Department of Inorganic, Organic and Biochemistry, Faculty of Chemical and Technological Sciences, School of Medicine of Ciudad Real, Universidad de Castilla-La Mancha, Regional Centre of Biomedical Research (CRIB), Avenida Camilo José Cela, 10, 13071, Ciudad Real, Spain.
Cell Mol Neurobiol. 2022 Jul;42(5):1501-1512. doi: 10.1007/s10571-021-01041-2. Epub 2021 Jan 25.
One of the most frequent neurological disorders in children is febrile seizures (FS), a risk for epilepsy in adults. Glutamate is the main excitatory neurotransmitter in CNS acting through ionotropic and metabotropic receptors. Excess of glutamate in the extracellular space elicits excitotoxicity and has been associated with neurological disorders, such as epilepsy. The removal of extracellular glutamate by excitatory amino acid transporters (EATT) plays an important neuroprotective role. GLT-1 is the main EAAT present in the cortex brain. On the other hand, an increase in metabotropic glutamate receptors 5 (mGluR) levels or their overstimulation have been related to the appearance of seizure events in different animal models and in temporal lobe epilepsy in humans. In this work, the status of several components of the glutamatergic system has been analysed in the cortex brain from an FS rat model at short (48 h) and long (20 days) term after hyperthermia-induced seizures. At the short term, we detected increased GLT-1 levels, reduced glutamate concentration, and unchanged mGluR levels, without neuronal loss. However, at the long term, an increase in mGluR levels together with a decrease in both GLT-1 and glutamate levels were observed. These changes were associated with the appearance of an anxious phenotype. These results suggest a neuroprotective role of the glutamatergic components mGluR and GLT-1 at the short term. However, this neuroprotective effect seems to be lost at the long term, leading to an anxious phenotype and suggesting an increased vulnerability and propensity to epileptic events in adults.
儿童最常见的神经紊乱之一是热性惊厥(FS),这是成年人癫痫的一个风险因素。谷氨酸是中枢神经系统中的主要兴奋性神经递质,通过离子型和代谢型受体发挥作用。细胞外谷氨酸过多会引发兴奋性毒性,并与神经紊乱有关,如癫痫。兴奋性氨基酸转运体(EATT)将细胞外谷氨酸清除,从而发挥重要的神经保护作用。GLT-1 是大脑皮层中主要的 EAAT。另一方面,代谢型谷氨酸受体 5(mGluR)水平的增加或过度刺激与不同动物模型和人类颞叶癫痫中的癫痫发作事件的出现有关。在这项工作中,分析了发热诱导的癫痫发作后短期(48 小时)和长期(20 天)FS 大鼠模型皮层脑内谷氨酸能系统的几个成分的状态。在短期,我们检测到 GLT-1 水平升高、谷氨酸浓度降低和 mGluR 水平不变,没有神经元丢失。然而,在长期,mGluR 水平增加,同时 GLT-1 和谷氨酸水平降低。这些变化与焦虑表型的出现有关。这些结果表明,在短期,谷氨酸能成分 mGluR 和 GLT-1 发挥神经保护作用。然而,这种神经保护作用似乎在长期内丧失,导致焦虑表型,并表明成年人对癫痫发作事件的易感性和易发性增加。