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慢性癫痫大鼠海马旁回皮质中mdr1b信使核糖核酸和P-糖蛋白的选择性持续上调

Selective and persistent upregulation of mdr1b mRNA and P-glycoprotein in the parahippocampal cortex of chronic epileptic rats.

作者信息

van Vliet Erwin, Aronica Eleonora, Redeker Sandra, Marchi Nicola, Rizzi Massimo, Vezzani Annamaria, Gorter Jan

机构信息

Stichting Epilepsie Instellingen Nederland, Achterweg 5, 2103 SW Heemstede, The Netherlands.

出版信息

Epilepsy Res. 2004 Jul-Aug;60(2-3):203-13. doi: 10.1016/j.eplepsyres.2004.06.005.

Abstract

There is recent evidence that increased expression of multidrug transporters, such as P-glycoprotein (P-gp), may lead to reduced antiepileptic drug (AED) concentrations in the brain, shortly after status epilepticus (SE), thereby suggesting a possible mechanism for drug-resistance. To get insights on whether increased P-gp expression is a consequence of the initial insult, or evolves more gradually as a result of recurrent spontaneous seizures, we used a rat model of temporal lobe epilepsy in which spontaneous seizures develop after an electrically induced SE. We investigated the temporal and region-specific expression of two isoforms of the multidrug resistance gene (mdr1a and mdr1b, both encoding for P-gp) in two regions within the temporal lobe (the dentate gyrus (DG) and the parahippocampal cortex (PHC)). Using real-time PCR, we found that the mdr1b isoform was increased in the temporal lobe, 1 week after SE; however, this increase was reversible in dentate gyrus while it persisted in the parahippocampal cortex of chronic epileptic rats. Mdr1b upregulation was related to the occurrence of spontaneous seizures, since this isoform was unchanged in rats that were stimulated, but that did not develop SE (non-SE). The mdr1a isoform was transiently upregulated in the dentate gyrus. P-gp immunostaining was enhanced in endothelial and glia-like cells, 1 week after SE. In chronic epileptic rats, the number of strongly P-gp positive glia-like cells was much lower than 1 week after SE, and it was mainly present in the most ventral part of the temporal lobe. These cells were in close apposition to strongly stained blood vessels. These findings show that both mdr1a and mdr1b are induced by SE, although the increase in mdr1b isoform was more persistent. More importantly, increased P-gp expression is still present in chronic epileptic rats.

摘要

最近有证据表明,多药转运蛋白(如P-糖蛋白,P-gp)表达增加可能导致癫痫持续状态(SE)后不久大脑中抗癫痫药物(AED)浓度降低,从而提示耐药性的一种可能机制。为了深入了解P-gp表达增加是初始损伤的结果,还是由于反复自发性癫痫发作而逐渐演变,我们使用了颞叶癫痫大鼠模型,其中在电诱导的SE后会出现自发性癫痫发作。我们研究了多药耐药基因的两种亚型(mdr1a和mdr1b,均编码P-gp)在颞叶内两个区域(齿状回(DG)和海马旁皮质(PHC))的时间和区域特异性表达。使用实时PCR,我们发现SE后1周,颞叶中mdr1b亚型增加;然而,这种增加在齿状回中是可逆的,而在慢性癫痫大鼠的海马旁皮质中持续存在。Mdr1b上调与自发性癫痫发作的发生有关,因为在受到刺激但未发生SE(非SE)的大鼠中,该亚型没有变化。mdr1a亚型在齿状回中短暂上调。SE后1周,内皮细胞和胶质样细胞中的P-gp免疫染色增强。在慢性癫痫大鼠中,强P-gp阳性胶质样细胞的数量比SE后1周时低得多,并且主要存在于颞叶最腹侧部分。这些细胞与强染色的血管紧密相邻。这些发现表明,mdr1a和mdr1b均由SE诱导,尽管mdr1b亚型的增加更持久。更重要的是,慢性癫痫大鼠中仍存在P-gp表达增加的情况。

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