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癫痫持续状态后给予褪黑素治疗可减轻癫痫发作活动和神经元损伤,但不能预防在颞叶癫痫的海人酸模型中自发性高血压大鼠的昼夜节律紊乱和行为改变。

Treatment with melatonin after status epilepticus attenuates seizure activity and neuronal damage but does not prevent the disturbance in diurnal rhythms and behavioral alterations in spontaneously hypertensive rats in kainate model of temporal lobe epilepsy.

机构信息

Institute of Neurobiology, Acad. G. Bonchev Str., Bl. 23, Bulgarian Academy of Sciences, Sofia 1113, Bulgaria.

Institute of Neurobiology, Acad. G. Bonchev Str., Bl. 23, Bulgarian Academy of Sciences, Sofia 1113, Bulgaria.

出版信息

Epilepsy Behav. 2014 Feb;31:198-208. doi: 10.1016/j.yebeh.2013.12.013. Epub 2014 Jan 16.

Abstract

Melatonin is involved in the control of circadian and seasonal rhythmicity, possesses potent antioxidant activity, and exerts a neuroprotective and anticonvulsant effect. Spontaneously hypertensive rats (SHRs) are widely accepted as an experimental model of essential hypertension with hyperactivity, deficient sustained attention, and alterations in circadian autonomic profiles. The purpose of the present study was to determine whether melatonin treatment during epileptogenesis can prevent the deleterious consequences of status epilepticus (SE) in SHRs in the kainate (KA) model of temporal lobe of epilepsy (TLE). Spontaneous recurrent seizures (SRSs) were EEG- and video-recorded during and after the treatment protocol. Melatonin (10mg/kg diluted in drinking water, 8weeks) increased the seizure-latent period, decreased the frequency of SRSs, and attenuated the circadian rhythm of seizure activity in SHRs. However, melatonin was unable to affect the disturbed diurnal rhythms and behavioral changes associated with epilepsy, including the decreased anxiety level, depression, and impaired spatial memory. Melatonin reduced neuronal damage specifically in the CA1 area of the hippocampus and piriform cortex and decreased hippocampal serotonin (5-HT) levels both in control and epileptic SHRs. Although long-term melatonin treatment after SE shows a potential to attenuate seizure activity and neuronal loss, it is unable to restore epilepsy-associated behavioral abnormalities in SHRs.

摘要

褪黑素参与昼夜节律和季节性节律的控制,具有强大的抗氧化活性,并发挥神经保护和抗惊厥作用。自发性高血压大鼠(SHR)被广泛接受为原发性高血压的实验模型,具有过度活跃、持续注意力不足和昼夜自主功能谱改变。本研究的目的是确定在癫痫形成期间给予褪黑素治疗是否可以预防在颞叶癫痫(TLE)的海人酸(KA)模型中 SHR 中的癫痫持续状态(SE)的有害后果。在治疗方案期间和之后,通过 EEG 和视频记录自发性复发性癫痫发作(SRS)。褪黑素(10mg/kg 溶于饮用水中,8 周)延长了癫痫潜伏期,减少了 SRS 的频率,并减轻了 SHR 中癫痫活动的昼夜节律。然而,褪黑素无法影响与癫痫相关的昼夜节律和行为变化,包括焦虑水平降低、抑郁和空间记忆受损。褪黑素特异性减少海马 CA1 区和梨状皮质中的神经元损伤,并降低海马 5-羟色胺(5-HT)水平,无论是在对照还是癫痫 SHR 中。尽管 SE 后长期褪黑素治疗显示出减轻癫痫发作活动和神经元丢失的潜力,但它无法恢复 SHR 中与癫痫相关的行为异常。

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