Gajda Zita, Gyengési Erika, Hermesz Edit, Ali K Said, Szente Magdolna
Department of Comparative Physiology, University of Szeged, Közép fasor 52, H-6726 Szeged, Hungary.
Epilepsia. 2003 Dec;44(12):1596-600. doi: 10.1111/j.0013-9580.2003.25803.x.
The possible role of gap junctions in the manifestation and control of the duration of seizures was tested on the 4-aminopyridine-induced epilepsy model in rats in vivo, by using electrophysiologic, pharmacologic, and molecular biologic techniques. METHODS; In electrophysiologic experiments, the functional states of the gap junctions were manipulated with a specific blocker (carbenoxolone) or opener (trimethylamine) at the already active focus of adult, anesthetized rats, 60 min after the induction of the first seizure, which was repeated spontaneously thereafter. Semiquantitative reverse transcriptase-polymerase chain reaction (RT-PCR) amplification was used to measure the levels of connexin (Cx) 32, 43, and 36 messenger RNAs (mRNAs) prepared from the areas of the already active primary and mirror foci.
After repeated seizures, the expression levels of Cx32, Cx43, and Cx36 mRNAs at the epileptic foci were increased significantly. Blockade of the gap junctions with carbenoxolone shortened the duration of seizures and decreased the amplitude of the seizure discharges, whereas their opening with trimethylamine lengthened the duration and increased the amplitude. Secondary epileptogenesis was facilitated when the gap junctions were opened. CONCLUSIONS; Our findings support the idea that, in epileptic foci, the gap junctions are involved in the expression of rhythmic ictal discharges and in the control of the duration and propagation of the individual seizures in vivo.
通过电生理、药理学和分子生物学技术,在4-氨基吡啶诱导的大鼠体内癫痫模型上,测试缝隙连接在癫痫发作表现和发作持续时间控制中的可能作用。方法:在电生理实验中,在成年麻醉大鼠首次癫痫发作诱导60分钟后,在已经活跃的病灶处,用特异性阻滞剂(生胃酮)或开放剂(三甲胺)操纵缝隙连接的功能状态,此后癫痫发作会自发重复。使用半定量逆转录聚合酶链反应(RT-PCR)扩增来测量从已经活跃的原发性和镜像病灶区域制备的连接蛋白(Cx)32、43和36信使核糖核酸(mRNA)的水平。结果:反复癫痫发作后,癫痫病灶处Cx32、Cx43和Cx36 mRNA的表达水平显著增加。用生胃酮阻断缝隙连接可缩短癫痫发作持续时间并降低发作放电幅度,而用三甲胺开放缝隙连接则会延长发作持续时间并增加发作幅度。当缝隙连接开放时,继发性癫痫发生得到促进。结论:我们的研究结果支持这样一种观点,即在癫痫病灶中,缝隙连接参与了节律性发作放电的表达以及体内单个癫痫发作持续时间和传播的控制。