Meurs Alfred, Clinckers Ralph, Ebinger Guy, Michotte Yvette, Smolders Ilse
Department of Neurology, UZ Brussels, Belgium.
Epilepsy Res. 2008 Jan;78(1):50-9. doi: 10.1016/j.eplepsyres.2007.10.007. Epub 2007 Dec 3.
Increases in hippocampal extracellular neurotransmitter levels have consistently been observed during temporal lobe seizures in humans, but animal studies on this subject have yielded conflicting results. Our aim was to better characterise the relationship between seizure activity and changes in hippocampal glutamate, GABA, dopamine and serotonin by comparing three limbic seizure models which differ only in the pharmacological mechanism used to induce seizures. Seizures were evoked in freely moving rats by intrahippocampal microperfusion, via a microdialysis probe, of the muscarinic receptor agonist pilocarpine (10mM), GABA(A) receptor antagonist picrotoxin (100microM) or group I metabotropic glutamate receptor agonist (R,S)-3,5-dihydroxyphenylglycine (DHPG) (1mM). Seizure-related behavioural changes were scored and hippocampal extracellular glutamate, GABA, dopamine and serotonin concentrations were monitored. Seizures were of comparable severity in all groups. During seizures, hippocampal glutamate, GABA and dopamine concentrations increased in all groups. Glutamate increases were significantly higher in the picrotoxin group. Hippocampal serotonin concentration increased following pilocarpine and picrotoxin, but not DHPG. Our results suggest a direct relationship between seizure activity and increased hippocampal extracellular concentrations of glutamate, GABA and dopamine, but not serotonin. The fact that picrotoxin induces seizures by disinhibition, rather than direct excitation, may account for the larger glutamate increases in this group.
在人类颞叶癫痫发作期间,海马细胞外神经递质水平持续升高,但关于这一主题的动物研究结果却相互矛盾。我们的目的是通过比较三种仅在诱导癫痫发作的药理机制上有所不同的边缘性癫痫模型,更好地描述癫痫发作活动与海马谷氨酸、γ-氨基丁酸(GABA)、多巴胺和5-羟色胺(血清素)变化之间的关系。通过微透析探针向自由活动的大鼠海马内微量灌注毒蕈碱受体激动剂毛果芸香碱(10 mM)、GABA(A)受体拮抗剂印防己毒素(100 μM)或I组代谢型谷氨酸受体激动剂(R,S)-3,5-二羟基苯甘氨酸(DHPG)(1 mM)来诱发癫痫发作。对与癫痫发作相关的行为变化进行评分,并监测海马细胞外谷氨酸、GABA、多巴胺和血清素的浓度。所有组的癫痫发作严重程度相当。癫痫发作期间,所有组的海马谷氨酸、GABA和多巴胺浓度均升高。印防己毒素组的谷氨酸升高幅度明显更高。毛果芸香碱和印防己毒素给药后海马血清素浓度升高,但DHPG给药后未升高。我们的结果表明癫痫发作活动与海马细胞外谷氨酸、GABA和多巴胺浓度升高之间存在直接关系,但与血清素无关。印防己毒素通过去抑制而非直接兴奋来诱发癫痫发作,这一事实可能解释了该组中谷氨酸升高幅度更大的原因。