Gashi Eleonora, Avallone Jennifer, Webster Toni, Friedman Linda K
Neuroscience Department, New York Institute of Technology, NY College of Osteopathic Medicine, Northern Boulevard, Old Westbury, NY 11568, USA.
Brain Res. 2007 May 11;1145:56-65. doi: 10.1016/j.brainres.2007.01.110. Epub 2007 Feb 2.
During a critical period of postnatal development the epileptogenic focus is thought to be of cortical origin. We used immunohistochemistry and Western blotting to elucidate potential mechanisms underlying an increased state of susceptibility to seizures in immature animals. Distribution patterns of N-methyl-D-aspartic acid (NMDA) (NR1 and NR2A/B) and alpha-amino-3-hydroxy-5-methyl-4-isoxazole-propionic acid (AMPA) (GluR1 and GluR2) subunits were analyzed in retrosplenial, parietal and temporal cortices during the first two postnatal weeks following three episodes of status-epilepticus. Rat pups were injected three times with kainic acid (3x KA) on P6, P9, and P13 and subsequently sacrificed 48 h after the third seizure. Cortical electroencephalography (EEG) showed increased number of spikes and bursts of longer duration after 3x KA. Immunodensity measurements after 3x KA revealed a robust increase in NR2A/B labeling specific to cortical layer V throughout the retrosplenial, parietal, and temporal cortices, with no changes noted in piriform cortex. NR1 layer V immunoreactivity was also simultaneously increased in serial sections but to a lesser degree; heightened immunodensities were specific to retrosplenial and temporal cortices. The NR1:NR2 ratio was decreased in cortical layer V of the temporal and retrosplenial cortices but not in parietal cortex despite elevated immunoreactivity. Steady levels of GluR1 and GluR2 subunits were noted in all cortical areas studied in the same animals. Thus, recurrent perinatal seizures led to selective and layer-specific increases in NMDA receptor proteins. These changes may be responsible for lowering the seizure threshold in deeper cortical areas and eventually contribute to the cortical epileptogenic focus.
在出生后发育的关键时期,致痫灶被认为起源于皮质。我们使用免疫组织化学和蛋白质印迹法来阐明未成熟动物癫痫易感性增加状态背后的潜在机制。在经历三次癫痫持续状态发作后的出生后前两周,分析了脾后皮质、顶叶皮质和颞叶皮质中N-甲基-D-天冬氨酸(NMDA)(NR1和NR2A/B)和α-氨基-3-羟基-5-甲基-4-异恶唑丙酸(AMPA)(GluR1和GluR2)亚基的分布模式。在出生后第6天、第9天和第13天给幼鼠注射三次海藻酸(3x KA),随后在第三次癫痫发作后48小时处死。皮质脑电图(EEG)显示3x KA后棘波数量增加且持续时间更长。3x KA后的免疫密度测量显示,在整个脾后皮质、顶叶皮质和颞叶皮质中,皮质V层特异性的NR2A/B标记显著增加,梨状皮质未见变化。连续切片中NR1 V层免疫反应性也同时增加,但程度较小;免疫密度升高特异性见于脾后皮质和颞叶皮质。尽管免疫反应性升高,但颞叶和脾后皮质V层的NR1:NR2比率降低,而顶叶皮质未降低。在同一动物研究的所有皮质区域中,GluR1和GluR2亚基水平保持稳定。因此,围产期反复癫痫发作导致NMDA受体蛋白选择性和层特异性增加。这些变化可能是导致深层皮质区域癫痫阈值降低的原因,并最终促成皮质致痫灶的形成。