从皮质-丘脑-皮质振荡的生理学到病理学:星形胶质细胞作为进一步研究的靶点
From Physiology to Pathology of Cortico-Thalamo-Cortical Oscillations: Astroglia as a Target for Further Research.
作者信息
Gobbo Davide, Scheller Anja, Kirchhoff Frank
机构信息
Molecular Physiology, Center for Integrative Physiology and Molecular Medicine (CIPMM), University of Saarland, Homburg, Germany.
出版信息
Front Neurol. 2021 Jun 9;12:661408. doi: 10.3389/fneur.2021.661408. eCollection 2021.
The electrographic hallmark of childhood absence epilepsy (CAE) and other idiopathic forms of epilepsy are 2.5-4 Hz spike and wave discharges (SWDs) originating from abnormal electrical oscillations of the cortico-thalamo-cortical network. SWDs are generally associated with sudden and brief non-convulsive epileptic events mostly generating impairment of consciousness and correlating with attention and learning as well as cognitive deficits. To date, SWDs are known to arise from locally restricted imbalances of excitation and inhibition in the deep layers of the primary somatosensory cortex. SWDs propagate to the mostly GABAergic nucleus reticularis thalami (NRT) and the somatosensory thalamic nuclei that project back to the cortex, leading to the typical generalized spike and wave oscillations. Given their shared anatomical basis, SWDs have been originally considered the pathological transition of 11-16 Hz bursts of neural oscillatory activity (the so-called sleep spindles) occurring during Non-Rapid Eye Movement (NREM) sleep, but more recent research revealed fundamental functional differences between sleep spindles and SWDs, suggesting the latter could be more closely related to the slow (<1 Hz) oscillations alternating active (Up) and silent (Down) cortical activity and concomitantly occurring during NREM. Indeed, several lines of evidence support the fact that SWDs impair sleep architecture as well as sleep/wake cycles and sleep pressure, which, in turn, affect seizure circadian frequency and distribution. Given the accumulating evidence on the role of astroglia in the field of epilepsy in the modulation of excitation and inhibition in the brain as well as on the development of aberrant synchronous network activity, we aim at pointing at putative contributions of astrocytes to the physiology of slow-wave sleep and to the pathology of SWDs. Particularly, we will address the astroglial functions known to be involved in the control of network excitability and synchronicity and so far mainly addressed in the context of convulsive seizures, namely (i) interstitial fluid homeostasis, (ii) K clearance and neurotransmitter uptake from the extracellular space and the synaptic cleft, (iii) gap junction mechanical and functional coupling as well as hemichannel function, (iv) gliotransmission, (v) astroglial Ca signaling and downstream effectors, (vi) reactive astrogliosis and cytokine release.
儿童失神癫痫(CAE)及其他特发性癫痫形式的脑电图特征是起源于皮质 - 丘脑 - 皮质网络异常电振荡的2.5 - 4赫兹棘波和慢波放电(SWDs)。SWDs通常与突然且短暂的非惊厥性癫痫发作相关,这些发作大多导致意识障碍,并与注意力、学习以及认知缺陷相关。迄今为止,已知SWDs源于初级体感皮层深层局部受限的兴奋与抑制失衡。SWDs传播至主要为GABA能的丘脑网状核(NRT)以及投射回皮层的体感丘脑核,导致典型的全身性棘波和慢波振荡。鉴于它们共同的解剖学基础,SWDs最初被认为是在非快速眼动(NREM)睡眠期间出现的11 - 16赫兹神经振荡活动(即所谓的睡眠纺锤波)的病理性转变,但最近的研究揭示了睡眠纺锤波与SWDs之间的根本功能差异,表明后者可能与在NREM期间交替出现的活跃(Up)和静息(Down)皮质活动的慢(<1赫兹)振荡更为密切相关。事实上,多条证据支持SWDs损害睡眠结构以及睡眠/觉醒周期和睡眠压力这一事实,而这反过来又会影响癫痫发作的昼夜频率和分布。鉴于关于星形胶质细胞在癫痫领域对大脑中兴奋与抑制的调节以及异常同步网络活动发展所起作用的证据不断积累,我们旨在指出星形胶质细胞对慢波睡眠生理以及SWDs病理的潜在贡献。特别是,我们将探讨已知参与网络兴奋性和同步性控制的星形胶质细胞功能,这些功能迄今为止主要在惊厥性癫痫发作的背景下进行研究,即(i)细胞外液稳态,(ii)从细胞外空间和突触间隙清除钾离子及摄取神经递质,(iii)缝隙连接的机械和功能耦合以及半通道功能,(iv)胶质传递,(v)星形胶质细胞钙信号传导及下游效应器,(vi)反应性星形胶质细胞增生和细胞因子释放。