Epilepsy and Headache Group, Department of Neurology, the First Hospital of Anhui Medical University, Jixi Road 218, Hefei 230022, China.
J Mol Neurosci. 2013 May;50(1):109-23. doi: 10.1007/s12031-012-9879-1. Epub 2012 Aug 31.
Studies have demonstrated the neuroprotective activity of transforming growth factor beta-1 (TGFβ1), protecting neurons against different kinds of insults. However, the role of exogenous TGFβ1 in the neuronal damage following status epilepticus (SE) and the related spontaneous recurrent seizures (SRS) is unknown. The present study aimed to determine the effect of intranasal TGFβ1 administration on SRS and cognitive function following lithium-pilocarpine-induced SE and associated hippocampal damage. We found that intranasal TGFβ1 significantly attenuated the hippocampal insults marked by hematoxylin and eosin, terminal deoxynucleotidyl transferase dUTP nick end labeling, and Fluoro-Jade B staining by 24, 48, and 72 h after SE was induced. The expression of the apoptosis-suppressing protein, Bcl-2, was elevated, whereas the expression of the apoptosis-promoting proteins, Bax and Caspase-3, was suppressed in TGFβ1-treated rats compared to rats without TGFβ1 treatment by 24, 48, and 72 h following induction of SE. The seizure number, severity, and duration of SRS over a 1-month period of monitoring starting 15 days after SE induction as well as the cognitive deficits detected 45 days after SE induction were significantly reduced in TGFβ1-treated rats compared to those without TGFβ1 treatment. Our results indicate that intranasal delivery of TGFβ1 immediately after SE induction not only protected against SRS but also improved cognitive function. The anti-epileptogenic properties of TGFβ1 may be related to its effect of neuroprotection or to its effect of apoptosis pathway changes.
研究表明转化生长因子β-1(TGFβ1)具有神经保护活性,可保护神经元免受各种损伤。然而,外源性 TGFβ1 在癫痫持续状态(SE)后神经元损伤和相关的自发性反复发作性癫痫(SRS)中的作用尚不清楚。本研究旨在确定鼻内给予 TGFβ1 对锂-匹罗卡品诱导 SE 后 SRS 和认知功能的影响以及相关的海马损伤。我们发现,鼻内 TGFβ1 显著减轻了 SE 诱导后 24、48 和 72 小时海马的苏木精和伊红、末端脱氧核苷酸转移酶 dUTP 缺口末端标记和 Fluoro-Jade B 染色损伤。与未给予 TGFβ1 治疗的大鼠相比,TGFβ1 治疗的大鼠在 SE 诱导后 24、48 和 72 小时,凋亡抑制蛋白 Bcl-2 的表达升高,而凋亡促进蛋白 Bax 和 Caspase-3 的表达降低。在 SE 诱导后 15 天开始监测的 1 个月期间,SRS 的发作次数、严重程度和持续时间以及 SE 诱导后 45 天检测到的认知缺陷在 TGFβ1 治疗的大鼠中均显著低于未给予 TGFβ1 治疗的大鼠。我们的结果表明,SE 诱导后立即鼻内给予 TGFβ1 不仅可以预防 SRS,还可以改善认知功能。TGFβ1 的抗癫痫发生特性可能与其神经保护作用或凋亡途径变化的作用有关。