Langmeier M, Folbergrová J, Haugvicová R, Riljak V
Institute of Physiology of the First Faculty of Medicine, Charles University in Prague, Czech Republic.
Prague Med Rep. 2006;107(4):421-32.
Incidence of human epilepsy in infants and children is high and prolonged seizures in the early developmental period can cause brain damage and lead to serious consequences later in the life. The present study was aimed to investigate potential protective effect of (R, S)-4-phosphonophenylglycine ((R, S)-PPG), a potent and selective group III mGluR agonist, on brain damage associated with homocysteic acid-induced seizures in immature 12-day-old rats. This compound does not exhibit any proconvulsive effect. Moreover, (R, S)-PPG was shown to protect NMDA and quinolinic acid-induced lesions in rats. Seizures were induced by bilateral intracerebroventricular (i.c.v.) infusion of homocysteic acid (DL-HCA, 600 nmol/side). (R, S)-PPG was given by bilateral i.c.v. infusions (5 nmol/side) at 15- to 20-min time intervals prior to administration of DL-HCA. After 1 or 6 days of survival, animals in all experimental groups (13-day-old and 18-day-old) were perfused transcardially under deep ether anaesthesia with heparinized normal saline and subsequently with the fixation solution (4% paraformaldehyde in the phosphate buffer, pH 7.4, both solutions at room temperature). Two histological methods were used in our study. Fluoro-Jade B dye is an anionic fluorescein derivative useful for the histological staining of neurons undergoing degeneration and staining with bis-benzimide (Hoechst 33342) was used to detect apoptotic cells according nuclei with condensed and/or fragmented DNA. Animals perfused 1 day after the treatment (13-day-old): After only (R, S)-PPG application, no obvious pathological changes were found. After only DL-HCA application, distinct destruction of the hippocampal region both in the dorsal and ventral hippocampus was observed. Particularly affected were cells in the CA1 and CA3 regions. In addition, neurons with segmented or fragmented nuclei were found in the granule cell layer of the dentate gyrus. (R, S)-PPG + DL-HCA administration resulted in a lower number of Fluoro-Jade B positive cells. All areas of the hippocampus were protected by (R, S)-PPG pre-treatment. Animals perfused 6 days after the treatment (18-day-old): In the group where only (R, S)-PPG has been applied, no obvious pathological changes were found in the hippocampal area. After only DL-HCA administration almost complete destruction of the hippocampal region both in the dorsal and ventral hippocampus was observed. Particularly affected were the cells in the CA1 and CA3 regions, granule cells of the dentate gyrus and many interneurons in all hippocampal areas. (R, S)-PPG + DL-HCA administration resulted in lower number of Fluoro-Jade B positive cells. All areas of the hippocampus have been protected by (R, S)-PPG pre-treatment. In conclusion, the present data support the hypothesis that (R, S)-PPG can have a beneficial effect in those disorders where excitotoxicity is one of the dominant pathogenetic mechanisms.
婴幼儿期人类癫痫的发病率很高,发育早期的长时间癫痫发作会导致脑损伤,并在日后生活中引发严重后果。本研究旨在探讨强效选择性III组代谢型谷氨酸受体(mGluR)激动剂(R,S)-4-膦酰苯甘氨酸((R,S)-PPG)对12日龄未成熟大鼠同型半胱氨酸诱导的癫痫发作相关脑损伤的潜在保护作用。该化合物未表现出任何促惊厥作用。此外,(R,S)-PPG已被证明可保护大鼠免受N-甲基-D-天冬氨酸(NMDA)和喹啉酸诱导的损伤。通过双侧脑室内(i.c.v.)注入同型半胱氨酸(DL-HCA,600 nmol/侧)诱导癫痫发作。在给予DL-HCA前15至20分钟的时间间隔内,通过双侧i.c.v.注入(R,S)-PPG(5 nmol/侧)。存活1天或6天后,所有实验组(13日龄和18日龄)的动物在深度乙醚麻醉下经心脏灌注肝素化生理盐水,随后灌注固定液(磷酸盐缓冲液中4%的多聚甲醛,pH 7.4,两种溶液均在室温下)。本研究使用了两种组织学方法。Fluoro-Jade B染料是一种阴离子荧光素衍生物,可用于对正在发生变性的神经元进行组织学染色,用双苯甲酰亚胺(Hoechst 33342)染色以根据细胞核中DNA浓缩和/或断裂情况检测凋亡细胞。治疗后1天灌注的动物(13日龄):仅应用(R,S)-PPG后,未发现明显病理变化。仅应用DL-HCA后,观察到背侧和腹侧海马区的海马区域明显受损。尤其受影响的是CA1和CA3区域的细胞。此外,在齿状回颗粒细胞层中发现了细胞核呈节段状或碎片化的神经元。(R,S)-PPG + DL-HCA给药导致Fluoro-Jade B阳性细胞数量减少。(R,S)-PPG预处理对海马的所有区域均有保护作用。治疗后6天灌注的动物(18日龄):仅应用(R,S)-PPG的组中,海马区未发现明显病理变化。仅给予DL-HCA后,观察到背侧和腹侧海马区的海马区域几乎完全受损。尤其受影响的是CA1和CA3区域的细胞、齿状回颗粒细胞以及所有海马区域的许多中间神经元。(R,S)-PPG + DL-HCA给药导致Fluoro-Jade B阳性细胞数量减少。(R,S)-PPG预处理对海马的所有区域均有保护作用。总之,目前的数据支持以下假设:在兴奋性毒性是主要致病机制之一的疾病中,(R,S)-PPG可能具有有益作用。