University of Bordeaux, Bordeaux Neurocampus, IMN, UMR CNRS 5293, 33076 Bordeaux, France.
Department of Clinical Neurosciences, Bordeaux University Hospital, 33076 Bordeaux, France.
Cereb Cortex. 2020 Nov 3;30(12):6469-6480. doi: 10.1093/cercor/bhaa212.
OBJECTIVE: Whether the basal ganglia are involved in the cortical synchronization during focal seizures is still an open question. In the present study, we proposed to synchronize cortico-striatal activities acutely inducing striatal disinhibition, performing GABA-antagonist injections within the putamen in primates. METHOD: Experiments were performed on three fascicularis monkeys. During each experimental session, low volumes of bicuculline (0.5-4 μL) were injected at a slow rate of 1 μL/min. Spontaneous behavioral changes were classified according to Racine's scale modified for primates. These induced motor behaviors were correlated with electromyographic, electroencephalographic, and putaminal and pallidal local field potentials changes in activity. RESULTS: acute striatal desinhibition induced focal motor seizures. Seizures were closely linked to cortical epileptic activity synchronized with a striatal paroxysmal activity. These changes in striatal activity preceded the cortical epileptic activity and the induced myoclonia, and both cortical and subcortical activities were coherently synchronized during generalized seizures. INTERPRETATION: Our results strongly suggest the role of the sensorimotor striatum in the regulation and synchronization of cortical excitability. These dramatic changes in the activity of this "gating" pathway might influence seizure susceptibility by modulating the threshold for the initiation of focal motor seizures.
目的:基底神经节是否参与局灶性癫痫发作期间的皮质同步化仍是一个悬而未决的问题。在本研究中,我们提出通过在灵长类动物的壳核内进行 GABA 拮抗剂注射来急性诱导纹状体抑制,从而同步皮质-纹状体活动。
方法:在三只恒河猴上进行了实验。在每次实验过程中,以 1μL/min 的缓慢速度注射低体积的荷包牡丹碱(0.5-4μL)。根据改良的灵长类 Racine 量表对自发行为变化进行分类。这些诱导的运动行为与肌电图、脑电图以及活动中的壳核和苍白球局部场电位变化相关。
结果:急性纹状体去抑制诱导局灶性运动性癫痫发作。癫痫发作与皮质癫痫活动密切相关,与纹状体阵发性活动同步。这些纹状体活动的变化先于皮质癫痫活动和诱导的肌阵挛,在全身性癫痫发作期间,皮质和皮质下活动都一致地同步。
解释:我们的结果强烈表明感觉运动纹状体在调节和同步皮质兴奋性方面的作用。这条“门控”通路活动的这些剧烈变化可能通过调节局灶性运动性癫痫发作起始的阈值来影响癫痫易感性。
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