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由NMDA和非NMDA受体介导的大鼠新皮质癫痫样传播模式。

Epileptiform propagation patterns mediated by NMDA and non-NMDA receptors in rat neocortex.

作者信息

Telfeian A E, Connors B W

机构信息

Department of Neuroscience, Brown University, Providence, Rhode Island 02912, USA.

出版信息

Epilepsia. 1999 Nov;40(11):1499-506. doi: 10.1111/j.1528-1157.1999.tb02032.x.

Abstract

PURPOSE

The neocortex can generate various forms of epileptiform activity, including one that depends on N-methyl-D-aspartate (NMDA)-type glutamate receptors (NMDARs), and another dependent on non-NMDA-type (AMPA) glutamate receptors (AMPARs). Previous work in vitro suggests that both forms of activity are initiated by neurons of layer 5, but the spatial patterns of horizontal propagation have been studied only for the AMPAR form. We have tested the hypothesis that both types of epileptiform activity spread via common pathways in one cortical layer, suggesting that lamina-specific intervention might selectively interrupt both.

METHODS

Slices of rat somatosensory cortex were maintained in vitro and treated with the gamma-aminobutyric acid type A (GABA(A))-receptor antagonist picrotoxin. Single all-or-none epileptiform discharges were evoked with an electrical stimulus, and extracellular microelectrodes were used to track the vertical and lateral spread of the discharges.

RESULTS

In both high and low concentrations of picrotoxin, the non-NMDAR antagonist 6-cyano-7-nitroquinoxaline-2,3-dione (CNQX) completely blocked propagation, whereas the NMDAR antagonist D-2-amino-5-phosphonovaleric acid (DAPV) only shortened the duration of discharges. When extracellular [Mg2+] was reduced in the presence of picrotoxin and CNQX, NMDAR-dependent epileptiform discharges could be initiated. NMDAR-dependent discharges spread at about one fifth the conduction velocity of AMPAR-dependent events. Analysis of spatiotemporal field-potential patterns suggested that both NMDAR- and AMPAR-mediated propagation involved early activity in layers 5 and 6, followed by larger-amplitude activity in upper cortical layers along the path of propagation.

CONCLUSIONS

Our results imply that a common pathway mediates the propagation of these two forms of epileptiform activity, and suggests that lamina-specific surgical intervention might maximize anticonvulsant effect while minimally disrupting cortical function.

摘要

目的

新皮层可产生多种形式的癫痫样活动,包括一种依赖于N-甲基-D-天冬氨酸(NMDA)型谷氨酸受体(NMDARs)的活动,以及另一种依赖于非NMDA型(α-氨基-3-羟基-5-甲基-4-异恶唑丙酸,AMPA)谷氨酸受体(AMPARs)的活动。先前的体外研究表明,这两种活动形式均由第5层神经元启动,但仅对AMPAR形式的水平传播空间模式进行了研究。我们检验了以下假设:两种类型的癫痫样活动均通过一个皮质层中的共同通路传播,这表明层特异性干预可能会选择性地阻断两者。

方法

将大鼠体感皮层切片置于体外,并用A型γ-氨基丁酸(GABA(A))受体拮抗剂印防己毒素进行处理。用电刺激诱发单个全或无的癫痫样放电,并使用细胞外微电极追踪放电的垂直和横向传播。

结果

在高浓度和低浓度的印防己毒素中,非NMDAR拮抗剂6-氰基-7-硝基喹喔啉-2,3-二酮(CNQX)完全阻断了传播,而NMDAR拮抗剂D-2-氨基-5-磷酸戊酸(DAPV)仅缩短了放电持续时间。当在印防己毒素和CNQX存在的情况下降低细胞外[Mg2+]时,可引发依赖NMDAR的癫痫样放电。依赖NMDAR的放电传播速度约为依赖AMPAR事件传导速度的五分之一。对时空场电位模式的分析表明,NMDAR介导和AMPAR介导的传播均涉及第5层和第6层的早期活动,随后是沿传播路径的上层皮质层中幅度更大的活动。

结论

我们的结果表明,一条共同通路介导了这两种形式的癫痫样活动的传播,并表明层特异性手术干预可能在最大程度减少对皮质功能干扰的同时,最大化抗惊厥效果。

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