伴有癫痫病史的低级别胶质瘤瘤周皮层中自发谷氨酸能和γ-氨基丁酸能活性的改变

Altered Spontaneous Glutamatergic and GABAergic Activity in the Peritumoral Cortex of Low-Grade Gliomas Presenting With History of Seizures.

作者信息

Dey Soumil, Doddamani Ramesh Sharanappa, Banerjee Dixit Aparna, Tripathi Manjari, Sharma Meher Chand, Chandra P Sarat, Banerjee Jyotirmoy

机构信息

Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.

Dr. B. R. Ambedkar Centre for Biomedical Research, University of Delhi, New Delhi, India.

出版信息

Front Neurosci. 2021 Jun 28;15:689769. doi: 10.3389/fnins.2021.689769. eCollection 2021.

Abstract

The peritumoral regions of WHO grade II gliomas, like astrocytoma and oligodendroglioma, have been reported to show epileptiform activities. An imbalance of glutamatergic and GABAergic mechanisms is primarily responsible for the generation of epileptiform activities. Here we have compared the electrophysiological properties of pyramidal neurons in intraoperative peritumoral specimens obtained from glioma patients with (GS) and without (GN) a history of seizures at presentation. Histology and immunohistochemistry were performed to assess the infiltration of proliferating cells at the peritumoral tissues. Whole-cell patch clamp technique was performed to measure the spontaneous glutamatergic and GABAergic activity onto pyramidal neurons in the peritumoral samples of GS ( = 11) and GN ( = 15) patients. The cytoarchitecture of the peritumoral tissues was devoid of Ki67 immuno-positive cells. We observed a higher frequency of spontaneous glutamatergic and GABAergic activities onto pyramidal neurons of the peritumoral samples of GS patients. Our findings suggest that, in spite of similar histopathological features, the pyramidal neurons in the peritumoral samples of GS and GN patients showed differences in spontaneous excitatory and inhibitory synaptic neurotransmission. An alteration in postsynaptic currents may contribute to the spontaneous epileptiform activity in GS patients.

摘要

据报道,世界卫生组织二级胶质瘤(如星形细胞瘤和少突胶质细胞瘤)的瘤周区域会出现癫痫样活动。谷氨酸能和γ-氨基丁酸能机制的失衡是癫痫样活动产生的主要原因。在此,我们比较了从有(GS)和无(GN)癫痫发作史的胶质瘤患者术中获取的瘤周标本中锥体神经元的电生理特性。进行组织学和免疫组织化学检查以评估瘤周组织中增殖细胞的浸润情况。采用全细胞膜片钳技术测量GS组(n = 11)和GN组(n = 15)患者瘤周样本中锥体神经元上的自发性谷氨酸能和γ-氨基丁酸能活性。瘤周组织的细胞结构中没有Ki67免疫阳性细胞。我们观察到GS组患者瘤周样本的锥体神经元上自发性谷氨酸能和γ-氨基丁酸能活动的频率更高。我们的研究结果表明,尽管组织病理学特征相似,但GS组和GN组患者瘤周样本中的锥体神经元在自发性兴奋性和抑制性突触神经传递方面存在差异。突触后电流的改变可能导致GS组患者出现自发性癫痫样活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cb1/8273299/b002eda26ada/fnins-15-689769-g001.jpg

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