Patrylo Peter R, Tyagi Isha, Willingham Amy L, Lee Sung, Williamson Anne
Department of Physiology, Southern Illinois University School of Medicine, Carbondale, Illinois 62901, USA.
Epilepsia. 2007 Oct;48(10):1964-78. doi: 10.1111/j.1528-1167.2007.01139.x. Epub 2007 May 23.
The elderly have an increased incidence and prevalence for seizure disorders. Further, since up to 50% of these cases have no identifiable antecedent, it has been hypothesized that aging of the central nervous system itself may be epileptogenic. Aged rats, compared to adults, exhibit a greater susceptibility to and severity of seizures associated with hippocampal activation. Whether this aging-related change reflects proconvulsive changes in limbic circuitry is unknown and thus was the focus of this study.
Hippocampal slices from adult and aged Fischer 344 rats were examined using electrophysiological techniques. The dentate gyrus was our model region since it is involved with both wet-dog shakes and limbic seizures, and it is affected preferentially with age.
No differences were noted between groups in field potential activity elicited with low frequency stimulation. In contrast, 5-Hz molecular layer stimulation could evoke multiple population spikes in approximately 40% of aged versus 0% of adult slices. Further, recording in CA3 revealed that this stimulation paradigm could elicit multiple spikes in aged, but not adult, slices that frequently evolved into spontaneous epileptiform bursts. This change in the capacity of the dentate to respond to and filter afferent input was associated with an aging-related decrease in the frequency of spontaneous IPSPs and an increased propensity for large amplitude prolonged EPSPs following disinhibition.
These epileptogenic changes in dentate function and circuitry could contribute to the exacerbated susceptibility for hippocampal seizures in aged rodents, as well as the aging-related decline in spatial learning and memory.
老年人癫痫发作疾病的发病率和患病率有所增加。此外,由于高达50%的此类病例没有可识别的前驱因素,因此有人推测中枢神经系统自身的老化可能是致痫性的。与成年大鼠相比,老年大鼠对与海马激活相关的癫痫发作表现出更高的易感性和发作严重程度。这种与衰老相关的变化是否反映了边缘环路中的促惊厥变化尚不清楚,因此这是本研究的重点。
使用电生理技术检查成年和老年Fischer 344大鼠的海马切片。齿状回是我们的模型区域,因为它与湿狗样抖动和边缘性癫痫发作都有关,并且它优先受到年龄的影响。
低频刺激诱发的场电位活动在各组之间未观察到差异。相比之下,5赫兹分子层刺激可在约40%的老年切片中诱发多个群体锋电位,而成年切片中为0%。此外,在CA3区的记录显示,这种刺激模式可在老年切片而非成年切片中诱发多个锋电位,且这些锋电位经常演变为自发性癫痫样爆发。齿状回对传入输入的反应和过滤能力的这种变化与自发性抑制性突触后电位频率的与衰老相关的降低以及去抑制后大幅度延长的兴奋性突触后电位的增加倾向有关。
齿状回功能和环路中的这些致痫性变化可能导致老年啮齿动物海马癫痫发作的易感性加剧,以及与衰老相关的空间学习和记忆能力下降。