Department of Neurology, Otto-von-Guericke-Universität, Magdeburg, Germany.
Exp Neurol. 2012 Mar;234(1):105-11. doi: 10.1016/j.expneurol.2011.12.029. Epub 2011 Dec 27.
In human mesial temporal lobe epilepsy (mTLE), seizure occurrence peaks in the late afternoon and early evening. This temporal binding of seizures has been replicated in animal models of mTLE following electrically-induced status epilepticus (SE). We hypothesized that in chronic epilepsy, alterations of circadian excitatory and inhibitory functions of the dentate gyrus (DG), which is believed to regulate the generation of limbic seizures, pathophysiologically contribute to the temporal binding of ictogenesis. We performed electrophysiological single and paired pulse measurements hourly over 24h in the DG of epileptic rats (n=8) 8 weeks after electrically induced SE. Results were compared to individual data obtained before induction of SE and to those of control animals (n=3). Pre and post SE data were analyzed in two distinct phases of the day, i.e. a high-seizure phase between 2p.m. and 10p.m. and a low-seizure phase between 10p.m. and 2p.m. In chronic epileptic animals, latency of evoked potentials was significantly reduced in the high-seizure phase (p=0.027) but not in the low-seizure phase. Compared to baseline values, paired pulse inhibition was significantly increased during the low-seizure phase (interpulse interval (IPI) 25ms, p=0.003; IPI 30ms; p<0.001) but not in the high-seizure phase. Similarly, when compared to controls, inhibition at IPI 20ms was diminished only in the high-seizure phase (p=0.027). Thus, in chronic epileptic animals, DG excitability is increased in the afternoon and early evening possibly contributing to the time of day-dependency of spontaneous seizures in this model system of mTLE. Alterations of circadian DG excitability in epileptic animals may be influenced by changes in hypothalamus-regulated superordinate functions such as excretion of endocrine hormones but further studies are needed.
在人类内侧颞叶癫痫(mTLE)中,癫痫发作高峰出现在下午晚些时候和傍晚。这种癫痫发作的时间关联在电诱导癫痫持续状态(SE)后的 mTLE 动物模型中得到了复制。我们假设,在慢性癫痫中,齿状回(DG)的昼夜兴奋性和抑制性功能的改变,据信会调节边缘性癫痫发作的产生,在病理生理学上有助于癫痫发作的时间关联。我们在电诱导 SE 后 8 周对癫痫大鼠(n=8)的 DG 进行了每小时一次的电生理单脉冲和双脉冲测量,并进行了 24 小时的测量。结果与 SE 诱导前的个体数据以及对照组动物(n=3)的数据进行了比较。对 SE 前后的数据进行了两个不同的时间段的分析,即下午 2 点至晚上 10 点之间的高发作期和晚上 10 点至下午 2 点之间的低发作期。在慢性癫痫动物中,在高发作期(p=0.027)而非低发作期,诱发电位的潜伏期明显缩短。与基线值相比,在低发作期(IPI 25ms,p=0.003;IPI 30ms,p<0.001),但在高发作期,双脉冲抑制明显增加。同样,与对照组相比,只有在高发作期(p=0.027),IPI 20ms 时的抑制作用才会减弱。因此,在慢性癫痫动物中,DG 兴奋性在下午和傍晚增加,这可能有助于该 mTLE 模型系统中自发性癫痫发作的时间依赖性。癫痫动物昼夜 DG 兴奋性的改变可能受到下丘脑调节的上级功能(如内分泌激素的排泄)变化的影响,但需要进一步的研究。