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海马下托:新生儿癫痫模型中一个潜在的癫痫发作起源部位。

The Subiculum: A Potential Site of Ictogenesis in a Neonatal Seizure Model.

作者信息

Wang Xin-Xin, Li Yong-Hua, Gong Hai-Qing, Liang Pei-Ji, Zhang Pu-Ming, Lu Qin-Chi

机构信息

Department of Neurology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.

出版信息

Front Neurol. 2017 Apr 20;8:147. doi: 10.3389/fneur.2017.00147. eCollection 2017.

Abstract

Studies have reported that the subiculum is one origin of interictal-like discharges in adult patients with temporal lobe epilepsy; however, whether the subiculum represents a site of ictogenesis for neonatal seizures remains unclear. In this study, multi-electrode recording techniques were used to record epileptiform discharges induced by low-Mg or high-K artificial cerebrospinal fluid in neonatal mouse hippocampal slices, and the spatiotemporal dynamics of the epileptiform discharges were analyzed. The Na-K-2Cl cotransporter 1 (NKCC1) blocker, bumetanide, was applied to test its effect upon epileptiform discharges in low-Mg model. The effect of -methyl-d-aspartate receptors (NMDARs) antagonist, d-AP5, upon the epileptiform discharges in high-K model was examined. We found that the neonatal subiculum not only relayed epileptiform discharges emanating from the hippocampus proper (HP) but also initiated epileptiform discharges (interictal- and ictal-like discharges) independently. The latency to onset of the first epileptiform discharge initiated in the subiculum was similar to that initiated in the HP. Bumetanide efficiently blocked seizures in the neonatal HP, but was less effectively in suppressing seizures initiated in the subiculum. In high-K model, d-AP5 was more effective in blocking seizures initiated in the subiculum than that initiated in the HP. Furthermore, Western blotting analysis showed that NKCC1 expression was lower in the subiculum than that in the HP, whereas the expression of NMDAR subunits, NR2A and NR2B, was higher in the subiculum than that in the HP. Our results revealed that the subiculum was a potential site of ictogenesis in neonatal seizures and possessed similar seizure susceptibility to the HP. GABAergic excitation resulting from NKCC1 may play a less dominant role during ictogenesis in the subiculum than that in the HP. The subicular ictogenesis may be related to the glutamatergic excitation mediated by NMDARs.

摘要

研究报告称,海马下托是成年颞叶癫痫患者发作间期样放电的起源之一;然而,海马下托是否为新生儿癫痫的发作起源部位仍不清楚。在本研究中,采用多电极记录技术记录新生小鼠海马脑片在低镁或高钾人工脑脊液诱导下的癫痫样放电,并分析癫痫样放电的时空动态。应用钠-钾-2氯协同转运蛋白1(NKCC1)阻断剂布美他尼,检测其对低镁模型中癫痫样放电的影响。检测N-甲基-D-天冬氨酸受体(NMDARs)拮抗剂D-AP5对高钾模型中癫痫样放电的影响。我们发现,新生海马下托不仅中继来自海马本部(HP)的癫痫样放电,还能独立引发癫痫样放电(发作间期和发作期样放电)。海马下托引发的首次癫痫样放电的起始潜伏期与海马本部引发的相似。布美他尼能有效阻断新生海马本部的癫痫发作,但对抑制海马下托引发的癫痫发作效果较差。在高钾模型中,D-AP5对阻断海马下托引发的癫痫发作比阻断海马本部引发的更有效。此外,蛋白质免疫印迹分析显示,海马下托中NKCC1的表达低于海马本部,而NMDAR亚基NR2A和NR2B的表达在海马下托中高于海马本部。我们的结果表明,海马下托是新生儿癫痫发作的潜在起源部位,并且与海马本部具有相似的癫痫易感性。NKCC1引起的GABA能兴奋在海马下托发作形成过程中可能比在海马本部中发挥的作用小。海马下托的发作形成可能与NMDAR介导的谷氨酸能兴奋有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e0/5397469/ee20f40fe016/fneur-08-00147-g001.jpg

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