Traub Roger D, Contreras Diego, Whittington Miles A
Department of Physiology, SUNY Downstate Medical Center, Brooklyn, New York 11203, USA.
J Clin Neurophysiol. 2005 Oct;22(5):330-42.
The electrical correlates of clinical seizures, and of experimental models of seizures, are recognized because neurons behave differently than normal. Individual neurons do unusual things, and neuronal activities become correlated with each other in ways that are not observed under physiologic conditions. Single neurons may fire bursts of action potentials superimposed on large depolarizations, and the bursts may recur rhythmically over a wide range of frequencies (<1 Hz to 25 Hz); periods of noisy subthreshold activity can occur; and firing can even be suppressed in some neurons. At the population level, nearby neurons tend to fire action potentials, or generate bursts, that are temporally locked together on a few-milliseconds time scale, so that large voltage transients are generated in extracellular fields. Very fast oscillations (>80 Hz) in neuronal aggregates may occur before, during, or after such large field potentials. Finally, cellular activities may even be correlated across large brain regions. The authors review some of the means by which cellular intrinsic properties, synaptic interactions, and electrical coupling via gap junctions, all contribute to the anomalous population activities characteristic of seizures. Also reviewed are some of the data suggesting that the requisite gap junctions are located on the axons of glutamatergic neurons.
临床癫痫发作以及癫痫实验模型的电相关现象之所以被识别,是因为神经元的行为与正常情况不同。单个神经元会做出异常行为,并且神经元活动会以生理条件下未观察到的方式相互关联。单个神经元可能会在大的去极化之上发放动作电位爆发,并且这些爆发可能会在很宽的频率范围(<1赫兹至25赫兹)内有节奏地重复出现;可能会出现噪声阈下活动期;甚至在某些神经元中发放会被抑制。在群体水平上,附近的神经元倾向于发放动作电位或产生爆发,这些动作电位或爆发在几毫秒的时间尺度上在时间上锁定在一起,从而在细胞外场中产生大的电压瞬变。在这种大的场电位之前、期间或之后,神经元聚集体中可能会出现非常快速的振荡(>80赫兹)。最后,细胞活动甚至可能在大脑的大区域之间相互关联。作者回顾了细胞内在特性、突触相互作用以及通过缝隙连接的电耦合导致癫痫发作特征性异常群体活动的一些方式。还回顾了一些数据,这些数据表明所需的缝隙连接位于谷氨酸能神经元的轴突上。