Center for Neuroscience, Swammerdam Institute for Life Sciences, University of Amsterdam, Science Park 904, 1098 XH, Amsterdam, The Netherlands.
Eur J Neurosci. 2014 Jan;39(1):1-11. doi: 10.1111/ejn.12387. Epub 2013 Oct 16.
Several factors, including epileptic seizures, can strongly stimulate ongoing neurogenesis in the adult hippocampus. Although adult-born granule cells generated after seizure activity have different physiological properties from their normal counterparts, they integrate into the existing, mature network of the adult hippocampal dentate gyrus. However, the exact role of the neurogenic response during epilepsy and its possible involvement in epileptogenesis have remained elusive. Here, we discuss recent studies shedding new light on the interplay between epilepsy and neurogenesis, and try to explain discrepancies in this literature by proposing seizure severity-dependent induction of two subsets of newborn cells with different properties. We hypothesise that a low seizure intensity would stimulate neurogenesis to a 'physiological plasticity' level and have few pathological consequences. In contrast, a high initial seizure intensity may induce a specific subset of altered and/or ectopically located new granule cells with different electrophysiological properties that could initiate hyperexcitatory recurrent networks that could, in turn, contribute to chronic epilepsy. This hypothesis may clarify previously contradictory data in the literature, and could thereby aid in our understanding of the role of neurogenesis in epileptogenesis, and open up promising avenues for therapeutic intervention.
多种因素,包括癫痫发作,可强烈刺激成年海马体中的持续神经发生。虽然癫痫活动后产生的成年新生颗粒细胞具有与正常细胞不同的生理特性,但它们整合到成年海马齿状回的现有成熟网络中。然而,癫痫期间神经发生的确切作用及其在癫痫发生中的可能参与仍然难以捉摸。在这里,我们讨论了最近的研究,这些研究揭示了癫痫和神经发生之间的相互作用,并通过提出与癫痫发作严重程度相关的两种具有不同特性的新生细胞亚群的诱导,试图解释该文献中的差异。我们假设,低强度的癫痫发作将刺激神经发生到“生理可塑性”水平,并且很少有病理后果。相比之下,高强度的初始癫痫发作可能会诱导特定的、改变的和/或异位定位的新生颗粒细胞亚群,具有不同的电生理特性,这些细胞可能引发过度兴奋的复发性网络,从而导致慢性癫痫。该假说可以澄清文献中以前相互矛盾的数据,并有助于我们理解神经发生在癫痫发生中的作用,并为治疗干预开辟有前途的途径。