Wellmer Jörg, Su Hailing, Beck Heinz, Yaari Yoel
Department of Epileptology, University of Bonn Medical Center, Sigmund-Freud Str. 25, 53105 Bonn, Germany.
Eur J Neurosci. 2002 Jul;16(2):259-66. doi: 10.1046/j.1460-9568.2002.02086.x.
A single episode of status epilepticus (SE) induces neuropathological changes in the brain that may lead to the development of a permanent epileptic condition. Most studies of this plasticity have focused on the hippocampus, where both synaptic function and intrinsic neuronal excitability have been shown to be persistently modified by SE. However, many other brain structures are activated during SE and may also be involved in the subsequent epileptogenic process. Here we have investigated whether SE, induced in rats with pilocarpine and terminated after 40 min with diazepam, persistently modifies the intrinsic excitability of pyramidal neurons in the subiculum. Subicular slices were prepared from control and SE-experienced rats (2-5 weeks after SE). In the control group, only 4% of the neurons fired bursts in response to intrasomatic, threshold-straddling depolarizing current pulses (low-threshold bursters). The remaining neurons either fired bursts in response to strong (3x threshold) depolarizations (35%; high-threshold bursters) or fired in a completely regular mode (61%; nonbursters). In the SE-experienced group, the fractions of low- and high-threshold bursters markedly increased to 29% and 53%, respectively. This change in firing behaviour was associated with a marked increase in the size of the spike after depolarization, particularly in low-threshold bursters. Experimental suppression of Ca2+ currents selectively blocked low-threshold bursting but did not affect high-threshold bursting, suggesting that a dual Ca2+- dependent and Ca2+- independent mechanism controls bursting in these neurons. The persistent up-regulation of intrinsic bursting in the subiculum, in concert with similar changes in the hippocampus, undoubtedly contributes to epileptogenesis following pilocarpine-induced SE.
单次癫痫持续状态(SE)可诱发大脑中的神经病理变化,这可能导致永久性癫痫状态的发展。关于这种可塑性的大多数研究都集中在海马体,在那里,突触功能和神经元内在兴奋性均已被证明会因SE而持续改变。然而,许多其他脑结构在SE期间被激活,并且也可能参与随后的致痫过程。在此,我们研究了用毛果芸香碱诱导并在40分钟后用安定终止的SE是否会持续改变下托中锥体神经元的内在兴奋性。从对照大鼠和经历过SE的大鼠(SE后2 - 5周)制备下托切片。在对照组中,只有4%的神经元在响应体细胞内阈上跨阈去极化电流脉冲时发放簇状放电(低阈值簇状放电神经元)。其余神经元要么在响应强(3倍阈值)去极化时发放簇状放电(35%;高阈值簇状放电神经元),要么以完全规则的模式发放动作电位(61%;非簇状放电神经元)。在经历过SE的组中,低阈值和高阈值簇状放电神经元的比例分别显著增加到29%和53%。这种放电行为的变化与去极化后动作电位幅度的显著增加有关,特别是在低阈值簇状放电神经元中。实验性抑制Ca2+电流选择性地阻断了低阈值簇状放电,但不影响高阈值簇状放电,这表明一种依赖Ca2+和不依赖Ca2+的双重机制控制这些神经元的簇状放电。下托中内在簇状放电的持续上调,与海马体中的类似变化一致,无疑有助于毛果芸香碱诱导的SE后的癫痫发生。