Department of Pediatrics, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA.
Ann Neurol. 2013 Jul;74(1):11-9. doi: 10.1002/ana.23898. Epub 2013 Aug 6.
Maternal immune activation (MIA) triggered by infections has been identified as a cause of autism in offspring. Considering the involvement of perturbations in innate immunity in epilepsy, we examined whether MIA represents a risk factor for epilepsy as well. The role of specific MIA components interleukin (IL)-6 and IL-1β was also addressed.
MIA was induced in C57BL/6 mice by polyinosinic-polycytidylic acid (PIC) injected during embryonic days 12 to 16. Beginning from postnatal day 40, the propensity of the offspring to epilepsy was examined using hippocampal kindling; autismlike behavior was studied using the sociability test. The involvement of IL-6 and IL-1β in PIC-induced effects was studied by the coadministration of the cytokine antibodies with PIC, and by delivering recombinant cytokines in lieu of PIC.
The offspring of PIC-exposed mice exhibited increased hippocampal excitability, accelerated kindling rate, prolonged increase of seizure susceptibility after kindling, and diminished sociability. Epileptic impairments were abolished by antibodies to IL-6 or IL-1β. Neither of the recombinant cytokines alone increased the propensity to seizures; however, when combined, they produced effects similar to those induced by PIC. PIC-induced behavioral deficits were abolished by IL-6 antibodies and were mimicked by recombinant IL-6; IL-1β was not involved.
In addition to confirming the previously established critical role of IL-6 in the development of autismlike behavior following MIA, the present study shows that concurrent involvement of IL-6 and IL-1β is required for priming the offspring for epilepsy. These data shed light on mechanisms of comorbidity between autism and epilepsy.
由感染引发的母体免疫激活(MIA)已被确定为后代自闭症的病因。鉴于先天免疫失调在癫痫中的作用,我们研究了 MIA 是否也是癫痫的一个风险因素。还研究了特定的 MIA 成分白细胞介素(IL)-6 和 IL-1β的作用。
在胚胎第 12 至 16 天用聚肌胞苷酸(PIC)注射诱导 C57BL/6 小鼠发生 MIA。从出生后第 40 天开始,使用海马点燃来检查后代患癫痫的倾向;使用社交测试研究自闭症样行为。通过用细胞因子抗体与 PIC 共同给药以及用重组细胞因子代替 PIC 来研究 IL-6 和 IL-1β 在 PIC 诱导作用中的参与。
暴露于 PIC 的小鼠的后代表现出海马兴奋性增加、点燃率加快、点燃后癫痫易感性增加延长以及社交能力下降。用 IL-6 或 IL-1β 的抗体可消除癫痫损伤。单独使用任何一种重组细胞因子均不会增加癫痫发作的倾向;然而,当两者联合使用时,它们会产生类似于 PIC 诱导的作用。IL-6 抗体可消除 PIC 诱导的行为缺陷,并模拟重组 IL-6;IL-1β 不参与。
除了证实之前建立的 IL-6 在 MIA 后自闭症样行为发展中的关键作用外,本研究还表明,IL-6 和 IL-1β 的同时参与对于为后代引发癫痫至关重要。这些数据揭示了自闭症和癫痫共病的机制。