Turgut Mehmet, Uyanikgil Yiğit, Ateş Utku, Baka Meral, Yurtseven Mine E
Department of Neurosurgery, Adnan Menderes University School of Medicine, Aydin, Turkey.
Childs Nerv Syst. 2006 May;22(5):481-8. doi: 10.1007/s00381-005-0012-4. Epub 2005 Dec 21.
Epilepsy during the pregnancy is an important problem in clinical practice for newborn individuals. Recently, it has been demonstrated that mothers' epileptic seizures have some harmful effects on newborns, but present data concerning the effects of epileptic phenomena in pregnant mothers on newborn pups are still limited. The current study was undertaken to investigate the morphological changes in the hippocampus of newborn pups of pinealectomized rats subjected to experimental epilepsy during pregnancy.
In this study, rats were randomly divided into four groups (ten animals each): intact control group, epilepsy control group, surgical pinealectomy + epilepsy group, and group with melatonin treatment following pinealectomy procedure. The animals in surgical pinealectomy + epilepsy and melatonin treatment groups underwent a surgical intervention consisting of pineal gland removal. At 1 month after surgical pinealectomy, an acute grand mal epileptic seizure was induced by 400 IU penicillin G administration into their hippocampal CA3 region on the 13th day of their pregnancy in all animals except the intact control animals. On the first neonatal day, the hippocampi were removed and processed for microscopic examination. Nestin expression was analysed in the developing hippocampal tissue.
Normal migration and hippocampal maturation were determined in the postnatal rat hippocampus in intact control group, but the morphological structure of the hippocampus in the epilepsy control group corresponded to the early embryonal period. It was found that experimental epilepsy and pinealectomy enhanced nestin immunoreactivity, whereas exogenous melatonin treatment (30 mug/100 g body weight, intraperitoneal) inhibited pinealectomy-stimulated nestin expression in CA1 region of the hippocampus.
These findings suggest that epileptic seizures during pregnancy may cause an impaired hippocampal neurogenesis and neuronal maturation in the newborn, and the negative effects in the postnatal rat hippocampus are more dramatic after pinealectomy of the mother; conversely, melatonin administration suppresses these negative changes. This is the first report investigating the effects of maternal epilepsy during pregnancy in pinealectomized rats on nestin immunoexpression in the newborn rat hippocampus.
孕期癫痫是临床新生儿领域的一个重要问题。最近有研究表明,母亲的癫痫发作对新生儿有一些有害影响,但目前关于孕期母亲癫痫现象对新生幼崽影响的数据仍然有限。本研究旨在调查孕期经历实验性癫痫的松果体切除大鼠新生幼崽海马体的形态变化。
在本研究中,大鼠被随机分为四组(每组10只动物):完整对照组、癫痫对照组、手术切除松果体+癫痫组以及松果体切除术后给予褪黑素治疗组。手术切除松果体+癫痫组和褪黑素治疗组的动物接受了松果体摘除的手术干预。在手术切除松果体1个月后,除完整对照组动物外,所有动物在妊娠第13天向其海马CA3区注射400 IU青霉素G诱发急性全身性癫痫发作。在新生第一天,取出海马体并进行显微镜检查。分析发育中的海马组织中巢蛋白的表达。
完整对照组出生后大鼠海马体中确定有正常的迁移和海马成熟,但癫痫对照组海马体的形态结构与胚胎早期相对应。研究发现,实验性癫痫和松果体切除术增强了巢蛋白免疫反应性,而外源性褪黑素治疗(30微克/100克体重,腹腔注射)抑制了松果体切除术刺激的海马CA1区巢蛋白表达。
这些发现表明,孕期癫痫发作可能导致新生儿海马神经发生和神经元成熟受损,母亲松果体切除术后出生后大鼠海马体的负面影响更为显著;相反,给予褪黑素可抑制这些负面变化。这是第一份研究孕期母亲癫痫对松果体切除大鼠新生鼠海马体中巢蛋白免疫表达影响的报告。