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氯胺酮在大鼠早期诱导癫痫持续状态期间给药时可减少神经元变性和焦虑水平。

Ketamine reduces neuronal degeneration and anxiety levels when administered during early life-induced status epilepticus in rats.

机构信息

Department of Biochemistry, Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, Brazil.

出版信息

Brain Res. 2012 Sep 20;1474:110-7. doi: 10.1016/j.brainres.2012.07.046. Epub 2012 Aug 3.

DOI:10.1016/j.brainres.2012.07.046
PMID:22885341
Abstract

Status epilepticus (SE) when occurred during brain development can cause short- and long-term consequences, which are frequently associated with NMDA-mediated glutamatergic excitotoxicity. In the present work, we investigated the putative neuroprotective role of ketamine, an NMDA receptor antagonist, on early life SE-induced acute neuronal death and long-term behavioral abnormalities. Male Wistar rats (16 postnatal days) were induced to SE by LiCl-pilocarpine i.p. administration (3 mEq/kg; 60 mg/kg, respectively). Fifteen or 60min after pilocarpine injection, animals received a ketamine administration (22.5mg/kg i.p.). Neuronal degeneration was assessed 24h after SE induction. Another subset of animals was destined to behavioral tasks in adulthood (75-80 postnatal days). Fluoro-Jade C labeling revealed a marked neuronal death on CA1 hippocampal subfield, habenula, thalamus and amygdala in SE animals. Ketamine post-SE onset treatment prevented neuronal death in all regions assessed. In the elevated plus maze, SE induced an increase in anxiety-like behaviors whereas ketamine administration during seizures was able to prevent this alteration. Ketamine administration in non-SE animals resulted in high anxiety levels. There were no observed differences among groups in the open field task in all parameters analyzed. Our results suggest that ketamine post-SE onset treatment was effective in preventing acute and long-standing alterations caused by SE early in life, which indicates a putative role of glutamatergic system on SE-induced brain damage as well as long-lasting behavioral consequences.

摘要

癫痫持续状态(SE)在大脑发育过程中发生时会导致短期和长期的后果,这通常与 NMDA 介导的谷氨酸能兴奋性毒性有关。在本工作中,我们研究了氯胺酮(一种 NMDA 受体拮抗剂)在生命早期 SE 诱导的急性神经元死亡和长期行为异常中的潜在神经保护作用。雄性 Wistar 大鼠(出生后 16 天)通过腹腔内给予氯化锂-毛果芸香碱(3 mEq/kg;60mg/kg)诱导 SE。毛果芸香碱注射后 15 或 60min,动物接受氯胺酮(22.5mg/kg 腹腔内注射)治疗。SE 诱导后 24h 评估神经元变性。另一组动物在成年期(出生后 75-80 天)进行行为任务。氟-Jade C 标记显示 SE 动物 CA1 海马亚区、缰核、丘脑和杏仁核有明显的神经元死亡。SE 后发作时给予氯胺酮治疗可预防所有评估区域的神经元死亡。在高架十字迷宫中,SE 诱导焦虑样行为增加,而在癫痫发作期间给予氯胺酮治疗能够预防这种改变。在非 SE 动物中给予氯胺酮会导致高焦虑水平。在所有分析的参数中,各组在旷场任务中均未观察到差异。我们的结果表明,SE 后发作时给予氯胺酮治疗可有效预防生命早期 SE 引起的急性和长期改变,这表明谷氨酸能系统在 SE 诱导的脑损伤以及长期行为后果中起作用。

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