Department of Neurological Surgery, UCSF, San Francisco, CA, USA.
Department of Neurological Surgery, SFVAMC, San Francisco, CA, USA.
J Cereb Blood Flow Metab. 2020 Sep;40(9):1778-1796. doi: 10.1177/0271678X19877889. Epub 2019 Sep 26.
The functional consequences of ischemic stroke in the remote brain regions are not well characterized. The current study sought to determine changes in hippocampal oscillatory activity that may underlie the cognitive impairment observed following distal middle cerebral artery occlusion (dMCAO) without causing hippocampal structural damage. Local field potentials were recorded from the dorsal hippocampus and cortex in urethane-anesthetized rats with multichannel silicon probes during dMCAO and reperfusion, or mild ischemia induced by bilateral common carotid artery occlusion (CCAO). Bilateral change of brain state was evidenced by reduced theta/delta amplitude ratio and shortened high theta duration following acute dMCAO but not CCAO. An aberrant increase in the occurrence of sharp-wave-associated ripples (150-250 Hz), crucial for memory consolidation, was only detected after dMCAO reperfusion, coinciding with an increased occurrence of high-frequency discharges (250-450 Hz). dMCAO also significantly affected the modulation of gamma amplitude in the cortex coupled to hippocampal theta phase, although both hippocampal theta and gamma power were temporarily decreased during dMCAO. Our results suggest that MCAO may disrupt the balance between excitatory and inhibitory circuits in the hippocampus and alter the function of cortico-hippocampal network, providing a novel insight in how cortical stroke affects function in remote brain regions.
缺血性脑卒中对远隔脑区的功能影响尚未完全阐明。本研究旨在确定海马区振荡活动的变化,这些变化可能是由于远端大脑中动脉闭塞(dMCAO)而导致认知障碍,但不会引起海马结构损伤。在多通道硅探针记录的麻醉大鼠背侧海马区和皮质区的局部场电位,在 dMCAO 和再灌注期间,或双侧颈总动脉闭塞(CCAO)诱导的轻度缺血期间。急性 dMCAO 后,双脑状态的变化表现为θ/δ振幅比降低和高θ持续时间缩短,但 CCAO 后无此变化。只有在 dMCAO 再灌注后才检测到与记忆巩固密切相关的尖波相关涟漪(150-250 Hz)的异常增加,同时高频放电(250-450 Hz)的发生也增加。dMCAO 还显著影响与海马θ相位耦合的皮质γ振幅的调制,尽管 dMCAO 期间海马θ和γ功率均暂时降低。我们的结果表明,MCAO 可能破坏海马区兴奋和抑制回路之间的平衡,并改变皮质海马网络的功能,为皮质性脑卒中如何影响远隔脑区的功能提供了新的见解。