Ca2+ toxicity due to reverse Na+/Ca2+ exchange contributes to degeneration of neurites of DRG neurons induced by a neuropathy-associated Nav1.7 mutation.

Gain-of-function missense mutations in voltage-gated sodium channel Nav1.7 have been linked to small-fiber neuropathy, which is characterized by burning pain, dysautonomia and a loss of intraepidermal nerve fibers. However, the mechanistic cascades linking Nav1.7 mutations to axonal degeneration are incompletely understood. The G856D mutation in Nav1.7 produces robust changes in channel biophysical properties, including hyperpolarized activation, depolarized inactivation, and enhanced ramp and persistent currents, which contribute to the hyperexcitability exhibited by neurons containing Nav1.8. We report here that cell bodies and neurites of dorsal root ganglion (DRG) neurons transfected with G856D display increased levels of intracellular Na(+) concentration ([Na(+)]) and intracellular [Ca(2+)] following stimulation with high [K(+)] compared with wild-type (WT) Nav1.7-expressing neurons. Blockade of reverse mode of the sodium/calcium exchanger (NCX) or of sodium channels attenuates [Ca(2+)] transients evoked by high [K(+)] in G856D-expressing DRG cell bodies and neurites. We also show that treatment of WT or G856D-expressing neurites with high [K(+)] or 2-deoxyglucose (2-DG) does not elicit degeneration of these neurites, but that high [K(+)] and 2-DG in combination evokes degeneration of G856D neurites but not WT neurites. Our results also demonstrate that 0 Ca(2+) or blockade of reverse mode of NCX protects G856D-expressing neurites from degeneration when exposed to high [K(+)] and 2-DG. These results point to [Na(+)] overload in DRG neurons expressing mutant G856D Nav1.7, which triggers reverse mode of NCX and contributes to Ca(2+) toxicity, and suggest subtype-specific blockade of Nav1.7 or inhibition of reverse NCX as strategies that might slow or prevent axon degeneration in small-fiber neuropathy.

Dark neurons in the ageing cerebellum: their mode of formation and effect of Maharishi Amrit Kalash.

Dark neurons are considered a manifestation of neuronal injury and although they cover various grades of damage their mode of formation is not yet clear. Age-dependent alterations in a dark purkinje neuronal population of guinea pigs (10 months and 32 months old) and rats (3 months, 6 months, 12 months, 15 months and 28 months) were studied. Light microscopical and electron microscopical observations revealed a significant increase (P < 0.05) in the number of dark purkinje neurons with age in both the guinea pigs and rats. Extraction of lipids from the cerebellum sections before processing for histochemical reaction resulted in a reduction of the dark neuronal population. In an other set of experiments, significant age-dependent increase in the cathepsin-D activity and lipid peroxidation was documented in the guinea pig cerebellum. Treatment of guinea pigs with Maharishi Amrit Kalash (MAK) (500 mg/kg body wt/day, for two months) significantly inhibited (P < 0.05) the activity of cathepsin-D and lipid peroxidation, and decreased the number of dark neurons. These findings suggest that the number of dark neurons increases with age and MAK prevents the conversion of light to dark purkinje neurons due to its inhibitory effects on cathepsin-D activity and antioxidant properties. We suggest that the conformational changes in the normal protein structure due to higher proteolytic activity and peroxidation of lipid in the aging cerebellum endangers a redundant capability for various staining agents and the Osimic acid molecules to react with proteins, lipids and other molecules, leading to an intensified cyto- and karyoplasms electron density.