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mTOR 参与了中风引起的癫痫发作和亚低温的抗癫痫作用。

mTOR is involved in stroke-induced seizures and the anti-seizure effect of mild hypothermia.

机构信息

Department of Neurology, Affiliated Haikou Hospital, Xiangya School of Medicine, Central South University, Haikou, Hainan 570208, P.R. China.

出版信息

Mol Med Rep. 2018 Apr;17(4):5821-5829. doi: 10.3892/mmr.2018.8629. Epub 2018 Feb 22.

Abstract

Stroke is considered an underlying etiology of the development of seizures. Stroke leads to glucose and oxygen deficiency in neurons, resulting in brain dysfunction and injury. Mild hypothermia is a therapeutic strategy to inhibit stroke‑induced seizures, which may be associated with the regulation of energy metabolism of the brain. Mammalian target of rapamycin (mTOR) signaling and solute carrier family 2, facilitated glucose transporter member (GLUT)‑1 are critical for energy metabolism. Furthermore, mTOR overactivation and GLUT‑1 deficiency are associated with genetically acquired seizures. It has been hypothesized that mTOR and GLUT‑1 may additionally be involved in seizures elicited by stroke. The present study established global cerebral ischemia (GCI) models of rats. Convulsive seizure behaviors frequently occurred during the first and the second days following GCI, which were accompanied with seizure discharge reflected in the EEG monitor. Expression of phosphor (p)‑mTOR and GLUT‑1 were upregulated in the cerebral cortex and hippocampus, as evidenced by immunohistochemistry and western blot analyses. Mild hypothermia and/or rapamycin (mTOR inhibitor) treatments reduced the number of epileptic attacks, seizure severity scores and seizure discharges, thereby alleviating seizures induced by GCI. Mild hypothermia and/or rapamycin treatments reduced phosphorylation levels of mTOR and the downstream effecter p70S6 in neurons, and the amount of GLUT‑1 in the cytomembrane of neurons. The present study revealed that mTOR is involved in stroke‑induced seizures and the anti‑seizure effect of mild hypothermia. The role of GLUT‑1 in stroke‑elicited seizures appears to be different from the role in seizures induced by other reasons. Further studies are necessary in order to elucidate the exact function of GLUT-1 in stroke‑elicited seizures.

摘要

中风被认为是癫痫发作的潜在病因。中风导致神经元中的葡萄糖和氧气缺乏,从而导致大脑功能障碍和损伤。轻度低温是抑制中风引起的癫痫发作的治疗策略,可能与大脑能量代谢的调节有关。哺乳动物雷帕霉素靶蛋白 (mTOR) 信号和溶质载体家族 2,促进葡萄糖转运体成员 (GLUT) -1 对能量代谢至关重要。此外,mTOR 过度激活和 GLUT-1 缺乏与遗传性癫痫有关。据推测,mTOR 和 GLUT-1 可能还与中风引起的癫痫发作有关。本研究建立了大鼠全脑缺血 (GCI) 模型。在 GCI 后第 1 天和第 2 天经常发生惊厥性癫痫发作,脑电图监测反映出癫痫发作放电。免疫组织化学和 Western blot 分析表明,大脑皮层和海马中磷酸化 (p)-mTOR 和 GLUT-1 的表达上调。轻度低温和/或雷帕霉素 (mTOR 抑制剂) 治疗可减少癫痫发作次数、癫痫严重程度评分和癫痫发作放电,从而缓解 GCI 引起的癫痫发作。轻度低温和/或雷帕霉素治疗降低了神经元中 mTOR 和下游效应物 p70S6 的磷酸化水平,以及神经元胞质膜中 GLUT-1 的量。本研究表明 mTOR 参与中风引起的癫痫发作和轻度低温的抗癫痫作用。GLUT-1 在中风引起的癫痫发作中的作用似乎与其他原因引起的癫痫发作中的作用不同。需要进一步研究以阐明 GLUT-1 在中风引起的癫痫发作中的确切作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6911/5866026/fea139a9b691/MMR-17-04-5821-g00.jpg

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