Raedt Robrecht, Boon Paul, Persson Asa, Alborn Ann-Marie, Boterberg Tom, Van Dycke Annelies, Linder Birgit, De Smedt Tim, Wadman Wytse J, Ben-Menachem Elinor, Eriksson Peter S
Laboratory for Clinical and Experimental Neurophysiology, Department of Neurology, Ghent University Hospital, Ghent, Belgium.
Epilepsia. 2007 Oct;48(10):1952-63. doi: 10.1111/j.1528-1167.2007.01146.x. Epub 2007 Jun 6.
Adult hippocampal neurogenesis is enhanced in several models for temporal lobe epilepsy (TLE). In this study, we used low-dose whole brain radiation to suppress hippocampal neurogenesis and then studied the effect of this treatment on epileptogenesis in a kindling model for TLE.
Half of the rats were exposed to a radiation dose of 8 Gy one day before the initiation of a rapid kindling protocol. Afterdischarge threshold (ADT), afterdischarge duration (ADD), clinical seizure severity, and inflammation were compared between groups. On the first and third day after radiation, rats were injected with 5'-bromo-2'-deoxyuridine (BrdU) to evaluate neurogenesis. Seven and 21 days after radiation, numbers of doublecortin (DCX) positive neuroblasts in subgranular zone and granule cell layer were compared between groups.
We showed that radiation significantly suppressed neurogenesis and neuroblast production during kindling acquisition. Radiation prevented an increase in ADT that became significantly lower in radiated rats. On the third and fourth kindling acquisition day radiated rats developed more severe seizures more rapidly, which resulted in a significantly higher mean severity score on these days. Differences in ADD could not be demonstrated.
Our results demonstrate that brain radiation with a relatively low dose effectively suppressed the generation of new granule cells and transiently enhanced excitability during kindling acquisition. Although seizure-induced neurogenesis was lower in the radiated rats we could not detect a strong effect on the final establishment of the permanent fully kindled state, which argues against a prominent role of seizure-induced neurogenesis in epileptogenesis.
在几种颞叶癫痫(TLE)模型中,成人海马神经发生增强。在本研究中,我们使用低剂量全脑辐射来抑制海马神经发生,然后研究这种治疗对TLE点燃模型中癫痫发生的影响。
一半大鼠在快速点燃方案开始前一天接受8 Gy的辐射剂量。比较两组之间的放电阈值(ADT)、放电持续时间(ADD)、临床癫痫严重程度和炎症。在辐射后的第一天和第三天,给大鼠注射5'-溴-2'-脱氧尿苷(BrdU)以评估神经发生。在辐射后7天和21天,比较两组之间颗粒下区和颗粒细胞层中双皮质素(DCX)阳性神经母细胞的数量。
我们表明,辐射在点燃获取过程中显著抑制神经发生和神经母细胞产生。辐射阻止了ADT的增加,辐射大鼠的ADT显著降低。在点燃获取的第三天和第四天,辐射大鼠更快地出现更严重的癫痫发作,导致这些天的平均严重程度评分显著更高。未发现ADD有差异。
我们的结果表明,相对低剂量的脑辐射有效地抑制了新颗粒细胞的产生,并在点燃获取过程中短暂增强了兴奋性。虽然辐射大鼠中癫痫诱导的神经发生较低,但我们未检测到对永久性完全点燃状态最终确立的强烈影响,这表明癫痫诱导的神经发生在癫痫发生中不起主要作用。