Twele Friederike, Schidlitzki Alina, Töllner Kathrin, Löscher Wolfgang
Department of Pharmacology, Toxicology, and PharmacyUniversity of Veterinary MedicineHanoverGermany.
Center for Systems Neuroscience Hanover Germany.
Epilepsia Open. 2017 Feb 23;2(2):180-187. doi: 10.1002/epi4.12044. eCollection 2017 Jun.
There is an ongoing debate about definition of seizures in experimental models of acquired epilepsy and how important adequate sham controls are in this respect. For instance, several mouse and rat strains exhibit high-voltage rhythmic spike or spike-wave discharges in the cortical electroencephalogram (EEG), which has to be considered when using such strains for induction of epilepsy by status epilepticus, traumatic brain injury, or other means. Mice developing spontaneous recurrent nonconvulsive and convulsive seizures after intrahippocampal injection of kainate are increasingly being used as a model of mesial temporal lobe epilepsy. We performed a prospective study in which EEG alterations occurring in this model were compared with the EEGs in appropriate sham controls, using hippocampal electrodes and video-EEG monitoring.
Experiments with intrahippocampal kainate (or saline) injections started when mice were about 8 weeks of age. Continuous video-EEG recording via hippocampal electrodes was performed 6 weeks after surgery in kainate-injected mice and sham controls, that is, at an age of about 14 weeks. Three days of continuous video-EEG monitoring were compared between kainate-injected mice and experimental controls.
As reported previously, kainate-injected mice exhibited two types of highly frequent electrographic seizures: high-voltage sharp waves, which were often monomorphic, and polymorphic hippocampal paroxysmal discharges. In addition, generalized convulsive clinical seizures were infrequently observed. None of these electrographic or electroclinical seizures were observed in sham controls. The only infrequently observed EEG abnormalities in sham controls were isolated spikes or spike clusters, which were also recorded in epileptic mice.
This study rigorously demonstrates, by explicit comparison with the EEGs of sham controls, that the nonconvulsive paroxysmal events observed in this model are consequences of the induced epilepsy and not features of the EEG expected to be seen in some experimental control mice or unintentionally induced by surgical procedures.
在获得性癫痫实验模型中,关于癫痫发作的定义以及在这方面充分的假手术对照的重要性存在持续的争论。例如,几种小鼠和大鼠品系在皮质脑电图(EEG)中表现出高压节律性尖波或尖慢波放电,在使用这些品系通过癫痫持续状态、创伤性脑损伤或其他手段诱导癫痫时必须考虑到这一点。海马内注射红藻氨酸后出现自发性反复非惊厥性和惊厥性发作的小鼠越来越多地被用作内侧颞叶癫痫的模型。我们进行了一项前瞻性研究,使用海马电极和视频脑电图监测,将该模型中发生的脑电图改变与适当假手术对照的脑电图进行比较。
海马内注射红藻氨酸(或生理盐水)的实验在小鼠约8周龄时开始。在注射红藻氨酸的小鼠和假手术对照中,术后6周,即约14周龄时,通过海马电极进行连续视频脑电图记录。比较注射红藻氨酸的小鼠和实验对照之间连续三天的视频脑电图监测结果。
如先前报道,注射红藻氨酸的小鼠表现出两种高度频繁的脑电图癫痫发作:高压尖波,通常为单形性,以及多形性海马阵发性放电。此外,很少观察到全身性惊厥性临床发作。在假手术对照中未观察到这些脑电图或电临床癫痫发作。假手术对照中唯一偶尔观察到的脑电图异常是孤立的尖波或尖波簇,在癫痫小鼠中也有记录。
通过与假手术对照的脑电图进行明确比较,本研究严格证明,在该模型中观察到的非惊厥性阵发性事件是诱导癫痫的结果,而不是某些实验对照小鼠预期的脑电图特征或手术程序无意诱导的特征。