Bouilleret V, Ridoux V, Depaulis A, Marescaux C, Nehlig A, Le Gal La Salle G
INSERM U. 398, Faculté de Médecine, Strasbourg, France.
Neuroscience. 1999 Mar;89(3):717-29. doi: 10.1016/s0306-4522(98)00401-1.
Human mesial temporal lobe epilepsy is characterized by hippocampal seizures associated with pyramidal cell loss in the hippocampus and dispersion of dentate gyrus granule cells. A similar histological pattern was recently described in a model of extensive neuroplasticity in adult mice after injection of kainate into the dorsal hippocampus [Suzuki et al. (1995) Neuroscience 64, 665-674]. The aim of the present study was to determine whether (i) recurrent seizures develop in mice after intrahippocampal injection of kainate, and (ii) the electroencephalographic, histopathological and behavioural changes in such mice are similar to those in human mesial temporal lobe epilepsy. Adult mice receiving a unilateral injection of kainate (0.2 microg; 50 nl) or saline into the dorsal hippocampus displayed recurrent paroxysmal discharges on the electroencephalographic recordings associated with immobility, staring and, occasionally, clonic components. These seizures started immediately after kainate injection and recurrid for up to eight months. Epileptiform activities occurred most often during sleep but occasionally while awake. The pattern of seizures did not change over time nor did they secondarily generalize. Glucose metabolic changes assessed by [14C]2-deoxyglucose autoradiography were restricted to the ipsilateral hippocampus for 30 days, but had spread to the thalamus by 120 days after kainate. Ipsilateral cell loss was prominent in hippocampal pyramidal cells and hilar neurons. An unusual pattern of progressive enlargement of the dentate gyrus was observed with a marked radial dispersion of the granule cells associated with reactive astrocytes. Mossy fibre sprouting occurred both in the supragranular molecular layer and infrapyramidal stratum oriens layer of CA3. The expression of the embryonic form of the neural cell adhesion molecule coincided over time with granule cell dispersion. Our data describe the first histological, electrophysiological and behavioural evidence suggesting that discrete excitotoxic lesions of the hippocampus in mice can be used as an isomorphic model of mesial temporal lobe epilepsy.
人类内侧颞叶癫痫的特征是海马体癫痫发作,伴有海马体锥体细胞丢失和齿状回颗粒细胞分散。最近在成年小鼠背侧海马体注射红藻氨酸后的广泛神经可塑性模型中也描述了类似的组织学模式[铃木等人(1995年),《神经科学》64卷,665 - 674页]。本研究的目的是确定:(i)海马体内注射红藻氨酸后小鼠是否会出现反复癫痫发作;(ii)此类小鼠的脑电图、组织病理学和行为变化是否与人类内侧颞叶癫痫相似。成年小鼠单侧背侧海马体注射红藻氨酸(0.2微克;50纳升)或生理盐水后,脑电图记录显示出现反复阵发性放电,伴有不动、凝视,偶尔还有阵挛成分。这些癫痫发作在注射红藻氨酸后立即开始,持续复发长达八个月。癫痫样活动最常发生在睡眠期间,但偶尔也会在清醒时出现。癫痫发作模式不会随时间改变,也不会继发全身性发作。通过[14C]2 - 脱氧葡萄糖放射自显影评估的葡萄糖代谢变化在注射红藻氨酸后30天局限于同侧海马体,但在120天时已扩散至丘脑。同侧细胞丢失在海马体锥体细胞和门区神经元中较为突出。观察到齿状回有一种不寻常的逐渐扩大模式,颗粒细胞明显呈放射状分散,并伴有反应性星形胶质细胞。苔藓纤维发芽发生在CA3的颗粒上层分子层和锥体下原层。神经细胞黏附分子胚胎形式的表达随时间与颗粒细胞分散一致。我们的数据首次提供了组织学、电生理学和行为学证据,表明小鼠海马体离散性兴奋性毒性损伤可作为内侧颞叶癫痫的同构模型。