Department of Comparative Medicine, Stanford University, Stanford, California.
Department of Medicine-Pulmonary and Critical Care, Stanford University, Stanford, California.
Epilepsia. 2020 May;61(5):856-867. doi: 10.1111/epi.16490. Epub 2020 Apr 3.
The present study tested whether ictal onset sites are regions of more severe interneuron loss in epileptic pilocarpine-treated rats, a model of human temporal lobe epilepsy.
Local field potential recordings were evaluated to identify ictal onset sites. Electrode sites were visualized in Nissl-stained sections. Adjacent sections were processed with proximity ligation in situ hybridization for glutamic acid decarboxylase 2 (Gad2). Gad2 neuron profile numbers at ictal onset sites were compared to contralateral regions. Other sections were processed with immunocytochemistry for reelin or nitric oxide synthase (NOS), which labeled major subtypes of granule cell layer-associated interneurons. Stereology was used to estimate numbers of reelin and NOS granule cell layer-associated interneurons per hippocampus.
Ictal onset sites varied between and within rats but were mostly in the ventral hippocampus and were frequently bilateral. There was no conclusive evidence of more severe Gad2 neuron profile loss at sites of earliest seizure activity compared to contralateral regions. Numbers of granule cell layer-associated NOS neurons were reduced in the ventral hippocampus.
In epileptic pilocarpine-treated rats, ictal onset sites were mostly in the ventral hippocampus, where there was loss of granule cell layer-associated NOS interneurons. These findings suggest the hypothesis that loss of granule cell layer-associated NOS interneurons in the ventral hippocampus is a mechanism of temporal lobe epilepsy.
本研究旨在检测癫痫匹鲁卡品治疗大鼠(人类颞叶癫痫模型)的癫痫发作起始部位是否为中间神经元丢失更严重的区域。
评估局部场电位记录以确定癫痫发作起始部位。在尼氏染色切片中观察电极部位。用邻近原位杂交进行谷氨酸脱羧酶 2(Gad2)的接近性连接。将发作起始部位的 Gad2 神经元轮廓数与对侧区域进行比较。其他切片用再蛋白或一氧化氮合酶(NOS)免疫细胞化学处理,标记颗粒细胞层相关中间神经元的主要亚型。立体学用于估计每个海马体中再蛋白和 NOS 颗粒细胞层相关中间神经元的数量。
癫痫发作起始部位在大鼠之间和大鼠内部变化,但主要在海马腹侧,且经常是双侧的。与对侧区域相比,在最早的癫痫发作活动部位没有明确证据表明 Gad2 神经元轮廓丢失更严重。颗粒细胞层相关 NOS 神经元数量在海马腹侧减少。
在癫痫匹鲁卡品治疗大鼠中,癫痫发作起始部位主要在海马腹侧,那里有颗粒细胞层相关 NOS 中间神经元的丢失。这些发现提示了一个假设,即海马腹侧颗粒细胞层相关 NOS 中间神经元的丢失是颞叶癫痫的一种机制。