Mialon P, Caroff J, Barthelemy L, Bigot J C
Laboratoire de Physiologie, UA-CNRS 648, Brest, France.
Aviat Space Environ Med. 1990 Jan;61(1):28-32.
Monoamines (catecholamines, serotonin, and metabolites) and ammonia were studied within two areas of the rat brain--the frontal cortex (FC) and the striatum (SA)--after exposure to hyperbaric oxygen (HBO) at 6 ATA up to the first seizure. An increase of norepinephrine (NE), dopamine (DA), and metabolites (HVA, DOPAC) measured by the HPLC/EC method were found in SA with a parallel increase of ammonia at variance with the FC where no monoamine changes, but a slight increase of ammonia, were found. Blood ammonia did not change with HBO. So, 20 min after one HBO seizure, there are regional differences in the brain, which are consistent with the previous findings of an SA start of electrocortical abnormalities at the onset of a seizure. Elevated DA, and possibly NE, levels may contribute to the accumulation of ammonia in the brain. During prolonged HBO exposure, this rise of ammonia could be one of the mechanisms involved in the relapse of seizures. It might also be implicated in initiation of the first seizure. By their situations and contents, SA glial cells could play an important role in brain HBO susceptibility.
在大鼠大脑的两个区域——额叶皮质(FC)和纹状体(SA)中,研究了在6个绝对大气压下暴露于高压氧(HBO)直至首次发作后单胺类物质(儿茶酚胺、5-羟色胺及其代谢产物)和氨的情况。通过高效液相色谱/电化学检测法(HPLC/EC)测定发现,纹状体中去甲肾上腺素(NE)、多巴胺(DA)及其代谢产物(高香草酸、3,4-二羟基苯乙酸)增加,同时氨也平行增加,这与额叶皮质不同,在额叶皮质中未发现单胺类物质变化,但氨有轻微增加。血氨水平在高压氧暴露时未发生变化。因此,在一次高压氧诱发的癫痫发作20分钟后,大脑中存在区域差异,这与之前在癫痫发作开始时纹状体出现皮层电活动异常的研究结果一致。多巴胺水平升高,可能还有去甲肾上腺素水平升高,可能会导致大脑中氨的蓄积。在长时间的高压氧暴露过程中,氨的这种升高可能是癫痫复发所涉及的机制之一。它也可能与首次癫痫发作的起始有关。从其位置和成分来看,纹状体神经胶质细胞可能在大脑对高压氧的易感性中起重要作用。