Department of Physiology, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
Epilepsia. 2011 Sep;52(9):1656-65. doi: 10.1111/j.1528-1167.2011.03113.x. Epub 2011 Jun 2.
Epilepsy is a significant long-term consequence of traumatic brain injury (TBI) and is likely to result from multiple mechanisms. One feature that is common to many forms of TBI is denervation. We asked whether chronic partial denervation in vivo would lead to a homeostatic increase in the excitability of a denervated cell population.
To answer this question, we took advantage of the unique anatomy of the hippocampus where the input to the CA1 neurons, the Schaffer collaterals, could be transected in vivo with preservation of their outputs and only minor cell death.
We observed a delayed increase in neuronal excitability, as apparent in extracellular recordings from hippocampal brain slices prepared 14 days (but not 3 days) post lesion. Although population spikes in slices from control and lesioned animals were comparable under resting conditions, application of solutions that were mildly proconvulsive (high K(+) , low Mg(2+) , low concentrations of bicuculline) produced increases in the number of population spikes in slices from lesioned rats, but not in slices from unlesioned sham controls. Denervation did not produce changes in several markers of γ-aminobutyric acid (GABA)ergic synaptic inhibition, including the number of GABAergic neurons, α1 GABA(A) receptor subunits, the vesicular GABA transporter, or miniature inhibitory postsynaptic currents.
We conclude that chronic partial denervation does lead to a delayed homeostatic increase in neuronal excitability, and may, therefore, contribute to the long-term neurologic consequences of TBI.
癫痫是创伤性脑损伤(TBI)的一个重要的长期后果,可能是由多种机制引起的。许多形式的 TBI 的一个共同特征是去神经支配。我们想知道慢性部分去神经支配在体内是否会导致去神经支配细胞群体的兴奋性的稳态增加。
为了回答这个问题,我们利用了海马体的独特解剖结构,在这里,CA1 神经元的输入——Schaffer 侧支可以在体内被切断,同时保留它们的输出和只有少量的细胞死亡。
我们观察到神经元兴奋性的延迟增加,这在从损伤后 14 天(但不是 3 天)制备的海马脑切片的细胞外记录中很明显。尽管在休息条件下,对照和损伤动物的切片中的群体锋电位是可比的,但应用轻度致惊厥的溶液(高 K+,低 Mg2+,低浓度的荷包牡丹碱)会增加损伤大鼠切片中的群体锋电位的数量,但不会增加未损伤的假对照大鼠的数量。去神经支配没有改变几种γ-氨基丁酸(GABA)能抑制性突触抑制的标志物,包括 GABA 能神经元的数量、α1 GABA(A)受体亚基、囊泡 GABA 转运体或微小抑制性突触后电流。
我们得出结论,慢性部分去神经支配确实会导致神经元兴奋性的延迟性稳态增加,因此可能会导致 TBI 的长期神经后果。