Wu K, Leung L S
Department of Clinical Neurological Sciences, University of Western Ontario, London, N6A 5A5, Ontario, Canada.
Neuroscience. 2001;104(2):379-96. doi: 10.1016/s0306-4522(01)00043-4.
Temporal lobe epilepsy is related to many structural and physiological changes in the brain. We used kainic acid in rats as an animal model of temporal lobe epilepsy, and studied the neural interactions of the dentate gyrus in urethane-anesthetized rats in vivo. Our initial hypothesis was that sprouting of mossy fibers, the axons of the granule cells, increases proximal dendritic excitatory currents in the inner molecular layer of the dentate gyrus. Extracellular currents were detected in vivo using current source density analysis. Backfiring the mossy fibers in CA3 or orthodromic excitation of the granule cells through the medial perforant path induced a current sink at the inner molecular layer. However, the sink or inferred excitation at the inner molecular layer was not increased in kainic acid-treated rats and the sink actually correlated negatively with the degree of mossy fiber sprouting. It is inferred that the latter sink was mediated mainly by association fibers and not by recurrent mossy fibers. After kainic acid treatment, paired-pulse inhibition of the population spikes in the dentate gyrus was increased. In contrast, reverberant activity that involved looping around an entorhinal-hippocampal circuit was increased in kainic acid-treated rats, compared to control rats. The increase of inhibition in kainic acid-treated rats was readily blocked by a small dose of GABA(A) receptor antagonist bicuculline. The latter dose of bicuculline induced paroxsymal spike bursts in kainic acid-treated but not control rats, demonstrating that the increased inhibition in dentate gyrus was fragile. In conclusion, after kainic acid induced seizures, the dentate gyrus in vivo showed an increase in inhibition that appeared to be fragile. The hypothesized increase in proximal dendritic excitation due to mossy fiber sprouting was not detected. However, the fragile inhibition could explain the seizure susceptibility in patients with temporal lobe epilepsy.
颞叶癫痫与大脑中的许多结构和生理变化有关。我们将海藻酸应用于大鼠,以此作为颞叶癫痫的动物模型,并在体内对氨基甲酸乙酯麻醉的大鼠齿状回的神经相互作用进行了研究。我们最初的假设是,苔藓纤维(即颗粒细胞的轴突)的出芽会增加齿状回内分子层近端树突的兴奋性电流。使用电流源密度分析在体内检测细胞外电流。通过刺激CA3区的苔藓纤维或经内侧穿通路径对颗粒细胞进行顺向刺激,均可在齿状回内分子层诱发电流沉。然而,在海藻酸处理的大鼠中,内分子层的电流沉或推测的兴奋性并未增加,且该电流沉实际上与苔藓纤维出芽的程度呈负相关。据推测,后者的电流沉主要由联合纤维介导,而非由苔藓纤维的反复投射介导。海藻酸处理后,齿状回群体峰电位的双脉冲抑制增强。相比之下,与对照大鼠相比,海藻酸处理的大鼠中涉及内嗅-海马回路循环的折返活动增强。小剂量的GABA(A)受体拮抗剂荷包牡丹碱可轻易阻断海藻酸处理大鼠中抑制作用的增强。后一剂量的荷包牡丹碱在海藻酸处理的大鼠中诱发了阵发性棘波爆发,但在对照大鼠中未诱发,这表明齿状回中增强的抑制作用很脆弱。总之,海藻酸诱发癫痫发作后,体内齿状回的抑制作用增强,且似乎很脆弱。未检测到因苔藓纤维出芽而假设的近端树突兴奋性增加。然而,这种脆弱的抑制作用可以解释颞叶癫痫患者的癫痫易感性。