Solbrig Marylou V, Adrian Russell, Baratta Janie, Lauterborn Julie C, Koob George F
Department of Neurology, University of California-Irvine, Irvine, CA 92697-4292, USA.
Brain. 2006 Mar;129(Pt 3):642-54. doi: 10.1093/brain/awl008. Epub 2006 Jan 6.
Epilepsy remains a major medical problem of unknown aetiology. Potentially, viruses can be environmental triggers for development of seizures in genetically vulnerable individuals. An estimated half of encephalitis patients experience seizures and approximately 4% develop status epilepticus. Epilepsy vulnerability has been associated with a dynorphin promoter region polymorphism or low dynorphin expression genotype, in man. In animals, the dynorphin system in the hippocampus is known to regulate excitability. The present study was designed to test the hypothesis that reduced dynorphin expression in the dentate gyrus of hippocampus due to periadolescent virus exposure leads to epileptic responses. Encephalitis produced by the neurotropic Borna disease virus in the rat caused epileptic responses and dynorphin to disappear via dentate granule cell loss, failed neurogenesis and poor survival of new neurons. Kappa opioid (dynorphin) agonists prevented the behavioural and electroencephalographic seizures produced by convulsant compounds, and these effects were associated with an absence of dynorphin from the dentate gyrus granule cell layer and upregulation of enkephalin in CA1 interneurons, thus reproducing a neurochemical marker of epilepsy, namely low dynorphin tone. A key role for kappa opioids in anticonvulsant protection provides a framework for exploration of viral and other insults that increase seizure vulnerability and may provide insights into potential interventions for treatment of epilepsy.
癫痫仍然是一个病因不明的主要医学问题。潜在地,病毒可能是基因易感性个体发生癫痫的环境触发因素。估计有一半的脑炎患者会出现癫痫发作,约4%会发展为癫痫持续状态。在人类中,癫痫易感性与强啡肽启动子区域多态性或低强啡肽表达基因型有关。在动物中,已知海马体中的强啡肽系统调节兴奋性。本研究旨在检验以下假设:青春期前后接触病毒导致海马齿状回中强啡肽表达降低会引发癫痫反应。嗜神经性博尔纳病病毒在大鼠中引发的脑炎导致癫痫反应,并且由于齿状颗粒细胞丢失、神经发生失败和新神经元存活率低,强啡肽消失。κ阿片样物质(强啡肽)激动剂可预防惊厥性化合物引起的行为和脑电图癫痫发作,这些作用与齿状回颗粒细胞层中缺乏强啡肽以及CA1中间神经元中脑啡肽上调有关,从而再现了癫痫的一种神经化学标志物,即低强啡肽水平。κ阿片样物质在抗惊厥保护中的关键作用为探索增加癫痫易感性的病毒和其他损伤提供了一个框架,并可能为癫痫治疗的潜在干预措施提供见解。