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Based on previous descriptions of epileptic signal analysis in organotypic hippocampal slices, interictal epileptiform discharges are here defined as paroxysmal discharges that are clearly distinguished from background activity, with an abrupt change in polarity and occurring at low frequency (<2 Hz). Paroxysmal discharges lasting more than 10 s and occurring at higher frequency (≥2 Hz) are characterized as ictal epileptiform activity. If an ictal event occurs within 10 s after the previous one, these two events are considered as only one ictal event.
Rhinal cortex-hippocampus organotypic slices at 7 DIV (Figure 3A) depict mixed interictal and ictal-like activity. At 14 DIV (Figure 3B), spontaneous activity is characterized by ictal discharges, which evolve to an overwhelming ictal activity at 21 DIV, with ictal events lasting >1 min (Figure 3C).

Figure 3: Spontaneous epileptiform activity of rhinal cortex-hippocampus organotypic slices. Representative electrographic seizure-like events, recorded from CA3 area in an interface-type chamber, after (A) 7 DIV, (B) 14 DIV and (C) 21 DIV. Seizure details are shown in lower traces. Please click here to view a larger version of this figure.
PI uptake assay followed by immunohistochemistry against the neuronal marker NeuN aimed at identifying neuronal death. PI uptake by granular and pyramidal neurons was observed in 7 DIV slices (arrows in Figure 4A), but the number of PI+ neurons increased at 14 DIV (arrows in Figure 4B), corroborating an increased neuronal death with epileptogenesis progression.

Figure 4: Representative images of NeuN and PI stained rhinal cortex-hippocampus organotypic slices. Images of NeuN stained mature neurons and PI-positive cells were acquired at (A) 7 DIV and (B) 14 DIV, on a confocal laser microscope with a 20x objective. Magnified images of the dashed areas are shown. Arrows point to death neurons (in orange). Scale-bar, 50 μm. Please click here to view a larger version of this figure.
A double staining of Iba1, together with CD68, was used to evaluate microglia phenotype. Iba1 is a microglia/macrophages marker, while CD68 is a lysosomal protein expressed in high levels by reactive microglia and in low levels by resting microglia. At 7 DIV slices, ramified microglia with a low CD68 expression (arrows in Figure 5A) are more abundant than Iba1+/CD68+ reactive microglia (arrowheads in Figure 5A), whereas at 14 DIV, in all areas of the hippocampus, Iba1+/CD68+ bushy/amoeboid M1 microglia (arrowheads in Figure 5B) exceed microglia with a low CD68 expression (arrows in Figure 5B). At 14 DIV some Iba1+/CD68+ cells with a hyper-ramification appearance can be pinpointed (open arrowheads in Figure 5B), which might suggest the occurrence of the M2 anti-inflammatory phenotype of microglia. However, this matter requires further study.
Recent studies demonstrated that different initiating CNS injuries can elicit at least two types of reactive astrocytes, A1 and A2, with A1 astrocytes being neurotoxic16. A1 subtype of astrocytes is characterized by an increased expression of Complement C316,17,18. Complement C3, which plays a central role in the activation of the complement system, generates C3b, which is further degraded to iC3b, C3dg and C3d19. Thus, a double staining of GFAP and C3d was employed to assess astrogliosis. At 7 DIV the expression of C3d is barely detectable (Figure 6A), while in 14 DIV slices hypertrophic GFAP+/C3d+ astrocytes can be observed (arrowheads in Figure 6B), suggesting a progressive activation of A1 astrocytes.
Results demonstrate a progressive activation of microglia and astrocytes throughout the course of epileptogenesis, mimicking the events described in patients with epilepsy and in animal models of this pathology.

Figure 5: Representative images of Iba1 and CD68 stained rhinal cortex-hippocampus organotypic slices. Images of Iba1 and CD68 stained microglia, and Hoechst stained nuclei, were acquired at (A) 7 DIV and (B) 14 DIV, on a confocal laser microscope with a 20x objective. Magnified images of the dashed areas are shown. Arrows point to Iba1+/CD68- resting microglia, arrowheads indicate Iba1+/CD68+ bushy/amoeboid microglia and open arrowheads reveal Iba1+/CD68+ hyper-ramified microglia. Scale-bar, 50 μm. Please click here to view a larger version of this figure.

Figure 6: Representative images of GFAP and C3d stained rhinal cortex-hippocampus organotypic slices. Images of GFAP and C3d stained astrocytes, and Hoechst stained nuclei, were acquired at (A) 7 DIV and (B) 14 DIV, on a confocal laser microscope with a 20x objective. Magnified images of the dashed areas are shown. Arrowheads point to GFAP+/C3d+ reactive A1 astrocytes (in yellow). Scale-bar, 50 μm. Please click here to view a larger version of this figure.