El-Hassar Lynda, Esclapez Monique, Bernard Christophe
INMED-INSERM U29, Université de la Méditerranée, Marseille, France.
Epilepsia. 2007;48 Suppl 5:131-9. doi: 10.1111/j.1528-1167.2007.01301.x.
Temporal Lobe Epilepsy (TLE) is often preceded by a latent (seizure-free) period during which complex network reorganizations occur. In experimental epilepsy, network hyperexcitability is already present during the latent period, suggesting a modification of information processing. The purpose of this study was to assess the input/output relationship in the hippocampal CA1 region during epileptogenesis. Field recordings in strata pyramidale and radiatum were used to measure the output of CA1 pyramidal cells as a function of the synaptic inputs they receive following the stimulation of Shaffer collaterals in slices obtained from sham and pilocarpine-treated animals during the latent and chronic periods. We show that there is a transient increase of the input and output field responses during the latent period as compared to sham and epileptic animals. The coupling between excitatory inputs and cell firing was also increased during the latent period. This increase persisted in epileptic animals, although to a lesser extent. We also confirm that paired-pulse facilitation occurs before the chronic phase. The present data further support the view that hyperexcitability is present at an early stage of epileptogenesis. Network output is more facilitated during the latent than during the chronic period. Hyperexcitability may participate to epileptogenesis, but it is not sufficient in itself to produce seizures.
颞叶癫痫(TLE)通常之前有一段潜伏期(无癫痫发作期),在此期间会发生复杂的网络重组。在实验性癫痫中,潜伏期就已存在网络兴奋性过高的情况,这表明信息处理发生了改变。本研究的目的是评估癫痫发生过程中海马CA1区的输入/输出关系。在从假手术组和匹鲁卡品处理组动物获取的脑片上,于潜伏期和慢性期刺激海马伞后,利用锥体层和辐射层的场电位记录来测量CA1锥体神经元的输出,该输出是它们所接收的突触输入的函数。我们发现,与假手术组和癫痫动物相比,潜伏期的输入和输出场反应有短暂增加。潜伏期兴奋性输入与细胞放电之间的耦合也增强。这种增强在癫痫动物中持续存在,尽管程度较轻。我们还证实,在慢性期之前出现双脉冲易化现象。目前的数据进一步支持了癫痫发生早期存在兴奋性过高的观点。潜伏期的网络输出比慢性期更容易被促进。兴奋性过高可能参与癫痫发生,但它本身不足以引发癫痫发作。