Department of Neuroscience, University of Minnesota, Minneapolis, MN, USA.
J Physiol. 2020 Jan;598(1):171-187. doi: 10.1113/JP278747. Epub 2019 Dec 9.
KEY POINTS: On-demand optogenetic inhibition of glutamatergic neurons in the fastigial nucleus of the cerebellum does not alter hippocampal seizures in a mouse model of temporal lobe epilepsy. In contrast, on-demand optogenetic excitation of glutamatergic neurons in the fastigial nucleus successfully inhibits hippocampal seizures. With this approach, even a single 50 ms pulse of light is able to significantly inhibit seizures. On-demand optogenetic excitation of glutamatergic fastigial neurons either ipsilateral or contralateral to the seizure focus is able to inhibit seizures. Selective excitation of glutamatergic nuclear neurons provides greater seizure inhibition than broadly exciting nuclear neurons without cell-type specificity. ABSTRACT: Temporal lobe epilepsy is the most common form of epilepsy in adults, but current treatment options provide limited efficacy, leaving as many as one-third of patients with uncontrolled seizures. Recently, attention has shifted towards more closed-loop therapies for seizure control, and on-demand optogenetic modulation of the cerebellar cortex was shown to be highly effective at attenuating hippocampal seizures. Intriguingly, both optogenetic excitation and inhibition of cerebellar cortical output neurons, Purkinje cells, attenuated seizures. The mechanisms by which the cerebellum impacts seizures, however, are unknown. In the present study, we targeted the immediate downstream projection of vermal Purkinje cells - the fastigial nucleus - in order to determine whether increases and/or decreases in fastigial output can underlie seizure cessation. Though Purkinje cell input to fastigial neurons is inhibitory, direct optogenetic inhibition of the fastigial nucleus had no effect on seizure duration. Conversely, however, fastigial excitation robustly attenuated hippocampal seizures. Seizure cessation was achieved at multiple stimulation frequencies, regardless of laterality relative to seizure focus, and even with single light pulses. Seizure inhibition was greater when selectively targeting glutamatergic fastigial neurons than when an approach that lacked cell-type specificity was used. Together, these results suggest that stimulating excitatory neurons in the fastigial nucleus may be a promising approach for therapeutic intervention in temporal lobe epilepsy.
要点:小脑顶核谷氨酸能神经元按需光遗传学抑制不会改变颞叶癫痫小鼠模型中的海马发作。相反,小脑顶核谷氨酸能神经元按需光遗传学兴奋成功抑制海马发作。通过这种方法,即使单个 50ms 的光脉冲也能显著抑制发作。对痫灶同侧或对侧小脑顶核谷氨酸能神经元进行按需光遗传学兴奋均可抑制发作。与非特异性兴奋核神经元相比,选择性兴奋核神经元可提供更大的发作抑制作用。
摘要:成人癫痫最常见的形式是颞叶癫痫,但目前的治疗选择疗效有限,多达三分之一的患者癫痫发作无法控制。最近,人们的注意力转向了更具闭环特性的癫痫治疗方法,按需光遗传学调节小脑皮层被证明在减轻海马发作方面非常有效。有趣的是,小脑皮层输出神经元浦肯野细胞的光遗传学兴奋和抑制都能减轻癫痫发作。然而,小脑影响癫痫发作的机制尚不清楚。在本研究中,我们针对小脑蚓部浦肯野细胞的直接下游投射——小脑顶核,以确定增加和/或减少顶核输出是否是癫痫发作停止的原因。尽管浦肯野细胞对顶核神经元的输入是抑制性的,但直接用光遗传学抑制顶核对发作持续时间没有影响。相反,顶核兴奋却能强烈抑制海马发作。在多个刺激频率下都能达到发作停止,与痫灶的偏侧性无关,甚至单次光脉冲也能达到发作停止。当选择性靶向谷氨酸能顶核神经元时,发作抑制作用大于缺乏细胞特异性的方法。总之,这些结果表明,刺激顶核中的兴奋性神经元可能是颞叶癫痫治疗干预的一种有前途的方法。
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