Department of Pharmacology, Innsbruck Medical University, Innsbruck, Austria.
J Neuropathol Exp Neurol. 2012 Apr;71(4):312-29. doi: 10.1097/NEN.0b013e31824d9882.
Parahippocampal brain areas including the subiculum, presubiculum and parasubiculum, and entorhinal cortex give rise to major input and output neurons of the hippocampus and exert increased excitability in animal models and human temporal lobe epilepsy. Using immunohistochemistry and in situ hybridization for somatostatin and neuropeptide Y, we investigated plastic morphologic and neurochemical changes in parahippocampal neurons in the kainic acid (KA) model of temporal lobe epilepsy. Although constitutively contained in similar subclasses of γ-aminobutyric acid (GABA)-ergic neurons, both neuropeptide systems undergo distinctly different changes in their expression. Somatostatin messenger RNA (mRNA) is rapidly but transiently expressed de novo in pyramidal neurons of the subiculum and entorhinal cortex 24 hours after KA. Surviving somatostatin interneurons display increased mRNA levels at late intervals (3 months) after KA and increased labeling of their terminals in the outer molecular layer of the subiculum; the labeling correlates with the number of spontaneous seizures, suggesting that the seizures may trigger somatostatin expression. In contrast, neuropeptide Y mRNA is consistently expressed in principal neurons of the proximal subiculum and the lateral entorhinal cortex and labeling for the peptide persistently increased in virtually all major excitatory pathways of the hippocampal formation. The pronounced plastic changes differentially involving both neuropeptide systems indicate marked rearrangement of parahippocampal areas, presumably aiming at endogenous seizure protection. Their receptors may be targets for anticonvulsive drug therapy.
包括海马旁回、前下托和副下托在内的海马旁脑区以及内嗅皮层,为海马提供了主要的输入和输出神经元,并在动物模型和人类颞叶癫痫中增加了兴奋性。我们使用免疫组织化学和原位杂交技术研究了海人酸(KA)颞叶癫痫模型中海马旁回神经元的形态和神经化学变化。尽管神经肽 Y 和生长抑素这两种神经肽系统在 GABA 能神经元的相似亚类中都有表达,但它们的表达在结构和功能上都有明显的差异。生长抑素信使 RNA(mRNA)在 KA 后 24 小时迅速但短暂地在海马旁回和内嗅皮层的锥体神经元中表达。存活的生长抑素中间神经元在 KA 后晚期(3 个月)表现出更高的 mRNA 水平,并且它们在海马旁回外分子层的末端标记增加;该标记与自发性癫痫发作的数量相关,表明癫痫发作可能触发生长抑素的表达。相比之下,神经肽 Y mRNA 始终在海马旁回近端和外侧内嗅皮层的主神经元中表达,并且肽的标记在海马结构的几乎所有主要兴奋性通路上持续增加。这两种神经肽系统的显著可塑性变化表明海马旁回区域发生了明显的重组,可能旨在实现内源性抗癫痫保护。它们的受体可能是抗惊厥药物治疗的靶点。