Huang Li-Tung, Yang San Nan, Liou Chia-Wei, Hung Pi-Lien, Lai Ming-Chi, Wang Chih-Lu, Wang Tzu-Jou
Department of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung, Tainan, Taiwan.
Epilepsia. 2002 Jun;43(6):567-73. doi: 10.1046/j.1528-1157.2002.29101.x.
Recurrent seizures in infants are associated with a high incidence of neurocognitive deficits. Animal models have suggested that the immature brain is less vulnerable to seizure-induced injury than is that in adult animals. We studied the effects of recurrent neonatal seizures on cognitive tasks performed when the animals were in adolescence and adulthood.
Seizures were induced by intraperitoneal injection of pentylenetetrazol (PTZ) for 5 consecutive days, starting from postnatal day 10 (P10). At P35 and P60, rats were tested for spatial memory by using the Morris water maze task. In adulthood, motor performance was examined by the Rotarod test, and activity level was assessed by the open field test. Seizure threshold was examined by inhalant flurothyl. To assess presence or absence of spontaneous seizures, rats were video recorded for 4 h/day for 10 consecutive days for the detection of spontaneous seizures. Finally, brains were examined for histologic evidence of injury with cresyl violet stain and Timm staining in the supragranular zone and CA3 pyramidal cell layers of the hippocampus.
PTZ-treated rats showed significant spatial deficits in the Morris water maze at both P35 and P60. There were no differences in seizure threshold, motor balance, or activity level during the open field test. Spontaneous seizures were not recorded in any rat. The cresyl violet stain showed no cell loss in either the control or experimental rats. PTZ-treated rats exhibited more Timm staining in the CA3 subfield. However, the control and experimental rats showed similar Timm staining within the supragranular zone.
Our findings indicate that recurrent PTZ-induced seizures result in long-term cognitive deficits and morphologic changes in the developing brain. Furthermore, these cognitive deficits could be detected during pubescence.
婴儿反复癫痫发作与神经认知缺陷的高发生率相关。动物模型表明,未成熟大脑比成年动物大脑对癫痫诱导的损伤更不易感。我们研究了新生儿反复癫痫发作对动物在青春期和成年期执行认知任务的影响。
从出生后第10天(P10)开始,连续5天腹腔注射戊四氮(PTZ)诱导癫痫发作。在P35和P60时,使用莫里斯水迷宫任务测试大鼠的空间记忆。成年后,通过转棒试验检查运动性能,并通过旷场试验评估活动水平。通过吸入氟烷检查癫痫发作阈值。为了评估是否存在自发性癫痫发作,连续10天每天对大鼠进行4小时的视频记录以检测自发性癫痫发作。最后,用甲酚紫染色和Timm染色检查大脑海马颗粒上层和CA3锥体细胞层的损伤组织学证据。
PTZ处理的大鼠在P35和P60时在莫里斯水迷宫中均表现出明显的空间缺陷。在旷场试验期间,癫痫发作阈值、运动平衡或活动水平没有差异。任何大鼠均未记录到自发性癫痫发作。甲酚紫染色显示对照组和实验组大鼠均无细胞丢失。PTZ处理的大鼠在CA3亚区表现出更多的Timm染色。然而,对照组和实验组大鼠在颗粒上层内的Timm染色相似。
我们的研究结果表明,PTZ诱导的反复癫痫发作会导致发育中大脑的长期认知缺陷和形态学变化。此外,这些认知缺陷在青春期即可检测到。