Department of Neurology, Keio University School of Medicine, Tokyo, Japan.
Department of Neurology, Daping Hospital, Third Military Medical University, Chongqing, China.
Cephalalgia. 2020 Oct;40(11):1177-1190. doi: 10.1177/0333102420929028. Epub 2020 Jun 2.
Cortical spreading depression is thought to be the underlying mechanism of migraine aura. In 2006, three relatives having the point mutation E700K in exon 15 were diagnosed with familial hemiplegic migraine 2 characterized by complicated forms of aura. Here, we generated a transgenic mouse model having the human E700K mutation in the orthologous gene.
To investigate the characteristics of cortical spreading depression in a mouse model with E700K mutation in the .
Cortical spreading depression was induced by applying stepwise increases of KCl concentration or electrical stimulation intensity to C57BL/6J-Tg(Atp1a2*E700K)9151Kwk mice (Tg, both sexes) and corresponding wild-type animals. Under urethane anesthesia, the responsiveness and threshold to cortical spreading depression were examined and the distribution of c-Fos expression, a neuronal activity marker, was immunohistochemically determined.
Overall, Tg mice showed significantly faster propagation velocity ( < 0.01) and longer full-width-at-half-maximum ( < 0.01) than wild-type animals, representing a slower recovery from direct current potential deflection. The cortical spreading depression threshold tended to be lower in Tg, especially in females. c-Fos-positive cells were significantly enhanced in the ipsilateral somatosensory cortex, piriform cortex, amygdala and striatum (each < 0.05 vs. contralateral side). Numbers of c-Fos positive cells were significantly higher in the ipsilateral amygdala of Tg, as compared with wild-type animals ( < 0.01).
The effect of cortical spreading depression may be greater in E700K transgenic mice than that in wild-type animals, while the threshold for cortical spreading depression shows little change. Higher c-Fos expression in the amygdala may indicate alterations of the limbic system in Tg, suggesting an enhanced linkage between cortical spreading depression and amygdala connectivity in familial hemiplegic migraine 2 patients.
皮质扩散性抑制被认为是偏头痛先兆的潜在机制。2006 年,3 名亲属在第 15 外显子中发现 E700K 点突变,被诊断为家族性偏瘫性偏头痛 2 型,其先兆表现形式复杂。在此,我们构建了一个在同源基因中具有 E700K 突变的转基因小鼠模型。
研究具有 E700K 突变的. 中的皮质扩散性抑制的特征。
通过逐步增加 KCl 浓度或电刺激强度,在 C57BL/6J-Tg(Atp1a2*E700K)9151Kwk 小鼠(Tg,雌雄)及其相应的野生型动物中诱导皮质扩散性抑制。在乌拉坦麻醉下,检测皮质扩散性抑制的反应性和阈值,并通过免疫组织化学方法确定神经元活性标志物 c-Fos 的表达分布。
总体而言,Tg 小鼠的传播速度明显更快( < 0.01),全宽半最大值更长( < 0.01),表明其对直流电位偏置的恢复较慢。皮质扩散性抑制阈值在 Tg 中趋于较低,尤其是在雌性中。与对侧相比,同侧体感皮层、梨状皮层、杏仁核和纹状体中的 c-Fos 阳性细胞显著增加(均为 < 0.05)。与野生型动物相比,Tg 动物同侧杏仁核中的 c-Fos 阳性细胞数量显著增加( < 0.01)。
E700K 转基因小鼠中皮质扩散性抑制的作用可能大于野生型动物,而皮质扩散性抑制的阈值变化不大。杏仁核中 c-Fos 表达的增加可能表明 Tg 中的边缘系统发生了改变,这表明家族性偏瘫性偏头痛 2 型患者中皮质扩散性抑制与杏仁核连接之间的联系增强。