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基底神经节、梨状前皮质深部与癫痫发作扩散:荷包牡丹碱在大鼠纹状体中具有抗惊厥作用。

The basal ganglia, the deep prepyriform cortex, and seizure spread: bicuculline is anticonvulsant in the rat striatum.

作者信息

Turski L, Cavalheiro E A, Calderazzo-Filho L S, Bortolotto Z A, Klockgether T, Ikonomidou C, Turski W A

机构信息

Department of Pharmacology, Medical School, Lublin, Poland.

出版信息

Proc Natl Acad Sci U S A. 1989 Mar;86(5):1694-7. doi: 10.1073/pnas.86.5.1694.

Abstract

The gamma-aminobutyric acid antagonist, bicuculline methiodide (BMI), induces myoclonic seizures in rats when injected into the deep prepyriform cortex at concentrations lower than those that induce convulsions from the amygdala, hippocampus, or neocortex. This observation prompted the suggestion that the deep prepyriform cortex was responsible for seizure generation regardless of the neurotransmitter and neuronal circuits involved. Bilateral intrastriatal application of BMI protects rats against seizures induced by (i) local application of BMI into the deep prepyriform cortex and (ii) systemic application of bicuculline, pilocarpine (a cholinergic agonist), or kainic acid (a glutamate receptor agonist). The region of the striatum sensitive to the previously unknown anticonvulsant action of BMI is located in the immediate vicinity of the deep prepyriform cortex and is 100-150 times more sensitive to the anticonvulsant action relative to the sensitivity of the deep prepyriform cortex to the convulsant action of BMI. These data suggest a powerful gamma-aminobutyric acid-dependent gating role of the basal ganglia in determining the seizure threshold in the forebrain. This argues against the suggestion that the deep prepyriform cortex plays a crucial role in the generation of seizures following systemic administration of convulsants. The discovery of an anticonvulsant action of BMI in the rat striatum contradicts the gamma-aminobutyric acid theory of epilepsy, which implies that deficits in the gamma-aminobutyric acid-mediated inhibition in the central nervous system lead to the emergence of seizures.

摘要

γ-氨基丁酸拮抗剂甲碘化荷包牡丹碱(BMI),当以低于能在杏仁核、海马体或新皮层诱发惊厥的浓度注入大鼠梨状前皮质深部时,会诱发肌阵挛性癫痫发作。这一观察结果提示,无论涉及何种神经递质和神经回路,梨状前皮质深部都与癫痫发作的产生有关。双侧纹状体内注射BMI可保护大鼠免受以下因素诱发的癫痫发作:(i)将BMI局部注入梨状前皮质深部,以及(ii)全身应用荷包牡丹碱、毛果芸香碱(一种胆碱能激动剂)或 kainic 酸(一种谷氨酸受体激动剂)。纹状体内对BMI先前未知的抗惊厥作用敏感的区域位于梨状前皮质深部附近,相对于梨状前皮质深部对BMI惊厥作用的敏感性,该区域对其抗惊厥作用的敏感性高100 - 150倍。这些数据表明,基底神经节在决定前脑癫痫阈值方面具有强大的γ-氨基丁酸依赖性门控作用。这与全身性给予惊厥剂后梨状前皮质深部在癫痫发作产生中起关键作用的观点相悖。在大鼠纹状体内发现BMI的抗惊厥作用与癫痫的γ-氨基丁酸理论相矛盾,该理论认为中枢神经系统中γ-氨基丁酸介导的抑制作用缺陷会导致癫痫发作的出现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7865/286767/561c8ce7f122/pnas00245-0274-a.jpg

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