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深部脑刺激通过改变快速眼动睡眠和非快速眼动睡眠期间的δ波功率来提高癫痫阈值。

Deep Brain Stimulation Increases Seizure Threshold by Altering REM Sleep and Delta Powers During NREM Sleep.

作者信息

Tseng Hsin-Tzu, Hsiao Yi-Tse, Yi Pei-Lu, Chang Fang-Chia

机构信息

Department of Veterinary Medicine, School of Veterinary Medicine, National Taiwan University, Taipei, Taiwan.

Department of Sport Management, College of Tourism, Leisure and Sports, Aletheia University, Taipei, Taiwan.

出版信息

Front Neurol. 2020 Aug 12;11:752. doi: 10.3389/fneur.2020.00752. eCollection 2020.

Abstract

We previously demonstrated that seizure occurrences at different zeitgeber times alter sleep and circadian rhythm differently. On the other hand, the synchronized delta wave of electroencephalogram (EEG) during non-rapid eye movement (NREM) sleep facilitates seizure, while the desynchronized EEG of rapid eye movement (REM) sleep suppresses it. We also elucidated that unilateral deep brain stimulation (DBS) of the anterior nucleus of thalamus (ANT) suppresses seizure recurrence. In the present study, we intraperitoneally injected pentylenetetrazol (PTZ, 40 mg/kg) for 14 consecutive days (PTZ kindling) to induce spontaneous seizure in rats, and a 30-min (delivered 10 min before each PTZ injection) or a 3-h DBS of unilateral ANT (delivered 1 h before each PTZ injection) was applied to suppress seizure. The frequency of DBS stimulation was 200 Hz and the electrical current consisted of biphasic square pulses with 50-μA intensity, 100-μs pulse width, and 4.1-ms stimulation interval. Our results found that PTZ-induced spontaneous seizure did not cause a significant change in the quantity of NREM sleep but suppressed the amount of REM sleep. Unilateral ANT DBS prolonged the onset latency of ictal seizure, decreased the spontaneous seizure duration, and increased the survival rate but did not change the amplitude of epileptiform EEGs during ictal period. Unilateral ANT DBS did not significantly alter NREM sleep but increased the amount of REM sleep. An analysis of the spectrograms of fast Fourier transform indicated that the intensities of all frequencies were enhanced during the PTZ-induced ictal period and the subsequent spontaneous seizure. Thirty minutes of unilateral ANT DBS suppressed the augmentation of low-frequency (<10 Hz) intensities during the spontaneous seizure induced by PTZ kindling. We further found that consecutive injections of PTZ progressively increased the enhancement of the delta powers during NREM sleep, whereas unilateral ANT DBS inhibited this progressive enhancement. It was also noticed that 30 min of ANT DBS exhibited a better efficacy in epilepsy suppression than 3 h of ANT DBS. These results elucidated that unilateral ANT DBS enhanced the seizure threshold by increasing the amount of REM sleep and decreasing the progressive enhancement of delta power during NREM sleep to suppress spontaneous seizure recurrences in PTZ kindling-induced epileptic rats.

摘要

我们之前证明,在不同的授时因子时间发生的癫痫发作对睡眠和昼夜节律的影响不同。另一方面,非快速眼动(NREM)睡眠期间脑电图(EEG)的同步化δ波促进癫痫发作,而快速眼动(REM)睡眠的去同步化EEG则抑制癫痫发作。我们还阐明,丘脑前核(ANT)的单侧深部脑刺激(DBS)可抑制癫痫复发。在本研究中,我们连续14天腹腔注射戊四氮(PTZ,40mg/kg)(PTZ点燃)以诱导大鼠自发性癫痫发作,并应用30分钟(在每次PTZ注射前10分钟给予)或单侧ANT的3小时DBS(在每次PTZ注射前1小时给予)来抑制癫痫发作。DBS刺激频率为200Hz,电流由强度为50μA、脉冲宽度为100μs、刺激间隔为4.1ms的双相方波脉冲组成。我们的结果发现,PTZ诱导的自发性癫痫发作并未导致NREM睡眠量的显著变化,但抑制了REM睡眠量。单侧ANT DBS延长了发作性癫痫的发作潜伏期,缩短了自发性癫痫发作持续时间,并提高了存活率,但并未改变发作期癫痫样EEG的幅度。单侧ANT DBS并未显著改变NREM睡眠,但增加了REM睡眠量。快速傅里叶变换频谱图分析表明,在PTZ诱导的发作期及随后的自发性癫痫发作期间,所有频率的强度均增强。30分钟的单侧ANT DBS抑制了PTZ点燃诱导的自发性癫痫发作期间低频(<10Hz)强度的增强。我们进一步发现,连续注射PTZ会逐渐增加NREM睡眠期间δ波功率的增强,而单侧ANT DBS则抑制了这种逐渐增强。还注意到,30分钟的ANT DBS在癫痫抑制方面比3小时的ANT DBS表现出更好的疗效。这些结果阐明,单侧ANT DBS通过增加REM睡眠量和减少NREM睡眠期间δ波功率的逐渐增强来提高癫痫阈值,从而抑制PTZ点燃诱导的癫痫大鼠的自发性癫痫复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf73/7434934/e138d92fffaa/fneur-11-00752-g0001.jpg

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本文引用的文献

2
The role of adenosine in epilepsy.
Brain Res Bull. 2019 Sep;151:46-54. doi: 10.1016/j.brainresbull.2018.11.008. Epub 2018 Nov 20.
3
The delta between postoperative seizure freedom and persistence: Automatically detected focal slow waves after epilepsy surgery.
Neuroimage Clin. 2016 Dec 5;13:256-263. doi: 10.1016/j.nicl.2016.12.001. eCollection 2017.
4
Restoring Conscious Arousal During Focal Limbic Seizures with Deep Brain Stimulation.
Cereb Cortex. 2017 Mar 1;27(3):1964-1975. doi: 10.1093/cercor/bhw035.
5
Deep brain stimulation of anterior nucleus thalami disrupts sleep in epilepsy patients.
Epilepsia. 2015 Aug;56(8):e99-e103. doi: 10.1111/epi.13045. Epub 2015 Jun 4.
6
Deep brain stimulation for the treatment of epilepsy: circuits, targets, and trials.
Neurotherapeutics. 2014 Jul;11(3):508-26. doi: 10.1007/s13311-014-0279-9.
9
Excessive daytime sleepiness and epilepsy: a systematic review.
Epilepsy Res Treat. 2013;2013:629469. doi: 10.1155/2013/629469. Epub 2013 Oct 31.

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