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Optogenetic deconstruction and online control of corticothalamic circuits December 9th 2013 Jeanne T. Paz, PhD Stanford University School of Medicine American Epilepsy Society | Annual Meeting Funding: K99/R00 award NIH/NINDS CURE Challenge Award

Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

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Page 1: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Optogenetic deconstruction and online

control of corticothalamic circuits

December 9th 2013

Jeanne T. Paz, PhD

Stanford University School of Medicine

American Epilepsy Society | Annual Meeting

Funding:

• K99/R00 award NIH/NINDS

• CURE Challenge Award

Page 2: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

No Disclosure

No Commercial

Interest

American Epilepsy Society | 2013 Annual Meeting

Page 3: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Learning Objectives

1. Understand the mechanisms underlying seizure expression in corticothalamic circuits

2. Understand how optogenetic approaches can be used to control seizures

American Epilepsy Society | 2013 Annual Meeting

Page 4: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Benchmarks

Benchmarks Area II: Develop new therapeutic strategies and optimize current approaches to cure epilepsy.

A. Identify basic mechanisms of ictogenesis (seizure generation)

that will lead to the development of cures.

1. Define underlying mechanisms of initiation, propagation and

cessation of seizures in the epileptic brain as targets for treatment

(electrical, biochemical, cellular, molecular, physiological).

B. Optimize existing therapies and develop new therapies and

technologies for curing epilepsy.

2. Develop new approaches (e.g., gene therapy, brain stimulation,

cellular therapy, pharmacotherapy) for targeted therapies.

American Epilepsy Society | 2013 Annual Meeting

http://www.ninds.nih.gov/research/epilepsyweb/2007_benchmarks.htm#benchmarks

Page 5: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

1. Introduction

a. Thalamocortical circuits and oscillations

b. What cellular and circuit mechanisms underlie oscillations?

2. Results: track and target the circuits that underlie seizures

a. The focus is out of focus: thalamus is required for seizures after cortical injury

b. Optogenetics as a strategy to dissect circuits in disease

c. Closed-loop strategy: interrogate causality of a cell type in epilepsy

3. Conclusions. Benchmarks.

4. Future Directions: towards innovative approaches for Epilepsy Research

Overview

Page 6: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

The thalamocortical system

Widespread efferent

and afferent connections

Functions:

Sensation

Perception

Consciousness

Rhythm generation

Drawing from Dr. Wolfgang Klimesch

Page 7: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Thalamocortical circuits: rhythm generators

Modified from Beenhakker and Huguenard., Neuron, 2009

EEG recordings from the same patient: courtesy of Dr. Graber, Stanford

Page 8: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Spindles and spike-and-wave discharges in a feline model of

penicillin-induced generalized epilepsy

Kostopolous, et al., Exp. Neurol, 1981

Page 9: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

1. Introduction

a. Thalamocortical circuits and oscillations

b. What cellular and circuit mechanisms underlie oscillations?

2. Results: track and target the circuits that underlie seizures

a. The focus is out of focus: thalamus is required for seizures after cortical injury

b. Optogenetics as a strategy to dissect circuits in disease

c. Closed-loop strategy: interrogate causality of a cell type in epilepsy

3. Conclusions. Benchmarks.

4. Future Directions: towards innovative approaches for Epilepsy Research

Overview

Page 10: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Cellular and network basis of the rhythm generator

Page 11: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

1. Introduction

a. Thalamocortical circuits and oscillations

b. What cellular and circuit mechanisms underlie oscillations?

2. Results: track and target the circuits that underlie seizures

a. The focus is out of focus: thalamus is required for seizures after cortical injury

b. Optogenetics as a strategy to dissect circuits in disease

c. Closed-loop strategy: interrogate causality of a cell type in epilepsy

3. Conclusions. Benchmarks.

4. Future Directions: towards innovative approaches for Epilepsy Research

Overview

Page 12: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Rat photothrombosis model of stroke

Paz et al., Journal of Neuroscience, 2010

• Dye, when activated with light,

releases oxygen singlets, leading to

thrombosis

• Infarct location/volume are highly

reproducible

561nm 2 mm

Kelly et al., 2001

Watson et al., 1985

Page 13: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Isolated thalamus generates epileptiform oscillations

Paz et al., Nature Neuroscience, 2012

Brain slice: microcircuit

Page 14: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Enhanced intrinsic excitability in TC neurons

Paz et al., Nature Neuroscience, 2012

Brain slice: isolated cell

Page 15: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

From the cell back to the behavior ?

Page 16: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

1. Introduction

a. Thalamocortical circuits and oscillations

b. What cellular and circuit mechanisms underlie oscillations?

2. Results: track and target the circuits that underlie seizures

a. The focus is out of focus: thalamus is required for seizures after cortical injury

b. Optogenetics as a strategy to dissect circuits in disease

c. Closed-loop strategy: interrogate causality of a cell type in epilepsy

3. Conclusions. Benchmarks.

4. Future Directions: towards innovative approaches for Epilepsy Research

Overview

Page 17: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Image from MIT News: McGovern Institute for Brain Research and Sputnik Animation

Optogenetics

Page 18: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Optogenetic tools

Zhang et al., Nat Rev Nsci, 2007

Page 19: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Yizhar et al., Neuron, 2011

Tye & Deisseroth, Nat Rev Nsci, 2012

Optogenetic tools

Page 20: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Designing optogenetic experiments to study brain disease

Zalocusky & Deisseroth, Optogenetics, 2013

Tye & Deisseroth, Nat Rev Nsci, 2012

Page 21: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Optogenetic approach: advantages

Zhang et al., Nat Rev Nsci, 2007

Page 22: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

From the cell back to the behavior ?

Page 23: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Stroke

induction

Optogenetic targeting of the hyperexcitable TC neurons in vivo

Paz et al., Nature Neuroscience, 2013

1 week

Viral delivery

in thalamus Camk2a-NpHR3.0

2 weeks

Device implant

Optrod in thalamus

EEG in cortex

>2 weeks

Chronic recordings

+stimulation

Page 24: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Optical inhibition of TC cells interrupts seizures

in behaving animals

Paz et al., Nature Neuroscience, 2013

Cortex

Page 25: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

1. Introduction

a. Thalamocortical circuits and oscillations

b. What cellular and circuit mechanisms underlie oscillations?

2. Results: track and target the circuits that underlie seizures

a. The focus is out of focus: thalamus is required for seizures after cortical injury

b. Optogenetics as a strategy to dissect circuits in disease

c. Closed-loop strategy: interrogate causality of a cell type in epilepsy

3. Conclusions. Benchmarks.

4. Future Directions: towards innovative approaches for Epilepsy Research

Overview

Page 26: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Closed-loop optogenetic control of thalamus aborts

seizures at their onset

Paz et al., Nature Neuroscience, 2013

Page 27: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Driving bursts in TC neurons is sufficient to induce

electrographic and behavioral seizures

Unpublished data

Page 28: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

1. Introduction

a. Thalamocortical circuits and oscillations

b. What cellular and circuit mechanisms underlie oscillations?

2. Results: track and target the circuits that underlie seizures

a. The focus is out of focus: thalamus is required for seizures after cortical injury

b. Optogenetics as a strategy to dissect circuits in disease

c. Closed-loop strategy: interrogate causality of a cell type in epilepsy

3. Conclusions. Benchmarks.

4. Future Directions: towards innovative approaches for Epilepsy Research

Overview

Page 29: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Summary reducing TC output is sufficient to interrupt seizures

Paz et al., Nature Neuroscience, 2013

Page 30: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Benchamarks

Benchmark Area II, A1 and B2:

Here we identify the thalamus as a potential target for controlling seizures following a cortical injury.

• We showed that thalamus becomes hyperexcitable after stroke

• We delineated the basic mechanisms underlying this hyperexcitability

• We showed that reducing the activity of this hyperexcitable thalamus stops seizures

• We developed an approach to detect seizures in real-time at their onset

• We showed that briefly disrupting thalamic output disrupts seizures at their onset

American Epilepsy Society | 2013 Annual Meeting

http://www.ninds.nih.gov/research/epilepsyweb/2007_benchmarks.htm#benchmarks

Page 31: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Cells / Molecules

4. Future Directions: identifying and targeting cells and circuits in

epilepsy

Page 32: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Microcircuit

4. Future Directions: identifying and targeting cells and circuits in

epilepsy

Page 33: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Intracellular recording

+ neurobiotin

Network

Large scale

4. Future Directions: identifying and targeting cells and circuits in

epilepsy

Page 34: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Optogenetics

4. Future Directions: identifying and targeting cells and circuits in

epilepsy

Page 35: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Behavior: closed-loop

4. Future Directions: identifying and targeting cells and circuits in

epilepsy

Page 36: Jeanne T. Paz, PhD - az9194.vo.msecnd.netaz9194.vo.msecnd.net/pdfs/131202/20301B Jeanne Paz.pdf · Paz et al., Journal of Neuroscience, 2010 • Dye, when activated with light, releases

Funding:

• NIH/NINDS K99 award

• CURE Challenge Award

• Epilepsy Foundation

Acknowledgements

John

Huguenard

Karl

Deisseroth

Tom

Davidson

Eric

Frechette

Jordan Sorokin