Sandoval M R L, Lebrun I
Laboratory of Pharmacology, Butantan Institute, São Paulo, SP, Brazil.
Epilepsia. 2002;43 Suppl 5:36. doi: 10.1046/j.1528-1157.43.s.5.24.x.
TsTx is a scorpion alpha-type toxin that binds to site 3 of the Na+ channels in a voltage-dependent mode, slowing or blocking the inactivation mechanism of these channels (Possani et al., Eur J Biochem 1999). This binding increases depolarization time of the channel and consequently induces excessive neurotransmitter release. Previously we reported that hippocampal injection of TsTx induces clonic convulsions, electrographic seizures, and hippocampal damage. This investigation was designed to characterize the long-term behavioral, electroencephalographic (EEG), and histopathologic features after a single TsTx injection into the rat hippocampus.
Cannulas and electrodes were stereotaxically implanted in the CA1 dorsal hippocampus of rats. Three days after surgery, the animals were injected into the hippocampus with 1 microl of TsTx, 2 microg (n = 9) or 0.1 M phosphate buffer (n = 5). After injection, EEG records and behavioral observations were made during 10 h. For a period of 4 months, the animals were observed through direct visual observation for 8 h/day, 5 days/week for occurrence of convulsive seizures. At the end of the experiment, the animals were processed for histologic analyses. Sections 40- and 20-microm thick were stained according to neo-Timm or Nissl methods, respectively. Cell counts in the cresyl violet-stained sections were performed within the hippocampal pyramidal cell layers (CA1, CA3, and CA4) and granule cell of the dentate gyrus.
Fifteen minutes after TsTx injection, facial automatisms, rearing, masticatory jaw movements, sniffing, and wet-dog shakes were observed. In approximately 1 h, limbic convulsions characterized by forelimb clonus, rearing, and falling after generalized clonic convulsion with jumping, wild running, and falling were observed. EEG showed isolated spikes and clusters of spikes that started in the hippocampus and evolved to the cortex, isolated seizures, and epileptic discharges delayed 1-2 min. These recurred repeatedly characterizing the status epilepticus (SE). SE was characterized in 77.5% of animals. Seizures were no longer observed 24 h after the injection. Spontaneous recurrent seizures (SRSs) occurred 31-49 days after TsTx injection. All animals that showed SE in the acute period developed SRSs. Facial myoclonus, generalized clonus, forelimb clonus, rearing, and falling characterized the seizures. The seizure frequency was 1-2 per animal per week. All rats injected with TsTx had significantly fewer cells in CA1, CA3, and CA4 subfield of the hippocampal formation compared with the animals of the control group (p < 0.05, analysis of variance, followed by Tukey test). Neo-Timm-positive granules, normally absent in the supragranular layer, were present in dentate gyrus of rats with TsTx-induced SRSs.
Our results suggest that SRSs observed in this study may be a consequence of the TsTx-induced SE. All animals injected with the toxin showed massive neuronal loss in the hippocampal subfields CA1, CA3, and CA4, but only those that had SRSs showed mossy fiber sprouting in the supragranular layer of the dentate gyrus. This shows synaptic reorganization that also is observed in human epileptogenic tissue. These results indicate that TsTx toxin may be a useful tool for studies on neuronal lesions and/or experimental epilepsy. Studies on the mechanisms involved are under investigation.
TsTx是一种蝎子α型毒素,它以电压依赖模式与Na⁺通道的位点3结合,减缓或阻断这些通道的失活机制(波萨尼等人,《欧洲生物化学杂志》,1999年)。这种结合增加了通道的去极化时间,从而导致神经递质过度释放。此前我们报道,向海马体注射TsTx会诱发阵挛性惊厥、脑电图癫痫发作和海马体损伤。本研究旨在描述向大鼠海马体单次注射TsTx后的长期行为、脑电图(EEG)和组织病理学特征。
将套管和电极立体定向植入大鼠CA1背侧海马体。术后三天,向动物海马体注射1微升TsTx(2微克,n = 9)或0.1 M磷酸盐缓冲液(n = 5)。注射后,在10小时内进行脑电图记录和行为观察。在4个月的时间里,每天通过直接视觉观察动物8小时,每周观察5天,观察惊厥发作情况。实验结束时,对动物进行组织学分析。分别按照新Timm法或尼氏法对40微米和20微米厚的切片进行染色。在海马锥体细胞层(CA1、CA3和CA4)和齿状回颗粒细胞内对甲酚紫染色切片进行细胞计数。
注射TsTx后15分钟,观察到面部自动症、竖毛、咀嚼式颌部运动、嗅探和湿狗样抖动。大约1小时后,观察到以肢体阵挛为特征的边缘性惊厥,表现为前肢阵挛、竖毛,在全身性阵挛性惊厥后伴有跳跃、狂奔和跌倒。脑电图显示孤立的棘波和棘波簇,始于海马体并扩展至皮质,出现孤立的癫痫发作,癫痫放电延迟1 - 2分钟。这些反复出现,表现为癫痫持续状态(SE)。77.5%的动物表现为癫痫持续状态。注射后24小时不再观察到癫痫发作。TsTx注射后31 - 49天出现自发性反复癫痫发作(SRSs)。急性期出现癫痫持续状态的所有动物均出现了自发性反复癫痫发作。癫痫发作表现为面部肌阵挛、全身性阵挛、前肢阵挛、竖毛和跌倒。癫痫发作频率为每只动物每周1 - 2次。与对照组动物相比,所有注射TsTx的大鼠海马结构CA1、CA3和CA4亚区的细胞数量显著减少(p < 0.05,方差分析,随后进行Tukey检验)。在TsTx诱导的自发性反复癫痫发作的大鼠齿状回中,颗粒上层通常不存在的新Timm阳性颗粒出现。
我们的结果表明,本研究中观察到的自发性反复癫痫发作可能是TsTx诱导的癫痫持续状态的结果。所有注射毒素的动物在海马亚区CA1、CA3和CA4均出现大量神经元丢失,但只有那些出现自发性反复癫痫发作的动物在齿状回颗粒上层出现苔藓纤维发芽。这表明在人类致痫组织中也观察到的突触重组。这些结果表明,TsTx毒素可能是研究神经元损伤和/或实验性癫痫的有用工具。对其中涉及机制的研究正在进行中。