Department of Neurology, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao, China.
Department of Neurology, The Eighth People's Hospital of Qingdao, Qingdao, China.
Epilepsia Open. 2023 Sep;8(3):1002-1012. doi: 10.1002/epi4.12771. Epub 2023 Jun 19.
Anterior nucleus of thalamus (ANT) has been widely accepted as a potential therapeutic target for drug-resistant epilepsy. Although increased volume of the ANT was also reported in patients with absence epilepsy, the relationship between the ANT and absence epilepsy has been barely illustrated.
Using chemogenetics, we evaluated the effect of ANT parvalbumin (PV) neurons on pentylenetetrazole (PTZ)-induced absence seizures in mice.
We found that intraperitoneal injection of PTZ (30 mg/kg) can stably induce absence-like seizures characterized by bilaterally synchronous spike-wave discharges (SWDs). Selective activation of PV neurons in the ANT by chemogenetics could aggravate the severity of absence seizures, whereas selective inhibition of that cannot reverse this condition and even promote absence seizures as well. Moreover, chemogenetic inhibition of ANT PV neurons without administration of PTZ was also sufficient to generate SWDs. Analysis of background EEG showed that chemogenetic activation or inhibition of ANT PV neurons could both significantly increase the EEG power of delta oscillation in the frontal cortex, which might mediate the pro-seizure effect of ANT PV neurons.
Our findings indicated that either activation or inhibition of ANT PV neurons might disturb the intrinsic delta rhythms in the cortex and worsen absence seizures, which highlighted the importance of maintaining the activity of ANT PV neurons in absence seizure.
丘脑前核(ANT)已被广泛认为是治疗耐药性癫痫的潜在治疗靶点。尽管在失神性癫痫患者中也报道了 ANT 体积增加,但 ANT 与失神性癫痫之间的关系尚未得到充分阐明。
我们使用化学遗传学方法评估了 ANT 钙调蛋白(PV)神经元对戊四氮(PTZ)诱导的小鼠失神性癫痫发作的影响。
我们发现腹腔注射 PTZ(30mg/kg)可稳定诱导出具有双侧同步棘波放电(SWD)特征的失神样发作。化学遗传学选择性激活 ANT 的 PV 神经元可加重失神性癫痫发作的严重程度,而选择性抑制则不能逆转这种情况,甚至还会促进失神性癫痫发作。此外,即使未给予 PTZ,化学遗传抑制 ANT 的 PV 神经元也足以产生 SWD。背景 EEG 分析表明,化学遗传激活或抑制 ANT 的 PV 神经元均可显著增加前额皮质 delta 振荡的 EEG 功率,这可能介导了 ANT PV 神经元的致痫作用。
我们的发现表明,ANT 的 PV 神经元的激活或抑制都可能干扰皮质中的固有 delta 节律,并加重失神性癫痫发作,这突出了维持 ANT 的 PV 神经元活动在失神性癫痫中的重要性。