Hyperpolarization-activated
cyclic nucleotide-gated (HCN) channels and the Ih current they generate contribute to the pathophysiological mechanisms of absence
seizures (ASs), but their precise role in neocortical and thalamic neuronal populations, the main components of the network underlying AS generation, remains controversial. In diverse genetic AS models, Ih amplitude is smaller in neocortical neurons and either larger or unchanged in thalamocortical (TC) neurons compared with nonepileptic strains. A lower expression of neocortical HCN subtype 1 channels is present in genetic AS-prone rats, and HCN subtype 2 knock-out mice exhibit ASs. Furthermore, whereas many studies have characterized Ih contribution to "absence-like" paroxysmal activity in vitro, no data are available on the specific role of cortical and thalamic HCN channels in behavioral
seizures. Here, we show that the pharmacological block of HCN channels with the antagonist
ZD7288 applied via reverse microdialysis in the ventrobasal thalamus (VB) of freely moving male Genetic
Absence Epilepsy Rats from Strasbourg decreases TC neuron firing and abolishes spontaneous ASs. A similar effect is observed on γ-hydroxybutyric
acid-elicited ASs in normal male Wistar rats. Moreover, thalamic knockdown of HCN channels via virally delivered
shRNA into the VB of male Stargazer mice, another genetic AS model, decreases spontaneous ASs and Ih-dependent electrophysiological properties of VB TC neurons. These findings provide the first evidence that block of TC neuron HCN channels prevents ASs and suggest that any potential anti-absence
therapy that targets HCN channels should carefully consider the opposite role for cortical and thalamic Ih in the modulation of absence
seizures.SIGNIFICANCE STATEMENT Hyperpolarization-activated
cyclic nucleotide-gated (HCN) channels play critical roles in the fine-tuning of cellular and network excitability and have been suggested to be a key
element of the pathophysiological mechanism underlying absence
seizures. However, the precise contribution of HCN channels in neocortical and thalamic neuronal populations to these nonconvulsive
seizures is still controversial. In the present study, pharmacological block and genetic suppression of HCN channels in thalamocortical neurons in the ventrobasal thalamic nucleus leads to a marked reduction in absence
seizures in one pharmacological and two genetic rodent models of absence
seizures. These results provide the first evidence that block of TC neuron HCN channels prevents absence
seizures.