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Modulation Effects of Cordycepin on Voltage-Gated Sodium Channels in Rat Hippocampal CA1 Pyramidal Neurons in the Presence/Absence of Oxygen

Our previous study revealed that cordycepin features important neuroprotective effects against hypoxic insult by improvement of neuronal electrophysiological function. Modulation on voltage-gated sodium channel (VGSC) in CA1 neurons is the initial event during hypoxia/ischemia. However, no study comprehensively investigated cordycepin on VGSC. Hence, this study investigated modulation effects of cordycepin on VGSC not only in oxygen physiological conditions but also in acute oxygen deprivation injury conditions. Results revealed that cordycepin (80 μM) reduced the amplitude of VGSC currents (INa) (77.6% of control, p < 0.01) within 1 min of drug exposure coupled with a negative shift in steady-state inactivation and prolonged recovery time course from inactivation. Additionally, this mild reduction on the peak of INa induced by the pretreatment with cordycepin can attenuate and delay the following hypoxia causing rapid dramatic decrease in INa with no additive change in the voltage dependence of inactivation. As modulation on VGSC in CA1 neurons represents the initial event during ischemia, we propose that suppression effect of cordycepin on VGSC is an important neuronal protective mechanism that may enhance neuronal tolerance to acute oxygen deprivation and delay hypoxia-induced neuronal injuries.


Introduction
Voltage-gated sodium channel (VGSC) plays a significant role in neuronal functions of the central nervous system, which is responsible for initiation and propagation of the neuronal action potential. Thus, VGSC is critical in signal communication between neurons and participates in regulating various physiological functions [1,2]. In addition to its involvement in normal physiological events, increasing evidence suggests that VGSC also plays a key role in regulating pathophysiological processes, such as hypoxia [1][2][3][4][5]. Inhibition of VGSC activation results in reduced neuronal activity and Na + influx across neuronal membrane, which in turn reduces metabolic demand on neurons in cases when energy production is severely compromised [2,3]. This process ultimately increases neuronal tolerance to low-oxygen environments. Thus, inhibition of I Na is usually considered as a cellular protective mechanism during initial stages of hypoxia [2][3][4][5].
Studies from our laboratory demonstrated that cordycepin can increase neuronal tolerance during hypoxia and delay hypoxia-induced membrane depolarization and that the mechanism to suppress the neuron activity is strongly involved [16,17]. As inhibition of VGSC activation would result in reduced neuronal activity and Na + influx across the neuronal membrane, activation of VGSC plays a critical role in mediating sustained Na + entry during ischemia and hypoxia, which then induce membrane depolarization [3,18]. Thus, blocking these channels may exert neuroprotection during hypoxia [4,5]. Although our previous study discovered that cordycepin selectively regulates activities of whole-cell Na + current (I Na ), no study comprehensively investigated its regulating mechanism [19]. Hence, in this study, the effect of cordycepin on the kinetics of VGSC in the hippocampal CA1 pyramidal neurons was investigated by using whole-cell patch-clamp techniques under voltageclamp configuration [2]. Finally, actions of cordycepin on VGSC were also evaluated under hypoxia by using an energy-deprived injury model [16,20].

Preparation of Hippocampal Brain
Slices. Animal studies were approved by the Institutional Care and Use Committee of Jiangxi Science and Technology Normal University. All experiments were performed on CA1 pyramidal neurons of hippocampal brain slices prepared from 15 to 22-day-old Sprague-Dawley rats as described in our previous studies [16,22]. Animals were anesthetized with isoflurane and decapitated. The brains were quickly removed from the cranial cavity and immersed in ice-cold (4°C) oxygenated (95% O 2 /5% CO 2 ) ACSF containing the following (in mM): NaCl 117, KCl 4.7, MgCl 2 1.2, NaH 2 PO 4 1.2, NaHCO 3 25, CaCl 2 2.5, and D-glucose 10 (pH 7.4). Osmolarity of bathing solution was adjusted to 325-330 mOsm with sucrose. Hippocampus was dissected free, and transverse hippocampal slices (400 μm in thickness) were obtained using a vibrating microtome (NVSLM1, World Precision Instruments, USA). Slices were allowed to recover in continuously oxygenated ACSF for at least 1 h prior to experiments.

Patch-Clamp
Recording. After recovery, individual slices were transferred to a recording chamber, which was continually perfused with oxygenated ACSF (unless otherwise indicated) at a rate of 4 ml/min. All experiments were performed at room temperature (26°C). Hypoxia was induced by switching from oxygenated ACSF equilibrated with 95% O 2 /5% CO 2 to the same bath solution equilibrated with 95% N 2 /5% CO 2 for >2 h. Bath solution was exchanged within~20 s.
Bathing solution was supplemented with 25 mM TEA-Cl, 5 mM 4-AP, and 0.4 mM CdCl 2 to block delayed rectified K + channels, transient outward K + channels, and all Ca 2+ channels, respectively [2,19]. Recorded neuronal cells were allowed to stabilize for 1-2 min till the stable conditions. Cordycepin was dissolved in ACSF at concentrations of 20, 40, 80, and 200 μM, and its effects were tested by bath perfusion (solution exchange was completed in about 20 s).

Data
Analysis. Data were acquired by Clampex 10.5 via a digidata 1322 series A/D (Axon Instruments, USA) board at a sampling frequency of 20 kHz. Series resistance (10-20 MΩ) was monitored during the recording, and cells with changes > 30% in the series resistance were abandoned. Only one CA1 pyramidal neuron was tested in a hippocampal slice after the successful recording was made. Therefore, the number of samples (n) in each test group represents the cells recorded from different hippocampal slices.
Electrophysiological parameters were measured as previously described [2,19]. For current-voltage activation curve plot, the current amplitudes before and after the cordycepin application were all expressed as percentages of the maximum current amplitude recorded initially under control conditions. For inactivation plots, the currents were normalized to their corresponding maximum values before and after cordycepin application. For recovery from inactivation plots, the recovery current amplitude (normalized with respect to the precondition pulse induced the current amplitude) was plotted versus times before and after cordycepin application. Steady-state activation kinetics of I Na were obtained using a Boltzmann fit equation where G represents conductance at each command voltage, G max refers to maximal conductance, V m corresponds to command voltage, V 1/2 denotes half-maximal activation, and V c is proportional to the slope at V 1/2 . Steady-state inactivation of I Na was obtained with another Boltzmann fit equation where I max refers to maximal current amplitude, I represents the current amplitude measured from each command voltage, V m corresponds to conditioning voltage, V 1/2 denotes half-maximal inactivation, and V c is proportional to the slope at V 1/2 . The time-to-peak value was used to analyze activation kinetics. Inactivation and deactivation time constants were obtained by fitting the current traces monoexponentially.
Results were presented as mean ± SEM. Statistical significance of difference was calculated using two-tailed Student's t-test. p < 0 05 level of confidence was considered statistically significant.

Cordycepin Inhibited I Na in a Concentration-Dependent
Manner. I Na was activated by using a step depolarization test pulse with a 50 ms duration from a holding membrane potential of −80 mV to −20 mV. In these experiments, I Na was recorded at 10 s intervals. When I Na reached a stable maximum amplitude, cordycepin was applied by bath perfusion. As shown in Figure 1, the amplitude of I Na decreased in the presence of 80 μM cordycepin (77.6% ± 4.58% of the control, n = 10; p < 0 01). After cordycepin (80 μM) reached the chamber, inhibitory effects on I Na occurred immediately and reached the maximum and stable value within 1 min, coinciding with our previous study [19]. Inhibition of cordycepin on the I Na was concentration dependent (Figures 1(b) and 1(c)). As concentration of 80 μM cordycepin caused maximal effects and can be washed out quickly (Figures 1(b) and 1(c)), this concentration was adopted for subsequent tests.

Effects of Cordycepin on I Na Steady-State Activation.
From a holding potential of −80 mV, active currents were evoked by a series of +10 mV voltage steps to potential with 50 ms duration between −80 and +40 mV to test the effect of cordycepin on I Na steady-state activation. Figure 2(a) shows representative raw traces from both control and 80 μM cordycepin recordings.
As shown in Figure 2(b), threshold for activation of I Na measured −60 mV, and the amplitude of I Na was maximal at −20 mV in the control and cordycepin-treated groups. The amplitude after cordycepin treatment was significantly lower than that of control at most voltage points (Figure 2(b)). However, steady-state activation curves for I Na in the control (n = 10) and cordycepin (n = 10) treatment groups did not show a significant shift, as shown in Figure 2(c) (p > 0 05). The amplitude of I Na after cordycepin application was expressed as a percentage of I Na amplitude before cordycepin application. * p < 0 05, * * p < 0 01 as compared with the control group.
3.3. Effect of Cordycepin on I Na Steady-State Inactivation. Figure 3(a) illustrates effects of cordycepin on voltage dependence of steady-state inactivation after examination with a dual-pulse protocol. Membrane potential was conditioned to different potentials (from −100 mV to −10 mV, with +10 mV increment) for 50 ms and then depolarized to a fixed test potential of −20 mV. Figure 3(a) displays representative I Na traces before and after cordycepin treatment. 3.4. Effect of Cordycepin on I Na Recovery. Recovery time course of I Na from inactivation was investigated using a dual-pulse protocol (Figure 4(a)). A conditioning step (50 ms) from −100 mV to −20 mV was first employed to completely inactivate I Na . Then, after recovery at −100 mV for 1-20 ms, a test pulse of −20 mV was subsequently applied. Notably, after prolonged recovery (with recovery time from 1 ms to 20 ms) at −100 mV, the amplitude of I Na gradually returned to control value (Figures 4(a) and 4(b)). Figure 4(b) presents comparison of percentages of peak current recovery from inactivation before and after cordycepin application. Recovery current amplitude (normalized with respect to precondition pulse induced the current amplitude) was plotted versus times before and after cordycepin application. Recovery time course from inactivation was well fitted by a single exponential function, with a recovery time constant of 1.48 ± 0.06 and 2.10 ± 0.14 ms in the control (n = 10) and cordycepin (n = 10) (p < 0 05) groups, respectively. Cordycepin significantly reduced the rate of I Na recovery from inactivation. These results indicated that I Na in the cordycepin-treated group recovered from inactivation more slowly than those in the control.

Preapplication of Cordycepin-Induced Mild Inhibition on I Na , Attenuating and Delaying the Subsequent Hypoxia-Induced Rapid Dramatic Inhibition of I Na .
Studies demonstrated that hypoxia can induce rapid dramatic inhibition on Na + channels and current during initial stages (1-3 min) of hypoxia [3], which in turn resist the cell depolarization and reduce neuronal activity. This process will increase neuronal tolerance to low-oxygen environments [3,23], indicating that there has been a self-adaptive cellular protective mechanism during initial stages of hypoxia. Thus, significant information can be obtained by investigating inhibition effects of cordycepin on I Na during hypoxia, as account for neuroprotection effect of cordycepin from hypoxia insult [13,15,16,24]. Like the previous studies reported [3], there was a rapid dramatic inhibition of peak I Na when the extracellular bath was changed from control perfusate to the hypoxic solution. After 3 min of hypoxic exposure, I Na reduced to 50.6% ± 5.12% of the baseline (n = 12; Figures 5(a) and 5(b), Table 1; p < 0 01). Steady-state inactivation was shifted by −9.2 ± 0.8 mV, and recovery time from inactivation also increased (recovery time constant in control: 1.51 ± 0.06 ms, n = 12; hypoxia: 2.21 ± 0.12 ms, n = 12; p < 0 05). Interestingly, response of I Na to hypoxia was markedly blocked with cordycepin after exposure to hypoxia for 3 min (Figures 5(a) and 5(b), Table 1) although mild inhibition on I Na was observed after pretreatment with cordycepin ( Figures 5(a) and 5(b), Table 1). When neurons were exposed to hypoxia for 3 min with cordycepin pretreatment, hypoxia-induced inhibition of I Na was significantly attenuated (66.3% ± 5.53% of initial I Na ; n = 12; Figures 5(a) and 5(b), Table 1) compared with hypoxia only (50.6% ± 5.12% of initial I Na ; n = 12; Figures 5(a) and 5(b), Table 1; p < 0 05). In the cordycepin pretreatment group, the descending slope (4.6 ± 0.32 mV/min, n = 12; Figure 5(b), Table 1) between 0 and 3 min after hypoxia treatment was obviously decreased when compared with hypoxia only (15 ± 0.11 mV/min, n = 12; Figure 5(b), Table 1). And most notably, the onset time of hypoxia-induced rapid dramatic inhibition on peak I Na was also delayed from 0 min to 3 min in the cordycepin pretreatment group (Figure 5(b)), indicating that the neuron physical fitness response to external low-oxygen environments was improved through regulating self-adaptive cellular protective mechanism. No additive effects of hypoxia on the shift in steady-state inactivation and the time course of recovery from inactivation were observed (Table 1). These results indicated that mild inhibitory effect of cordycepin on I Na channel may contribute to its neuroprotective effect against hypoxia insult.

Discussion
In the present study, we observed that cordycepin decreased the amplitude of I Na in a concentration-dependent manner (Figure 1). Steady-state inactivation curves of I Na shifted to more negative potentials (Figure 3), and time of I Na recovery from inactivation was prolonged significantly by cordycepin (Figure 4). A negative shift on inactivation curve indicates low membrane potential threshold required for closing these channels. Slower recovery from inactivation implies prolonged transition of VGSC in cordycepin from inactivated to closed state and reduced fraction of available VGSC during spike trains [2]. These results imply that suppression of I Na by cordycepin may inhibit intrinsic bursting and thus lead to a reduction in neuronal activity in CA1 neurons. This speculation was also confirmed by our previous study, which indicated that cordycepin can inhibit neuronal activity with low-frequency action potential bursting [17]. Furthermore, cordycepin pretreatment can significantly attenuate and delay hypoxia-induced rapid dramatic inhibition on I Na ( Figure 5, Table 1) with no additional effects on shifts in steady-state inactivation and recovery time course from inactivation (Table 1). This result indicates that suppression effect of cordycepin on I Na and I Na kinetics may contribute to its neuroprotection from hypoxic insult. I Na is responsible for both action potential generation and propagation and therefore plays a crucial role in neuronal excitability [1,2,25]. Thus, I Na modulation may possess biological significance. Previous studies suggested that influx of Na + contributes to brain damage during ischemia insult, as through activation of VGSC, Na + influx across neuronal membrane mediates sustained Na + entry, which in turn induces excessive membrane depolarization [2-4, 18, 25]. Consistently, evidence confirmed that excessive membrane depolarization may result from acute hypoxic or ischemic insults [3,16,25,26]. Hence, inhibition of Na + channel activation would reduce neuronal activity and reduce Na + ion influx across neuronal membrane, which in turn against the hypoxia or ischemic induced the excessive membrane depolarization. Dong and Xu reported that mild inhibition in VGSC prolongs the duration, increases the threshold of excitation, and delays appearance of subsequent action potential, thus contributing to neuroprotection from hypoxic insult [2]. Other studies confirmed that reducing VGSC activity attenuates neuronal hypoxic responses and reduces hypoxia-induced neuronal injury and death in vitro and in vivo [2][3][4][5]. In the present study, we discovered that the application of cordycepin mildly inhibits VGSC (Figure 1), and it is coupled with a negative shift in steady-state inactivation ( Figure 3) and slow time course of recovery from inactivation ( Figure 4). Thus, we propose that cordycepin inhibition of VGSC may be an important mechanism to reduce neuronal activity, which in turn contributes to its neuroprotective effects against ischemic insults reported in our previous study [16,17]. Additionally, to some extent, inhibition of I Na is considered as a self-adaptive cellular protective mechanism during initial stages of hypoxia [3][4][5]27]. As inhibition of Na + channel activation reduces neuronal activity, this phenomenon results in reduction in energy demand at a time when energy production is severely compromised. This process ultimately increases neuronal tolerance to low-oxygen environments. Consistent with these deductions, we also noted that oxygen deprivation (hypoxia) causes rapid dramatic inhibition (within 3 min) on the peak of I Na with a negative shift in steady-state inactivation and prolonged recovery from inactivation ( Figure 5). We also observed that cordycepin pretreatment can significantly attenuate and delay hypoxiainduced rapid dramatic inhibition on I Na ( Figure 5, Table 1) with no additive effects on the shift in steady-state inactivation and recovery time course from inactivation ( Table 1). The descending slope was markedly decreased between 0 and 3 min hypoxia ( Figure 5, Table 1), and the onset time of hypoxia-induced rapid dramatic inhibition on peak I Na was delayed from 0 min to 3 min in the cordycepin pretreatment group (Figure 5(b)). These results demonstrate that preapplication of cordycepin-induced mild inhibition on I Na attenuates and delays subsequent hypoxia-induced rapid dramatic inhibition of I Na , indicating that the neuron physical fitness response to external low-oxygen environments was improved through regulating self-adaptive cellular protective mechanism, which will ultimately increase neuronal tolerance to low-oxygen environments and thus save more rescue opportunities from further deterioration induced by hypoxia. However, further investigations are needed to clarify the underlying protective mechanism.
In conclusion, the present study revealed that cordycepin can reduce peak I Na coupled with changes in voltage dependence of inactivation of I Na , and this mild reduction Table 1: Preapplication of cordycepin-induced mild inhibition on I Na attenuated and delayed the subsequent hypoxia-induced rapid dramatic inhibition of I Na . (Recordings were collected after 3 min hypoxia.)
on I Na attenuates and delays hypoxia-induced rapid dramatic decrease in the I Na . As modulation on I Na in CA1 neurons occurs initially during ischemia, we propose that cordycepin-induced mild inhibition of I Na is an important neuronal protective mechanism that may enhance neuronal tolerance to acute oxygen deprivation and delay hypoxia-induced neuronal injury.