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本文引用的文献

1
Environmental enrichment reverses the impaired exploratory behavior and altered gene expression induced by early-life seizures.
J Child Neurol. 2005 Oct;20(10):796-802. doi: 10.1177/08830738050200100301.
2
The medical management of depression.抑郁症的医学治疗
N Engl J Med. 2005 Oct 27;353(17):1819-34. doi: 10.1056/NEJMra050730.
3
Depression and suicide attempt as risk factors for incident unprovoked seizures.抑郁和自杀未遂作为无诱因发作性癫痫的危险因素。
Ann Neurol. 2006 Jan;59(1):35-41. doi: 10.1002/ana.20685.
4
Diagnosis and treatment of mood disorders in persons with epilepsy.癫痫患者情绪障碍的诊断与治疗
Curr Opin Neurol. 2005 Apr;18(2):129-33. doi: 10.1097/01.wco.0000162853.29650.ec.
5
Single photon emission computed tomography (SPECT) of anxiety disorders before and after treatment with citalopram.西酞普兰治疗前后焦虑症的单光子发射计算机断层扫描(SPECT)
BMC Psychiatry. 2004 Oct 14;4:30. doi: 10.1186/1471-244X-4-30.
6
Does Serotonin Play a Role in Epilepsy?血清素在癫痫中起作用吗?
Epilepsy Curr. 2003 Sep;3(5):173-177. doi: 10.1046/j.1535-7597.2003.03508.x.
7
Depression in epilepsy: ignoring clinical expression of neuronal network dysfunction?癫痫中的抑郁:忽视神经网络功能障碍的临床表现?
Epilepsia. 2004;45 Suppl 2:28-33. doi: 10.1111/j.0013-9580.2004.452005.x.
8
Limbic reductions of 5-HT1A receptor binding in human temporal lobe epilepsy.人类颞叶癫痫中5-羟色胺1A受体结合的边缘系统减少。
Neurology. 2004 Apr 27;62(8):1343-51. doi: 10.1212/01.wnl.0000123696.98166.af.
9
The relative impact of anxiety, depression, and clinical seizure features on health-related quality of life in epilepsy.焦虑、抑郁和临床癫痫发作特征对癫痫患者健康相关生活质量的相对影响。
Epilepsia. 2004 May;45(5):544-50. doi: 10.1111/j.0013-9580.2004.47003.x.
10
Understanding co-morbidities affecting children with epilepsy.了解影响癫痫患儿的合并症。
Neurology. 2004 Mar 9;62(5 Suppl 2):S17-23. doi: 10.1212/wnl.62.5_suppl_2.s17.

早年癫痫发作后抑郁行为及5-羟色胺受体表达的选择性下调:通过环境富集逆转

Depressive behavior and selective down-regulation of serotonin receptor expression after early-life seizures: reversal by environmental enrichment.

作者信息

Koh Sookyong, Magid Rhamy, Chung Hyokwon, Stine Christy D, Wilson Dawn N

机构信息

Pediatrics, Children's Memorial Hospital, Northwestern University Feinburg School of Medicine Chicago, IL 60614, USA.

出版信息

Epilepsy Behav. 2007 Feb;10(1):26-31. doi: 10.1016/j.yebeh.2006.11.008.

DOI:10.1016/j.yebeh.2006.11.008
PMID:17196883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1876703/
Abstract

Depression is the most common psychiatric comorbidity in epilepsy. To better understand the contribution of seizures versus environment to depression in epilepsy, we investigated differential gene expression using microarray and quantitative RT-PCR, and depressive behavior, in the Porsolt forced swim test in juvenile rats reared in different environments after kainic acid (KA)-induced seizures. We selected for genes significantly down-regulated by KA seizures and upregulated by environmental enrichment. This common gene selection process yielded one known gene involved in mood and affect: serotonin receptor 5B. The changes in serotonin receptor gene expression were paralleled by decreased mobility in the forced swim tests; depressive behavior exhibited after seizures was no longer evident in rats reared in environmental enrichment. Our results suggest that seizures lead to increased susceptibility to depression through transcriptional regulation while environment, in turn, can interact with gene expression to influence the behavioral outcome of epilepsy.

摘要

抑郁症是癫痫中最常见的精神共病。为了更好地理解癫痫发作与环境对癫痫患者抑郁症的影响,我们在给予幼鼠海人酸(KA)诱导癫痫发作后,将其饲养在不同环境中,通过微阵列和定量逆转录聚合酶链反应研究差异基因表达,并在波索尔特强迫游泳试验中研究抑郁行为。我们筛选出在KA癫痫发作后显著下调且在环境富集后上调的基因。这一共同的基因筛选过程产生了一个已知的参与情绪和情感的基因:5B型血清素受体。血清素受体基因表达的变化与强迫游泳试验中活动能力的下降相平行;在环境富集环境中饲养的大鼠,癫痫发作后表现出的抑郁行为不再明显。我们的结果表明,癫痫发作通过转录调控导致对抑郁症的易感性增加,而环境反过来可以与基因表达相互作用,影响癫痫的行为结果。