Borck C, Jefferys J G
Department of Physiology and Biophysics, St. Mary's Hospital Medical School, Imperial College, London W2 1PG.
J Neurophysiol. 1999 Nov;82(5):2130-42. doi: 10.1152/jn.1999.82.5.2130.
Epileptic discharges lasting 2-90 s, were studied in vitro in slices from the ventral hippocampus of adult rats, in which inhibition was blocked acutely with bicuculline methiodide (BMI, 5-30 microM) and potassium (K(+)) raised to 5 mM. These seizure-like events (SLEs) comprised three distinct phases, called here primary, secondary, and tertiary bursts. Primary bursts lasted 90-150 ms. Secondary bursts lasted a further 70-250 ms, comprising a short series of afterdischarges riding on the same depolarization as the primary burst. Finally a train of tertiary bursts started with a peak frequency of 5-10 Hz and could last >1 min. Slices from the ventral hippocampus showed significantly higher susceptibility to SLEs than did dorsal slices. SLEs proved sensitive to alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptor antagonists. They were insensitive to N-methyl-D-aspartate (NMDA) receptor antagonists; 50 microl D-2-amino-5-phosphonopentanoic acid (D-AP5) did block the transient secondary bursts selectively. SLEs were restricted to the hippocampus proper even if the entorhinal cortex was present. Entorhinal bursts could last <2 s and were only coupled with hippocampal bursts in a minority of slices. Reentry of epileptic bursts occasionally occurred during interictal discharges, but not during the later stages of SLEs. Full-length SLEs always started in CA3 region and could be recorded in minislices containing CA3 plus dentate hilus. Ion-sensitive microelectrodes revealed that interictal discharges were followed by short (2-3 s) K(+) waves, peaking at approximately 7.5 mM. SLEs were always accompanied by increases in K(+) reaching approximately 8.5 mM at the start of tertiary bursts; K(+) then increased more slowly to a ceiling of 11-12 mM. After the end of each SLE, K(+) fell back to baseline within 10-15 s. SLEs were accompanied by significant increase in synaptic activity, compared with baseline and/or interictal activity, estimated by the variance of the intracellular signal in the absence of epileptic bursts and action potentials (0. 38 mV(2), compared with 0.13 mV(2), and 0.1 mV(2), respectively). No significant increases were observed in the interval preceding spontaneous interictal activity. These studies show that focal assemblies of hippocampal neurons, without long reentrant loops, are sufficient for the generation of SLEs. We propose that a key factor in the transition from interictal activity to SLEs is an increase in axonal and terminal excitability, resulting, at least in part, from elevations in K(+).
在成年大鼠腹侧海马体切片中对持续2 - 90秒的癫痫放电进行了体外研究,其中通过碘甲荷包牡丹碱(BMI,5 - 30微摩尔)急性阻断抑制作用,并将细胞外钾离子浓度([K⁺]ₒ)提高到5毫摩尔。这些癫痫样事件(SLEs)包括三个不同阶段,在此称为初级、次级和三级爆发。初级爆发持续90 - 150毫秒。次级爆发再持续70 - 250毫秒,包括一系列短暂的后放电,与初级爆发处于相同的去极化状态。最后,一连串的三级爆发以5 - 10赫兹的峰值频率开始,可持续超过1分钟。腹侧海马体切片对SLEs的敏感性显著高于背侧切片。SLEs对α - 氨基 - 3 - 羟基 - 5 - 甲基 - 4 - 异恶唑丙酸(AMPA)受体拮抗剂敏感。它们对N - 甲基 - D - 天冬氨酸(NMDA)受体拮抗剂不敏感;50微升D - 2 - 氨基 - 5 - 膦酰基戊酸(D - AP5)确实能选择性阻断短暂的次级爆发。即使存在内嗅皮质,SLEs也仅限于海马体本身。内嗅爆发可持续不到2秒,并且仅在少数切片中与海马爆发相关联。癫痫爆发的折返偶尔会在发作间期放电期间发生,但在SLEs的后期阶段不会发生。全长SLEs总是从CA3区域开始,并且可以在包含CA3加齿状回门区的微小切片中记录到。离子敏感微电极显示,发作间期放电后会出现短暂(2 - 3秒)的[K⁺]ₒ波,峰值约为7.5毫摩尔。SLEs总是伴随着[K⁺]ₒ的升高,在三级爆发开始时达到约8.5毫摩尔;[K⁺]ₒ随后上升得更慢,达到11 - 12毫摩尔的上限。每次SLE结束后,[K⁺]ₒ在10 - 15秒内回落至基线。与通过在无癫痫爆发和动作电位时细胞内信号的方差估计的基线和/或发作间期活动相比,SLEs伴随着突触活动的显著增加(分别为0.38 mV²,与0.13 mV²和0.1 mV²相比)。在自发发作间期活动之前的间隔期未观察到显著增加。这些研究表明,没有长折返环的海马神经元局部集合足以产生SLEs。我们提出,从发作间期活动转变为SLEs的一个关键因素是轴突和终末兴奋性的增加,这至少部分是由[K⁺]ₒ升高导致的。