Fonseca-Barriendos Daniel, Castañeda-Cabral José Luis, Martínez-Cuevas Frida, Besio Walter, Valdés-Cruz Alejandro, Rocha Luisa
Departamento de Farmacobiología, Centro de Investigación y de Estudios Avanzados, Ciudad de México C.P. 14330, Mexico.
Departamento de Biología Celular y Molecular, Centro Universitrio de Ciencias Biológicas y Agropecuaias, Universidad de Guadalajara, Zapopan C.P. 44600, Mexico.
Life (Basel). 2023 May 31;13(6):1294. doi: 10.3390/life13061294.
Recent evidence suggests that P-glycoprotein (P-gp) overexpression mediates hyperexcitability and is associated with epileptogenesis. Transcranial focal electrical stimulation (TFS) delays epileptogenesis and inhibits P-gp overexpression after a generalized seizure. Here, first we measured P-gp expression during epileptogenesis and second, we assessed if TFS antiepileptogenic effect was related with P-gp overexpression avoidance. Male Wistar rats were implanted in right basolateral amygdala and stimulated daily for electrical amygdala kindling (EAK), P-gp expression was assessed during epileptogenesis in relevant brain areas. Stage I group showed 85% increase in P-gp in ipsilateral hippocampus ( < 0.001). Stage III group presented 58% and 57% increase in P-gp in both hippocampi ( < 0.05). Kindled group had 92% and 90% increase in P-gp in both hippocampi ( < 0.01), and 93% and 143% increase in both neocortices ( < 0.01). For the second experiment, TFS was administrated daily after each EAK stimulation for 20 days and P-gp concentration was assessed. No changes were found in the TFS group ( > 0.05). Kindled group showed 132% and 138% increase in P-gp in both hippocampi ( < 0.001) and 51% and 92% increase in both cortices ( < 0.001). Kindled + TFS group presented no changes ( > 0.05). Our experiments revealed that progression of EAK is associated with increased P-gp expression. These changes are structure-specific and dependent on seizure severity. EAK-induced P-gp overexpression would be associated with neuronal hyperexcitability and thus, epileptogenesis. P-gp could be a novel therapeutical target to avoid epileptogenesis. In accordance with this, TFS inhibited P-gp overexpression and interfered with EAK. An important limitation of the present study is that P-gp neuronal expression was not evaluated under the different experimental conditions. Future studies should be carried out to determine P-gp neuronal overexpression in hyperexcitable networks during epileptogenesis. The TFS-induced lessening of P-gp overexpression could be a novel therapeutical strategy to avoid epileptogenesis in high-risk patients.
最近的证据表明,P-糖蛋白(P-gp)过表达介导了过度兴奋,并且与癫痫发生有关。经颅局灶性电刺激(TFS)可延缓癫痫发生,并在全身性癫痫发作后抑制P-gp过表达。在此,首先我们测量了癫痫发生过程中P-gp的表达,其次,我们评估了TFS的抗癫痫作用是否与避免P-gp过表达有关。将雄性Wistar大鼠植入右侧基底外侧杏仁核,并每天进行电刺激杏仁核点燃(EAK),在癫痫发生过程中评估相关脑区的P-gp表达。I期组同侧海马体中P-gp增加85%(<0.001)。III期组双侧海马体中P-gp分别增加58%和57%(<0.05)。点燃组双侧海马体中P-gp分别增加92%和90%(<0.01),双侧新皮质中分别增加93%和143%(<0.01)。在第二个实验中,在每次EAK刺激后每天给予TFS,持续20天,并评估P-gp浓度。TFS组未发现变化(>0.05)。点燃组双侧海马体中P-gp分别增加132%和138%(<0.001),双侧皮质中分别增加51%和92%(<0.001)。点燃+TFS组无变化(>0.05)。我们的实验表明,EAK的进展与P-gp表达增加有关。这些变化具有结构特异性,并取决于癫痫发作的严重程度。EAK诱导的P-gp过表达可能与神经元过度兴奋有关,从而与癫痫发生有关。P-gp可能是避免癫痫发生的一个新的治疗靶点。据此,TFS抑制了P-gp过表达并干扰了EAK。本研究的一个重要局限性是,未在不同实验条件下评估P-gp的神经元表达。未来应开展研究,以确定癫痫发生过程中过度兴奋网络中P-gp的神经元过表达情况。TFS诱导的P-gp过表达减少可能是一种避免高危患者癫痫发生的新治疗策略。