Potier Soizic, Sénécal Jacques, Chabot Jean-Guy, Psarropoulou Caterina, Descarries Laurent
Ste-Justine Hospital Research Centre & Department of Pediatrics, Montreal, Québec, Canada.
Eur J Neurosci. 2005 Apr;21(7):1828-36. doi: 10.1111/j.1460-9568.2005.04026.x.
We have previously shown that exposure to the anti-cholinesterase eserine provokes interictal-like discharges in the CA3 area of hippocampal slices from adult rats in which a generalized seizure has been induced by pentylenetetrazole (PTZ) when immature (at 20 days). Such increased responsiveness to acetylcholine (ACh) was not associated with any change in hippocampal acetylcholine or gamma-aminobutyric acid (GABA) content, GABAergic inhibition or density of ACh innervation, but was blocked by the muscarinic receptor antagonist atropine. We therefore turned to quantitative radioligand binding autoradiography, in situ hybridization and the [35S]GTPgammaS method to assess the properties of hippocampal and neocortical muscarinic receptors in adult rats having experienced a PTZ seizure at P20. The densities of M1 and M2 receptor binding sites, respectively labeled with [3H]pirenzepine and [3H]AFDX-384, as well as the amount of m1, m2 and m3 receptor mRNAs, did not differ from control in the hippocampus and neocortex of these rats. In contrast, in PTZ rats, both brain regions displayed a marked increase in [35S]GTPgammaS incorporation stimulated by ACh, bethanechol and particularly oxotremorine. This finding indicates that a generalized seizure in immature rat can entail a long-term and presumably permanent increase in the efficacy of G-protein coupling to muscarinic receptors in the hippocampus and neocortex of the adult. By analogy, such a mechanism could account for the susceptibility to epilepsy of human adults having suffered from prolonged convulsions in early life.
我们之前已经表明,将成年大鼠在未成熟时(20日龄)用戊四氮(PTZ)诱导全身性癫痫发作后,给予抗胆碱酯酶药物毒扁豆碱,会在其海马切片的CA3区引发发作间期样放电。对乙酰胆碱(ACh)的这种反应性增加与海马乙酰胆碱或γ-氨基丁酸(GABA)含量、GABA能抑制或ACh神经支配密度的任何变化均无关,但被毒蕈碱受体拮抗剂阿托品阻断。因此,我们采用定量放射性配体结合放射自显影、原位杂交和[35S]GTPγS方法,来评估在P20经历过PTZ癫痫发作的成年大鼠海马和新皮质中毒蕈碱受体的特性。分别用[3H]哌仑西平和[3H]AFDX - 384标记的M1和M2受体结合位点的密度,以及m1、m2和m3受体mRNA的量,在这些大鼠的海马和新皮质中与对照组无差异。相比之下,在PTZ大鼠中,两个脑区由ACh、氨甲酰甲胆碱尤其是氧化震颤素刺激的[35S]GTPγS掺入均显著增加。这一发现表明,未成熟大鼠的全身性癫痫发作可能会导致成年大鼠海马和新皮质中毒蕈碱受体与G蛋白偶联的效能长期且可能是永久性的增加。类似地,这样一种机制可以解释早年经历过长时间惊厥的成年人类对癫痫的易感性。