Swartzwelder H S, Anderson W W, Wilson W A
Department of Medicine, Duke University, Durham, NC.
Epilepsy Res. 1988 Jul-Aug;2(4):239-45. doi: 10.1016/0920-1211(88)90014-9.
We recently have described a new model of ictal-like electrographic activity in the hippocampal slice. When magnesium is eliminated from the medium bathing the hippocampal slice, spontaneously occurring electrical events which closely resemble electrographic seizures can be recorded extracellularly from area CA3. In order to begin to understand the mechanisms of initiation and termination of these seizures, the present study investigated the role of GABAa-mediated inhibition in these processes. Prior to the onset of a seizure recorded from stratum pyramidale of CA3, a twin-pulse stimulus to stratum radiatum of CA3 evoked twin EPSPs. Following the seizure, the same stimulation triggered a strong epileptiform burst. This is consistent with the known reduction of GABAa inhibition after seizures in vivo. Addition of bicuculline, picrotoxin, or penicillin, which reduce the efficacy of GABAa-mediated inhibition in this system, caused triggered epileptiform bursting to occur prior to the seizure as well. They also lowered the threshold for the production of seizures, facilitating their spontaneous occurrence or elicitation by fewer stimulus pulses. This suggests that the GABAa inhibition present in magnesium-free (0-Mg) plus baclofen medium tends to suppress the onset of seizures and raises the seizure threshold. However, these drugs did not prolong the ictal events. This suggests that in this model, GABAa-mediated inhibition is not responsible for termination of the seizure-like activity. Although there is some potentiation of the tonic firing phase of the seizures under these conditions, there is no gross change in the morphology of the events when inhibition is suppressed. In this model, therefore, GABAa-mediated inhibition plays a limited role in determining the structure and duration of the ictal events, but may contribute to the seizure threshold.
我们最近描述了一种海马切片中发作样电活动的新模型。当从浸泡海马切片的培养基中去除镁时,可以从CA3区细胞外记录到与电图癫痫发作非常相似的自发电事件。为了开始理解这些癫痫发作的起始和终止机制,本研究调查了GABAa介导的抑制在这些过程中的作用。在从CA3锥体层记录到癫痫发作之前,对CA3辐射层的双脉冲刺激诱发了双兴奋性突触后电位(EPSP)。癫痫发作后,相同的刺激引发了强烈的癫痫样爆发。这与体内癫痫发作后已知的GABAa抑制作用降低一致。添加荷包牡丹碱、印防己毒素或青霉素,这些物质会降低该系统中GABAa介导的抑制作用,也会导致在癫痫发作之前就出现触发的癫痫样爆发。它们还降低了癫痫发作产生的阈值,促进了癫痫发作的自发发生或通过较少的刺激脉冲诱发。这表明在无镁(0-Mg)加巴氯芬培养基中存在的GABAa抑制倾向于抑制癫痫发作的起始并提高癫痫发作阈值。然而,这些药物并没有延长发作事件。这表明在这个模型中,GABAa介导的抑制作用与癫痫样活动的终止无关。尽管在这些条件下癫痫发作的强直放电阶段有一些增强,但当抑制作用被抑制时,事件的形态没有明显变化。因此,在这个模型中,GABAa介导的抑制在决定发作事件的结构和持续时间方面作用有限,但可能有助于癫痫发作阈值。