Leranth C, Nitsch R, Deller T, Frotscher M
Department of Obstetrics and Gynecology, School of Medicine, Yale University, New Haven, CT 06510.
Epilepsy Res Suppl. 1992;7:49-64.
A selective loss of somatostatin- and neuropeptide Y-immunoreactive neurons has been reported in the dentate gyrus of rats with cerebral ischemia, following sustained electric stimulation, and in patients with non-tumor-related temporal lobe epilepsy. Three theoretical possibilities were tested that may explain why these neurons are more vulnerable than others, such as the cholecystokinin- and calcium-binding protein-containing cells: (1) the seizure-sensitive neurons are more involved in specific excitatory circuitry than are the seizure-resistant cells; (2) the somatostatin- and neuropeptide Y-immunoreactive neurons are less protected by inhibitory GABAergic inputs than cells immunoreactive for cholecystokinin; and (3) the seizure-sensitive neurons do not contain calcium-binding proteins. The present results of light and electron microscopic, single and double, immunostaining experiments and co-localization studies performed on the hippocampal formations of rats and non-human primates, support the idea that the calcium-binding protein content of a neuron defines its seizure sensitivity.
据报道,在患有脑缺血的大鼠齿状回、经持续电刺激后的大鼠齿状回以及患有非肿瘤相关性颞叶癫痫的患者中,生长抑素和神经肽Y免疫反应性神经元出现选择性缺失。研究测试了三种理论可能性,以解释为何这些神经元比其他神经元(如含胆囊收缩素和钙结合蛋白的细胞)更易受损:(1)癫痫敏感神经元比癫痫抵抗细胞更多地参与特定的兴奋性神经回路;(2)生长抑素和神经肽Y免疫反应性神经元比胆囊收缩素免疫反应性细胞受到的抑制性GABA能输入保护更少;(3)癫痫敏感神经元不含钙结合蛋白。目前对大鼠和非人类灵长类动物海马结构进行的光镜和电镜、单标和双标免疫染色实验以及共定位研究结果支持这样一种观点,即神经元的钙结合蛋白含量决定其癫痫敏感性。