Programa de Pós-graduação em Ciências Biológicas: Bioquímica Toxicológica, Departamento de Química, Universidade Federal de Santa Maria, 97105-900 Santa Maria, Rio Grande do Sul, Brasil.
J Neurotrauma. 2013 Jul 15;30(14):1278-87. doi: 10.1089/neu.2012.2577.
Traumatic brain injury (TBI) is a major cause of acquired epilepsy, and significant resources are required to develop a better understanding of the pathologic mechanism as targets for potential therapies. Thus, we decided to investigate whether physical exercise after fluid percussion injury (FPI) protects from oxidative and neurochemical alterations as well as from behavioral electroencephalographic (EEG) seizures induced by subeffective convulsive doses of pentylenetetrazol (PTZ; 35 mg/kg). Behavioral and EEG recordings revealed that treadmill physical training increased latency to first clonic and tonic-clonic seizures, attenuated the duration of generalized seizures, and protected against the increase of PTZ-induced Racine scale 5 weeks after neuronal injury. EEG recordings also revealed that physical exercise prevented PTZ-induced amplitude increase in TBI animals. Neurochemical analysis showed that exercise training increased glutathione/oxidized glutathione ratio and glutathione levels per se. Exercise training was also effective against alterations in the redox status, herein characterized by lipid peroxidation (thiobarbituric acid reactive substances), protein carbonyl increase, as well as the inhibition of superoxide dismutase and Na⁺,K⁺-ATPase activities after FPI. On the other hand, histologic analysis with hematoxylin and eosin revealed that FPI induced moderate neuronal damage in cerebral cortex 4 weeks after injury and that physical exercise did not protect against neuronal injury. These data suggest that the ability of physical exercise to reduce FPI-induced seizures is not related to its protection against neuronal damage; however, the effective protection of selected targets, such as Na⁺/K⁺-ATPase elicited by physical exercise, may represent a new line of treatment for post-traumatic seizure susceptibility.
创伤性脑损伤 (TBI) 是获得性癫痫的主要原因,需要大量资源来更好地了解病理机制,作为潜在治疗靶点。因此,我们决定研究流体冲击损伤 (FPI) 后进行体育锻炼是否可以防止氧化和神经化学改变,以及防止戊四氮 (PTZ; 35mg/kg) 亚惊厥剂量引起的行为脑电图 (EEG) 癫痫发作。行为和脑电图记录显示,跑步机体育训练增加了首次强直阵挛和强直阵挛性癫痫发作的潜伏期,减轻了全面性癫痫发作的持续时间,并在神经元损伤后 5 周保护免受 PTZ 诱导的 Racine 量表增加。脑电图记录还显示,体育锻炼可防止 TBI 动物的 PTZ 诱导的振幅增加。神经化学分析表明,运动训练本身可增加谷胱甘肽/氧化谷胱甘肽比和谷胱甘肽水平。运动训练还可有效抵抗氧化还原状态的改变,在此表现为脂质过氧化 (硫代巴比妥酸反应物质)、蛋白质羰基增加以及 FPI 后超氧化物歧化酶和 Na⁺,K⁺-ATP 酶活性的抑制。另一方面,苏木精-伊红染色的组织学分析显示,FPI 在损伤后 4 周引起大脑皮层中度神经元损伤,而体育锻炼不能保护神经元免受损伤。这些数据表明,体育锻炼减少 FPI 诱导的癫痫发作的能力与其对神经元损伤的保护无关;然而,运动对选定靶点的有效保护,例如 Na⁺/K⁺-ATP 酶,可能代表创伤后癫痫易感性治疗的新方法。