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丘脑前核深部脑刺激对癫痫大鼠和健康大鼠神经发生的影响。

Effects of anterior thalamic nuclei deep brain stimulation on neurogenesis in epileptic and healthy rats.

作者信息

Chen Ying-Chuan, Shi Lin, Zhu Guan-Yu, Wang Xiu, Liu De-Feng, Liu Yu-Ye, Jiang Yin, Zhang Xin, Zhang Jian-Guo

机构信息

Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.

Department of Functional Neurosurgery, Beijing Neurosurgical Institute, Capital Medical University, Beijing 100050, China.

出版信息

Brain Res. 2017 Oct 1;1672:65-72. doi: 10.1016/j.brainres.2017.07.021. Epub 2017 Jul 29.

Abstract

BACKGROUND

The efficacy of anterior thalamic nuclei (ANT) deep brain stimulation (DBS) in mitigating epileptic seizures has been established. Though the neuroprotection of ANT-DBS has been illustrated, the seizure mitigating mechanism of ANT-DBS has not been thoroughly elucidated. In particular, the effect of ANT-DBS on neurogenesis has not been reported previously.

METHOD

Thirty-two male Sprague Dawley rats were randomly assigned to the following groups: sham-DBS-healthy (HL) (n=8), DBS-HL (n=8), sham-DBS-epilepsy (EP) (n=8) and DBS-EP (n=8). Normal saline and kainic acid were injected, respectively, into the former and later two groups, and seizures were monitored. One month later, rats received electrode implantation. Stimulation was exerted in the DBS group but not in the sham-DBS group. Next, all rats were sacrificed, and the ipsilateral hippocampus was dissected and prepared for quantitative real time PCR (qPCR) and western blot analysis in order to measure neuronal nuclear (NeuN), brain-derived neurotrophic factor (BDNF), doublecortin (DCX) and Ki-67 expressions.

RESULTS

A 44.4% seizure frequency reduction was obtained after ANT-DBS, and no seizures was observed in healthy rats. NeuN, BDNF, Ki-67 and DCX expression levels were significantly decreased in the epileptic rats compared to healthy rats (P<0.01 or P<0.05). Obvious increases in NeuN, Ki-67 and DCX expressions were observed in epileptic and healthy rats receiving stimulation compared to rats receiving no stimulation (all Ps<0.01). However, BDNF expression was not affected by ANT-DBS (all Ps>0.05).

CONCLUSIONS

(1) ANT-DBS reduces neuronal loss during the chronic stage of epilepsy. (2) Neurogenesis is elevated by ANT-DBS in both epileptic and healthy rats, and this elevation may not be regulated via a BDNF pathway.

摘要

背景

丘脑前核(ANT)深部脑刺激(DBS)减轻癫痫发作的疗效已得到证实。虽然ANT-DBS的神经保护作用已得到阐明,但其减轻癫痫发作的机制尚未完全明确。特别是,ANT-DBS对神经发生的影响此前尚未见报道。

方法

将32只雄性Sprague Dawley大鼠随机分为以下几组:假刺激-健康组(HL)(n = 8)、刺激-健康组(n = 8)、假刺激-癫痫组(EP)(n = 8)和刺激-癫痫组(n = 8)。分别向前后两组注射生理盐水和海藻酸,并监测癫痫发作情况。1个月后,对大鼠进行电极植入。刺激组施加刺激,假刺激组不施加刺激。接下来,处死所有大鼠,解剖同侧海马并进行定量实时PCR(qPCR)和蛋白质印迹分析,以测量神经元核抗原(NeuN)、脑源性神经营养因子(BDNF)、双皮质素(DCX)和Ki-67的表达。

结果

ANT-DBS后癫痫发作频率降低了44.4%,健康大鼠未观察到癫痫发作。与健康大鼠相比,癫痫大鼠的NeuN、BDNF、Ki-67和DCX表达水平显著降低(P < 0.01或P < 0.05)。与未接受刺激的大鼠相比,接受刺激的癫痫和健康大鼠的NeuN、Ki-67和DCX表达明显增加(所有P值均< 0.01)。然而,BDNF表达不受ANT-DBS影响(所有P值> 0.05)。

结论

(1)ANT-DBS可减少癫痫慢性期的神经元损失。(2)ANT-DBS可提高癫痫和健康大鼠的神经发生,且这种提高可能不是通过BDNF途径调节的。

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