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Advanced Neurology                                                          The AIS structure and function



            their AIS will be elongated and proximally shifted closer   a previous study has reported a molecular remodeling of
            to the soma . Moreover, electrophysiology recordings   the AIS, which was observed in the surviving peri-infarct
                      [61]
            have shown that input-deprived neurons tend to be more   region after focal cortical stroke . Moreover, de novo AIS
                                                                                        [67]
            excitable, indicating that to regulate neuronal excitability   formation has been observed within the peri-infarct cortex,
            and homeostasis as well as maintain neuronal circuit   suggesting that stroke-induced axonal sprouting may
            output, neurons might need to adapt to presynaptic activity   contribute to the formation of new functional axons .
                                                                                                        [67]
            by altering their AIS properties.
              In in vivo experiments using chicken embryos, Hiroshi   6. Conclusions
            Kuba et al. found that depriving chickens of auditory input   The AIS is a remarkable neuronal structure comprising a
            (destroying the cochlea) resulted in the elongation of the   complex assembly of membrane proteins, scaffold proteins,
            AIS of chicken brainstem auditory neurons (Chick NM).   cytoskeletal adaptors, and voltage-gated ion channels. The
            In the experiment, 7 days after auditory input deprivation,   precise molecular distribution of the AIS ensures proper
            the AIS length increased to 1.7 times the original length.   neuronal excitability by regulating the generation of APs.
            The distribution of Na  channels and the excitability of   The dynamic properties of the AIS allow the regulation
                               +
            neurons increased, but the density and distribution of Na    of neuronal excitability in response to neuronal activities
                                                          +
            channels barely changed . In addition, different decibels   both  inside  and  outside  the  cell,  thereby  maintaining
                               [61]
            of auditory stimulation may cause the AIS to shorten or   homeostasis and the output of neural circuits. Dendritic
            lengthen, suggesting that the AIS can change its length   AIS may play an important role in the homeostatic
            according to the activity level of presynaptic neurons.  regulation of physiological functions in the nervous system
                                                               due to its insensitivity to external stimulus. The AIS also
              In  addition,  Grubb  and Burrone have  demonstrated   demarcates the boundary between the dendritic-somatic
            a distal shift in AIS location, up to 17 μm away from the   and axonal compartments while allowing axonal proteins
            cell body, after 48 h of in vitro culture of rat hippocampal   to pass through.  Moreover, certain structural  properties
            neurons under high-concentration K  treatment (15 mM   of  the  AIS,  such  as  length  and/or  location,  can  change
                                          +
            potassium chloride [KCl]) to the extracellular fluid. In   through activity-dependent manners. The structural
            the AIS, AnkG and other associated proteins, such as Na    plasticity of the AIS is known as an important factor for
                                                          +
            channels and βIV-spectrin, moved accordingly, but there   the establishment and maintenance of nervous system
            was no observable change in AIS length. After washing,   functions. During AIS plasticity, the proteins in the AIS
            the AIS returned to its original position in relation to the   may undergo a demolition and reconstruction process.
            cell body, and after 48 h of treatment with 15 mM KCl,   However, we still have very limited knowledge of the AIS.
            neuronal excitability reduced, and a stronger current
            stimulation was needed for the neurons to fire an AP .  From research on the brain of Alzheimer’s disease
                                                      [60]
                                                               (AD) patients, we are aware that axonal pathology is
              Our previous study has shown that after treating   associated with neuroaxonal dystrophy and amyloid
            cultured hippocampal neurons with 20 mM glucose for 3 h,   plaque formation . Our previous study has also shown
                                                                             [68]
            the neurons from both rats and mice showed changes in AIS   that AIS pathology may occur even before axonal
            length or location but in different ways : in rat neurons,   pathology . As a result of the key role AIS plays in
                                           [40]
                                                                       [54]
            the AIS length became shorter, and the distance from the   AP bursts,  the dysfunction of AIS may lead to certain
            cell body increased because the proximal end of the AIS was   neurological diseases. For example, mutations in ion
            pushed away from the cell body, while the distal end did not   channel  subtypes  could cause epilepsy . In  addition,
                                                                                                [48]
            change; in mouse neurons, the AIS was longer, but there was   ANK3  (gene  encoding  AnkG)  mutation  has  been  found
            no change in distance from the cell body as the distal end of   to be associated with some neuronal diseases, such as
            the AIS moved away from the cell body, while the proximal   bipolar disorder , intellectual disability , schizophrenia,
                                                                            [69]
                                                                                               [70]
            end of the AIS showed almost no change. However, in both   and  autism  spectrum  disorder [71,72] .  In  mouse  models,
            mouse and rat neurons, the dendritic AIS barely changed   the loss of  βIV-spectrin function resulted in ataxia and
            after the 20 mM glucose treatment, indicating that even in   central auditory deafness [73,74] . Moreover, patient with the
            the presence of the same external stimulus, AIS plasticity   pathogenic variant of SPNB4 (gene encoding human βIV-
            varies between different types of neurons.         spectrin) has also been associated with myopathies and
              AIS plasticity can also occur under certain      auditory neuropathies . Our previous study has shown
                                                                                 [75]
            pathophysiological  conditions.  A  previous  study  has   that AnkG deficiency in the AIS could play a significant
            shown AIS plasticity in barrel cortex L5 pyramidal neurons   role in AD pathology . Therefore, restoring or preserving
                                                                                [54]
            in a mild traumatic brain injury model, where the AIS was   the structure and function of the AIS will be an important
            shortened and AP intensity was attenuated . Similarly,   strategy for the treatment of these diseases.
                                                [66]

            Volume 2 Issue 1 (2023)                         4                       https://doi.org/10.36922/an.v2i1.274
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