Werck M C, Daval J L
INSERM U.272, Nancy, France.
Pediatr Res. 1991 Jul;30(1):100-5. doi: 10.1203/00006450-199107000-00020.
Benzodiazepines are psychoactive substances classically used for their anticonvulsant properties in neonates as well as in adults. In a previous work, we have shown that seizures lead to an age-dependent upregulation of central benzodiazepine binding sites measured in isolated rat cerebral membranes. However, information concerning regional changes in the receptor density was lacking. In our present study, the effects of bicuculline-induced seizures were investigated by quantitative autoradiography of central benzodiazepine receptors in developing rats and in adults. Animals were killed 30 min after an intraperitoneal injection of either saline or a convulsive dose of bicuculline. Benzodiazepine binding sites in brain sections were labeled by [3H]flunitrazepam. Generalized seizures induced a widespread increase in benzodiazepine receptors, with a marked enhancement in structures that mediate seizure activity, such as substantia nigra, amygdala, septum, and hippocampus. The addition of exogenous gamma-aminobutyric acid to the incubation medium increased benzodiazepine binding by the same order of magnitude whether rats were given saline or bicuculline, suggesting that additional benzodiazepine sites are also functionally linked to gamma-aminobutyric acid receptors. The age-related postictal increase in benzodiazepine receptors might reflect a compensatory response for protection against recurrent seizures, especially in newborns.
苯二氮䓬类是一类精神活性物质,传统上用于新生儿和成人,发挥其抗惊厥特性。在之前的一项研究中,我们发现癫痫发作会导致分离的大鼠脑膜中中央苯二氮䓬结合位点出现年龄依赖性上调。然而,关于受体密度的区域变化的信息尚缺。在我们目前的研究中,通过对发育中的大鼠和成年大鼠的中央苯二氮䓬受体进行定量放射自显影,研究了荷包牡丹碱诱导的癫痫发作的影响。在腹腔注射生理盐水或惊厥剂量的荷包牡丹碱30分钟后处死动物。脑切片中的苯二氮䓬结合位点用[³H]氟硝西泮标记。全身性癫痫发作导致苯二氮䓬受体广泛增加,在介导癫痫活动的结构中显著增强,如黑质、杏仁核、隔区和海马体。无论给大鼠注射生理盐水还是荷包牡丹碱,向孵育培养基中添加外源性γ-氨基丁酸都会使苯二氮䓬结合增加相同数量级,这表明额外的苯二氮䓬位点在功能上也与γ-氨基丁酸受体相关。苯二氮䓬受体与年龄相关的发作后增加可能反映了一种针对复发性癫痫发作的保护的代偿反应,尤其是在新生儿中。