Department of Neurophysiology, National Institute of Mental Health and Neuro Sciences, Bengaluru, India.
J Neurosci Res. 2021 Jun;99(6):1646-1665. doi: 10.1002/jnr.24823. Epub 2021 Mar 13.
Temporal lobe epilepsy (TLE) is the most common form of focal epilepsies. Pharmacoresistance and comorbidities pose significant challenges to its treatment necessitating the development of non-pharmacological approaches. In an earlier study, exposure to enriched environment (EE) reduced seizure frequency and duration and ameliorated chronic epilepsy-induced depression in rats. However, the cellular basis of beneficial effects of EE remains unknown. Accordingly, in the current study, we evaluated the effects of EE in chronic epilepsy-induced changes in behavioral hyperexcitability, synaptic transmission, synaptophysin (SYN), and calbindin (CB) expression, hippocampal subfield volumes and cell density in male Wistar rats. Epilepsy was induced by lithium-pilocarpine-induced status epilepticus. Chronic epilepsy resulted in behavioral hyperexcitability, decreased basal synaptic transmission, increased paired-pulse facilitation ratio, decreased hippocampal subfields volumes. Moreover, epileptic rats showed decreased synaptophysin and CB expression in the hippocampus. Six weeks post-SE, epileptic rats were exposed to EE for 2 weeks, 6 hr/day. EE significantly reduced the behavioral hyperexcitability and restored basal synaptic transmission correlating with increased expression of SYN and CB. Our results reaffirm the beneficial effects of EE on behavior in chronic epilepsy and establishes some of the putative cellular mechanisms. Since drug resistance and comorbidities are a major concern in TLE, we propose EE as a potent non-pharmacological treatment modality to mitigate these changes in chronic epilepsy.
颞叶癫痫(TLE)是最常见的局灶性癫痫。药物抵抗和合并症对其治疗构成了重大挑战,需要开发非药物治疗方法。在早期的一项研究中,暴露于丰富环境(EE)可减少癫痫发作的频率和持续时间,并改善慢性癫痫诱导的大鼠抑郁。然而,EE 的有益作用的细胞基础尚不清楚。因此,在目前的研究中,我们评估了 EE 对慢性癫痫诱导的行为过度兴奋、突触传递、突触小体蛋白(SYN)和钙结合蛋白(CB)表达、海马亚区体积和细胞密度变化的影响雄性 Wistar 大鼠。癫痫通过锂-匹罗卡品诱导的癫痫持续状态诱导。慢性癫痫导致行为过度兴奋、基础突触传递减少、成对脉冲易化比增加、海马亚区体积减小。此外,癫痫大鼠海马 SYN 和 CB 表达减少。SE 后 6 周,癫痫大鼠接受 EE 暴露 2 周,每天 6 小时。EE 显著降低了行为过度兴奋并恢复了基础突触传递,与 SYN 和 CB 的表达增加相关。我们的研究结果再次证实了 EE 对慢性癫痫行为的有益作用,并确定了一些潜在的细胞机制。由于药物抵抗和合并症是 TLE 的主要关注点,我们提出 EE 作为一种有效的非药物治疗方法来减轻慢性癫痫中的这些变化。