Liu H, Friedman L K, Kaur J
NJ Neuroscience Institute, Seton Hall University, South Orange, NJ 07079, USA.
Seizure. 2006 Jan;15(1):1-16. doi: 10.1016/j.seizure.2005.09.010. Epub 2005 Nov 22.
Neonatal seizures may increase neuronal vulnerability later in life. Therefore, status epilepticus was induced with kainate (KA) during the first and second postnatal (P) weeks to determine whether early seizures shift the window of neuronal vulnerability to a younger age. KA was injected (i.p.) once (1x KA) on P13, P20 or P30 or three times (3 x KA), once on P6 and P9, and then either on P13, P20 or P30. After 1x KA, onset to behavioral seizures increased with age. Electroencephalography (EEG) showed interictal events appeared with maturation. After 3 x KA, spike number, frequency, spike amplitude, and high-frequency synchronous events and duration were increased at P13 when compared to age-matched controls. In contrast, P20 and P30 rats had decreases in EEG parameters relative to P20 and P30 rats with 1x KA despite that these animals had the same history of perinatal seizures on P6 and P9. In P13 rats with 1x KA, silver impregnation, hematoxylin/eosin and TUNEL methods showed no significant hippocampal injury and damage was minimal with 3 x KA. In contrast, P20 and P30 rats with 1x KA had robust eosinophilic or TUNEL positive labeling and preferential accumulation of silver ions within inner layer CA1 neurons. After 3 x KA, the CA1 but not CA3 of P20 and P30 rats was preferentially protected following 3 or 6 days. Although paradoxical changes occur in the EEG with maturation, the results indicate that early perinatal seizures do not significantly shift the window of hippocampal vulnerability to an earlier age but induce a tolerance that leads to long-term neuroprotection that differentially affects endogenous properties of CA1 versus CA3 neurons.
新生儿惊厥可能会增加其日后生活中神经元的易损性。因此,在出生后(P)的第一周和第二周,用红藻氨酸(KA)诱导癫痫持续状态,以确定早期惊厥是否会将神经元易损性窗口提前至更年轻的年龄。在P13、P20或P30时腹腔注射(i.p.)一次KA(1x KA),或在P6和P9时各注射一次,然后在P13、P20或P30时再注射一次,共注射三次(3x KA)。单次注射KA后,行为性惊厥的发作时间随年龄增加。脑电图(EEG)显示发作间期事件随成熟而出现。三次注射KA后,与年龄匹配的对照组相比,P13时的棘波数量、频率、棘波幅度、高频同步事件及持续时间均增加。相比之下,尽管P20和P30大鼠在P6和P9时有相同的围产期惊厥病史,但与单次注射KA的P20和P30大鼠相比,其EEG参数有所下降。在单次注射KA的P13大鼠中,银浸染、苏木精/伊红染色和TUNEL法显示海马无明显损伤,三次注射KA时损伤最小。相比之下,单次注射KA的P20和P30大鼠有强烈的嗜酸性或TUNEL阳性标记,且银离子在内侧CA1神经元中优先积聚。三次注射KA后,P20和P30大鼠在3天或6天后,CA1而非CA3受到优先保护。尽管随着成熟EEG会出现矛盾的变化,但结果表明,早期围产期惊厥不会显著将海马易损性窗口提前至更早年龄,而是诱导一种耐受性,导致长期神经保护,对CA1和CA3神经元的内源性特性产生不同影响。