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大鼠外侧液压冲击损伤后边缘性点燃发作的多样性。

Diversity of kindling of limbic seizures after lateral fluid percussion injury in the rat.

机构信息

Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

出版信息

Epilepsia Open. 2021 Jun;6(2):413-418. doi: 10.1002/epi4.12472. Epub 2021 Feb 22.

Abstract

Lateral fluid percussion injury (LFPI) in rats is used to model post-traumatic epilepsy (PTE), with spontaneous seizures occurring in up to ½ of the subjects. Using the kindling paradigm, we examined whether animals without detectable seizures had an altered seizure susceptibility. Male Sprague Dawley rats were subjected to LFPI. Seven-nine months later, spontaneous seizures were monitored for two weeks. Afterward, the animals underwent kindling of basolateral amygdala. For kindling outcomes, the animals were categorized based on the 95% confidence intervals of mean number trials to kindling (ie 3 consecutive stage 4-5 seizures). Spontaneous seizures were detected in 7 out of 24 rats. There was no correlation between the severity of LFPI and either baseline afterdischarge properties, or kindling rates. Six LFPI rats kindled at a rate comparable to those in sham-LFPI (n = 10) and in naïve (n = 7) subjects. Ten LFPI rats kindled faster and 8-slower than controls. None of slow-kindling rats had spontaneous seizures during the prekindling monitoring. During the same period, six fast-kindling and three normal-kindling rats had been seizure-free. Thus, kindling reveals a diversity to seizure susceptibility after LFPI beyond an overt seizure symptomatology, ranging from the increased susceptibility to the increased resistance.

摘要

大鼠外侧液冲击伤 (LFPI) 用于创伤后癫痫 (PTE) 的模型,多达一半的受试者会出现自发性癫痫发作。我们使用点燃范式,检查了没有可检测到的癫痫发作的动物是否具有改变的癫痫易感性。雄性 Sprague Dawley 大鼠接受 LFPI。7-9 个月后,监测两周的自发性癫痫发作。之后,动物接受了外侧杏仁核的点燃。对于点燃结果,根据平均点燃次数的 95%置信区间对动物进行分类(即 3 次连续的 4-5 级癫痫发作)。在 24 只大鼠中,有 7 只检测到自发性癫痫发作。LFPI 的严重程度与基础后放电特性或点燃率之间没有相关性。6 只 LFPI 大鼠的点燃率与假 LFPI(n=10)和未点燃(n=7)的大鼠相当。10 只 LFPI 大鼠的点燃速度快于对照组,8 只大鼠的点燃速度慢于对照组。在预点燃监测期间,没有慢点燃的大鼠出现自发性癫痫发作。在此期间,6 只快点燃和 3 只正常点燃的大鼠无癫痫发作。因此,除了明显的癫痫症状外,LFPI 后的点燃揭示了癫痫易感性的多样性,范围从易感性增加到抵抗力增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f47/8166798/03bc557e861b/EPI4-6-413-g001.jpg

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