Ghasemi Zahra, Naderi Nima, Shojaei Amir, Raoufy Mohammad Reza, Ahmadirad Nooshin, Barkley Victoria, Mirnajafi-Zadeh Javad
Department of Physiology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran; Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Canada.
Department of Pharmacology and Toxicology, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Epilepsy Res. 2021 Dec;178:106821. doi: 10.1016/j.eplepsyres.2021.106821. Epub 2021 Nov 19.
Low-frequency deep brain stimulation (LFS) inhibits neuronal hyperexcitability during epilepsy. Accordingly, the use of LFS as a treatment method for patients with drug-resistant epilepsy has been proposed. However, the LFS antiepileptic mechanisms are not fully understood. Here, the role of metabotropic glutamate receptors group I (mGluR I) in LFS inhibitory action on epileptiform activity (EA) was investigated. EA was induced by increasing the K concentration in artificial cerebrospinal fluid (ACSF) up to 12 mM in hippocampal slices of male Wistar rats. LFS (1 Hz, 900 pulses) was delivered to the bundles of Schaffer collaterals at the beginning of EA. The excitability of CA1 pyramidal neurons was assayed by intracellular whole-cell recording. Applying LFS reduced the firing frequency during EA and substantially moved the membrane potential toward repolarization after a high-K ACSF washout. In addition, LFS attenuated the EA-generated neuronal hyperexcitability. A blockade of both mGluR 1 and mGluR 5 prevented the inhibitory action of LFS on EA-generated neuronal hyperexcitability. Activation of mGluR I mimicked the LFS effects and had similar inhibitory action on excitability of CA1 pyramidal neurons following EA. However, mGluR I agonist's antiepileptic action was not as strong as LFS. The observed LFS effects were significantly attenuated in the presence of a PKC inhibitor. Altogether, the LFS' inhibitory action on neuronal hyperexcitability following EA relies, in part, on the activity of mGluR I and a PKC-related signaling pathway.
低频深部脑刺激(LFS)可抑制癫痫发作时的神经元过度兴奋。因此,有人提出将LFS作为耐药性癫痫患者的一种治疗方法。然而,LFS的抗癫痫机制尚未完全明确。在此,研究了I型代谢型谷氨酸受体(mGluR I)在LFS对癫痫样活动(EA)的抑制作用中的作用。通过将雄性Wistar大鼠海马切片中人工脑脊液(ACSF)中的钾浓度提高至12 mM来诱导EA。在EA开始时,将LFS(1 Hz,900个脉冲)施加于海马伞的Schaffer侧支束。通过细胞内全细胞记录来测定CA1锥体神经元的兴奋性。施加LFS可降低EA期间的放电频率,并在高钾ACSF洗脱后使膜电位大幅向复极化方向移动。此外,LFS减弱了EA产生的神经元过度兴奋。同时阻断mGluR 1和mGluR 5可阻止LFS对EA产生的神经元过度兴奋的抑制作用。激活mGluR I可模拟LFS的作用,并对EA后CA1锥体神经元的兴奋性具有类似的抑制作用。然而,mGluR I激动剂的抗癫痫作用不如LFS强。在存在PKC抑制剂的情况下,观察到的LFS效应明显减弱。总之,LFS对EA后神经元过度兴奋的抑制作用部分依赖于mGluR I的活性和PKC相关的信号通路。