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东莨菪碱在大鼠匹鲁卡品癫痫模型中的可塑性变化及疾病修饰作用

Plastic changes and disease-modifying effects of scopolamine in the pilocarpine model of epilepsy in rats.

作者信息

Pereira Heloísa A A, Benassi Simone K, Mello Luiz E

机构信息

Department of Psychobiology, Universidad Federal de São Paulo, Brazil.

出版信息

Epilepsia. 2005;46 Suppl 5:118-24. doi: 10.1111/j.1528-1167.2005.01017.x.

Abstract

PURPOSE

We describe the use of a clinically relevant pharmacological intervention that alters the clinical history of status epilepticus (SE)-induced spontaneous recurrent seizures (SRS) in the pilocarpine model and the possible plastic changes underlying such an effect.

METHODS

Two hours after pilocarpine-induced SE (320-350 mg/kg, i.p.), rats received scopolamine 1-2 mg/kg i.p. or saline, every 6 h for 3 days. After that, osmotic minipumps were implanted for continuous delivery of scopolamine or saline for an additional 14 days. Animals were video-monitored for 12 h/week during the following 3-month period for the occurrence of SRS and, thereafter, were perfused, processed, and coronal brain sections were stained for acetylcholinesterase (AChE) and for the presence of supragranular mossy fibers (Timm).

RESULTS

Treatment with scopolamine led to significantly fewer SRS. Staining for AChE in the dentate gyrus was significantly more intense in naïve animals. The scopolamine group had the least intense AChE staining of all groups. However, regression analysis of the AChE staining for this group did not correlate with the presence or absence of SRS, or the latency or frequency of SRS. Supragranular mossy fiber sprouting developed in all animals experiencing pilocarpine-induced SE, irrespective of whether or not they were treated with scopolamine.

CONCLUSIONS

Pilocarpine-induced SE in the presence of scopolamine might produce animals that, despite mossy fiber sprouting, were not seen to exhibit spontaneous seizures. In addition, our data suggest that the encountered changes in the AChE staining in the dentate gyrus that followed treatment with scopolamine do not help to explain its disease-modifying effects.

摘要

目的

我们描述了一种具有临床相关性的药理学干预措施,该措施可改变毛果芸香碱模型中癫痫持续状态(SE)诱发的自发性反复癫痫发作(SRS)的临床病程,以及这种效应背后可能存在的可塑性变化。

方法

在毛果芸香碱诱发SE(320 - 350 mg/kg,腹腔注射)后两小时,大鼠每6小时接受一次1 - 2 mg/kg腹腔注射的东莨菪碱或生理盐水,持续3天。之后,植入渗透微型泵以持续输注东莨菪碱或生理盐水,再持续14天。在接下来的3个月期间,每周对动物进行12小时的视频监测,观察SRS的发生情况,之后对动物进行灌注、处理,冠状脑切片进行乙酰胆碱酯酶(AChE)染色以及检测颗粒上层苔藓纤维(Timm染色)的存在情况。

结果

东莨菪碱治疗导致SRS明显减少。在未处理的动物中,齿状回的AChE染色明显更强。东莨菪碱组在所有组中AChE染色最浅。然而,该组AChE染色的回归分析与SRS的有无、SRS的潜伏期或频率均无相关性。在所有经历毛果芸香碱诱发SE的动物中,无论是否接受东莨菪碱治疗,均出现了颗粒上层苔藓纤维出芽。

结论

在东莨菪碱存在的情况下,毛果芸香碱诱发的SE可能产生这样的动物,即尽管有苔藓纤维出芽,但未观察到自发性癫痫发作。此外,我们的数据表明,东莨菪碱治疗后齿状回中AChE染色的变化无助于解释其疾病修饰作用。

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