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匹罗卡品诱导的大鼠癫痫持续状态期间黑质网状部的损伤:神经元、星形胶质细胞及血清蛋白外渗的免疫组织化学研究

Damage of substantia nigra pars reticulata during pilocarpine-induced status epilepticus in the rat: immunohistochemical study of neurons, astrocytes and serum-protein extravasation.

作者信息

Schmidt-Kastner R, Heim C, Sontag K H

机构信息

Department of Neurophysiology, Medical Faculty, Ruhr-Universität Bochum, Federal Republic of Germany.

出版信息

Exp Brain Res. 1991;86(1):125-40. doi: 10.1007/BF00231047.

Abstract

The substantia nigra has a gating function controlling the spread of epileptic seizure activity. Additionally, in models of prolonged status epilepticus the pars reticulata of substantia nigra (SNR) suffers from a massive lesion which may arise from a massive metabolic derangement and hyperexcitation developing in the activated SNR. In this study, status epilepticus was induced by systemic injection of pilocarpine in rats. The neuropathology of SNR was investigated using immunohistochemical techniques with the major emphasis on the time-course of changes in neurons and astrocytes. Animals surviving 20, 30, 40, 60 min, 2, 3, 6 hours, 1, 2, and 3 days after induction of status epilepticus were perfusion-fixed, and brains processed for immunohistochemical staining of SNR. Nissl-staining and antibodies against the neuron-specific calcium-binding protein, parvalbumin, served to detect neuronal damage in SNR. Antibodies against the astroglia-specific cytoskeletal protein, glial fibrillary acidic protein (GFAP), and against the glial calcium-binding protein, S-100 protein, were used to assess the status of astrocytes. Immunohistochemical staining for serum-albumin and immunoglobulins in brain tissue was taken as indicator of blood-brain barrier disturbances and vasogenic edema formation. Immunohistochemical staining indicated loss of GFAP-staining already at 30 min after induction of seizures in an oval focus situated in the center of SNR while sparing medial and lateral aspects. At 1 h there was additional vacuolation in S-100 protein staining. By 2 hours, parvalbumin-staining changed in the central SNR indicating neuronal damage, and Nissl-staining visualized some neuronal distortion. Staining for serum-proteins occurred in a patchy manner throughout the forebrain during the first hours. By 6 h, vasogenic edema covered the lesioned SNR. By 24 h, glial and neuronal markers indicated a massive lesion in the center of SNR. By 48-72 h, astrocytes surrounding the lesion increased in size, and polymorphic phagocytotic cells invaded the damaged area. In a further group of animals surviving 1 to 5 days, conventional paraffin-sections confirmed the neuronal and glial damage of SNR. Additional pathology of similar quality was found in the globus pallidus. Since astrocytes were always damaged in parallel with neurons in SNR it is proposed that the anatomical and functional interrelationship between neurons and astrocytes is particularly tight in SNR. Both cell elements may suffer in common from metabolic disturbance and neurotransmitter dysfunction as occur during massive status epilepticus.

摘要

黑质具有控制癫痫发作活动扩散的门控功能。此外,在癫痫持续状态的模型中,黑质网状部(SNR)会出现大量损伤,这可能源于激活的SNR中发生的大量代谢紊乱和过度兴奋。在本研究中,通过向大鼠全身注射匹鲁卡品诱导癫痫持续状态。使用免疫组织化学技术研究SNR的神经病理学,主要关注神经元和星形胶质细胞变化的时间进程。在癫痫持续状态诱导后存活20、30、40、60分钟、2、3、6小时、1、2和3天的动物进行灌注固定,然后对大脑进行处理以进行SNR的免疫组织化学染色。尼氏染色以及针对神经元特异性钙结合蛋白小白蛋白的抗体用于检测SNR中的神经元损伤。针对星形胶质细胞特异性细胞骨架蛋白胶质纤维酸性蛋白(GFAP)以及针对胶质钙结合蛋白S-100蛋白的抗体用于评估星形胶质细胞的状态。对脑组织中血清白蛋白和免疫球蛋白的免疫组织化学染色作为血脑屏障紊乱和血管源性水肿形成的指标。免疫组织化学染色显示,在癫痫发作诱导后30分钟,位于SNR中心的椭圆形病灶处的GFAP染色就已丧失,而内侧和外侧部分未受影响。1小时时,S-100蛋白染色出现额外的空泡化。到2小时时,中央SNR中的小白蛋白染色发生变化,表明神经元受损,尼氏染色显示一些神经元变形。在最初几个小时内,血清蛋白染色在前脑呈斑片状出现。到6小时时,血管源性水肿覆盖了受损的SNR。到24小时时,胶质细胞和神经元标记物显示SNR中心有大量损伤。到48 - 72小时时,损伤周围的星形胶质细胞体积增大,多形吞噬细胞侵入受损区域。在另一组存活1至5天的动物中,传统石蜡切片证实了SNR的神经元和胶质细胞损伤。在苍白球中发现了质量类似的额外病变。由于在SNR中星形胶质细胞总是与神经元同时受损,因此有人提出,在SNR中神经元和星形胶质细胞之间的解剖学和功能相互关系特别紧密。在癫痫持续状态期间,这两种细胞成分可能共同受到代谢紊乱和神经递质功能障碍的影响。

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