Uematsu D, Araki N, Greenberg J H, Reivich M
Department of Neurology, University of Pennsylvania, Philadelphia 19104.
Brain Res Bull. 1990 Feb;24(2):285-8. doi: 10.1016/0361-9230(90)90217-n.
Influx of calcium ion (Ca++) into the neurons has recently been implicated in the generation of seizure activity. Utilizing indo-1, a fluorescent Ca++ indicator, changes in cytosolic free calcium ([Ca++]i), NAD/NADH redox state and hemodynamics were simultaneously measured in vivo from the cat cortex during bicuculline-induced seizure activity. A ratio of indo-1-Ca++ fluorescence at 400 and 506 nm during ultraviolet excitation (340 nm) was utilized as a measure of changes in [Ca++]i. Alterations in the NAD/NADH redox state and local cortical blood volume (1CBV) were assessed at 464 nm and 340 nm, respectively. Local cortical blood flow (1CBF) was calculated from 1CBV and mean transit time determined from cortical hemodilution curves. Electroencephalogram (EEG) was monitored from the same cortical region as the optical measurements. The [Ca++]i signal ratio started to increase 19 +/- 2 sec prior to the onset of seizure activity on the EEG and remained elevated until the activity was suppressed by an intravenous administration of diazepam (2 mg/kg). The early increase in [Ca++]i is presumably due to a synaptic Ca++ entry associated with facilitated excitatory neurotransmission. The NAD/NADH redox state became oxidized during the seizure activity and started to recover as the EEG activity was suppressed. The 1CBV and 1CBF increased by 17 +/- 8% and 68 +/- 16%, respectively, 10 min into the seizure activity. This study provides direct in vivo evidence suggesting a possible role of calcium entry into the neurons in the epileptogenesis.
最近研究表明,钙离子(Ca++)流入神经元与癫痫发作活动的产生有关。利用indo-1(一种荧光Ca++指示剂),在荷包牡丹碱诱导的癫痫发作活动期间,同时在猫皮层体内测量胞质游离钙([Ca++]i)、NAD/NADH氧化还原状态和血流动力学的变化。在紫外线激发(340nm)期间,利用indo-1-Ca++在400和506nm处的荧光比率作为[Ca++]i变化的指标。分别在464nm和340nm处评估NAD/NADH氧化还原状态和局部皮层血容量(1CBV)的变化。局部皮层血流量(1CBF)由1CBV和根据皮层血液稀释曲线确定的平均通过时间计算得出。脑电图(EEG)从与光学测量相同的皮层区域进行监测。[Ca++]i信号比率在脑电图上癫痫发作活动开始前19±2秒开始增加,并一直保持升高,直到静脉注射地西泮(2mg/kg)抑制该活动。[Ca++]i的早期增加可能是由于与兴奋性神经传递增强相关的突触Ca++内流。在癫痫发作活动期间,NAD/NADH氧化还原状态被氧化,并在脑电图活动被抑制时开始恢复。在癫痫发作活动10分钟时,1CBV和1CBF分别增加了17±8%和68±16%。这项研究提供了直接的体内证据,表明钙离子进入神经元在癫痫发生过程中可能发挥作用。