Rezaei Mahmoud, Raoufy Mohammad Reza, Fathollahi Yaghoub, Shojaei Amir, Mirnajafi-Zadeh Javad
Department of Physiology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Department of Physiology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran; Institute for Brain Sciences and Cognition, Tarbiat Modares University, Tehran, Iran.
Epilepsy Res. 2023 Jan;189:107073. doi: 10.1016/j.eplepsyres.2022.107073. Epub 2022 Dec 27.
Dopamine may be involved in the anticonvulsant action of deep brain stimulation (DBS). Therefore, ventral tegmental area (VTA), as a brain dopaminergic nucleus, may be a suitable target for DBS anticonvulsant action. This study investigated the effect of tonic and phasic stimulations of the VTA on seizure parameters. Seizures were induced in adult mice by sequential injections of a sub-convulsive dose of 35 mg/kg pentylenetetrazole (PTZ) every 48 h to develop the chemical kindling until the mice reached full kindled state (showing three consecutive seizure stages 4 or 5). Fully kindled mice received DBS once a day as tonic (square waves at 1 Hz; pulse duration: 200 μs; intensity: 300 μA; 600 pulses in 10 min) or phasic (square waves at 100 Hz; pulse duration: 200 μs; intensity: 300 μA; 8 trains of 10 pulses at 1 min interval; 800 pulses in 10 min) stimulations applied into their VTA for 4 days. A single dose of PTZ was injected after each DBS. Simultaneously electrocorticography and video recordings were performed during the seizure for accuracy in seizure severity parameters detection. Tonic but not phasic stimulation significantly decreased the epileptiform discharge duration and the seizure behavioral parameters such as maximum seizure stage, stage 5 duration, seizure duration. In addition, focal to generalized seizure latency increased following VTA tonic stimulation. These data suggest that tonic (but not phasic) stimulation of VTA before PTZ injection on 4 test days had anticonvulsant effects on PTZ-kindled seizures.
多巴胺可能参与了深部脑刺激(DBS)的抗惊厥作用。因此,腹侧被盖区(VTA)作为脑内的一个多巴胺能核团,可能是DBS抗惊厥作用的一个合适靶点。本研究调查了VTA的强直性和相位性刺激对癫痫发作参数的影响。通过每48小时依次注射亚惊厥剂量的35mg/kg戊四氮(PTZ)诱导成年小鼠癫痫发作,以建立化学点燃模型,直至小鼠达到完全点燃状态(连续出现三个4级或5级癫痫发作阶段)。完全点燃的小鼠每天接受一次DBS,作为强直性刺激(1Hz方波;脉冲持续时间:200μs;强度:300μA;10分钟内600个脉冲)或相位性刺激(100Hz方波;脉冲持续时间:200μs;强度:300μA;8组,每组10个脉冲,间隔1分钟;10分钟内800个脉冲),刺激VTA,持续4天。每次DBS后注射一剂PTZ。同时在癫痫发作期间进行脑电图和视频记录,以准确检测癫痫发作严重程度参数。强直性刺激而非相位性刺激显著缩短了癫痫样放电持续时间以及癫痫行为参数,如最大癫痫发作阶段、5级发作持续时间、癫痫发作持续时间。此外,VTA强直性刺激后,局灶性发作至全身性发作的潜伏期延长。这些数据表明,在4个测试日于PTZ注射前对VTA进行强直性(而非相位性)刺激对PTZ点燃的癫痫发作具有抗惊厥作用。