Seizure causes neuronal cell loss in both animal models and human epilepsy.
To determine the contribution of apoptotic mechanisms to seizure-induced n
euronal cell death, rat brains were examined for the occurrence of terminal
deoxynucleotidyl transferase-mediated UTP nick end labeling (TUNEL)-positi
ve nuclei after pilocarpine-induced seizure. Numerous TUNEL-positive cells
were observed throughout the postseizure hippocampus, piriform cortex, and
entorhinal cortex. Combined TUNEL/NeuN immunocytochemistry demonstrated tha
t the vast majority of TUNEL-positive cells were neurons. To identify compo
nents of the signal transduction cascade promoting postseizure apoptosis, t
he expression of the p75 neurotrophin receptor (p75NTR) was examined. Seizu
re-induced increases in p75NTR protein and mRNA were detected in hippocampu
s, piriform cortex, and entorhinal cortex. Immunohistochemical double label
ing revealed almost complete correspondence between TUNEL-positive and p75N
TR-expressing cells, suggesting that seizure-induced neuronal loss within t
he CNS occurs through apoptotic signaling cascades involving p75NTR.