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丰富环境通过内嗅皮层回路增强成年神经发生来降低癫痫易感性。

Enriched Environment Reduces Seizure Susceptibility via Entorhinal Cortex Circuit Augmented Adult Neurogenesis.

作者信息

Li Zhongxia, Chen Liying, Fei Fan, Wang Wenqi, Yang Lin, Wang Yu, Cheng Heming, Xu Yingwei, Xu Cenglin, Wang Shuang, Gu Yan, Han Feng, Chen Zhong, Wang Yi

机构信息

Key Laboratory of Neuropharmacology and Translational Medicine of Zhejiang Province, School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, 310053, China.

Zhejiang Rehabilitation Medical Center Department, The Third Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, 310061, China.

出版信息

Adv Sci (Weinh). 2024 Dec;11(46):e2410927. doi: 10.1002/advs.202410927. Epub 2024 Oct 22.

Abstract

Enriched environment (EE), characterized by multi-sensory stimulation, represents a non-invasive alternative for alleviating epileptic seizures. However, the mechanism by which EE exerts its therapeutic impact remains incompletely understood. Here, it is elucidated that EE mitigates seizure susceptibility through the augmentation of adult neurogenesis within the entorhinal cortex (EC) circuit. A substantial upregulation of adult hippocampal neurogenesis concomitant with a notable reduction in seizure susceptibility has been found following exposure to EE. EE-enhanced adult-born dentate granule cells (abDGCs) are functionally activated during seizure events. Importantly, the selective activation of abDGCs mimics the anti-seizure effects observed with EE, while their inhibition negates these effects. Further, whole-brain c-Fos mapping demonstrates increased activity in DG-projecting EC CaMKIIα neurons in response to EE. Crucially, EC CaMKIIα neurons exert bidirectional modulation over the proliferation and maturation of abDGCs that can activate local GABAergic interneurons; thus, they are essential components for the anti-seizure effects mediated by EE. Collectively, this study provides compelling evidence regarding the circuit mechanisms underlying the effects of EE treatment on epileptic seizures, shedding light on the involvement of the EC-DG circuit in augmenting the functionality of abDGCs. This may help for the translational application of EE for epilepsy management.

摘要

丰富环境(EE)以多感官刺激为特征,是缓解癫痫发作的一种非侵入性替代方法。然而,EE发挥其治疗作用的机制仍未完全了解。在此,研究表明EE通过增强内嗅皮层(EC)回路中的成体神经发生来减轻癫痫易感性。在暴露于EE后,已发现成年海马神经发生显著上调,同时癫痫易感性显著降低。EE增强的成年新生齿状颗粒细胞(abDGCs)在癫痫发作期间被功能性激活。重要的是,abDGCs的选择性激活模拟了EE观察到的抗癫痫作用,而对它们的抑制则消除了这些作用。此外,全脑c-Fos图谱显示,响应EE时,投射到DG的EC CaMKIIα神经元的活性增加。至关重要的是,EC CaMKIIα神经元对abDGCs的增殖和成熟发挥双向调节作用,而abDGCs可以激活局部GABA能中间神经元;因此,它们是EE介导的抗癫痫作用的重要组成部分。总的来说,这项研究提供了关于EE治疗癫痫发作效果的潜在回路机制的有力证据,揭示了EC-DG回路在增强abDGCs功能中的作用。这可能有助于EE在癫痫治疗中的转化应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac5e/11633471/987692b04650/ADVS-11-2410927-g003.jpg

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