Roper S N, Obenaus A, Dudek F E
Division of Neurosurgery, UCLA School of Medicine.
Ann Neurol. 1992 Jan;31(1):81-5. doi: 10.1002/ana.410310115.
In several clinical situations, such as hyposmolar states and hypoxia-ischemia, reductions in the size of the extracellular space are associated with increased seizure susceptibility. Nonsynaptic interactions provide a likely means of mediating the effect of extracellular space on seizure susceptibility. Synchronous bursting of CA1 hippocampal neurons occurs via nonsynaptic mechanisms in solutions containing very low [Ca2+] and excitatory amino acid antagonists. We tested the hypothesis that lowering the osmolality of the extracellular medium could induce nonsynaptic bursting in the dentate gyrus, even though it is normally resistant to this treatment. Extracellular field potentials were recorded in the dentate gyrus and CA1 area of rat hippocampal slices. In the low-[Ca2+] solution with normal osmolality, bursts of population spikes were recorded from the dentate gyrus in only 7% of the slices, but solutions with decreased osmolality induced bursting in 63%. Corresponding values for the CA1 area were 60 and 73%, respectively. Mannitol, which reversed the hyposmolar state, abolished bursting in both regions. This study demonstrates that reducing the size of the extracellular space by lowering extracellular osmolality can transform a seizure-resistant area into one that exhibits robust epileptiform activity.
在多种临床情况下,如低渗状态和缺氧缺血,细胞外间隙大小的减小与癫痫易感性增加有关。非突触相互作用可能是介导细胞外间隙对癫痫易感性影响的一种方式。在含有极低[Ca2+]和兴奋性氨基酸拮抗剂的溶液中,CA1海马神经元的同步爆发通过非突触机制发生。我们检验了这样一个假设:降低细胞外介质的渗透压可以诱导齿状回的非突触爆发,尽管它通常对这种处理有抗性。在大鼠海马切片的齿状回和CA1区记录细胞外场电位。在具有正常渗透压的低[Ca2+]溶液中,仅7%的切片中齿状回记录到群体峰电位爆发,但渗透压降低的溶液在63%的切片中诱导了爆发。CA1区的相应值分别为60%和73%。可逆转低渗状态的甘露醇消除了两个区域的爆发。这项研究表明,通过降低细胞外渗透压来减小细胞外间隙的大小,可以将一个抗癫痫区域转变为一个表现出强烈癫痫样活动的区域。