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在乙琥胺诱导的戊四氮惊厥抑制过程中乳头体及其连接的选择性代谢激活。

Selective metabolic activation of the mammillary bodies and their connections during ethosuximide-induced suppression of pentylenetetrazol seizures.

作者信息

Mirski M A, Ferrendelli J A

出版信息

Epilepsia. 1986 May-Jun;27(3):194-203. doi: 10.1111/j.1528-1157.1986.tb03528.x.

Abstract

Electroencephalographic (EEG) activity and regional [14C]2-deoxyglucose incorporation in brain were examined in guinea pigs treated with pentylenetetrazol (PTZ), ethosuximide (ESM), phenytoin (PHT), or combinations of these drugs. Convulsant doses of PTZ induced EEG epileptiform discharges in paralyzed and ventilated animals and resulted in a large increase in labeled glucose accumulation in essentially all brain areas. ESM alone depressed EEG activity and accumulation of label, whereas PHT alone had little or no effect. Autoradiographs of PTZ-infused animals pretreated with PHT, which facilitated the onset and increased the severity of the PTZ seizures, were similar to those of animals treated with convulsant alone, with additional label uptake in the globus pallidus and substantia nigra. Pretreatment of PTZ-infused animals with sufficient ESM to prevent most EEG spike activity reduced glucose incorporation in most brain regions, but increased it in some. Selective enhancement of label uptake was observed in the mammillary bodies, mammillothalamic tracts, the anterior nuclei of the thalamus, the mammillary peduncles, and the dorsal and ventral tegmental nuclei of the midbrain. These data suggest that the mammillary nuclei and their projections to the anterior thalamic nucleus and their reciprocal projections to and from the tegmental nuclei may be important in the mediation of seizure activity induced by PTZ and/or the anticonvulsant action of ESM.

摘要

在接受戊四氮(PTZ)、乙琥胺(ESM)、苯妥英(PHT)或这些药物组合治疗的豚鼠中,检测了脑电图(EEG)活动和大脑中区域[14C]2-脱氧葡萄糖的摄取情况。惊厥剂量的PTZ在麻痹和通气的动物中诱发EEG癫痫样放电,并导致基本上所有脑区标记葡萄糖积累大幅增加。单独使用ESM可降低EEG活动和标记物的积累,而单独使用PHT几乎没有影响或没有影响。用PHT预处理的接受PTZ注射的动物的放射自显影片,促进了PTZ癫痫发作的发作并增加了其严重程度,与单独用惊厥剂治疗的动物相似,苍白球和黑质有额外的标记物摄取。用足够的ESM预处理接受PTZ注射的动物以防止大多数EEG尖峰活动,可降低大多数脑区的葡萄糖摄取,但在一些脑区会增加。在乳头体、乳头丘脑束、丘脑前核、乳头脚以及中脑的背侧和腹侧被盖核中观察到标记物摄取的选择性增强。这些数据表明,乳头核及其向前丘脑核的投射以及它们与被盖核之间的相互投射可能在介导PTZ诱导的癫痫活动和/或ESM的抗惊厥作用中起重要作用。

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