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遗传性癫痫发育中沙鼠癫痫发作时齿状回的诱发反应。

Evoked responses of the dentate gyrus during seizures in developing gerbils with inherited epilepsy.

作者信息

Buckmaster Paul S, Wong Emilia H

机构信息

Department of Comparative Medicine, Stanford University School of Medicine, California 94305-5336, USA.

出版信息

J Neurophysiol. 2002 Aug;88(2):783-93. doi: 10.1152/jn.2002.88.2.783.

Abstract

When they are 1-2 mo old, domesticated Mongolian gerbils begin having initially mild seizures which become more severe with age. To evaluate the development of this increasing seizure severity, we obtained field potential responses of the dentate gyrus to paired-pulse stimulation of the perforant path during seizures. In 18 gerbils that were 1.5-8.0 mo old, 73 seizures were analyzed. We measured population spike amplitude, the slope of the field excitatory postsynaptic potential (fEPSP), and the population spike amplitude ratio (2nd/1st) to evaluate excitatory and inhibitory synaptic processes. In gerbils <2 mo old, exposure to a novel environment was followed by an increase in population spike amplitude and then by seizure onset, but population spike amplitude ratio and fEPSP slope remained at baseline levels, and multiple population spikes were never evoked. As previously reported for chronically epileptic gerbils, these findings provide little evidence of a disinhibitory seizure-initiating mechanism in the dentate gyrus when young gerbils begin having seizures. In young gerbils evoked responses changed little during the behaviorally mild seizures. In contrast, most seizures in older gerbils included generalized convulsions, postictal depression, and evoked responses that changed dramatically. In older gerbils, shortly after seizure onset the dentate gyrus became hyperexcitable. Population spike amplitude and fEPSP slope peaked, and multiple population spikes were evoked, suggesting that mechanisms for seizure amplification and spread are more developed in older gerbils. Next, dentate gyrus excitability decreased precipitously, and population spike amplitude and fEPSP slope diminished. This period of hypoexcitability began before the end of the seizure, suggesting it may contribute to seizure termination. After the convulsive phase of the seizure, older gerbils remained motionless during a period of postictal depression, and population spike amplitude remained suppressed until the abrupt switch to normal exploratory activity. These findings suggest that the mechanisms of postictal depression may suppress granule cell excitability. The population spike amplitude ratio peaked after the convulsive phase and then gradually returned to the baseline level an average of 12 min after seizure onset, suggesting that granule cell inhibition recovers within minutes after a spontaneous seizure. Although it is unclear whether the seizure-related changes in evoked responses are a cause or an effect of increased seizure severity in older gerbils, their analysis provides clues about developmental changes in the mechanisms of seizure spread and termination.

摘要

家养蒙古沙鼠在1 - 2月龄时开始出现最初较为轻微的癫痫发作,且随着年龄增长发作会变得更加严重。为了评估癫痫发作严重程度不断增加的发展过程,我们在癫痫发作期间获取了齿状回对穿通通路配对脉冲刺激的场电位反应。对18只年龄在1.5 - 8.0月龄的沙鼠的73次癫痫发作进行了分析。我们测量了群体峰电位幅度、场兴奋性突触后电位(fEPSP)的斜率以及群体峰电位幅度比(第二个/第一个),以评估兴奋性和抑制性突触过程。在2月龄以下的沙鼠中,暴露于新环境后群体峰电位幅度增加,随后癫痫发作开始,但群体峰电位幅度比和fEPSP斜率保持在基线水平,且从未诱发多个群体峰电位。正如之前对慢性癫痫沙鼠的报道,这些发现几乎没有证据表明幼龄沙鼠开始出现癫痫发作时齿状回存在去抑制性癫痫起始机制。在幼龄沙鼠中,行为上轻微的癫痫发作期间诱发反应变化不大。相比之下,老龄沙鼠的大多数癫痫发作包括全身性惊厥、发作后抑郁以及显著变化的诱发反应。在老龄沙鼠中,癫痫发作开始后不久齿状回变得高度兴奋。群体峰电位幅度和fEPSP斜率达到峰值,并诱发多个群体峰电位,这表明癫痫放大和传播机制在老龄沙鼠中更为发达。接下来,齿状回兴奋性急剧下降,群体峰电位幅度和fEPSP斜率减小。这种低兴奋性时期在癫痫发作结束前就开始了,表明它可能有助于癫痫发作的终止。在癫痫发作的惊厥期之后,老龄沙鼠在发作后抑郁期间保持不动,群体峰电位幅度一直受到抑制,直到突然恢复到正常探索活动。这些发现表明发作后抑郁机制可能会抑制颗粒细胞兴奋性。群体峰电位幅度比在惊厥期后达到峰值,然后在癫痫发作开始后平均12分钟逐渐恢复到基线水平,这表明颗粒细胞抑制在自发癫痫发作后几分钟内恢复。虽然尚不清楚老龄沙鼠中与癫痫发作相关的诱发反应变化是癫痫发作严重程度增加的原因还是结果,但对它们进行分析为癫痫传播和终止机制的发育变化提供了线索。

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