Department of Neurological Sciences, Epilepsy Development and Cognition Group, Larner College of Medicine, University of Vermont, Burlington, Vermont, USA.
Department of Pediatrics, University California, Irvine, Irvine, California, USA.
Epilepsia. 2021 Dec;62(12):3117-3130. doi: 10.1111/epi.17082. Epub 2021 Sep 25.
Febrile seizures (FSs) are the most common form of seizures in children. Single short FSs are benign, but FSs lasting longer than 30 min, termed febrile status epilepticus, may result in neurological sequelae. However, there is little information about an intermediary condition, brief recurrent FSs (RFSs). The goal of this study was to determine the role of RFSs on spatial learning and memory and the properties of spontaneous hippocampal signals.
A hippocampus-dependent active avoidance task was used to assess spatial learning and memory in adult rats that underwent experimental RFSs (eRFSs) in early life compared with their littermate controls. Following completion of the task, we utilized high-density laminar probes to measure spontaneous hippocampal CA1 circuit activity under urethane anesthesia, which allowed for the simultaneous recording of input regions in CA1 associated with both CA3 and entorhinal cortex.
RFSs did not result in deficits in the active avoidance spatial test, a hippocampus-dependent test of spatial learning and memory. However, in vivo high-density laminar electrode recordings from eRFS rats had significantly altered power and frequency expression of theta and gamma bandwidths as well as signaling efficacy along the CA1 somatodendritic axis. Thus, although eRFS modified CA1 neuronal input/output dynamics, these alterations were not sufficient to impair active avoidance spatial behavior.
These findings indicate that although eRFSs do not result in spatial cognitive deficits in the active avoidance task, recurrent seizures do alter the brain and result in longstanding changes in the temporal organization of the hippocampus.
热性惊厥(FS)是儿童中最常见的惊厥形式。单次短暂 FS 是良性的,但持续时间超过 30 分钟的 FS,称为热性惊厥持续状态,可能导致神经后遗症。然而,关于一种中间状态,即短暂复发性 FS(RFS)的信息很少。本研究的目的是确定 RFS 在空间学习和记忆以及自发海马信号特性中的作用。
使用海马依赖性主动回避任务来评估经历过生命早期实验性 RFS(eRFS)的成年大鼠的空间学习和记忆,与它们的同窝对照相比。完成任务后,我们利用高密度层状探针在尿烷麻醉下测量自发海马 CA1 回路活动,这允许同时记录与 CA3 和内嗅皮层相关的 CA1 输入区域。
RFS 不会导致主动回避空间测试(一种依赖于海马的空间学习和记忆测试)出现缺陷。然而,来自 eRFS 大鼠的体内高密度层状电极记录显示,θ和γ带宽的功率和频率表达以及 CA1 体树突轴上的信号效率发生了显著改变。因此,尽管 eRFS 改变了 CA1 神经元的输入/输出动力学,但这些改变不足以损害主动回避空间行为。
这些发现表明,尽管 eRFS 不会导致主动回避任务中的空间认知缺陷,但复发性癫痫确实会改变大脑,并导致海马的时间组织长期变化。