In the presented experiments, we apply, using dynamic clamp, a modeled voltage-gated sodium (Nav) conductance to adult (6-7 week-old) mouse cerebellar Purkinje neurons that are acutely isolated in a parasagittal cerebellar slice preparation. The studies are performed on wild-type (control) mice and transgenic mice, in which Cre-loxP recombination is used to selectively delete tuberous sclerosis 1 (Tsc1) from cerebellar Purkinje neurons. Tuberous sclerosis complex (TSC) is a multisystem disorder caused by loss-of-function mutations in either TSC1 or TSC232,28,33. Individuals with TSC are commonly diagnosed with epilepsy disorders, cognitive impairment, and autism spectrum disorder34,35. Mice with Purkinje neuron-specific Tsc1 deletion, referred to here as Tsc1mut/mut, exhibit several ASD-related behavioral phenotypes, including impairments in motor function, social interaction behavior, and vocalizations, as well as exaggerated repetitive behaviors9,36. Tsc1mut/mut Purkinje neurons have also been shown to have attenuated action potential firing (Figure 2A,B), which is linked to significantly reduced Nav current amplitudes (Figure 2C) and Nav channel expression at the axon initial segments of Tsc1mut/mut Purkinje neurons8. Nav currents inTsc1mut/mut Purkinje neurons have similar kinetic and voltage-dependent properties as wild-type Purkinje neurons8. In this transgenic Tsc1mut/mut mouse model, we used dynamic clamp to test if adding Nav conductance to Tsc1mut/mut Purkinje neurons can rescue repetitive firing. We go on to test if subtracting Nav conductance in wild-type Purkinje neurons causes a similar attenuation in Purkinje neuron firing as measured in Tsc1mut/mut Purkinje neurons (Figure 2B). To subtract the natively expressed Nav conductance, we applied the Nav conductance using dynamic clamp; however, the polarity of the conductance is reversed.
The Markov kinetic state model (Figure 1A) used to simulate Purkinje neuron Nav conductance contains nine kinetic states, eight of which are non-conducting, which are labeled as closed (C1, C2, and C3), inactivated-closed (IC1 and IC2), fast-inactivated (IF1 and IF2), and slow-inactivated (IS). There is one open/conducting (O) kinetic state30,31. Transition rate constants, shown between the labeled kinetic states (Figure 1A) determine the proportion of simulated channels/conductance occupying each kinetic state. Membrane voltage affects each of the model's rate constants. Simulated Nav currents produced by this model (in silico) in simulated voltage-clamp experiments are shown (in red) to the right of Nav currents measured from acutely isolated Purkinje neurons, which are shown in black (Figure 1A, lower). The voltage-command evoking these simulated (red) and Purkinje neuron (black) Nav currents is presented above the current traces in black. Note, in the voltage-command, an initial depolarizing step (to 0 mV) results in a fast-transient inward sodium current, which, in the simulated trace, reflects channels transiting from the non-conducting closed states into the open kinetic state, allowing brief inward current before open-state channels accumulate into the fast inactivated (IF1 and IF2) kinetic states. This depolarizing voltage-step is brief (5 ms) and the membrane potential is subsequently stepped to an intermediate repolarized voltage of -45 mV, at which the potential is held for 80 ms (Figure 1A, lower). During this repolarization voltage step, it is notable that there is a resurgence of inward sodium current, a current component referred to as the resurgent sodium current (INaR). During this 80 ms step to -45 mV, INaR exhibits a slow (compared to INaT) decay in amplitude, eventually reaching a steady-state of inward current, which is the persistent Nav current component (INaP). Activation of modeled INaR (Figure 1A, lower, red) during membrane repolarization reflects simulated channels recovering from the fast-inactivated (IF1 + IF2) kinetic states into the open/conducting state. Over time (holding at -45 mV), a portion of the simulated channels occupying the open state accumulate into an absorbing slow-inactivated (IS) kinetic state, which is reflected as INaR decay, and a portion of these channels remain in the open/conducting state, reflected as the steady-state INaP current component30,31.
In the representative experiments/results, the Nav Markov conductance model (Figure 1A) was added to adult Purkinje neurons in acutely isolated cerebellar slices. A cartoon depiction of this experimental setup is presented in Figure 3A. To apply the modeled Nav conductance via dynamic clamp current injection, we used the dPatch amplifier system (shown in Figure 3B), which has fully integrated analog-to-digital (A/D) and digital-to-analog (D/A) conversion. This system also handles signal transformations via integrated ARM core processors (external to the PC) and has an integrated FPGA (field-programmable array) circuit that enables near instantaneous processing of input signals and feedback (sending of output signals) to the current-injecting electrode27. The experiments here involved the application (in dynamic clamp) of a complex Markov conductance model, which we were able to apply with current injection update rates of up to 500 kHz.
Adding the simulated Nav conductance (400 nS) to Tsc1mut/mut Purkinje neurons during gap-free current-clamp recordings resulted in clear increases in cells' repetitive firing frequencies (Figure 3C1, D1), indicating the addition of Nav conductance in these cells may be sufficient to rescue deficits in Tsc1mut/mut Purkinje neuron excitability, although we did not examine the full repertoire of deficits reported in Tsc1mut/mut Purkinje neuron excitability8. As is evident from the representative traces shown in Figure 3C2 (upper), wild-type Purkinje neurons have an intrinsic capacity to fire repetitive action potentials at high frequencies. Using dynamic clamp, we subtracted the modeled Nav conductance from wild-type Purkinje neurons by applying the modeled Nav conductance with a reversed (negative) polarity (-400 nS). Subtracting the modeled Nav conductance resulted in an immediate and obvious reduction in repetitive firing (Figure 3C2, lower), which is also consistent with the hypothesis that reduced Nav currents measured in Tsc1mut/mut Purkinje neurons contribute to the attenuated firing properties measured in these cells8. Across several Tsc1mut/mut or wild-type Purkinje neurons, these dynamic clamp experiments, in which the Nav conductance was added or subtracted, respectively, resulted in consistent effects on firing frequency. The addition of Nav conductance significantly (P = 0.029) increased Tsc1mut/mut Purkinje neuron firing frequency (Figure 3D1), and in wild-type Purkinje neurons, the subtraction of the Nav conductance significantly (P = 0.031) reduced firing frequency (Figure 3D2) (Student's paired t-test).

Figure 1: Setting up a Markov model in dynamic clamp software. (A) A Markov state transition diagram is shown for a model that reproduces Nav conductance properties measured in mouse cerebellar Purkinje neurons30. This model includes nine kinetic states. Of these, 8 are non-conducting states: three closed (C), two inactivated-closed (IC), two fast-inactivated (IF), and one slow-inactivated (IS). The model includes one open (O) kinetic state, which is conducting. Between adjacent kinetic states, connections/state occupancy transitioning over time is defined by transition rate constants, shown as S0-S15. Note that each kinetic state is also assigned a numerical value (red), which allows users to define the Markov model and its kinetic state topology in a gating state matrix (shown in panel C, described below). (B) Panels/graphical interfaces that users work with in the SutterPatch Dynamic Clamp Editor are presented. Note, the arrangement of these Dynamic Clamp Editor panels is not consistent with the arrangement as it appears within the dynamic clamp software. Additionally, not all panels associated with the Dynamic Clamp Editor are shown. (C) (upper panel) An example of a gating state matrix is shown with variables entered that correspond to the topology of the state transition diagram shown in panel A. Red boxes on the gating state matrix highlight row and column 7, which correspond to the model's open (O) kinetic state. Within column 7, all rate constants that define transitions into the open (O) kinetic state are listed, and within row 7, all rate constants that define transitions that exit the open (O) kinetic state are listed. With this organization, the gating state matrix describes the number of kinetic states, the rate constant variables, and the topology (interconnections between kinetic states) of the model. Shown in (D) are the SutterPatch panels/user interfaces associated with loading dynamic clamp conductance models, along with the interfaces involved in creating current clamp routines. User interactions with these models are described in Protocol steps 2.17-2.20. Please click here to view a larger version of this figure.

Figure 2: Tsc1mut/mut Purkinje neurons have attenuated membrane excitability compared to wild-type controls. (A) Whole-cell current-clamp recordings from wild type (upper, black) and Tsc1mut/mut (lower, blue) Purkinje neurons reveal attenuated firing in the Tsc1 mutant cell. (B) Reduced firing frequencies in Tsc1mut/mut Purkinje neurons, compared to wild type controls, is consistent across cells. The mean (±± SEM) spontaneous firing frequency of Tsc1mut/mutPurkinje neurons is significantly (P < 0.0001) lower compared to wild type cells (Welch's unpaired t-test; control N = 13, n = 32; Tsc1mut/mut N = 6, n = 21). (C) Voltage-clamp measurements of Nav currents in adult Purkinje neurons reveal that the mean (±± SEM) fast-transient Nav current (INaT) peak is significantly reduced in Tsc1mut/mut cells, compared to wild-type controls. (P = 0.007, RM two-way ANOVA; wild type control: N = 6, n = 22, black; Tsc1mut/mut: N = 6, n = 16, blue squares). Example INaT records, evoked by a -35 mV depolarizing step, are shown as an inset panel to the right of panel C. Data previously published in Brown et al.8. Please click here to view a larger version of this figure.

Figure 3: Using dynamic clamp to determine the effects of an ionic conductance on Purkinje neuron excitability. Dynamic clamp involves sampling membrane voltage (via a recording electrode) and computing, based on the sampled voltage, the current output of a model conductance. The computed current is then applied to a biological cell using a current-injecting electrode. Panel (A) depicts this experimental arrangement. If voltage sampling is performed at a sufficient frequency, and there is minimal delay (latency) between voltage sampling and applying the computed current, this technique can be used to assess how adding or subtracting a modeled conductance affects neuronal firing and membrane excitability. (B) In representative experiments, dynamic clamp recordings were acquired using SutterPatch software and the dPatch amplifier system. dPatch is a patch-clamp amplifier that has external signal processors and a fully integrated digitizer, which makes it well-suited for dynamic clamp recordings (see Discussion). (C) Representative current clamp records of spontaneous Purkinje neuron firing, before and after using dynamic clamp to add or subtract 400 nS of the modeled Nav conductance (presented in Figure 1A). In C1 (left), records are from a Tsc1mut/mut Purkinje neuron with attenuated firing. The addition of 400 nS Nav conductance results in a clear increase in this cell's firing frequency. Alternatively, in C2, records are from a wild-type Purkinje neuron. In this experiment, the modeled Nav conductance is applied with a reversed polarity (-400 nS), resulting in Nav conductance subtraction, and a clear reduction in repetitive firing frequency. Dynamic clamp current injection records, shown in grey, are presented below the action potential firing (voltage) records, shown in black. (D) Results from these dynamic clamp experiments, presented as the changes in spontaneous firing frequency after adding Nav conductance to Tsc1mut/mut Purkinje neurons (D1, n = 3) or subtracting Nav conductance from wild type Purkinje neurons (D2, n = 3), reveals consistent and significant effects of adding or subtracting this conductance across Tsc1mut/mut (P = 0.029) and wild type (P = 0.031) cells, respectively (paired Student's t-test). Please click here to view a larger version of this figure.