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体外药物诱导癫痫样同步化模型。

Models of drug-induced epileptiform synchronization in vitro.

作者信息

Avoli Massimo, Jefferys John G R

机构信息

Montreal Neurological Institute and Departments of Neurology & Neurosurgery, and of Physiology, McGill University, Montréal, QC, Canada H3A 2B4; Department of Experimental Medicine, Facoltà di Medicina e Odontoiatria, Sapienza University of Rome, Roma 00185, Italy.

Department of Pharmacology, University of Oxford, Oxford OX1 3QT, UK.

出版信息

J Neurosci Methods. 2016 Feb 15;260:26-32. doi: 10.1016/j.jneumeth.2015.10.006. Epub 2015 Oct 17.

Abstract

Models of epileptiform activity in vitro have many advantages for recording and experimental manipulation. Neural tissues can be maintained in vitro for hours, and in neuronal or organotypic slice cultures for several weeks. A variety of drugs and other agents increase activity in these in vitro conditions, in many cases resulting in epileptiform activity, thus providing a direct model of symptomatic seizures. We review these preparations and the experimental manipulations used to induce epileptiform activity. The most common of drugs used are GABAA receptor antagonists and potassium channel blockers (notably 4-aminopyridine). Muscarinic agents also can induce epileptiform synchronization in vitro, and include potassium channel inhibition amongst their cellular actions. Manipulations of extracellular ions are reviewed in another paper in this special issue, as are ex vivo slices prepared from chronically epileptic animals and from people with epilepsy. More complex slices including extensive networks and/or several connected brain structures can provide insights into the dynamics of long range connections during epileptic activity. Visualization of slices also provides opportunities for identification of living neurons and for optical recording/stimulation and manipulation. Overall, the analysis of the epileptiform activity induced in brain tissue in vitro has played a major role in advancing our understanding of the cellular and network mechanisms of epileptiform synchronization, and it is expected to continue to do so in future.

摘要

体外癫痫样活动模型在记录和实验操作方面具有诸多优势。神经组织可在体外维持数小时,在神经元或器官型切片培养中可维持数周。多种药物和其他试剂能在这些体外条件下增强活动,在许多情况下会引发癫痫样活动,从而提供症状性癫痫发作的直接模型。我们回顾这些制备方法以及用于诱导癫痫样活动的实验操作。最常用的药物是GABAA受体拮抗剂和钾通道阻滞剂(尤其是4-氨基吡啶)。毒蕈碱剂也能在体外诱导癫痫样同步化,其细胞作用包括抑制钾通道。本期特刊的另一篇论文中回顾了细胞外离子的操作,以及从慢性癫痫动物和癫痫患者制备的离体切片。更复杂的切片,包括广泛的网络和/或几个相连的脑结构,能够为癫痫活动期间长程连接的动力学提供见解。切片的可视化还为识别活神经元以及进行光学记录/刺激和操作提供了机会。总体而言,对体外脑组织中诱导的癫痫样活动的分析在推进我们对癫痫样同步化的细胞和网络机制的理解方面发挥了重要作用,预计未来仍将如此。

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