Transcriptional Regulation of the Sodium-activated Potassium Channel SLICK (KCNT2) Promoter by Nuclear Factor-κB*

Background: The active role of SLICK channels and their regulation in neurons are largely unknown. Results: SLICK transcription is highly dependent upon NFκB activation in peripheral and central neurons. Conclusion: SLICK is an evolutionarily conserved NFκB-regulated gene. Significance: SLICK channels may confer neuroprotection during ischemic conditions. Although recent studies have shown the sodium-activated potassium channel SLACK (KCNT1) can contribute to neuronal excitability, there remains little information on the physiological role of the closely related SLICK (KCNT2) channel. Activation of SLICK channels may be important during pathological states such as ischemia, in which an increase in intracellular sodium and chloride can perturb membrane potential and ion homeostasis. We have identified two NFκB-binding sites within the promoter region of the human SLICK (KCNT2) and orthologous rat Slick (Kcnt2) genes, suggesting that conditions in which NFκB transcriptional activity is elevated promote expression of this channel. NFκB binding to the rat Slick promoter was confirmed in vivo by ChIP analyses, and NFκB was found differentially bound to the two sites. We verified NFκB transcriptional regulation of SLICK/Slick by mutational analyses and studying gene expression by luciferase assay in P19 cells, where NFκB is constitutively active. For the rat gene, activation of the Slick promoter was found to be additive in single NFκB mutations and synergistic in double mutations. Unexpectedly, for the human gene, NFκB exhibited cooperativity in activating the SLICK promoter. The human SLICK promoter constructs were then tested under hypoxic conditions in PC-12 cells, where NFκB is not active. Only under hypoxic conditions could luciferase activity be detected; the double NFκB mutant construct failed to exhibit activity. Transcriptional regulation of Slick by NFκB was verified in primary neurons. The Slick transcript decreased 24 h after NFκB inhibition. Our data show SLICK expression is predominantly under the control of NFκB. Because neuronal NFκB activation occurs during stressful stimuli such as hypoxia and injury, our findings suggest that SLICK is a neuroprotective gene.

SLO2.2) is a slowly activating, outwardly rectifying, sodiumactivated and chloride-sensitive potassium channel (K Na ) found to contribute to neuronal excitability (2). The other member of the K Na channel family, known as SLICK (KCNT2, SLO2.1), has been less studied. The human SLICK gene is ϳ400 kb and shares a striking 98% amino sequence identity with the rat protein sequence, exhibiting strong evolutionary conservation. Interestingly, when recorded in heterologous expression systems, Slick channels are more sensitive to intracellular chloride compared with Slack, and Slick activation is very rapid (3). SLICK/Slick channels contain a putative ATP-binding site. However, although rat Slick channel gating was found to be sensitive to intracellular ATP, current studies on human SLICK expressed in Xenopus oocytes did not find similar ATP inhibition (3,4). Recent findings have shown that in contrast to Slack channels, Slick channels are the only large-conductance potassium channels sensitive to small changes in cell volume (5). Moreover, computer simulations predict that the instantaneous activation properties of Slick could in fact prevent action potential firing (3). These properties suggest that Slick channel expression might be tightly regulated, yet little is known about the channel's pathophysiological role in the nervous system.
A number of transcription factors are responsible for neuronal plasticity in response to stress, such as chronic inflammation and ischemia. NFB is an inducible transcription factor implicated as a pro-inflammatory and protective mediator in almost all mammalian cell types, with a dominant role for prosurvival in neurons (6). NFB in mammals is composed of five family members: RelA (p65), RelB, c-Rel, p50 (NFB1), and p52 (NFB2) (7). These members can form homo-or heterodimers that initiate or repress transcription. The p65, RelB, and c-Rel proteins contain a C-terminal transactivation domain that is essential for recruitment of the RNA polymerase transcriptional machinery. The p50 and p52 proteins lack this domain and therefore repress transcription if bound, unless bound as a heterodimer to a transactivation domain-containing member. The complexes remain inactive in the cytoplasm, bound by inhibitory family IB. Once IB is phosphorylated, NFB can freely translocate into the nucleus and become active. In in vivo studies using transgenic mice, loss of p50/p65 DNA binding specifically in neurons resulted in prominent cell death after neurotoxic insults in hippocampal slices (8).
NFB is also found to be a critical component of preconditioning, a biphasic endogenous mechanism for neuroprotection against future insults from ischemia and epilepsy (9). The early phase of preconditioning develops within a few minutes and lasts between 1 and 2 h, whereas the late phase develops between 12 and 24 h and lasts 3-4 days (10). In vivo models of brain tolerance, including ischemic, epileptic, and polyunsaturated fatty acid-induced preconditioning, determined NFBdependent neuronal protection in the adult rat hippocampus, where activation of NFB was an essential step during late preconditioning (9). NFB p50/p65 heterodimers were identified bound to DNA as early as 1 h after sublethal ischemia.
Slick is highly expressed in cortical and hippocampal areas, regions that constitutively express NFB (high basal levels of active NFB) (11). Slick is also moderately expressed peripherally in dorsal root ganglion (DRG) 2 neurons (12). In this study, we examined the NFB-dependent regulation of the SLICK gene.

Experimental Procedures
ChIP-The protocol of Maze et al. (13) was modified to include a nuclear extraction method previous to chromatin shearing. Briefly, Dynabeads (anti-rabbit M-280, catalog no. 112-04, Novex) were blocked in PBS solution containing 0.5% BSA. Beads were then resuspended in blocking solution containing 10 g of antibody (anti-acetylated Lys-9 histone H3 (H3K9, catalog no. ab4441), anti-NFB p65 (catalog no. ab7970), and anti-NFB p105/p50 (catalog no. ab7971), Abcam) and rotated overnight at 4°C. Beads were washed the next day with blocking solution. Adult Sprague-Dawley rats were decapitated, and fresh punches (3 ϫ 1 mm, six punches per animal) were taken from the hippocampus, caudate putamen, and cerebellum before flash-freezing. Six punches were processed per sample and resuspended in hypotonic lysis buffer with protease inhibitors. Tissue sonication and chromatin shearing were carried out as described previously (13). Part of the sample was used to verify sonication electrophoresing on agarose gel, and part of the sample was used as the input control in quantitative real-time PCR. Shearing of DNA to 400 bp was confirmed by electrophoresing sample on agarose gel electrophoresis. DNA absorbance was measured using a spectrophotometer, and equal amounts of DNA were added to the antibody-bound Dynabeads with overnight rotation at 4°C. Samples were washed, eluted, and digested with RNase for 1 h at 37°C, followed by proteinase K for 2 h at 55°C. DNA was recovered using a Qiagen PCR purification kit (catalog no. 28106).
ChIP/Quantitative Real-Time PCR-Primers were designed based on the two rat NFB-binding sites, the mammalian conserved site, and the divergent site found only in mice and rats. Gene desert primers were designed by identifying a region in rat chromosome 12 without any genes. SYBR Green PCR Master Mix (catalog no. 4309155, Applied Biosystems) For quantification, a 50-cycle two-step denaturing/annealing was used, with a 15-s absorbance reading on a Bio-Rad iQ5 cycler. Each sample was performed in triplicate. Acetylated H3K9 was used as a positive control for active transcription. The primers used were as follows: NFB conserved distal site, GCATAAGGGTGCC-CTGCAATTTTCC (forward) and CCAGCACCCAGGCTGT-GGTCGCC (reverse); NFB non-conserved proximal site, GG-CTGGGCCTTCAACAACTGC (forward) and CGTGATGG-CTAGGCACTTTCC (reverse); and gene desert, AGGTCCT-TAGAGAGAGCAGGA (forward) and GGAAAAGCAGGTG-AGTAGCA (reverse).
Cell Culture-PC-12 cells (a gift from Dr. Richard A. Rabin, The State University of New York at Buffalo) and P19 cells (a gift from Dr. Jerome A. Roth, The State University of New York at Buffalo) were maintained in a 5% CO 2 incubator at 37°C. PC-12 cells were cultured in high-glucose DMEM containing 10% horse serum, 5% fetal bovine serum, and penicillin/streptomycin. P19 cells were cultured in minimum essential medium containing 7.5% newborn calf serum, 2.5% fetal bovine serum, and penicillin/streptomycin.
Dual-Luciferase Assay and Hypoxic Stress-Two kb of sequence upstream of the start site of human SLICK and rat Slick were cloned into the pGL3 luciferase vector. Site-directed mutagenesis of the putative NFB-binding sites was performed using PfuTurbo DNA polymerase (catalog no. 600250, Agilent). PC-12 and P19 cells lines were plated onto 12-well plates, and constructs were transfected using Lipofectamine 2000 (catalog no. 11668-027, Life Technologies, Inc.) the following day. On day 3, cells were washed and lysed according to the Dual-Luciferase reporter assay system (catalog no. E1960, Promega). For hypoxic stress, transfected PC-12 cells were flushed in a hypoxia chamber (containing a Petri dish with sterile water for adequate humidity) for 10 min with a mixture of 5% CO 2 and 95% N 2 . The chamber was then sealed, and cells were incubated at 37°C for 1, 6, and 24 h. Luminescence measurements were obtained on BioTek microplate reader. Luciferase and Renilla readings were subtracted from initial blank, divided, and normalized to the pGL3 vector control.
Primary DRG Neuronal Culture-DRG were dissected from day 15 Sprague-Dawley rat embryos. The ganglia were dissociated in trypsin (2.5 mg/ml) for 60 min. Cells were plated on poly-D-lysine (100 g/ml)and laminin (3 g/ml)-coated coverslips, pooled one pup per coverslip, and maintained on serum-free C2 media containing ␤-NGF (100 ng/ml). Unlike neonatal and adult DRG neurons, embryonic DRG neurons require NGF for survival (14). The day after dissection, cells were treated with 1 M cytosine ␤-D-arabinofuranoside for 2 days. The NFB inhibitor caffeic acid phenethyl ester (CAPE; EMD Millipore) was dissolved in dimethyl sulfoxide (DMSO) and diluted to a final concentration of 2.5 g/ml in culture growth medium to 0.001% DMSO. On day 5 in culture, CAPE or DMSO was added to neuronal coverslips for 30 min, and cells were washed. For transcriptional analysis, RNA extraction was performed after 24 and 48 h.
RNA Extraction and cDNA Synthesis-An RNeasy micro kit (Qiagen) was used for RNA extraction from neuronal culture.
RNA was reverse-transcribed with SuperScript III reverse transcriptase (Life Technologies, Inc.).
cDNA Quantitative Real-time PCR-Transcriptional abundance was measured using a thermocycler and SYBR Green PCR Master Mix. For quantification, a 50-cycle two-step denaturing/annealing was used, with a 15-s absorbance reading on a Bio-Rad iQ5 cycler. Each sample was performed in triplicate. The primers used for DRG neuronal culture were as follows: GAPDH, AACGACCCCTTCATTGAC (forward) and TCCA-CGACATACTCAGCAC (reverse); and Slick, GGTTTACAG-GTCTCGGTGGC (forward) and GAGATGATGAAGGGAA-CTGC (reverse).

NFB Transcriptional Consensus Sites in SLICK Are
Conserved in Mammals-Promoter analyses for transcription factor binding within the SLICK and rat Slick genes were performed using the web-based program TFSEARCH utilizing 2 kb of the gene sequence upstream of the start codon ( Fig. 1). Consensus NFB-binding sites were identified within the SLICK promoter region. The SLICK promoter region was aligned and compared with other mammalian species, and we determined that NFB consensus sites are evolutionarily conserved. One putative site was completely conserved across all mammalian species examined, 828 bp upstream of the human SLICK start codon. Another consensus site was identified in human, chimpanzee, rhesus monkey, and dog, 13 bp upstream of the Ϫ828 site. In the rat and mouse Slick genes, there was an NFB consensus site 457 bp upstream of the start codon. Although NFB-binding sites are conserved across mammalian species, there are variations in the placement of the sites.
Putative NFB-binding Sites Verified in Vivo Are Found Differentially Bound to the Slick Promoter-To verify the identified putative NFB-binding sites of the Slick promoter, ChIP was performed on tissue from the rat hippocampus, caudate putamen, and cerebellum. High-level expression of Slick mRNA and Slick protein was found in the rat hippocampus, with moderate expression in the caudate putamen and undetectable expression in the cerebellum as determined by in situ hybridization and immunohistochemistry (11). We utilized antibodies against the p50 and p65 subunits of NFB, and acetylated H3K9 was used as a positive control for transcriptional activation. Quantitative PCR C t values were normalized, dividing IP C t values by input C t values to provide ⌬C t . These values are relative to 1; therefore, values above 1 represent a higher IP C t value correlating to a lower IP DNA abundance and therefore less transcription factor binding. Gene desert primers were used as a negative control for nonspecific binding. Gene desert C t values were undetectable, being above the cutoff threshold (data not shown). 3 We compared IP C t values amplifying the evolutionarily conserved NFB-binding site, GGGGATTCC (distal site to the start methionine), and the non-conserved NFBbinding site (proximal site to the start methionine) present only in the rat and mouse genes, GGGGATGCCC. At the distal NFB-binding site, both the p50 and p65 subunits exhibited a lower mean ⌬C t in the hippocampus compared with the caudate putamen and cerebellum, indicating a higher level of NFB binding at this site within the hippocampus (Fig. 2). However, the data did not achieve statistical significance. At the proximal NFB-binding site, transcription factor binding was significantly different in the hippocampus versus the caudate putamen and cerebellum (Table 1). Specifically, the p65 subunit was significantly less bound in the proximal NFB-binding site within the cerebellum compared with the hippocampus. Furthermore, the p50 subunit was significantly less bound in the caudate putamen at the proximal NFB-binding site compared with every other p50 distal and proximal NFB-binding site. In other words, both the p50 and p65 subunits exhibited significantly higher binding levels at the proximal NFB-binding site in the hippocampus compared with the caudate putamen and cerebellum.
It should also be noted that in the hippocampus, p50 subunit binding to the proximal NFB-binding site was significantly less compared with the distal NFB-binding site. This suggests that the proximal NFB-binding site has lower NFB-binding affinity. Notwithstanding, these results confirm that NFB binds to the Slick promoter in vivo and indicates differential NFB-binding affinity between the two sites. Corroborating the high levels of constitutive NFB activity and Slick mRNA expression in the adult hippocampus, we found the highest levels of p50 and p65 binding to the Slick promoter within the hippocampus.
NFB Is Essential for Mammalian SLICK Transcription-To identify whether NFB can actively recruit the RNA polymerase transcriptional machinery and promote transcription of the SLICK gene, 2 kb of sequence upstream of the start site of the rat and human genes were inserted into the pGL3 promoter-less luciferase vector and designated as the wild-type construct. To observe activation of the luciferase gene, the inserted promoter region must contain regulatory elements that will initiate transcription. One or both NFB-binding sites were mutated to prevent NFB binding (Fig. 3A). The constructs were transfected into two separate neuronal model cell lines, PC-12 and P19 cells, for luciferase assays (Fig. 3B). PC-12 cells contain inactive NFB complexes, whereas P19 cells contain constitutively active p50 and p65 subunits (15,16). In the PC-12 cell line, activation of luciferase was not observed in the rat or human constructs. In the P19 cell line, luciferase activation increased by ϳ17-fold in both the rat and human wild-type constructs compared with the vector control. Nullifying either NFB-binding site in the rat promoter resulted in an additive decrease in luciferase activity, whereas nullifying both NFBbinding sites by mutation resulted in a synergistic decrease that did not significantly differ from the empty vector base line. In contrast, nullifying either NFB-binding site in the human promoter resulted in a complete loss of luciferase activity, not differing from the empty vector (Fig. 3C). However, we found that nullifying both NFB-binding sites resulted in a small but significant increase in luciferase activity over the base line. This suggests that occupancy of either site by NFB subunits represses other transcription factors; nonetheless, our data demonstrate that there is strong NFB-dependent transcription of SLICK across species.

Characterization of the SLICK (KCNT2) Promoter
Hypoxic Induction of SLICK Transcription Occurs through NFB-To further demonstrate the dependence of SLICK transcription on NFB, we induced NFB activation in PC-12 cells by hypoxia. Hypoxia is known to cause IB␣ degradation, increase NFB DNA-binding activity, and cause the transactivation of a reporter gene construct containing multiple NFB DNA-binding sites (17). The human wild-type and double NFB-binding site mutant SLICK constructs were transfected into PC-12 cells and exposed to hypoxic stress for 1, 6, and 24 h. Luciferase activation was observed in the wild-type construct compared with the vector control at each time point (Fig. 4). The degree of activation was comparable with that seen in P19 cells (Fig. 3), where NFB is constitutively active. The rat Slick wild-type construct showed a similar increase in luciferase activity when transfected in PC-12 cells after 45 min of hypoxic stress (data not shown). 3 The double NFB-binding site mutant construct exhibited a small but significant increase in activity at 1 h, similar to what we saw in P19 cells, but this disappeared at 6 and 24 h. We assume that another transcription factor that is repressed by NFB binding during normal conditions loses activity during prolonged hypoxia. Collectively, our results reveal that the SLICK gene can be induced by hypoxia via NFB activation.
Decreased Slick Expression after NFB Inhibition in Primary Neurons-Although our data support Slick regulation by NFB, we further confirmed this by studying the effects of NFB inhibition on endogenous Slick transcription in native neurons. Using CAPE, a p65 translocation blocker, we assessed Slick expression by quantitative real-time PCR in primary DRG neurons as described previously (18). We elected to use DRG neuronal cultures to study the transcriptional regulation of Slick, as both adult and embryonic DRG neurons express Slick channels (12). This contrasted with embryonic hippocampal neuronal cultures, where we observed little to no Slick expression at this early developmental stage (data not shown). 3 Additionally, embryonic DRG neurons were cultured in the presence of NGF, a neurotrophic factor essential for survival of these neurons. NGF-dependent survival was found to be contingent upon NFB activation (19). Furthermore, cytosine ␤-D-arabinofuranoside was added to cultures to remove mitotic glial supporting cells, ensuring that the effects seen could be attributed to neuron-specific inhibition of NFB. We found that when DRG neurons were treated with CAPE for 30 min and RNA was isolated after 24 h, Slick expression was significantly decreased by ϳ50% compared with the DMSO control (Fig. 5). Slick transcriptional expression was normalized to the housekeeping gene GAPDH. We also examined Slick transcript levels 48 h after CAPE exposure, and although there was still slightly diminished expression, the data were not statistically significant. This is likely due to the short incubation time and eventual washing out of the inhibitor. Still, our data confirm that endogenous Slick expression, assessed in primary neurons, is dependent upon NFB activation.

Discussion
In this study, we identified NFB as a positive regulator of SLICK gene expression. Analysis of the promoter region of SLICK identified two NFB-binding sites, with one site completely conserved across all mammalian species examined. The putative sites were verified in vivo using ChIP assay, and we determined differential binding of p50 and p65 at the proximal NFB-binding site compared with the conserved distal NFBbinding site. Mutating the consensus NFB-binding sites caused a substantial reduction in SLICK transcriptional activity. SLICK transcriptional activation was seen after hypoxic stress and was found to be dependent upon NFB activation, as mutating the two NFB-binding sites largely inhibited activation of SLICK. We identified decreased Slick expression after using an NFB inhibitor in primary neurons. We conclude that the SLICK gene is stringently regulated by NFB activation.
NFB subunits p50 and p65 are constitutively active in the glutamatergic neurons of the hippocampus and cortex, and extensive supporting evidence has attributed this high basal expression to be important for synaptic plasticity and morphology (see Ref. 20 for review of supporting evidence). Our ChIP data defined the proximal NFB-binding site of the Slick gene as a determining factor of differential transcriptional expression because of variable binding of the NFB p50 and p65 subunits at this site when analyzed in three different brain regions. Using DNA binding preferences by EMSA-Seq, Wong et al.   (21) identified the relative binding affinities of nine distinct human NFB dimers on canonical and non-canonical sequences. In their report, the evolutionarily conserved distal NFB-binding site was analyzed and found to bind all NFB dimers with relatively high affinity. The exact sequence of the proximal NFB-binding site was not assessed in their study; however, a very similar sequence was reported to also have considerable binding affinity for all dimers, but an overall lower binding affinity compared with the distal NFB-binding site. Our ChIP data support these findings, as p50 and p65 exhibited a lower binding affinity for the proximal NFB-binding site compared with the distal NFB-binding site.

Characterization of the SLICK (KCNT2) Promoter
The NFB-binding affinity we observed in the hippocampus from our ChIP correlates with the luciferase expression we observed in the rat Slick promoter. The high levels of constitutive NFB activity in P19 cells resemble those found in adult hippocampal neurons (22). Therefore, when sufficient levels of both p50 and p65 are available, binding is observed at both NFB-binding sites, explaining the additive decrease observed after mutation of the distal or proximal NFB-binding site.  Interestingly, we found some differences between the human SLICK and rat Slick promoters. Nullifying either NFB-binding site in the rat Slick promoter resulted in an additive decrease in luciferase activation and a synergistic decrease in activation when both sites were mutated. This differed from the human SLICK promoter, where single mutations were sufficient to obliterate transcriptional activity. This may be due to the distance between the NFB-binding sites. Giorgetti et al. (23) found NFB to additively contribute to polymerase recruitment, which is defined by the strength of the environmental input. The synergistic decrease in luciferase activation of the double NFB-binding site mutation in the rat Slick promoter supports this idea. However, NFB cooperativity was observed for the human SLICK promoter, a result that is contrary to the conclusions put forth by Giorgetti et al., who found that NFB bound independently and without cooperativity. However, it should be noted that although the evidence supports p65 binding as non-cooperative, other NFB subunits were not examined. NFB binding predicted by TFSEARCH indicated a high confidence level of c-Rel also potentially binding to the evolutionarily conserved site at Ϫ828 bp, along with the other site 13 bp upstream. Immunochemical supershift analyses determined that P19 cells express p50, p65, and c-Rel subunits (22). As c-Rel can activate transcription, it is possible that c-Rel binding may be cooperative at this site. Giorgetti et al. (23) also examined intersite NFB binding of up to 400 bp for cooperativity. The human NFB intersite difference is only 13 bp, much smaller than the average intersite distance examined. Cooperativity may arise because of the limited spacing between the two sites. In specific cases, p50/p52 dimers have been found to exhibit cooperativity in a viral enhancer (24). Furthermore, cooperativity of the human NFB-binding sites would allow for maximal SLICK transcriptional activation after a small increase in NFB activation, whereas the additive properties in the rat NFBbinding sites would not. Our data suggest that cooperative NFB binding in the human SLICK promoter is an evolutionary adaptation that might be important for more complex brains. With our ChIP data and the fact that Slick channels are highly expressed in adult pyramidal cells of the rat hippocampus and cortex, we can infer that SLICK channels are likely involved in synaptic plasticity (11). However, the two NFBbinding sites in the human SLICK promoter are predicted to bind to c-Rel as well. The c-Rel protein drives neuroprotective effects during glucose oxygen deprivation, and the neuronal survival factor interleukin-1␤ can activate c-Rel (25,26). Therefore, c-Rel activation may be important for inducing SLICK expression during ischemia. Of note, we also identified putative HIF1 (hypoxia-inducible factor 1)-binding sites in the SLICK promoter (data not shown). 3 HIF1-binding sites were not present in the rat promoter. Although we determined that SLICK transcriptional initiation occurs primarily through NFB by hypoxia experiments, we cannot completely rule out an involvement of HIF1-dependent regulation of SLICK.
Slick channels are also expressed in DRG neurons, and the regulation by NFB may be important during stressful conditions such as nerve injury and neuropathy. Given the regenerative properties of these injured neurons, cytokine and/or neurotrophin signaling through NFB may allow neurons to adapt to neuropathic conditions and maintain normal firing. Although we saw a significant reduction in the Slick transcript  JULY 24, 2015 • VOLUME 290 • NUMBER 30 in dissociated DRG neurons after NFB inhibition, we were not able to detect changes in protein levels after 48 -96 h (data not shown). 3 This is likely due to the typical longer half-lives of ion channels and also the effect we observed with CAPE inhibition of NFB. Using the protocol described by Chiechio et al. (18), the significant decrease in the Slick transcript observed at 24 h dissipated after 48 h. Therefore, the level of transcript reduction we saw may not be sufficient to significantly impact protein levels. It should be noted that we tried the potent NFB-specific peptide inhibitor SN50M (Enzo Life Sciences, Farmingdale, NY), but found substantial neuronal death within 24 h (data not shown), 3 as might be expected for a prosurvival transcription factor such as NFB (19). Still, we cannot conclude that there are no post-transcriptional mechanisms that also govern Slick channel expression.

Characterization of the SLICK (KCNT2) Promoter
The small-conductance calcium-activated potassium channels of the SK2 subtype were also shown to have two NFB-binding sites and to be regulated by NFB (27). SK2 channels are important for synaptic plasticity and are neuroprotective during cerebral ischemia (28,29). Indeed, SK2 channel openers were shown to reduce neuronal cell death during ischemia (29). Potassium channels are important for countering the ischemia-induced excitotoxicity in neurons (30,31). During ischemic excitotoxicity, neurons experience elevations in intracellular calcium, sodium, and chloride, causing changes in neuronal cell volume and eventual death. Potassium channels that are responsive to intracellular ion perturbations would be uniquely suited to confer neuroprotection. This may be one reason why SK2 and SLICK genes are under the control of NFB. Elevating NFB signaling could limit ischemia-associated neuronal death by induction of the SK2 and SLICK genes (17). Simply targeting SLICK channels directly during ischemia or neuropathy, channels that are uniquely sensitive to cell volume perturbations, could have neuroprotective effects (5). This remains to be explored.