Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.
Chin Med J (Engl). 2012 Sep;125(17):3081-6.
Electrical stimulation of the anterior nucleus of the thalamus (ANT) appears to be effective against seizures. In this study, we investigated changes in glucose metabolism during high-frequency stimulation of ANT in epileptic rats.
Three groups of rats were used: (1) a stimulation group (n = 12), (2) a sham stimulation group (n = 12) with seizures induced by stereotactic administration of kainic acid (KA), and (3) a control group (n = 12) with sham surgery. Concentric bipolar electrodes were stereotaxically implanted unilaterally in the ANT. High-frequency stimulation was performed in each group except the sham stimulation group. Microdialysis probes were lowered into the CA3 region of the hippocampus unilaterally but bilaterally in the stimulation group. The concentrations of glucose, lactate, and pyruvate in dialysate samples were determined by an ISCUS microdialysis analyzer.
The extracellular concentrations of lactate and lactate/pyruvate ratio (LPR) of epileptic rats were significantly higher than in control rats (P = 0.020, P = 0.001; respectively). However, no significant difference in the concentration of glucose and pyruvate was found between these groups (P > 0.05). Electrical stimulation of ANT induced decreases in lactate and LPR in the ipsilateral hippocampus (KA injected) of the stimulation group (P < 0.05), but it did not influence the glucose metabolism in the contralateral hippocampus (P > 0.05).
This study demonstrated that the glycolysis was inhibited in the ipsilateral hippocampus of epileptic rats during electrical ANT stimulation. These findings may provide useful information for better understanding the mechanism of ANT-deep brain stimulation.
刺激丘脑前核(ANT)似乎可以有效对抗癫痫发作。在这项研究中,我们研究了高频刺激 ANT 时癫痫大鼠葡萄糖代谢的变化。
使用三组大鼠:(1)刺激组(n = 12),(2)立体定向给予红藻氨酸(KA)诱导癫痫发作的假刺激组(n = 12),和(3)假手术对照(n = 12)组。同心双极电极单侧立体定向植入 ANT。除假刺激组外,各组均进行高频刺激。微透析探针单侧但刺激组双侧置于海马 CA3 区。通过 ISCUS 微透析分析仪测定透析液样本中葡萄糖、乳酸和丙酮酸的浓度。
癫痫大鼠的细胞外乳酸和乳酸/丙酮酸比值(LPR)明显高于对照组(P = 0.020,P = 0.001;分别)。然而,这些组之间葡萄糖和丙酮酸的浓度没有显著差异(P > 0.05)。ANT 的电刺激诱导刺激组同侧海马(KA 注射)中乳酸和 LPR 降低(P < 0.05),但对对侧海马的葡萄糖代谢没有影响(P > 0.05)。
本研究表明,电刺激 ANT 时癫痫大鼠同侧海马的糖酵解受到抑制。这些发现可能为更好地理解 ANT-深部脑刺激的机制提供有用信息。