Hoffmann Katrin, Lindner Maren, Gröticke Ina, Stangel Martin, Löscher Wolfgang
Department of Pharmacology, Toxicology, and Pharmacy, University of Veterinary Medicine, Hannover, Germany.
Exp Neurol. 2008 Apr;210(2):308-21. doi: 10.1016/j.expneurol.2007.11.005. Epub 2007 Nov 22.
Epileptic seizures are known to occur in different animal models of demyelination and have also been described in demyelinating diseases of the central nervous system (CNS) such as multiple sclerosis. How myelin deficiency might cause seizures is unknown, but may involve axonal pathology and resultant alterations in neuronal excitability. The cause of seizures occurring in rodent demyelination models is unknown. In the present study, we used EEG/video monitoring to record seizures occurring during chronic demyelination of C57BL/6 mice fed for 12 weeks with 0.2% cuprizone. Furthermore, in the search for a morphological correlate of the seizures, the hippocampal formation was examined histologically. Epileptiform spikes resembling interictal spikes known from chronic epilepsy were recorded in all cuprizone-treated mice, but not in controls. Most cuprizone-treated animals exhibited generalized tonic-clonic seizures upon stress-inducing stimuli. In addition to the known demyelination of the corpus callosum, massive demyelination was found in the hippocampal formation. This was associated with neuronal alterations, including a loss of neurons in the hilus of the dentate gyrus. In view of the role of the dentate gyrus in epileptogenesis, demyelination leading to axonal pathology and thus neuronal damage as observed in the hilus may be causally involved in the paroxysmal alterations observed after prolonged treatment with cuprizone. The present data suggest a potential role of the hippocampal formation for seizures occurring as a consequence of neuronal damage secondary to CNS demyelination.
已知癫痫发作会在不同的脱髓鞘动物模型中出现,并且在中枢神经系统(CNS)的脱髓鞘疾病如多发性硬化症中也有描述。髓磷脂缺乏如何导致癫痫发作尚不清楚,但可能涉及轴突病理以及由此导致的神经元兴奋性改变。啮齿动物脱髓鞘模型中癫痫发作的原因尚不清楚。在本研究中,我们使用脑电图/视频监测来记录用0.2% 双环己酮草酰二腙喂养12周的C57BL/6小鼠慢性脱髓鞘过程中发生的癫痫发作。此外,为了寻找癫痫发作的形态学关联,对海马结构进行了组织学检查。在所有用双环己酮草酰二腙处理的小鼠中都记录到了类似于慢性癫痫中已知的发作间期棘波的癫痫样棘波,但在对照组中未记录到。大多数用双环己酮草酰二腙处理的动物在应激诱导刺激下会出现全身性强直阵挛发作。除了已知的胼胝体脱髓鞘外,在海马结构中还发现了大量脱髓鞘。这与神经元改变有关,包括齿状回门区神经元的丢失。鉴于齿状回在癫痫发生中的作用,如在门区观察到的脱髓鞘导致轴突病理进而导致神经元损伤,可能与用双环己酮草酰二腙长期治疗后观察到的阵发性改变有因果关系。目前的数据表明,海马结构在中枢神经系统脱髓鞘继发神经元损伤导致的癫痫发作中可能发挥潜在作用。