Neuroscience Graduate Program, University of Virginia, Charlottesville, VA 22908, USA.
Department of Neurology, University of Virginia, Charlottesville, VA 22908, USA.
Brain. 2021 Aug 17;144(7):2074-2091. doi: 10.1093/brain/awab119.
There are no detailed descriptions of neuronal circuit active during frontal lobe motor seizures. Using activity reporter mice, local field potential recordings, tissue clearing, viral tracing, and super-resolution microscopy, we found neuronal activation after focal motor to bilateral tonic-clonic seizures in the striatum, globus pallidus externus, subthalamic nucleus, substantia nigra pars reticulata and neurons of the indirect pathway. Seizures preferentially activated dopamine D2 receptor-expressing neurons over D1 in the striatum, which have different projections. Furthermore, the D2 receptor agonist infused into the striatum exerted an anticonvulsant effect. Seizures activate structures via short and long latency loops, and anatomical connections of the seizure focus determine the seizure circuit. These studies, for the first time, show activation of neurons in the striatum, globus pallidus, subthalamic nucleus, and substantia nigra during frontal lobe motor seizures on the cellular level, revealing a complex neuronal activation circuit subject to modulation by the basal ganglia.
目前尚无关于额叶运动性癫痫发作期间神经元回路活动的详细描述。本研究使用活性报告基因小鼠、局部场电位记录、组织透明化、病毒示踪和超分辨率显微镜,发现局灶性运动性至双侧强直阵挛性癫痫发作后纹状体、苍白球外侧部、丘脑底核、黑质网状部和间接通路神经元被激活。癫痫发作优先激活纹状体中表达多巴胺 D2 受体的神经元,而不是 D1 受体神经元,因为它们具有不同的投射。此外,将 D2 受体激动剂注入纹状体可发挥抗惊厥作用。癫痫发作通过短潜伏期和长潜伏期回路激活结构,而癫痫发作焦点的解剖连接决定了癫痫发作回路。这些研究首次在细胞水平上显示了额叶运动性癫痫发作期间纹状体、苍白球、丘脑底核和黑质中的神经元被激活,揭示了一个复杂的神经元激活回路,受基底神经节的调节。