Department of Pharmacology, University of Virginia, Charlottesville, United States.
Neuroscience Graduate Program, University of Virginia, Charlottesville, United States.
Elife. 2022 Jan 4;11:e72898. doi: 10.7554/eLife.72898.
Hyperventilation reliably provokes seizures in patients diagnosed with absence epilepsy. Despite this predictable patient response, the mechanisms that enable hyperventilation to powerfully activate absence seizure-generating circuits remain entirely unknown. By utilizing gas exchange manipulations and optogenetics in the WAG/Rij rat, an established rodent model of absence epilepsy, we demonstrate that absence seizures are highly sensitive to arterial carbon dioxide, suggesting that seizure-generating circuits are sensitive to pH. Moreover, hyperventilation consistently activated neurons within the intralaminar nuclei of the thalamus, a structure implicated in seizure generation. We show that intralaminar thalamus also contains pH-sensitive neurons. Collectively, these observations suggest that hyperventilation activates pH-sensitive neurons of the intralaminar nuclei to provoke absence seizures.
过度通气能可靠地诱发诊断为失神性癫痫的患者出现癫痫发作。尽管患者对此有可预测的反应,但仍完全不清楚是什么机制使过度通气能强有力地激活引起失神发作的回路。通过在 WAG/Rij 大鼠(一种已建立的失神性癫痫的啮齿动物模型)中利用气体交换操作和光遗传学,我们证明失神发作对动脉二氧化碳非常敏感,这表明引起癫痫发作的回路对 pH 值敏感。此外,过度通气一致地激活了丘脑内板核内的神经元,而内板核被认为与癫痫发作有关。我们发现内板核内也存在 pH 值敏感的神经元。总的来说,这些观察结果表明,过度通气激活了内板核内的 pH 值敏感神经元,从而引发失神发作。
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