Department of Neurology and the Hope Center for Neurological Disorders, Washington University School of Medicine, St. Louis, MO, USA.
Epilepsia. 2012 Mar;53(3):506-11. doi: 10.1111/j.1528-1167.2011.03384.x. Epub 2012 Jan 13.
The mammalian target of rapamycin (mTOR) pathway has been implicated in contributing to progressive epileptogenesis in models of chronic epilepsy. Conversely, seizures themselves may directly cause acute activation of the mTOR pathway. To isolate the direct effects of seizures on the mTOR pathway, the time course and mechanisms of mTOR activation were investigated with acute seizures induced by pentylenetetrazole (PTZ), which does not lead to chronic epilepsy.
Western blot analysis was used to assay the phosphorylation of Akt and S6, as measures of activation of the phosphoinositide 3-kinase (PI3K)/Akt and mTOR pathways, respectively, at various time points after PTZ-induced seizures in rats. The ability of wortmannin, a PI3K inhibitor, to inhibit PTZ seizure-induced activation of the mTOR pathway was tested.
PTZ-induced seizures produced an immediate, transient mTOR activation lasting several hours, but no later, more chronic activation over days to weeks. This acute stimulation of the mTOR pathway by PTZ-induced seizures was mediated by upstream PI3K/Akt pathway activation and was blocked by a PI3K inhibitor.
Compared with models of chronic epilepsy that exhibit biphasic (acute and chronic) mTOR pathway activation, PTZ-induced seizures produce only acute, but not chronic, mTOR activation. These results in the PTZ seizure model highlight potential differences in the involvement of the mTOR pathway between self-limited seizures and progressive epileptogenesis. These findings also suggest a potential therapeutic role of PI3K inhibitors in epilepsy.
哺乳动物雷帕霉素靶蛋白(mTOR)通路被认为参与了慢性癫痫模型中进行性癫痫发生。相反,癫痫发作本身可能直接导致 mTOR 通路的急性激活。为了分离癫痫对 mTOR 通路的直接影响,本研究通过戊四氮(PTZ)诱导的急性癫痫发作,研究了 mTOR 激活的时程和机制,因为 PTZ 不会导致慢性癫痫。
使用 Western blot 分析检测 Akt 和 S6 的磷酸化,作为磷酸肌醇 3-激酶(PI3K)/Akt 和 mTOR 通路激活的测量指标,分别在大鼠 PTZ 诱导的癫痫发作后不同时间点进行检测。测试了 PI3K 抑制剂wortmannin 抑制 PTZ 癫痫诱导的 mTOR 通路激活的能力。
PTZ 诱导的癫痫发作导致 mTOR 立即短暂激活,持续数小时,但不会在数天到数周后出现更慢性的激活。PTZ 诱导的癫痫发作对 mTOR 通路的这种急性刺激是通过上游 PI3K/Akt 通路的激活介导的,并且被 PI3K 抑制剂阻断。
与表现出双相(急性和慢性)mTOR 通路激活的慢性癫痫模型相比,PTZ 诱导的癫痫发作仅导致急性而不是慢性的 mTOR 激活。PTZ 癫痫发作模型中的这些结果突出了 mTOR 通路在自限性癫痫发作和进行性癫痫发生之间的潜在差异。这些发现还表明 PI3K 抑制剂在癫痫治疗中的潜在作用。