Faingold C L, Millan M H, Boersma Anderson C A, Meldrum B S
Dept. of Pharmacology, Southern Illinois University School of Medicine, Springfield 62794-9230.
Epilepsy Res. 1989 May-Jun;3(3):199-205. doi: 10.1016/0920-1211(89)90024-7.
An excitant amino acid (EAA), N-methyl-D-aspartate (NMDA), induces susceptibility to seizures when bilaterally microinjected into subcortical auditory nuclei of normal rats. Thirty-five percent of animals exhibit only audiogenic seizures (AGS) after infusions of NMDA into inferior colliculus (IC). Infusions into cochlear nucleus and medial geniculate body never produce susceptibility to AGS without non-audiogenic seizures (N-AGS). The overall seizure incidence (AGS and N-AGS) with IC infusions is 100%, but the incidence is less than 50% with infusions into cochlear nucleus or medial geniculate body. Although AGS susceptibility is induced by NMDA infusions in normal animals, the seizures are submaximal in severity and lack tonic components. Bilateral infusions of NMDA into IC or reticular formation of the substrain of genetically epilepsy-prone rats (GEPRs) that exhibits submaximal AGS (GEPR-3s) do not increase seizure severity. These data along with studies showing increased EAA levels and excitotoxic-like damage in the IC of the GEPR and blockade of AGS with an EAA receptor antagonist or synthesis inhibitor suggest that an EAA in the IC is involved in initiation of AGS in the GEPR. However, EAA action in the GEPR IC is not sufficient to induce the complete spectrum of seizure behaviors, and additional mechanisms may be required for induction of maximal severity audiogenic seizures.
兴奋性氨基酸(EAA)N-甲基-D-天冬氨酸(NMDA)双侧微量注射到正常大鼠的皮层下听觉核时会诱发癫痫易感性。将NMDA注入下丘(IC)后,35%的动物仅出现听源性癫痫(AGS)。注入耳蜗核和内侧膝状体时,若不伴有非听源性癫痫(N-AGS),则绝不会产生对AGS的易感性。注入IC时癫痫的总体发生率(AGS和N-AGS)为100%,但注入耳蜗核或内侧膝状体时发生率低于50%。虽然正常动物中NMDA注入会诱发AGS易感性,但癫痫发作的严重程度低于最大值且缺乏强直成分。将NMDA双侧注入表现出低于最大程度AGS的遗传性癫痫易感大鼠(GEPRs)亚系(GEPR-3s)的IC或网状结构中,并不会增加癫痫发作的严重程度。这些数据以及显示GEPR的IC中EAA水平升高和类似兴奋性毒性损伤以及用EAA受体拮抗剂或合成抑制剂阻断AGS的研究表明,IC中的一种EAA参与了GEPR中AGS的起始。然而,EAA在GEPR IC中的作用不足以诱发完整的癫痫发作行为谱,可能还需要其他机制来诱发最大严重程度的听源性癫痫。