Department of Anesthesia, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
Neuron. 2012 Sep 20;75(6):1022-34. doi: 10.1016/j.neuron.2012.08.002.
The dentate gyrus is hypothesized to function as a "gate," limiting the flow of excitation through the hippocampus. During epileptogenesis, adult-generated granule cells (DGCs) form aberrant neuronal connections with neighboring DGCs, disrupting the dentate gate. Hyperactivation of the mTOR signaling pathway is implicated in driving this aberrant circuit formation. While the presence of abnormal DGCs in epilepsy has been known for decades, direct evidence linking abnormal DGCs to seizures has been lacking. Here, we isolate the effects of abnormal DGCs using a transgenic mouse model to selectively delete PTEN from postnatally generated DGCs. PTEN deletion led to hyperactivation of the mTOR pathway, producing abnormal DGCs morphologically similar to those in epilepsy. Strikingly, animals in which PTEN was deleted from ≥ 9% of the DGC population developed spontaneous seizures in about 4 weeks, confirming that abnormal DGCs, which are present in both animals and humans with epilepsy, are capable of causing the disease.
齿状回被假设为一种“门”,限制兴奋通过海马的流动。在癫痫发生过程中,成年产生的颗粒细胞(DGCs)与相邻的 DGCs 形成异常的神经元连接,破坏了齿状回的门控作用。mTOR 信号通路的过度激活被认为是驱动这种异常回路形成的原因。虽然几十年来人们已经知道癫痫患者存在异常的 DGCs,但缺乏将异常的 DGCs 与癫痫发作直接联系起来的证据。在这里,我们使用转基因小鼠模型来分离异常 DGCs 的影响,该模型选择性地从出生后产生的 DGCs 中删除 PTEN。PTEN 的缺失导致 mTOR 通路的过度激活,产生的异常 DGCs 在形态上与癫痫中的 DGCs 相似。引人注目的是,在至少 9%的 DGC 群体中删除 PTEN 的动物在大约 4 周内自发出现癫痫发作,这证实了存在于癫痫动物和人类中的异常 DGCs 能够引起疾病。