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喹啉酸诱导的癫痫发作而非神经细胞死亡,与通过脑透析评估的海马细胞外钙离子减少有关。

Quinolinic acid-induced seizures, but not nerve cell death, are associated with extracellular Ca2+ decrease assessed in the hippocampus by brain dialysis.

作者信息

Vezzani A, Wu H Q, Angelico P, Stasi M A, Samanin R

机构信息

Istituto di Ricerche Farmacologiche Mario Negri, Milano, Italy.

出版信息

Brain Res. 1988 Jun 28;454(1-2):289-97. doi: 10.1016/0006-8993(88)90829-3.

Abstract

Seizures, neuronal damage and extracellular Ca2+ concentration were studied in rats unilaterally injected in the dorsal hippocampus with quinolinic acid, a brain metabolite with excitotoxic properties. In freely moving animals, in the first 2 h after the injection of a convulsant and neurotoxic dose (156 nmol), quinolinic acid induced a tetrodotoxin-insensitive decrease in the extracellular Ca2+ concentration (nadir 40%) in the injected area, as assessed by brain dialysis coupled to a fluorimetric method for Ca2+ detection. Blockade of quinolinic acid-induced decrements in Ca2+ by 15.6 nmol D-(-)2-amino-7-phosphonoheptanoic acid indicated that this effect was receptor-mediated. Dose-response relationships showed a close association between seizure activity (measured by EEG) and extracellular Ca2+ changes in the injected area. Changes in Ca2+ were apparent at the site of injection prior to the onset of focal seizures and they were not found in the homotypic structure where seizures were conducted. Drugs effective in blocking seizures (carbamazepine and flunarizine) prevented the fall in extracellular Ca2+, while drugs without anticonvulsant activity (ethosuximide and nifedipine) did not. Destruction of nerve cells by quinolinic acid was not prevented by treatment with carbamazepine and flunarizine. The results suggest that the fall in extracellular Ca2+ observed in the first 2 h after quinolinic acid, probably reflecting the ion influx into neurons, is involved in triggering focal seizures but is not related to the occurrence of nerve cell death.

摘要

在单侧海马背侧注射具有兴奋性毒性的脑代谢产物喹啉酸的大鼠中,研究了癫痫发作、神经元损伤和细胞外钙离子浓度。在自由活动的动物中,注射惊厥和神经毒性剂量(156纳摩尔)的喹啉酸后的最初2小时内,通过与钙离子荧光检测的脑透析评估,喹啉酸诱导注射区域细胞外钙离子浓度出现对河豚毒素不敏感的降低(最低点为40%)。15.6纳摩尔的D-(-)-2-氨基-7-膦酰庚酸对喹啉酸诱导的钙离子降低的阻断表明这种作用是受体介导的。剂量-反应关系显示癫痫发作活动(通过脑电图测量)与注射区域细胞外钙离子变化之间密切相关。在局灶性癫痫发作开始之前,注射部位的钙离子变化就很明显,而在癫痫发作传导的同型结构中未发现这种变化。有效阻断癫痫发作的药物(卡马西平和氟桂利嗪)可防止细胞外钙离子下降,而无抗惊厥活性的药物(乙琥胺和硝苯地平)则不能。卡马西平和氟桂利嗪治疗不能预防喹啉酸对神经细胞的破坏。结果表明,喹啉酸后最初2小时内观察到的细胞外钙离子下降,可能反映了离子流入神经元,参与触发局灶性癫痫发作,但与神经细胞死亡的发生无关。

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