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蓝斑刺激对青霉素诱导的局灶性癫痫样活动的抑制作用:由α1-肾上腺素能受体介导。

Suppression of penicillin-induced focal epileptiform activity by locus ceruleus stimulation: mediation by an alpha 1-adrenoceptor.

作者信息

Neuman R S

出版信息

Epilepsia. 1986 Jul-Aug;27(4):359-66. doi: 10.1111/j.1528-1157.1986.tb03554.x.

Abstract

Application of penicillin to the cerebral cortex of anesthetized rats by pressure ejection from a micropipette resulted in the appearance of focal epileptiform activity with low rates of penicillin release and focal penicillin spikes with higher rates. Electrical stimulation of the locus ceruleus (LC), a major norepinephrine-containing nucleus in the brainstem, or of its axons projecting to the forebrain, the dorsal noradrenergic bundle, suppressed penicillin-induced focal epileptiform activity but was less effective in suppressing focal penicillin spikes. Depletion of monoamines with reserpine blocked the suppressant effect of LC stimulation. Neither the selective depletion of 5-hydroxytryptamine with p-chlorophenylalanine nor administration of methysergide reduced the effectiveness of LC stimulation, suggesting that 5-hydroxytryptamine probably does not mediate the suppression. Pimozide partially antagonized the suppression of focal epileptiform activity induced by LC stimulation, which is consistent with antagonism of alpha-adrenoceptors but not dopamine receptors. beta-Receptor antagonists did not block the suppression of focal epileptiform activity by LC stimulation, suggesting that beta-receptors are not important in the observed suppression. Prazosin, a selective alpha 1-antagonist, at low doses blocked the suppression of focal epileptiform activity by LC stimulation whereas yohimbine, an alpha 2-antagonist enhanced the stimulation-induced suppression. Taken together, the data are consistent with LC and dorsal bundle stimulation releasing norepinephrine, which in turn suppresses focal epileptiform activity by an action mediated by an alpha 1-adrenoceptor.

摘要

通过微量移液器压力喷射将青霉素应用于麻醉大鼠的大脑皮层,在青霉素释放速率较低时会出现局灶性癫痫样活动,而在释放速率较高时会出现局灶性青霉素尖峰。电刺激蓝斑(LC),即脑干中一个主要的含去甲肾上腺素的核团,或其投射到前脑的轴突,即背侧去甲肾上腺素能束,可抑制青霉素诱导的局灶性癫痫样活动,但在抑制局灶性青霉素尖峰方面效果较差。利血平耗竭单胺类物质可阻断LC刺激的抑制作用。用对氯苯丙氨酸选择性耗竭5-羟色胺或给予麦角新碱均未降低LC刺激的有效性,这表明5-羟色胺可能不介导这种抑制作用。匹莫齐特部分拮抗了LC刺激诱导的局灶性癫痫样活动的抑制作用,这与α-肾上腺素能受体而非多巴胺受体的拮抗作用一致。β-受体拮抗剂并未阻断LC刺激对局灶性癫痫样活动的抑制作用,这表明β-受体在观察到的抑制作用中并不重要。低剂量的选择性α1-拮抗剂哌唑嗪可阻断LC刺激对局灶性癫痫样活动的抑制作用,而α2-拮抗剂育亨宾则增强了刺激诱导的抑制作用。综上所述,这些数据表明LC和背侧束刺激释放去甲肾上腺素,而去甲肾上腺素又通过α1-肾上腺素能受体介导的作用来抑制局灶性癫痫样活动。

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