Behr J, Heinemann U, Mody I
Department of Neurology, Reed Neurological Research Center, UCLA School of Medicine, Los Angeles, California 90095-1769, USA.
Epilepsia. 2000;41 Suppl 6:S100-3. doi: 10.1111/j.1528-1157.2000.tb01566.x.
The contribution of alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA), N-methyl-D-aspartate (NMDA), and kainate receptor activation to the enhanced seizure susceptibility of the dentate gyrus was investigated in an experimental model of temporal lobe epilepsy.
Using the specific NMDA and AMPA receptor antagonists D-APV and SYM 2206, we examined alterations in glutamate receptor-dependent synaptic currents 48 hours and 28 days after kindling in field-potential and voltage-clamp recordings.
Forty-eight hours after kindling, the fractions of AMPA and NMDA receptor-mediated excitatory postsynaptic current components shifted dramatically in favor of the NMDA receptor-mediated response. Four weeks after kindling, however, AMPA and NMDA receptor-mediated excitatory postsynaptic currents reverted to control-like values. Neither single nor repetitive perforant path stimuli evoked kainate receptor-mediated excitatory postsynaptic currents in dentate gyrus granule cells of control or kindled rats.
The enhanced excitability of the kindled dentate gyrus 48 hours after the last seizure most likely results from transiently enhanced NMDA receptor activation. The NMDA receptor seems to play a critical role in the induction of the kindled state rather than in the persistence of the enhanced seizure susceptibility.
在颞叶癫痫实验模型中,研究α-氨基-3-羟基-5-甲基-4-异恶唑丙酸(AMPA)、N-甲基-D-天冬氨酸(NMDA)和海人藻酸受体激活对齿状回癫痫易感性增强的作用。
使用特异性NMDA和AMPA受体拮抗剂D-APV和SYM 2206,我们在点燃后48小时和28天,通过场电位和电压钳记录,检测谷氨酸受体依赖性突触电流的变化。
点燃后48小时,AMPA和NMDA受体介导的兴奋性突触后电流成分比例发生显著变化,有利于NMDA受体介导的反应。然而,点燃四周后,AMPA和NMDA受体介导的兴奋性突触后电流恢复到类似对照的值。无论是单次还是重复的穿通通路刺激,均未在对照或点燃大鼠的齿状回颗粒细胞中诱发海人藻酸受体介导的兴奋性突触后电流。
最后一次癫痫发作后48小时,点燃的齿状回兴奋性增强很可能是由于NMDA受体激活短暂增强所致。NMDA受体似乎在点燃状态的诱导中起关键作用,而不是在癫痫易感性增强的持续过程中起关键作用。