Okazaki M M, Nadler J V
Department of Pharmacology, Duke University Medical Center, Durham, NC 27710.
Neuroscience. 1988 Sep;26(3):763-81. doi: 10.1016/0306-4522(88)90097-8.
The effects of a hippocampal mossy fiber lesion have been determined on neuronal degeneration and limbic seizures provoked by the subsequent intracerebroventricular administration of kainic acid to unanesthetized rats. Mossy fiber lesions were made either by transecting this pathway unilaterally or by destroying the dentate granule cells unilaterally or bilaterally with colchicine. All control rats eventually developed status epilepticus and each temporally discrete seizure that preceded status epilepticus was recorded from the hippocampus ipsilateral to the kainic acid infusion before the contralateral hippocampus. A mossy fiber lesion of the ipsilateral hippocampus prevented the development of status epilepticus in 26% of subjects and in 52% of subjects seizures were recorded from the contralateral hippocampus before the ipsilateral hippocampus. Unlike electrographic records from other treatment groups, those from rats which had received a bilateral colchicine lesion exhibited no consistent pattern indicative of seizure propagation from one limbic region to another. A bilateral, but not a unilateral, mossy fiber lesion also dramatically attenuated the behavioral expression of the seizures. Regardless of its effects on kainic acid-induced electrographic and behavioral seizures, a mossy fiber lesion always substantially reduced or completely prevented the degeneration of ipsilateral hippocampal CA3-CA4 neurons. This protective effect was specific for those hippocampal neurons deprived of mossy fiber innervation. Neurons in other regions of the brain were protected from degeneration only when the mossy fiber lesion also prevented the development of electrographic status epilepticus. These results suggest that the hippocampal mossy fibers constitute an important, though probably not an obligatory, link in the circuit responsible for the spread of kainic acid seizures. Degeneration of CA3-CA4 neurons appears to depend upon (1) the duration of hippocampal seizure activity and (2) an as yet undefined influence of or interaction with the mossy fiber projection which enhances the neurodegenerative effect of the seizures.
已确定海马苔藓纤维损伤对未麻醉大鼠随后经脑室内注射 kainic 酸引发的神经元变性和边缘性癫痫发作的影响。苔藓纤维损伤可通过单侧横断该通路或用秋水仙碱单侧或双侧破坏齿状颗粒细胞来造成。所有对照大鼠最终都发展为癫痫持续状态,并且在癫痫持续状态之前的每一次时间上离散的发作都在对侧海马之前从注射 kainic 酸同侧的海马记录下来。同侧海马的苔藓纤维损伤在 26% 的受试动物中阻止了癫痫持续状态的发展,并且在 52% 的受试动物中,对侧海马的发作先于同侧海马被记录到。与其他治疗组的脑电图记录不同,接受双侧秋水仙碱损伤的大鼠的记录没有显示出表明癫痫发作从一个边缘区域传播到另一个边缘区域的一致模式。双侧而非单侧的苔藓纤维损伤也显著减弱了癫痫发作的行为表现。无论其对 kainic 酸诱导的脑电图和行为性癫痫发作的影响如何,苔藓纤维损伤总是能大幅减少或完全阻止同侧海马 CA3-CA4 神经元的变性。这种保护作用对那些被剥夺苔藓纤维支配的海马神经元是特异性的。只有当苔藓纤维损伤也阻止了脑电图癫痫持续状态的发展时,大脑其他区域的神经元才免受变性。这些结果表明,海马苔藓纤维构成了负责 kainic 酸癫痫发作传播的回路中的一个重要环节,尽管可能不是必需的环节。CA3-CA4 神经元的变性似乎取决于 (1) 海马癫痫活动的持续时间以及 (2) 苔藓纤维投射的一种尚未明确的影响或相互作用,这种影响或相互作用增强了癫痫发作的神经退行性作用。