This article presents experimental procedures for assessing memory impairments in pilocarpine-induced epileptic mice. This protocol can be used to study the pathophysiologic mechanisms of epilepsy-associated cognitive decline, which is one of the most common comorbidities in epilepsy.
Cognitive impairment is one of the most common comorbidities in temporal lobe epilepsy. To recapitulate epilepsy-associated cognitive decline in an animal model of epilepsy, we generated pilocarpine-treated chronic epileptic mice. We present a protocol for three different behavioral tests using these epileptic mice: novel object location (NL), novel object recognition (NO), and pattern separation (PS) tests to evaluate learning and memory for places, objects, and contexts, respectively. We explain how to set the behavioral apparatus and provide experimental procedures for the NL, NO, and PS tests following an open field test that measures the animals’ basal locomotor activities. We also describe the technical advantages of the NL, NO, and PS tests with respect to other behavioral tests for assessing memory function in epileptic mice. Finally, we discuss possible causes and solutions for epileptic mice failing to make 30 s of good contact with the objects during the familiarization sessions, which is a critical step for successful memory tests. Thus, this protocol provides detailed information about how to assess epilepsy-associated memory impairments using mice. The NL, NO, and PS tests are simple, efficient assays that are appropriate for the evaluation of different kinds of memory in epileptic mice.
Epilepsy is a chronic disorder characterized by spontaneous recurrent seizures1,2,3. Because repetitive seizures can cause structural and functional abnormalities in the brain1,2,3, abnormal seizure activity can contribute to cognitive dysfunction, which is one of the most common epilepsy-associated comorbidities4,5,6. Contrary to the chronic seizure events, which are transient and momentary, cognitive impairments can persist throughout epileptic patients’ lives, deteriorating their quality of life. Therefore, it is important to understand the pathophysiologic mechanisms of epilepsy-associated cognitive decline.
Various experimental animal models of epilepsy have been used to demonstrate the learning and memory deficits associated with chronic epilepsy7,8,9,10,11,12. For instance, the Morris water maze, contextual fear conditioning, hole-board, novel object location (NL), and novel object recognition (NO) tests have frequently been used to assess memory dysfunction in temporal lobe epilepsy (TLE). Because the hippocampus is one of the primary regions in which TLE shows pathology, behavioral tests that can evaluate hippocampus-dependent memory function are often preferentially selected. However, given that seizures can induce aberrant hippocampal neurogenesis and contribute to epilepsy-associated cognitive decline10, behavioral paradigms for testing dentate newborn neuronal function (i.e., spatial pattern separation, PS)8,13 can also provide valuable information about the cellular mechanisms of memory impairments in epilepsy.
In this article, we demonstrate a battery of memory tests, NL, NO, and PS, for epileptic mice. The tests are simple and easily accessible and do not require a sophisticated system.
All experimental procedures were approved by the Ethics Committee of the Catholic University of Korea and were carried out in accordance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals (NIH Publications No. 80-23).
1. Novel object location test (NL)
2. Novel object recognition test (NO)
3. Pattern separation test (PS)
4. Cresyl violet staining
A general experimental schedule and setup for evaluating cognitive function are shown in Figure 1. Six weeks after the introduction of pilocarpine-induced acute seizures, mice were subjected to the NL, NO, and PS tests in that order separated by 3 day rest periods between tests (Figure 1A). For the NL test, two identical objects were placed in the open field during the familiarization session (F1), and on the next day, one object was moved to a new location. In the NO test, one object was replaced with a new one during the testing session. For the PS test, the two familiarization sessions (F1, F2) introduced combinations of different floor grid patterns and objects. Then, on the test day, one object from each familiarization session was placed on the narrow grid floor pattern, making one object novel in the context of the narrow grid floor pattern (Figure 1B). The open field box can be placed on a desk directly under a charge-coupled device camera and surrounded by a black curtain to avoid unnecessary visual cues (Figure 2A). The sample objects were easy to clean materials of a similar size or slightly larger than a mouse (Figure 2B). The object combinations needed to be prescreened to confirm that there was no significant preference between the two objects presented together (Figure 2C). The floor plates with different patterns were placed in the open field box to provide additional experimental cues in the PS test (Figure 2B). Once a mouse was introduced into the open field box, a video tracking system tracked its trajectory to analyze its total locomotion distance (Figure 2D). Six weeks after a pilocarpine injection, the epileptic mice showed a significant reduction in the discrimination ratio in the NL test, demonstrating spatial memory impairment (Figure 3). Moreover, in the NO test, which is a test for object recognition memory, epileptic mice showed impaired memory function compared to sham controls. When dentate newborn neuronal function was evaluated with the PS test, the epileptic mice had difficulty recognizing the novel object in a context with multiple cues. As control experiments, locomotor activity and latency to reach the exploration criteria during the familiarization session were assessed (Figure 3). The measurement of locomotor activity showed a significant increase in epileptic animals (Figure 3C), in line with previous reports16,17, whereas the motivation to explore the objects was comparable between sham and epileptic animals (Figure 3D). Our dropout rates failing the exploration criteria in the familiarization session were 17.4%, 18.2%, 0% for the NL, NO, and PS test, respectively, suggesting that animals became accustomed to the experimental environments during the series of behavioral trials. Finally, we evaluated hippocampal cell death after pilocarpine-induced status epilepticus using cresyl violet staining to confirm seizure-induced neuronal damage (Figure 4). The pilocarpine-treated animals demonstrated pyknotic cells in the hilus and the CA3 subfield of the hippocampus, unlike the sham controls (Figure 4).
Figure 1: Schematic presentation of the behavioral test battery. (A) A schematic drawing of the behavioral schedule for the novel object location (NL), novel object recognition (NO), and pattern separation (PS) tests for sham and epileptic mice. (B) Representative images of the object and floor plate arrangements for the NL, NO, and PS tests. Please click here to view a larger version of this figure.
Figure 2: Behavioral apparatus for the evaluation of cognitive function. (A) A general overview of the behavioral setting. A camera was placed directly above the open field box, which was surrounded by the curtain to avoid unnecessary cues. (B) Sample objects for the novel object location (NL), novel object recognition (NO), and pattern separation (PS) test. For the PS test, a floor plate with different patterns, i.e., wide and narrow grids, was inserted into the open field box to provide additional cues. (C) Graphs showing the time exploring each object presented together during the NO and PS testing session (n = 7), respectively. Note that there was no significant difference in the preference between the two objects assessed by the Mann-Whitney U test (for NO test) and the Student’s unpaired t-test (for PS test). (D) An image showing that a video tracking system detected the experimental mouse in the open field box. The red square indicates the preset zone for tracking the mouse’s trajectory. Please click here to view a larger version of this figure.
Figure 3: Impaired spatial memory and pattern separation in epileptic mice. (A) A schematic presentation of the novel object location (NL), novel object recognition (NO), and pattern separation (PS) tests. A novel object is indicated as a red circle. (B) Graphs showing the discrimination ratio in the NL, NO, and PS tests between sham (n = 8) and epileptic mice (n = 10). Note that the epileptic mice demonstrated significant impairments in the NL, NO, and PS tests, which test memory function for places, objects, and contexts, respectively. *p < 0.05 by Mann-Whitney U test for the NL test. *p < 0.05 by Student’s unpaired t-test for the NO tests. *p < 0.05 by Student’s unpaired t-test with Welch’s correction for the PS test. (C) A graph showing the locomotor activity of sham (n = 8) and epileptic mice (n = 10). Note that the epileptic mice demonstrated increased locomotion, in line with previous reports. *p < 0.05 by Student’s unpaired t-test. (D) Graphs showing latency to 30 s criteria in the familiarization session of the NL, NO, and PS tests. Note that there were no differences in the motivation for exploring the objects between sham (n = 8) and epileptic mice (n = 10). The data are presented as mean ± standard error of mean (SEM). SE = status epilepticus. Please click here to view a larger version of this figure.
Figure 4: Neuronal death in the hippocampus after pilocarpine-induced status epilepticus (SE). Representative images from the (A) sham and (B) epileptic groups 58 days after pilocarpine injection. Magnified images show the hilus (a, d), CA1 subfield (b, e), and CA3 subfield (c, f) of the hippocampus, which are indicated as white squares in the images with low magnification. Note the pyknotic cells in the hilus and CA3 subfield of the hippocampus. Scale bar in the far-left image = 200 μm, also valid for the bottom image; scale bar in a, b, c = 40 μm, also valid for d, e, f, respectively. Please click here to view a larger version of this figure.
This work describes experimental procedures for evaluating cognitive function in mice with chronic epilepsy. Many different behavioral test paradigms are used to assess learning and memory functions in mice18. The Morris water maze, radial arm maze, Y-maze, contextual fear conditioning, and object-based tests are the most frequently used behavioral tests and provide reliable results. Among them, the NL, NO, and PS tests are efficient, simple methods for evaluating learning and memory in epileptic mice8,10. Because epileptic mice can have unexpected spontaneous seizures during behavior sessions, it is better to use behavioral tests based on the animals’ natural inclination for exploring novelty without adding other positive or negative reinforcements, such as those used in aversive–motivated tasks such as fear conditioning, mild starvation, or forced swimming to stay afloat, which can trigger recurrent seizures19,20. Moreover, compared with other behavioral tests, the novelty-based tests are less stressful for the animals because extensive training sessions are not required. Further, the novelty-based behavioral tests can be easily modified to assess different types of memory (i.e., spatial memory, recognition memory, or episodic memory) by simply changing the object location, presenting a novel object, or combining additional stimuli. Taken together, novelty-based tests such as the NL, NO, and PS tests have versatile advantages for evaluating cognitive functions in epileptic mice.
Although the NL, NO, and PS tests are quick and useful experimental models for investigating learning and memory function in epileptic mice, several factors must be considered when using them. It is well-known that chronic epileptic mice show heightened anxiety from pilocarpine injections7, leading to a marked decrease in object exploration during the familiarization sessions. This lack of exploration can cause misinterpretation of the test results. Therefore, it is important to include enough habituation to the open field for the mice to get used to the environment before the familiarization session. Depending on the strains, the mice may still fail to explore the objects for 30 s within the 20 min of the familiarization session, even after 3 sessions of habituation. In that case, adding another habituation session with extra pairs of the objects in the open field box could help to reduce the anxiety of the mouse toward the objects. Curtains surrounding the open field box can minimize external room cues, allowing the experimental mice to focus on the objects in the open field. In addition, the exploration criteria should be strict enough to exclude behaviors in which the animal’s snout does not point toward the object, such as sitting on the object, passing by the object, or resting with its hind end pointing at the object. Finally, although it may be very rare, seizure events can occur during the behavioral tasks. In this case, it is recommended that those animals be removed from further assessments as this can be a possible source of confounding bias for the evaluation of memory function.
As the NL, NO, and PS tests are very sensitive experiments relying on the animals’ natural curiosity for novel stimuli, subtle changes may affect the exploratory behavior of mice, resulting in inconclusive discrimination ratios21,22. For example, harsh handling of the mouse, a bedding change right before the behavioral tasks, inconsistent timing of the test, and insufficient acclimation to the testing room can all elevate the stress levels of the animals, causing equivocal test results. Moreover, altered testing environments, such as inconsistent presentations of asymmetric objects at each session, placement of home cages near the experimental arena, or switching the olfactory signature of the experimenter should be carefully considered to avoid additional factors. At the stage of data analysis, assessments by multiple experimenters may contribute to increased variabilities in the behavioral outcomes due to different criteria of rodent exploratory behaviors or stopwatch usages. Collectively, these aspects should be also kept in mind for successful implementation of the NL, NO, and PS tests.
The hippocampus and parahippocampal region are known to play unique roles in memory processing23,24. It is widely accepted that spatial memory largely depends on the function of the hippocampus, which can be easily assessed by the NL test23,24. On the other hand, object recognition memory seems to involve multiple brain regions, including the perirhinal cortex, insular cortex, and ventromedial prefrontal cortex, in addition to the hippocampus25,26,27,28,29,30,31,32,33,34,35,36,37,38. Pilocarpine-treated epileptic mice have consistently demonstrated behavioral impairments in spatial memory testing with extensive hippocampal neuronal damage39,40,41,42, whereas object recognition memory tests have produced controversial outcomes, with variable neuronal degeneration in the parahippocampal brain regions10,41,42,43,44. These data imply that object recognition might require sophisticated network connections among multiple brain regions, unlike spatial memory in which the hippocampus can play a central role. When the specific hippocampal subfields are closely assessed, the CA1 and CA3/dentate gyrus regions are found to process different information. Specifically, CA1 neurons are thought to be activated by exposure to similar items, whereas CA3 and the dentate gyrus are involved in discriminating similar objects23,45. Consistent with that hypothesis, emerging evidence suggests that dentate newborn neurons can contribute to pattern separation performance45,46,47. Given that aberrant hippocampal neurogenesis can be induced during epileptogenesis10, epileptic mice can demonstrate impaired performance in discriminating analogous experiences due to the disrupted integration of newborn neurons in chronic epilepsy.
In conclusion, we describe how to evaluate memory impairments in epileptic mice. Specifically, we provide experimental protocols for three behavioral tests, the NL, NO, and PS tests, which test memory for places, objects, and contexts, respectively. Among the many cognitive test paradigms available for mice, the NL, NO, and PS tests are quite simple, short assays that minimally stress the animals, which makes them optimal for evaluating memory function in epileptic animals without triggering recurrent seizures.
The authors have nothing to disclose.
We thank Dr. Jae-Min Lee for his technical support. This work was supported by the National Research Foundation of Korea (NRF) grants funded by the Korean government (NRF-2019R1A2C1003958, NRF-2019K2A9A2A08000167).
1 ml syringe | Sung-shim | Use with the 26 or 30 gauge needle | |
70% Ethanol | Duksan | UN1170 | Spray to clean the box and objects |
black curtain | For avoiding unnecessary visual cues | ||
Cresyl violet | Sigma | C5042 | For Cresyl violet staining |
cryotome | Leica | E21040041 | For tissue sectioning |
double-sided sticky tape | For the firm placement of the objects | ||
DPX mounting medium | Sigma | 06522 | |
ethanol series | Duksan | UN1170 | Make 100%, 95%, 90%, 80%, 70% ethanol solutions |
floor plate with narrow grid patterns | Leehyo-bio | Behavioral experiment equipment, plate size: 42.5 x 42.5 x 0.5 cm, grid size: 2.75 x 2.75 cm | |
floor plate with wide grid patterns | Leehyo-bio | Behavioral experiment equipment, plate size: 42.5 x 42.5 x 0.5 cm, grid size: 5.5 x 5.5 cm | |
illuminometer | TES Electrical Electronic Corp. | 1334A | For the measurement of the room lighting (60 Lux) |
Intensive care unit | Thermocare | #W-1 | |
ketamine hydrochloride | Yuhan | 7003 | Use to anesthetize the mouse for transcardial perfusion |
LED lamp | Lungo | P13A-0422-WW-04 | Lighting for the behavioral test room |
objects | Rubber doll, 50 ml plastic tube, glass Coplin jar, plastic T-flask, glass bottle | ||
open field box | Leehyo-bio | Behavioral experiment equipment, size: 44 x 44 x 31 cm | |
paper towel | Yuhan-Kimberly | 47201 | Use to dry open field box and objects |
paraformaldehyde | Merck Millipore | 104005 | Make 4% solution |
pilocarpine hydrochloride | Sigma | P6503 | |
ruler | Use to locate the objects in the open field box | ||
scopolamine methyl nitrate | Sigma | S2250 | Make 10X stock |
Smart system 3.0 | Panlab | Video tracking system | |
stopwatch | Junso | JS-307 | For the measurement of explorative activities of mice |
sucrose | Sigma | S9378 | For cryoprotection of tissue sections |
terbutaline hemisulfate salt | Sigma | T2528 | Make 10X stock |
video camera (CCD camera) | Vision | VCE56HQ-12 | Place the camera directly overhead of the open field box |
xylazine (Rompun) | Bayer korea | KR10381 | Use to anesthetize the mouse for transcardial perfusion |
xylene | Duksan | UN1307 | For Cresyl violet staining |