Department of Pharmacology, Dartmouth Medical School, Hanover, New Hampshire, USA.
Neurosurgery. 2010 Aug;67(2):367-75. doi: 10.1227/01.NEU.0000371988.73620.4C.
Several neurological disorders are treated with deep brain stimulation; however, the mechanism underlying its ability to abolish oscillatory phenomena associated with diseases as diverse as Parkinson's disease and epilepsy remain largely unknown.
To investigate the role of specific neurotransmitters in deep brain stimulation and determine the role of non-neuronal cells in its mechanism of action.
We used the ferret thalamic slice preparation in vitro, which exhibits spontaneous spindle oscillations, to determine the effect of high-frequency stimulation on neurotransmitter release. We then performed experiments using an in vitro astrocyte culture to investigate the role of glial transmitter release in high-frequency stimulation-mediated abolishment of spindle oscillations.
In this series of experiments, we demonstrated that glutamate and adenosine release in ferret slices was able to abolish spontaneous spindle oscillations. The glutamate release was still evoked in the presence of the Na channel blocker tetrodotoxin, but was eliminated with the vesicular H-ATPase inhibitor bafilomycin and the calcium chelator 2-bis(2-aminophenoxy)-ethane-N,N,N',N'-tetraacetic acid tetrakis acetoxymethyl ester. Furthermore, electrical stimulation of purified primary astrocytic cultures was able to evoke intracellular calcium transients and glutamate release, and bath application of 2-bis (2-aminophenoxy)-ethane-N,N,N',N'-tetraacetic acid tetrakis acetoxymethyl ester inhibited glutamate release in this setting.
Vesicular astrocytic neurotransmitter release may be an important mechanism by which deep brain stimulation is able to achieve clinical benefits.
深部脑刺激被用于治疗多种神经紊乱疾病;然而,其消除帕金森病和癫痫等多种疾病相关的振荡现象的能力的机制在很大程度上仍是未知的。
探究特定神经递质在深部脑刺激中的作用,并确定非神经元细胞在其作用机制中的作用。
我们使用体外雪貂丘脑切片制备,其表现出自发的纺锤波振荡,以确定高频刺激对神经递质释放的影响。然后,我们使用体外星形胶质细胞培养进行实验,以研究神经胶质递质释放在高频刺激介导的纺锤波振荡消除中的作用。
在这一系列实验中,我们证明了雪貂切片中的谷氨酸和腺苷释放能够消除自发的纺锤波振荡。在钠离子通道阻滞剂河豚毒素存在的情况下,仍能诱发谷氨酸释放,但用囊泡 H+-ATP 酶抑制剂巴佛洛霉素和钙螯合剂 2-双(2-氨苯氧基)-乙烷-N,N,N',N'-四乙酸四乙酰氧甲酯消除了谷氨酸释放。此外,纯化的原代星形胶质细胞培养物的电刺激能够诱发细胞内钙瞬变和谷氨酸释放,并且在这种情况下,2-双(2-氨苯氧基)-乙烷-N,N,N',N'-四乙酸四乙酰氧甲酯抑制谷氨酸释放。
囊泡星形胶质细胞神经递质释放可能是深部脑刺激能够实现临床获益的重要机制。