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在大鼠破伤风毒素癫痫模型中对引发癫痫发作的神经元聚集体的研究。

Investigation of the neuronal aggregate generating seizures in the rat tetanus toxin model of epilepsy.

作者信息

Finnerty G T, Jefferys J G R

机构信息

Neuronal Networks Group, Department of Physiology and Biophysics, St. Mary's Hospital Medical School, Imperial College of Science, Technology and Medicine, London W2 1PG, United Kingdom.

出版信息

J Neurophysiol. 2002 Dec;88(6):2919-27. doi: 10.1152/jn.00211.2002.

Abstract

A key question in epilepsy is the organization and size of the neuronal networks necessary for generating seizures. Hypotheses include: a single focal neuronal network drives seizure discharges across the brain, which may or may not be identical with the circuits that generate interictal spikes; or multiple neuronal networks link together in re-entrant loops or other long-range networks. It remains unclear whether any of these hypotheses apply to spontaneous seizures in freely moving animals. We used the tetanus toxin chronic model of epilepsy to test the different predictions made by each hypothesis about the propagation and interaction of epileptic discharges during seizures. Seizures could start in either the injected or noninjected dorsal hippocampus, suggesting that seizures have multifocal onsets in the tetanus toxin model. During seizures, individual bursts propagated in either direction, both between the right and left dorsal hippocampi, and between CA3 and the dentate gyrus in the same hippocampus. These findings argue against one site "driving" seizures or seizures propagating around a limbic loop. Specifically, the side leading each burst switched a median of three times during the first 20 s of a seizure. Analysis of bursts during seizures suggested that the network at each recording site acted like a neuronal oscillator. Coupling of population spikes in right and left CA3 increased during the early part of seizures, but the cross-correlation of their whole-discharge waveforms changed little over the same period. Furthermore, the polarity of the phase difference between population spikes did not follow the phase difference for complete discharges. We concluded that the neuronal aggregate necessary for seizures in our animals comprises multiple spatially distributed neuronal networks and that the increased synchrony of the output (population spike firing) of these networks during the early part of seizures may contribute to seizure generation.

摘要

癫痫中的一个关键问题是产生癫痫发作所需的神经网络的组织和规模。假设有:单个局灶性神经网络驱动癫痫放电传遍大脑,这可能与产生发作间期棘波的回路相同,也可能不同;或者多个神经网络以折返环路或其他长程网络的形式连接在一起。目前尚不清楚这些假设是否适用于自由活动动物的自发性癫痫发作。我们使用破伤风毒素慢性癫痫模型来检验每个假设对癫痫发作期间癫痫放电的传播和相互作用所做的不同预测。癫痫发作可始于注射或未注射的背侧海马体,这表明在破伤风毒素模型中癫痫发作有多个起始点。癫痫发作期间,单个爆发波可双向传播,既在左右背侧海马体之间,也在同一海马体的CA3区和齿状回之间。这些发现反驳了一个部位“驱动”癫痫发作或癫痫发作沿边缘环路传播的观点。具体而言,在癫痫发作的最初20秒内,每次爆发波的主导侧平均切换三次。对癫痫发作期间爆发波的分析表明,每个记录部位的网络表现得像一个神经元振荡器。癫痫发作早期,左右CA3区群体锋电位的耦合增强,但在同一时期它们全放电波形的互相关性变化不大。此外,群体锋电位之间相位差的极性与完整放电的相位差不一致。我们得出结论,我们实验动物中癫痫发作所需的神经元集合包括多个空间分布的神经网络,并且在癫痫发作早期这些网络输出(群体锋电位发放)同步性的增加可能有助于癫痫发作的产生。

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