Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, The Netherlands.
Epilepsia. 2010 Aug;51(8):1511-21. doi: 10.1111/j.1528-1167.2009.02510.x. Epub 2010 Feb 3.
Genetically epileptic WAG/Rij rats develop spontaneous absence-like seizures after 3 months of age. We used WAG/Rij rats to examine whether absence seizures are associated with changes in the expression of type-1 cannabinoid (CB₁) receptors.
Receptor expression was examined by in situ hybridization and western blot analysis in various brain regions of "presymptomatic" 2-month old and "symptomatic" 8-month-old WAG/Rij rats relative to age-matched nonepileptic control rats. Furthermore, we examined whether pharmacologic activation of CB₁ receptor affects absence seizures. We recorded spontaneous spike-wave discharges (SWDs) in 8-month old WAG/Rij rats systemically injected with the potent CB₁ receptor agonist, R(+)WIN55,212-2 (3-12 mg/kg, s.c.), given alone or combined with the CB₁ receptor antagonist/inverse agonist, AM251 (12 mg/kg, s.c.).
Data showed a reduction of CB₁ receptor mRNA and protein levels in the reticular thalamic nucleus, and a reduction in CB₁ receptor protein levels in ventral basal thalamic nuclei of 8-month-old WAG/Rij rats, as compared with age-matched ACI control rats. In vivo, R(+)WIN55,212-2 caused a dose-dependent reduction in the frequency of SWDs in the first 3 h after the injection. This was followed by a late increase in the mean SWD duration, which suggests a biphasic modulation of SWDs by CB₁ receptor agonists. Both effects were reversed or attenuated when R(+)WIN55,212-2 was combined with AM251.
These data indicate that the development of absence seizures is associated with plastic modifications of CB₁ receptors within the thalamic-cortical-thalamic network, and raise the interesting possibility that CB₁ receptors are targeted by novel antiabsence drugs.
遗传性癫痫 Wag/Rij 大鼠在 3 月龄后自发出现类似失神发作。本研究使用 Wag/Rij 大鼠,以检测失神发作是否与 1 型大麻素(CB₁)受体表达的变化有关。
采用原位杂交和 Western blot 分析方法,检测 2 月龄“无症状前”和 8 月龄“有症状”Wag/Rij 大鼠及同龄非癫痫对照大鼠各脑区的受体表达情况。此外,我们还研究了 CB₁ 受体激动剂是否会影响失神发作。我们对 8 月龄 Wag/Rij 大鼠进行系统皮下注射强效 CB₁ 受体激动剂[R(+)WIN55,212-2](3-12mg/kg,sc),观察单独或联合 CB₁ 受体拮抗剂/反向激动剂 AM251(12mg/kg,sc)对大鼠自发性棘慢波放电(SWD)的影响。
与同龄 ACI 对照大鼠相比,8 月龄 Wag/Rij 大鼠网状丘脑核 CB₁ 受体 mRNA 和蛋白水平降低,腹侧基底丘脑核 CB₁ 受体蛋白水平降低。体内实验结果显示,R(+)WIN55,212-2 呈剂量依赖性地降低注射后 3 小时内 SWD 的频率。随后,SWD 平均持续时间延长,提示 CB₁ 受体激动剂对 SWD 呈双相调制。当 R(+)WIN55,212-2 与 AM251 联合应用时,这两种作用均被逆转或减弱。
这些数据表明,失神发作的发展与丘脑皮质丘脑网络内 CB₁ 受体的可塑性变化有关,并提出了一个有趣的可能性,即 CB₁ 受体可能是新型抗失神药物的作用靶点。