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扩散性抑制作为一种先天的抗癫痫机制。

Spreading depression as an innate antiseizure mechanism.

机构信息

Neurovascular Research Unit, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Charité-Universitätsmedizin Berlin, Klinik und Hochschulambulanz für Neurologie und Centrum für Schlaganfallforschung Berlin (CSB), Berlin, Germany.

出版信息

Nat Commun. 2021 Apr 13;12(1):2206. doi: 10.1038/s41467-021-22464-x.

Abstract

Spreading depression (SD) is an intense and prolonged depolarization in the central nervous systems from insect to man. It is implicated in neurological disorders such as migraine and brain injury. Here, using an in vivo mouse model of focal neocortical seizures, we show that SD may be a fundamental defense against seizures. Seizures induced by topical 4-aminopyridine, penicillin or bicuculline, or systemic kainic acid, culminated in SDs at a variable rate. Greater seizure power and area of recruitment predicted SD. Once triggered, SD immediately suppressed the seizure. Optogenetic or KCl-induced SDs had similar antiseizure effect sustained for more than 30 min. Conversely, pharmacologically inhibiting SD occurrence during a focal seizure facilitated seizure generalization. Altogether, our data indicate that seizures trigger SD, which then terminates the seizure and prevents its generalization.

摘要

扩散性抑制(SD)是从中枢神经系统的昆虫到人类的强烈而持久的去极化。它与偏头痛和脑损伤等神经紊乱有关。在这里,我们使用局灶性新皮层癫痫的体内小鼠模型,表明 SD 可能是对抗癫痫的基本防御机制。通过局部 4-氨基吡啶、青霉素或印防己毒素或全身海人酸诱导的癫痫发作,以不同的速率最终导致 SD。更大的癫痫发作强度和募集面积预示着 SD 的发生。一旦触发,SD 立即抑制癫痫发作。光遗传学或 KCl 诱导的 SD 具有相似的抗癫痫作用,可持续 30 分钟以上。相反,在局灶性癫痫发作期间抑制 SD 的发生会促进癫痫发作的泛化。总之,我们的数据表明,癫痫发作引发 SD,SD 随后终止癫痫发作并防止其泛化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3485/8044138/e4fadc6cf848/41467_2021_22464_Fig1_HTML.jpg

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