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发作起始和终止模式决定了局灶性颞叶癫痫非人灵长类动物模型中皮质和黑质的同步化。

Seizure onset and offset pattern determine the entrainment of the cortex and substantia nigra in the nonhuman primate model of focal temporal lobe seizures.

作者信息

Connolly Mark J, Jiang Sujin, Samuel Lim, Gutekunst Claire-Anne, Gross Robert E, Devergnas Annaelle

机构信息

Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA.

Wallace H. Coulter Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA, 30332, USA.

出版信息

bioRxiv. 2024 Apr 25:2023.06.04.543608. doi: 10.1101/2023.06.04.543608.

Abstract

Temporal lobe (TL) epilepsy is the most common form of drug-resistant epilepsy. A major focus of human and animal studies on TLE network has been the limbic circuit and the structures composing the temporal lobe. However, there is also evidence suggesting an active role of the basal ganglia in the propagation and control of temporal lobe seizures. Evidence suggests that the network involved in temporal lobe seizure may depend on their onset and offset pattern but studies on the relationship between the patterns and extralimbic activity are limited. Here, we characterize the involvement of the substantia nigra (SN) and somatosensory cortex (SI) during temporal lobe seizures induced in two nonhuman primates (NHP). The seizure onset and offset patterns were manually classified and spectral power and coherence were calculated. We then analyzed the three first and last seconds of the seizure as well as 3-second segments of recorded in pre-ictal and post-ictal periods and compared the changes based on the seizure onset and offset patterns. Our results demonstrated an involvement of the SN and SI dependent on the seizure onset and offset pattern. We found that seizures with both low amplitude fast activity (LAF) and high amplitude slow activity (HAS) onset patterns were associated with an increase in activity of the SN while the change in activity was limited to LAF seizures in the SI. However, the increase of HPC/SI coherence was similar for both type of onset, while the increase in HPC/SN coherence was specific to the farther-spreading LAF onset pattern. As for the role of the SN in seizure cessation, we observed that the coherence between the HPC/SN was reduced during burst suppression (BS) compared to other termination phases. Additionally, we found that this coherence returned to normal levels after the seizure ended, with no significant difference in post-ictal periods among the three types of seizure offsets. This result suggests that the SN might be involved differently in the termination of the BS seizure pattern. This study constitutes the first demonstration of temporal lobe seizures entraining the SN in the primate brain. Moreover, these findings provide evidence that this entrainment is dependent on the seizure onset pattern and support the hypothesis that the SN might play a role in the maintenance and termination of some specific temporal lobe seizure.

摘要

颞叶癫痫是药物难治性癫痫最常见的形式。人类和动物对颞叶癫痫网络的主要研究重点一直是边缘回路以及构成颞叶的结构。然而,也有证据表明基底神经节在颞叶癫痫的传播和控制中发挥着积极作用。有证据表明,参与颞叶癫痫的网络可能取决于其发作和终止模式,但关于这些模式与边缘外活动之间关系的研究有限。在此,我们描述了在两只非人灵长类动物(NHP)中诱发颞叶癫痫期间黑质(SN)和体感皮层(SI)的参与情况。手动分类癫痫发作的起始和终止模式,并计算频谱功率和相干性。然后,我们分析了癫痫发作的最初和最后三秒以及发作前期和发作后期记录的3秒片段,并根据癫痫发作的起始和终止模式比较了变化情况。我们的结果表明,SN和SI的参与取决于癫痫发作的起始和终止模式。我们发现,具有低幅快速活动(LAF)和高幅慢活动(HAS)起始模式的癫痫发作均与SN活动增加有关,而SI中的活动变化仅限于LAF癫痫发作。然而,两种起始类型的海马旁回/体感皮层(HPC/SI)相干性增加相似,而海马旁回/黑质(HPC/SN)相干性增加则特定于传播更远的LAF起始模式。至于SN在癫痫终止中的作用,我们观察到与其他终止阶段相比,爆发抑制(BS)期间海马旁回/黑质之间的相干性降低。此外,我们发现癫痫发作结束后这种相干性恢复到正常水平,三种癫痫发作终止类型在发作后期无显著差异。这一结果表明,SN在BS癫痫发作模式的终止中可能有不同的参与方式。这项研究首次证明了灵长类大脑中颞叶癫痫会累及SN。此外,这些发现提供了证据,表明这种累及取决于癫痫发作的起始模式,并支持了SN可能在某些特定颞叶癫痫的维持和终止中发挥作用的假设。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e491/11067622/312c35e909b0/nihpp-2023.06.04.543608v2-f0001.jpg

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