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新生儿癫痫发作后神经发生减少。

Reduced neurogenesis after neonatal seizures.

作者信息

McCabe B K, Silveira D C, Cilio M R, Cha B H, Liu X, Sogawa Y, Holmes G L

机构信息

Department of Neurology, Harvard Medical School, Children's Hospital, Boston, Massachusetts 02115, USA.

出版信息

J Neurosci. 2001 Mar 15;21(6):2094-103. doi: 10.1523/JNEUROSCI.21-06-02094.2001.

Abstract

Although neonatal seizures are quite common, there is controversy regarding their consequences. Despite considerable evidence that seizures may cause less cell loss in young animals compared with mature animals, there are nonetheless clear indications that seizures may have other potentially deleterious effects. Because it is known that seizures in the mature brain can increase neurogenesis in the hippocampus, we studied the extent of neurogenesis in the granule cell layer of the dentate gyrus over multiple time points after a series of 25 flurothyl-induced seizures administered between postnatal day 0 (P0) and P4. Rats with neonatal seizures had a significant reduction in the number of the thymidine analog 5-bromo-2'-deoxyuridine-5'-monophosphate- (BrdU) labeled cells in the dentate gyrus and hilus compared with the control groups when the animals were killed either 36 hr or 2 weeks after the BrdU injections. The reduction in BrdU-labeled cells continued for 6 d after the last seizure. BrdU-labeled cells primarily colocalized with the neuronal marker neuron-specific nuclear protein and rarely colocalized with the glial cell marker glial fibrillary acidic protein, providing evidence that a very large percentage of the newly formed cells were neurons. Immature rats subjected to a single seizure did not differ from controls in number of BrdU-labeled cells. In comparison, adult rats undergoing a series of 25 flurothyl-induced seizures had a significant increase in neurogenesis compared with controls. This study indicates that, after recurrent seizures in the neonatal rat, there is a reduction in newly born granule cells.

摘要

尽管新生儿惊厥相当常见,但关于其后果仍存在争议。尽管有大量证据表明,与成熟动物相比,惊厥在幼龄动物中可能导致较少的细胞损失,但仍有明确迹象表明惊厥可能有其他潜在的有害影响。由于已知成熟大脑中的惊厥可增加海马体中的神经发生,我们研究了在出生后第0天(P0)至P4期间给予一系列25次氟烷诱导的惊厥后,多个时间点齿状回颗粒细胞层中的神经发生程度。与对照组相比,当在注射5-溴-2'-脱氧尿苷-5'-单磷酸(BrdU)后36小时或2周处死动物时,患有新生儿惊厥的大鼠齿状回和门区中BrdU标记细胞的数量显著减少。BrdU标记细胞的减少在最后一次惊厥后持续6天。BrdU标记细胞主要与神经元标记物神经元特异性核蛋白共定位,很少与胶质细胞标记物胶质纤维酸性蛋白共定位,这表明新形成的细胞中有很大比例是神经元。遭受单次惊厥的未成熟大鼠在BrdU标记细胞数量上与对照组没有差异。相比之下,接受一系列25次氟烷诱导惊厥的成年大鼠与对照组相比,神经发生显著增加。这项研究表明,新生大鼠反复惊厥后,新生颗粒细胞数量减少。

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