Department of Neuroscience, Central Clinical School, Monash University, Melbourne, Victoria, Australia.
Department of Neurology, The Alfred Hospital, Melbourne, Victoria, Australia.
Epilepsia Open. 2023 Dec;8(4):1523-1531. doi: 10.1002/epi4.12841. Epub 2023 Oct 16.
Growing evidence demonstrates a relationship between epilepsy and the circadian system. However, relatively little is known about circadian function in disease states, such as epilepsy. This study aimed to characterize brain and peripheral core circadian clock gene expression in rat models of genetic and acquired epilepsy.
For the Genetic Absence Epilepsy Rats from Strasbourg (GAERS) study, we used 40 GAERS and 40 non-epileptic control (NEC) rats. For the kainic acid status epilepticus (KASE) study, we used 40 KASE and 40 sham rats. Rats were housed in a 7 am:7 pm light-dark cycle. Hypothalamus, hippocampus, liver, and small intestine samples were collected every 3 h throughout the light period. We then assessed core diurnal clock gene expression of per1, cry1, clock, and bmal1.
In the GAERS rats, all tissues exhibited significant changes in clock gene expression (P < 0.05) when compared to NEC. In the KASE rats, there were fewer effects of the epileptic condition in the hypothalamus, hippocampus, or small intestine (P > 0.05) compared with shams.
These results indicate marked diurnal disruption to core circadian clock gene expression in rats with both generalized and focal chronic epilepsy. This could contribute to epileptic symptomology and implicate the circadian system as a viable target for future treatments.
越来越多的证据表明癫痫与生物钟系统之间存在关系。然而,对于疾病状态下的生物钟功能,例如癫痫,我们知之甚少。本研究旨在描述遗传和获得性癫痫大鼠模型中大脑和外周核心生物钟基因的表达。
在斯特拉斯堡遗传性癫痫大鼠(GAERS)研究中,我们使用了 40 只 GAERS 和 40 只非癫痫对照(NEC)大鼠。在海人酸癫痫持续状态(KASE)研究中,我们使用了 40 只 KASE 和 40 只假手术大鼠。大鼠被安置在一个 7:00 am-7:00 pm 的明暗循环中。在整个光照周期内,每隔 3 小时收集下丘脑、海马、肝脏和小肠样本。然后,我们评估了 per1、cry1、clock 和 bmal1 等核心昼夜节律钟基因的表达。
与 NEC 大鼠相比,GAERS 大鼠的所有组织中的时钟基因表达均发生了显著变化(P<0.05)。在 KASE 大鼠中,与假手术相比,癫痫状态对下丘脑、海马或小肠中的基因表达影响较小(P>0.05)。
这些结果表明,具有全身性和局灶性慢性癫痫的大鼠核心生物钟基因表达存在明显的昼夜节律紊乱。这可能导致癫痫症状,并暗示生物钟系统可能成为未来治疗的一个可行靶点。