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癫痫中的星形胶质细胞增生会导致腺苷激酶过度表达,从而加重癫痫发作。

Astrogliosis in epilepsy leads to overexpression of adenosine kinase, resulting in seizure aggravation.

作者信息

Fedele Denise E, Gouder Nicolette, Güttinger Martin, Gabernet Laetitia, Scheurer Louis, Rülicke Thomas, Crestani Florence, Boison Detlev

机构信息

Institute of Pharmacology and Toxicology, University of Zurich, Switzerland.

出版信息

Brain. 2005 Oct;128(Pt 10):2383-95. doi: 10.1093/brain/awh555. Epub 2005 Jun 1.

Abstract

Adenosine kinase (ADK) is considered to be the key regulator of the brain's endogenous anticonvulsant, adenosine. In adult brain, ADK is primarily expressed in a subpopulation of astrocytes and striking upregulation of ADK in these cells has been associated with astrogliosis after kainic acid-induced status epilepticus (KASE) in the kainic acid mouse model of temporal lobe epilepsy. To investigate the causal relationship between KASE-induced astrogliosis, upregulation of ADK and seizure activity, we have developed a novel mouse model [the Adktm1(-/-)-Tg(UbiAdk) mouse] lacking the endogenous astrocytic enzyme due to a targeted disruption of the endogenous gene, but containing an Adk transgene under the control of a human ubiquitin promoter. Mutant Adktm1(-/-)-Tg(UbiAdk) mice were characterized by increased brain ADK activity and constitutive overexpression of transgenic ADK throughout the brain, with particularly high levels in hippocampal pyramidal neurons. This ADK overexpression was associated with increased baseline levels of locomotion. Most importantly, two-thirds of the mutant mice analysed exhibited spontaneous seizure activity in the hippocampus and cortex. This was the direct consequence of transgene expression, since this seizure activity could be prevented by systemic application of the ADK inhibitor 5-iodotubercidin. Intrahippocampal injection of kainate in the mutant mice resulted in astrogliosis to the same extent as that observed in wild-type mice despite the absence of endogenous astrocytic ADK. Therefore, KASE-induced upregulation of endogenous ADK in wild-type mice is a consequence of astrogliosis. However, seizures in kainic acid-injected mutants displayed increased intra-ictal spike frequency compared with wild-type mice, indicating that, once epilepsy is established, increased levels of ADK aggravate seizure severity. We therefore conclude that therapeutic strategies that augment the adenosine system after astrogliosis-induced upregulation of ADK constitute a neurochemical rationale for the prevention of seizures in epilepsy.

摘要

腺苷激酶(ADK)被认为是大脑内源性抗惊厥物质腺苷的关键调节因子。在成人大脑中,ADK主要在星形胶质细胞的一个亚群中表达,在颞叶癫痫的红藻氨酸小鼠模型中,红藻氨酸诱导的癫痫持续状态(KASE)后,这些细胞中ADK的显著上调与星形胶质细胞增生有关。为了研究KASE诱导的星形胶质细胞增生、ADK上调与癫痫发作活动之间的因果关系,我们开发了一种新型小鼠模型[Adktm1(-/-)-Tg(UbiAdk)小鼠],该模型由于内源性基因的靶向破坏而缺乏内源性星形胶质细胞酶,但含有在人泛素启动子控制下的Adk转基因。突变型Adktm1(-/-)-Tg(UbiAdk)小鼠的特征是大脑ADK活性增加,且转基因ADK在全脑组成性过表达,在海马锥体神经元中的水平尤其高。这种ADK过表达与运动的基线水平增加有关。最重要的是,分析的三分之二突变小鼠在海马体和皮质中表现出自发性癫痫发作活动。这是转基因表达的直接后果,因为这种癫痫发作活动可以通过全身应用ADK抑制剂5-碘尿苷来预防。尽管缺乏内源性星形胶质细胞ADK,但在突变小鼠海马内注射红藻氨酸导致的星形胶质细胞增生程度与野生型小鼠相同。因此,野生型小鼠中KASE诱导的内源性ADK上调是星形胶质细胞增生的结果。然而,与野生型小鼠相比,注射红藻氨酸的突变体癫痫发作时的发作期棘波频率增加,这表明一旦癫痫形成,ADK水平升高会加重癫痫发作的严重程度。因此,我们得出结论,在星形胶质细胞增生诱导ADK上调后增强腺苷系统的治疗策略构成了预防癫痫发作的神经化学原理。

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