Yip Ka Lai, Koon Chi Man, Chen Zi Yi, Chook Ping, Leung Ping Chung, Schachter Steven, Leung Wai Hong, Mok Chung Tong, Leung Howan
Department of Medicine and Therapeutics The Chinese University of Hong Kong New Territories Hong Kong.
Institute of Chinese Medicine The Chinese University of Hong Kong New Territories Hong Kong.
Epilepsia Open. 2019 Dec 13;5(1):50-60. doi: 10.1002/epi4.12372. eCollection 2020 Mar.
To investigate the effect of water extract of Gastrodiae Rhizoma (GR) on the development of acquired temporal lobe epilepsy (TLE) and on regulating the expression of the mammalian target of rapamycin (mTOR) and semaphorin 3F (SEMA3F).
A pilocarpine-induced status epilepticus (SE) model was adopted to precipitate injury in the limbic systems. GR and carbamazepine (CBZ) treatments were given to mice for 14 days prior to SE induction to demonstrate the antiepileptic effects and continued for 5 more days to illustrate the effects on histologic studies.
Our results consolidated that GR treatment (92.1 minutes) could delay the SE onset in comparison with the control group (61.5 minutes, = .041). Fewer mice had reached SE with GR treatment (41.7%) when compared with the control group (83.3%, = .044). GR treatment (2.1 hours/mouse) could suppress the number of acute seizures in post-SE survival mice when compared with the control group (4.5 hours/mouse, < .001). The effects of GR treatment were elucidated with the mechanism of actions. GR treatment reduced the overexpression of mTOR (0.27 vs 0.67 AU/mg protein, = .047). GR treatment increased the underexpression of SEMA3F (0.51 vs 0.16 µg/mg protein, = .034). In the histochemical study of microtubule-associated protein 2 (MAP2) staining, our results showed that GR prevented neuronal loss in the GR treatment group (64.8% positively stained pixel area) as compared with the control group (59%, = .014) in the hippocampus. In glial fibrillary acidic protein (GFAP) staining, the severity of astrogliosis was mitigated by the GR treatment (4.1% positively stained pixel area) when compared to the control group (5.6%, = .047) in the hippocampus.
These results provide preclinical evidence to support the use of GR, which could suppress acute seizures and relieve pathological changes in pilocarpine-induced TLE mice. We demonstrated that the antiepileptic effects of GR could be accompanied by mTOR reduction and astrogliosis attenuation.
探讨天麻水提取物(GR)对后天性颞叶癫痫(TLE)发展的影响以及对雷帕霉素哺乳动物靶蛋白(mTOR)和信号素3F(SEMA3F)表达的调节作用。
采用匹鲁卡品诱导的癫痫持续状态(SE)模型引发边缘系统损伤。在诱导SE前14天对小鼠给予GR和卡马西平(CBZ)治疗以证明抗癫痫作用,并持续5天以阐明对组织学研究的影响。
我们的结果证实,与对照组(61.5分钟,P = 0.041)相比,GR治疗(92.1分钟)可延迟SE发作。与对照组(83.3%,P = 0.044)相比,接受GR治疗的小鼠达到SE的比例更低(41.7%)。与对照组(4.5小时/只小鼠,P < 0.001)相比,GR治疗(2.1小时/只小鼠)可抑制SE后存活小鼠的急性癫痫发作次数。通过作用机制阐明了GR治疗的效果。GR治疗降低了mTOR的过表达(0.27对0.67 AU/毫克蛋白,P = 0.047)。GR治疗增加了SEMA3F的低表达(0.51对0.16微克/毫克蛋白,P = 0.034)。在微管相关蛋白2(MAP2)染色的组织化学研究中,我们的结果表明,与对照组(59%,P = 0.014)相比,GR治疗组(64.8%阳性染色像素面积)在海马区可防止神经元丢失。在胶质纤维酸性蛋白(GFAP)染色中,与对照组(5.6%,P = 0.047)相比,GR治疗减轻了海马区星形胶质细胞增生的严重程度(4.1%阳性染色像素面积)。
这些结果提供了临床前证据支持GR的使用,GR可抑制匹鲁卡品诱导的TLE小鼠的急性癫痫发作并缓解病理变化。我们证明GR的抗癫痫作用可能伴随着mTOR的降低和星形胶质细胞增生的减轻。