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通过使用低频光刺激经中间神经元介导的同步化来减少癫痫发作

Seizure reduction through interneuron-mediated entrainment using low frequency optical stimulation.

作者信息

Ladas Thomas P, Chiang Chia-Chu, Gonzalez-Reyes Luis E, Nowak Theodore, Durand Dominique M

机构信息

Department of Biomedical Engineering, Neural Engineering Center, Case Western Reserve University, Cleveland OH 44106, USA.

Department of Biomedical Engineering, Neural Engineering Center, Case Western Reserve University, Cleveland OH 44106, USA.

出版信息

Exp Neurol. 2015 Jul;269:120-32. doi: 10.1016/j.expneurol.2015.04.001. Epub 2015 Apr 8.

Abstract

Low frequency electrical stimulation (LFS) can reduce neural excitability and suppress seizures in animals and patients with epilepsy. However the therapeutic outcome could benefit from the determination of the cell types involved in seizure suppression. We used optogenetic techniques to investigate the role of interneurons in LFS (1Hz) in the epileptogenic hippocampus. Optical low frequency stimulation (oLFS) was first used to activate the cation channel channelrhodopsin-2 (ChR2) in the Thy1-ChR2 transgenic mouse that expresses ChR2 in both excitatory and inhibitory neurons. We found that oLFS could effectively reduce epileptiform activity in the hippocampus through the activation of GAD-expressing hippocampal interneurons. This was confirmed using the VGAT-ChR2 transgenic mouse, allowing for selective optical activation of only GABA interneurons. Activating hippocampal interneurons through oLFS was found to cause entrainment of neural activity similar to electrical stimulation, but through a GABAA-mediated mechanism. These results confirm the robustness of the LFS paradigm and indicate that GABA interneurons play an unexpected role of shaping inter-ictal activity to decrease neural excitability in the hippocampus.

摘要

低频电刺激(LFS)可降低动物和癫痫患者的神经兴奋性并抑制癫痫发作。然而,确定参与癫痫发作抑制的细胞类型可能会改善治疗效果。我们使用光遗传学技术来研究中间神经元在致痫性海马体中LFS(1Hz)的作用。光学低频刺激(oLFS)首先用于激活Thy1-ChR2转基因小鼠中的阳离子通道通道视紫红质-2(ChR2),该小鼠在兴奋性和抑制性神经元中均表达ChR2。我们发现,oLFS可通过激活表达GAD的海马中间神经元有效降低海马体中的癫痫样活动。使用VGAT-ChR2转基因小鼠证实了这一点,该小鼠仅允许对GABA中间神经元进行选择性光学激活。通过oLFS激活海马中间神经元被发现会导致类似于电刺激的神经活动夹带,但通过GABAA介导的机制。这些结果证实了LFS范式的稳健性,并表明GABA中间神经元在塑造发作间期活动以降低海马体中的神经兴奋性方面发挥了意想不到的作用。

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