Paz Jeanne Tamar, Deniau Jean-Michel, Charpier Stéphane
Institut National de la Santé et de la Recherche Médicale U114, Chaire de Neuropharmacologie, Collège de France and U667, 75231 Paris Cedex 05, France.
J Neurosci. 2005 Feb 23;25(8):2092-101. doi: 10.1523/JNEUROSCI.4689-04.2005.
Absence seizures are characterized by impairment of consciousness associated with bilaterally synchronous spike-and-wave discharges (SWDs) in the electroencephalogram (EEG), which reflect paroxysmal oscillations in thalamocortical networks. Although recent studies suggest that the subthalamic nucleus (STN) provides an endogenous control system that influences the occurrence of absence seizures, the mechanisms of propagation of cortical epileptic discharges in the STN have never been explored. The present study provides the first description of the electrophysiological activity in the cortico-subthalamo-pallidal network during absence seizures in the genetic absence epilepsy rats from Strasbourg, a well established model of absence epilepsy. In corticosubthalamic neurons, the SWDs were associated with repetitive suprathreshold depolarizations correlated with EEG spikes. These cortical paroxysms were reflected in the STN by synchronized, rhythmic, high-frequency bursts of action potentials. Intracellular recordings revealed that the intraburst pattern in STN neurons was sculpted by an early depolarizing synaptic potential, followed by a short hyperpolarization and a rebound of excitation. The rhythmic hyperpolarizations in STN neurons during SWDs likely originate from a subpopulation of pallidal neurons exhibiting rhythmic bursting temporally correlated with the EEG spikes. The repetitive discharges in STN neurons accompanying absence seizures might convey powerful excitation to basal ganglia output nuclei and, consequently, may participate in the control of thalamocortical SWDs.
失神发作的特征是意识障碍,脑电图(EEG)显示双侧同步棘慢波放电(SWD),这反映了丘脑皮质网络中的阵发性振荡。尽管最近的研究表明,丘脑底核(STN)提供了一个影响失神发作发生的内源性控制系统,但皮质癫痫放电在STN中的传播机制从未被探索过。本研究首次描述了来自斯特拉斯堡遗传性失神癫痫大鼠(一种成熟的失神癫痫模型)失神发作期间皮质-丘脑底核-苍白球网络中的电生理活动。在皮质-丘脑底核神经元中,SWD与与EEG棘波相关的重复性阈上 depolarizations 相关。这些皮质阵发性活动在STN中表现为同步、有节律的高频动作电位爆发。细胞内记录显示,STN神经元的爆发内模式由早期去极化突触电位塑造,随后是短暂的超极化和兴奋反弹。SWD期间STN神经元的节律性超极化可能源于苍白球神经元的一个亚群,其表现出与EEG棘波在时间上相关的节律性爆发。伴随失神发作的STN神经元的重复性放电可能会向基底神经节输出核传递强大的兴奋,因此可能参与丘脑皮质SWD的控制。