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热性惊厥后癫痫发生过程中海马中间神经元功能效能的改变。

Altered functional efficacy of hippocampal interneuron during epileptogenesis following febrile seizures.

作者信息

Yu Yeon Hee, Lee Kahyun, Sin Dal Sik, Park Kyung-Ho, Park Dae-Kyoon, Kim Duk-Soo

机构信息

Department of Anatomy, College of Medicine, Soonchunhyang University, Cheonan-Si, Chungcheongnam-Do, 31151, Republic of Korea.

Department of Anatomy, College of Medicine, Soonchunhyang University, Cheonan-Si, Chungcheongnam-Do, 31151, Republic of Korea.

出版信息

Brain Res Bull. 2017 May;131:25-38. doi: 10.1016/j.brainresbull.2017.02.009. Epub 2017 Mar 7.

DOI:10.1016/j.brainresbull.2017.02.009
PMID:28286184
Abstract

Febrile seizure (FS) is the most common seizure type in infants and young children. FS may induce functional changes in the hippocampal circuitries. Abnormality of excitatory and inhibitory neurotransmissions was previously related to wide-spread seizure attack in the hippocampus following recurrent seizure onset. To clarify the involvement of expressional changes and functional alterations of hippocampal interneurons with epileptogenesis following FS, we investigated long-term effects following recurrent seizure in a hyperthermia-induced seizure animal model. At 12 weeks following FS, the recurrent seizure time period, local field potentials (LFP) revealed high amplitude potential and a sharp wave characteristic of epilepsy. Mossy fiber reorganization in the hippocampus was also detected as abnormal synaptic connection at 8 weeks. Calretinin (CR) -positive interneurons were transiently enhanced during epileptogenic period at 7-9 weeks after FS in the CA1 and DG region and it is double labeled with VGLUT-1. However, although GABA-α1 immunoreactivities were un-changed as similar to control hippocampus at 7-9 weeks after seizure onset, its expression was significantly enhanced at 4 weeks and 12 weeks and it is colocalized with GABA. Furthermore, the field excitatory postsynaptic potential (fEPSP) and the paired-pulse responses including population spike (PS) latency, excitability ratio and PS2/PS1 ratio were markedly altered in the CA1 and DG region at 12 weeks after FS. Therefore, our findings in present study indicate that these time-dependent changes may be based on the persistent alterations of hippocampal neuronal circuits in balance between excitatory and inhibitory responses, and may lead to the epileptogenesis and spread of seizure activity following FS.

摘要

热性惊厥(FS)是婴幼儿最常见的惊厥类型。FS可能诱发海马回路的功能变化。兴奋性和抑制性神经传递异常先前与复发性惊厥发作后海马中广泛的惊厥发作有关。为了阐明热性惊厥后海马中间神经元的表达变化和功能改变与癫痫发生的关系,我们在热诱导惊厥动物模型中研究了复发性惊厥后的长期影响。热性惊厥后12周,复发性惊厥时间段内,局部场电位(LFP)显示出癫痫特有的高振幅电位和尖波。在8周时,海马中的苔藓纤维重组也被检测为异常突触连接。在热性惊厥后7 - 9周的致痫期,CA1和齿状回(DG)区域中钙视网膜蛋白(CR)阳性中间神经元短暂增强,并且它与VGLUT - 1双标。然而,尽管惊厥发作后7 - 9周时GABA - α1免疫反应性与对照海马相似未发生变化,但其表达在4周和12周时显著增强,并且它与GABA共定位。此外,热性惊厥后12周,CA1和DG区域的场兴奋性突触后电位(fEPSP)以及包括群体峰电位(PS)潜伏期、兴奋性比率和PS2/PS1比率在内的双脉冲反应明显改变。因此,我们在本研究中的发现表明,这些时间依赖性变化可能基于海马神经元回路在兴奋性和抑制性反应之间平衡的持续改变,并且可能导致热性惊厥后癫痫的发生和惊厥活动的传播。

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