Li Jie, Jiang Guohui, Chen Yalan, Chen Ling, Li Zengyou, Wang Zhihua, Wang Xuefeng
Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory of Neurology, Chongqing, 400016, China.
Synapse. 2014 Sep;68(9):402-9. doi: 10.1002/syn.21752. Epub 2014 Jun 17.
Although epilepsy is a common neurological disorder, its mechanism(s) are still not completely understood. Hypoxia can lead to neuronal cell death and angiogenesis, and the same mechanisms were also found in epilepsy. Hypoxia-inducible factor-1α (HIF-1α) is an important transcription protein that regulates gene expression in the brain and other tissues in response to decreases in oxygen availability. However, little is known regarding the expression of HIF-1α in the epileptic brain and whether HIF-1α interventions affect the epileptic process. The aims of this study are to investigate the expression profile of HIF-1α in rat models and to explore the role of HIF-1α in epilepsy. We performed Western blots and immunofluorescence in a lithium-pilocarpine rat epilepsy model. To determine the role of HIF-1α in epilepsy, we used the HIF-1α agonist DMOG and inhibitor KC7F2 to detect changes in the animal behavior in pentylenetetrazole (PTZ) and lithium-pilocarpine epilepsy models. The expression of HIF-1α was significantly increased after pilocarpine-induced status epilepticus. DMOG significantly prolonged the latent period in the PTZ kindling model and decreased the rate of spontaneous recurrent seizures during the chronic stage in the lithium-pilocarpine model. Conversely, the inhibitor KC7F2 produced an opposite behavioral change. Interestingly, both KC7F2 and DMOG had no effect on the acute stage of pilocarpine model and PTZ convulsive model. Our study suggests that upregulated HIF-1α may be involved in the process of epileptogenesis but not in the acute stage of epilepsy. The modulation of HIF-1α may offer a novel therapeutic target in epilepsy.
尽管癫痫是一种常见的神经系统疾病,但其发病机制仍未完全明确。缺氧可导致神经元细胞死亡和血管生成,癫痫中也发现了相同的机制。缺氧诱导因子-1α(HIF-1α)是一种重要的转录蛋白,可响应氧供应减少调节大脑和其他组织中的基因表达。然而,关于HIF-1α在癫痫大脑中的表达以及HIF-1α干预是否影响癫痫发作过程知之甚少。本研究的目的是调查大鼠模型中HIF-1α的表达谱,并探讨HIF-1α在癫痫中的作用。我们在锂-匹罗卡品大鼠癫痫模型中进行了蛋白质免疫印迹和免疫荧光实验。为了确定HIF-1α在癫痫中的作用,我们使用HIF-1α激动剂DMOG和抑制剂KC7F2检测戊四氮(PTZ)和锂-匹罗卡品癫痫模型中动物行为的变化。匹罗卡品诱导癫痫持续状态后,HIF-1α的表达显著增加。DMOG显著延长了PTZ点燃模型中的潜伏期,并降低了锂-匹罗卡品模型慢性期的自发复发性癫痫发作率。相反,抑制剂KC7F2产生了相反的行为变化。有趣的是,KC7F2和DMOG对匹罗卡品模型急性期和PTZ惊厥模型均无影响。我们的研究表明,HIF-1α上调可能参与癫痫发生过程,但不参与癫痫急性期。对HIF-1α的调节可能为癫痫提供一种新的治疗靶点。