANR « Blanc » (KAREP, C. MULLE & V. CREPEL)
2010 FRC / Rotary (A. REPRESA & V. CREPEL)
2009 – 2012: ANR « Blanc » (Epileptic Code, V. CREPEL)
2006 – 2009: ANR MNP (CDDRat, A. REPRESA & V. CREPEL)

Join our team !

Our team has open positions for master students, PhD students and post-docs. Please send your application by email to Valérie Crépel

Nos publications

A novel AAV9-dual microRNA-vector targeting in the hippocampus as a treatment for mesial temporal lobe epilepsy.

Baudouin SJ, Giles AR, Pearson N, Deforges S, He C, Boileau C, Partouche N, Borta A, Gautron J, Wartel M, Bočkaj I, Scavarda D, Bartolomei F, Penchet G, Aupy J, Sims J, Smith J, Mercer A, Danos O, Mulle C, Crépel V, Porter R

Molecular therapy. Methods & clinical development - Sep 2024

Kainate receptors modulate the microstructure of synchrony during dentate gyrus epileptiform activity.

Goirand-Lopez L, Moulinier M, Vigier A, Boileau C, Carleton A, Muldoon SF, Marissal T, Crépel V

Neurobiology of disease - Aug 2023

GluK2 is a target for gene therapy in drug-resistant Temporal Lobe Epilepsy.

Boileau C, Deforges S, Peret A, Scavarda D, Bartolomei F, Giles A, Partouche N, Gautron J, Viotti J, Janowitz H, Penchet G, Marchal C, Lagarde S, Trebuchon A, Villeneuve N, Rumi J, Marissal T, Khazipov R, Khalilov I, Martineau F, Maréchal M, Lepine A, Milh M, Figarella-Branger D, Dougy E, Tong S, Appay R, Baudouin S, Mercer A, Smith JB, Danos O, Porter R, Mulle C, Crépel V

Annals of neurology - Jun 2023

Regulation and dysregulation of neuronal circuits by KARs.

Mulle C, Crépel V

Neuropharmacology - Jul 2021

Impaired neuronal operation through aberrant intrinsic plasticity in epilepsy.

Artinian J, Peret A, Mircheva Y, Marti G, Crépel V

Annals of neurology - Jan 2015

Physiopathology of kainate receptors in epilepsy.

Crépel V, Mulle C

Current opinion in pharmacology - Dec 2014

Contribution of aberrant GluK2-containing kainate receptors to chronic seizures in temporal lobe epilepsy.

Peret A, Christie LA, Ouedraogo DW, Gorlewicz A, Epsztein J, Mulle C, Crépel V

Cell reports - Jul 2014

Synaptic kainate receptors in interplay with INaP shift the sparse firing of dentate granule cells to a sustained rhythmic mode in temporal lobe epilepsy.

Artinian J, Peret A, Marti G, Epsztein J, Crépel V

The Journal of neuroscience : the official journal of the Society for Neuroscience - Jul 2011

A selective interplay between aberrant EPSPKA and INaP reduces spike timing precision in dentate granule cells of epileptic rats.

Epsztein J, Sola E, Represa A, Ben-Ari Y, Crépel V

Cerebral cortex (New York, N.Y. : 1991) - Apr 2010

Recurrent mossy fibers establish aberrant kainate receptor-operated synapses on granule cells from epileptic rats.

Epsztein J, Represa A, Jorquera I, Ben-Ari Y, Crépel V

The Journal of neuroscience : the official journal of the Society for Neuroscience - Sep 2005

Abnormal UP/DOWN Membrane Potential Dynamics Coupled with the Neocortical Slow Oscillation in Dentate Granule Cells during the Latent Phase of Temporal Lobe Epilepsy.

Ouedraogo DW, Lenck-Santini PP, Marti G, Robbe D, Crépel V, Epsztein J

eNeuro - Jun May 2016

Activity-dependent gating of calcium spikes by A-type K+ channels controls climbing fiber signaling in Purkinje cell dendrites.

Otsu Y, Marcaggi P, Feltz A, Isope P, Kollo M, Nusser Z, Mathieu B, Kano M, Tsujita M, Sakimura K, Dieudonné S

Neuron - Oct 2014

The information content of physiological and epileptic brain activity.

Trevelyan AJ, Bruns W, Mann EO, Crepel V, Scanziani M

The Journal of physiology - Feb 2013

An epilepsy-related ARX polyalanine expansion modifies glutamatergic neurons excitability and morphology without affecting GABAergic neurons development.

Beguin S, Crépel V, Aniksztejn L, Becq H, Pelosi B, Pallesi-Pocachard E, Bouamrane L, Pasqualetti M, Kitamura K, Cardoso C, Represa A

Cerebral cortex (New York, N.Y. : 1991) - Jun 2013

Inhibitory actions of the gamma-aminobutyric acid in pediatric Sturge-Weber syndrome.

Tyzio R, Khalilov I, Represa A, Crepel V, Zilberter Y, Rheims S, Aniksztejn L, Cossart R, Nardou R, Mukhtarov M, Minlebaev M, Epsztein J, Milh M, Becq H, Jorquera I, Bulteau C, Fohlen M, Oliver V, Dulac O, Dorfmüller G, Delalande O, Ben-Ari Y, Khazipov R

Annals of neurology - Aug 2009

Abnormal network activity in a targeted genetic model of human double cortex.

Ackman JB, Aniksztejn L, Crépel V, Becq H, Pellegrino C, Cardoso C, Ben-Ari Y, Represa A

The Journal of neuroscience : the official journal of the Society for Neuroscience - Jan 2009

Seizures beget seizures in temporal lobe epilepsies: the boomerang effects of newly formed aberrant kainatergic synapses.

Ben-Ari Y, Crepel V, Represa A

Epilepsy currents / American Epilepsy Society -

Late-onset epileptogenesis and seizure genesis: lessons from models of cerebral ischemia.

Epsztein J, Ben-Ari Y, Represa A, Crépel V

The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry - Feb 2008
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ALUMNI

  • Lucas GOIRAND-LOPEZ - 2017-2024 - doctorant & post-doctorant