The Nathan Kline Institute of Psychiatric Research, Center for Dementia Research, 140 Old Orangeburg Rd. Bldg. 35, Orangeburg, NY, 10962, USA.
Department of Child and Adolescent Psychiatry, New York University Langone Medical Center, One Park Ave., New York, NY, 10016, USA.
Brain Struct Funct. 2017 Dec;222(9):4219-4237. doi: 10.1007/s00429-017-1457-4. Epub 2017 Jun 27.
A remarkable example of maladaptive plasticity is the development of epilepsy after a brain insult or injury to a normal animal or human. A structure that is considered central to the development of this type of epilepsy is the dentate gyrus (DG), because it is normally a relatively inhibited structure and its quiescence is thought to reduce hippocampal seizure activity. This characteristic of the DG is also considered to be important for normal hippocampal-dependent cognitive functions. It has been suggested that the brain insults which cause epilepsy do so because they cause the DG to be more easily activated. One type of brain insult that is commonly used is induction of severe seizures (status epilepticus; SE) by systemic injection of a convulsant drug. Here we describe an alteration in the DG after this type of experimental SE that may contribute to chronic seizures that has not been described before: large folds or gyri that develop in the DG by 1 month after SE. Large gyri appeared to increase network excitability because epileptiform discharges recorded in hippocampal slices after SE were longer in duration when recorded inside gyri relative to locations outside gyri. Large gyri may also increase excitability because immature adult-born neurons accumulated at the base of gyri with time after SE, and previous studies have suggested that abnormalities in adult-born DG neurons promote seizures after SE. In summary, large gyri after SE are a common finding in adult rats, show increased excitability, and are associated with the development of an abnormal spatial distribution of adult-born neurons. Together these alterations may contribute to chronic seizures and associated cognitive comorbidities after SE.
适应性塑性的一个显著例子是,在正常动物或人类的大脑受到损伤或脑外伤后,会出现癫痫。被认为是这种类型癫痫发展的核心结构是齿状回(DG),因为它通常是一个相对受抑制的结构,其静止状态被认为可降低海马脑痫活动。DG 的这一特征也被认为对正常的海马依赖认知功能很重要。有人认为,导致癫痫的脑损伤之所以会这样,是因为它们使 DG 更容易被激活。一种常用的脑损伤类型是通过全身注射惊厥药物来诱导严重癫痫发作(癫痫持续状态;SE)。在这里,我们描述了这种实验性 SE 后 DG 的一种以前未描述的改变,这种改变可能导致慢性癫痫发作:SE 后 1 个月,DG 中出现大褶皱或脑回。大脑回似乎增加了网络兴奋性,因为 SE 后在海马切片中记录到的癫痫样放电在脑回内的持续时间比在脑回外的位置长。大脑回也可能增加兴奋性,因为 SE 后,不成熟的成年新生神经元随时间在脑回底部积累,先前的研究表明,DG 神经元中的成年新生神经元异常会促进 SE 后癫痫发作。总之,SE 后的大脑回在成年大鼠中是一种常见现象,表现出兴奋性增加,并与成年新生神经元异常空间分布的发展有关。这些改变可能共同导致 SE 后慢性癫痫发作和相关认知合并症。