Stringer J L, Lothman E W
University of Virginia Medical Center, Department of Neurology, Charlottesville 22908.
Neuropharmacology. 1991 Jan;30(1):59-65. doi: 10.1016/0028-3908(91)90043-b.
A unique type of limbic seizures, maximal dentate activation, was used to examine the effects of cholinergic and adrenergic agents on the processes involved in epileptogenesis. The time to onset of maximal dentate activation was used to monitor the initiation of seizures while the duration of maximal dentate activation monitored termination of seizures. The cholinergic agonist pilocarpine shortened maximal dentate activation at 20 mg/kg and lengthened maximal dentate activation at 50 mg/kg, while both doses delayed the onset of maximal dentate activation. Atropine, a cholinergic antagonist, at 50 mg/kg, slowed the rate of lengthening of maximal dentate activation that occurred with repeated stimulation. The beta-adrenergic antagonist propranolol also slowed the rate of lengthening of maximal dentate activation at 3 mg/kg and shortened maximal dentate activation at 10 mg/kg. The alpha 2-agonist clonidine, at 0.5 mg/kg, shortened maximal dentate activation and increased the time to onset; at 0.1 mg/kg, clonidine did not affect maximal dentate activation. Pretreatment with reserpine had no effect on either the time to onset or duration of maximal dentate activation. These results indicate that both cholinergic and adrenergic mechanisms play important roles in the initiation and termination of limbic seizures.
一种独特类型的边缘系统癫痫发作,即最大齿状回激活,被用于研究胆碱能和肾上腺素能药物对癫痫发生过程的影响。最大齿状回激活的发作时间用于监测癫痫发作的起始,而最大齿状回激活的持续时间用于监测癫痫发作的终止。胆碱能激动剂毛果芸香碱在20mg/kg时缩短了最大齿状回激活时间,在50mg/kg时延长了最大齿状回激活时间,而这两个剂量均延迟了最大齿状回激活的发作时间。胆碱能拮抗剂阿托品在50mg/kg时,减缓了重复刺激时最大齿状回激活延长的速率。β-肾上腺素能拮抗剂普萘洛尔在3mg/kg时也减缓了最大齿状回激活延长的速率,在10mg/kg时缩短了最大齿状回激活时间。α2-激动剂可乐定在0.5mg/kg时缩短了最大齿状回激活时间并延长了发作时间;在0.1mg/kg时,可乐定对最大齿状回激活无影响。利血平预处理对最大齿状回激活的发作时间或持续时间均无影响。这些结果表明,胆碱能和肾上腺素能机制在边缘系统癫痫发作的起始和终止中均起重要作用。