Gajda Zita, Szupera Zoltán, Blazsó Gábor, Szente Magdolna
Department of Comparative Physiology, University of Szeged, Szeged, Hungary.
Epilepsia. 2005 Oct;46(10):1581-91. doi: 10.1111/j.1528-1167.2005.00254.x.
The selective contribution of neuronal gap junction (GJ) communication via connexin 36 (Cx36) channels to epileptogenesis and to the maintenance and propagation of seizures was investigated in both the primary focus and the mirror focus by using pharmacologic approaches with the 4-aminopyridine in vivo epilepsy model.
ECoG recording was performed on anesthetized adult rats, in which either quinine, a selective blocker of Cx36, or the broad-spectrum GJ blockers carbenoxolone and octanol were applied locally, before the induction or at already active epileptic foci.
The blockade of Cx36 channels by quinine before the induction of epileptiform activity slightly reduced the epileptogenesis. When quinine was applied after 25-30 repetitions of seizures, a new discharge pattern appeared with frequencies >15 Hz at the initiation of seizures. In spite of the increased number of seizures, the summated ictal activity decreased, because of the significant reduction in the duration of the seizures. The amplitudes of the seizure discharges of all the patterns decreased, with the exception of those with frequencies of 11-12 Hz. The blockade of Cx36 channels and the global blockade of the GJ channels resulted in qualitatively different modifications in ictogenesis.
The blockade of Cx36 channels at the already active epileptic focus has an anticonvulsive effect and modifies the manifestation of the 1- to 18-Hz seizure discharges. Our findings indicate that the GJ communication via Cx36 channels is differently involved in the synchronization of the activities of the networks generating seizure discharges with different frequencies. Additionally, we conclude that both neuronal and glial GJ communication contribute to the manifestation and propagation of seizures in the adult rat neocortex.
在原发性病灶和镜像病灶中,通过体内癫痫模型使用4-氨基吡啶的药理学方法,研究神经元间隙连接(GJ)经连接蛋白36(Cx36)通道的通讯对癫痫发生、癫痫维持和传播的选择性作用。
在麻醉的成年大鼠上进行脑电记录,在诱发癫痫前或在已活跃的癫痫病灶处局部应用Cx36的选择性阻滞剂奎宁,或广谱GJ阻滞剂生胃酮和辛醇。
在诱发癫痫样活动前用奎宁阻断Cx36通道可轻微降低癫痫发生。在癫痫发作25-30次后应用奎宁时,癫痫发作开始时出现频率>15Hz的新放电模式。尽管癫痫发作次数增加,但由于癫痫发作持续时间显著缩短,总发作期活动减少。除频率为11-12Hz的放电外,所有模式的癫痫发作放电幅度均降低。Cx36通道的阻断和GJ通道的全面阻断在发作形成上导致了质的不同改变。
在已活跃的癫痫病灶处阻断Cx36通道具有抗惊厥作用,并改变1至18Hz癫痫发作放电的表现。我们的研究结果表明,经Cx36通道的GJ通讯在不同频率癫痫发作放电网络活动同步中发挥不同作用。此外,我们得出结论,神经元和胶质细胞的GJ通讯均有助于成年大鼠新皮质癫痫发作的表现和传播。