Song Hongmei, Liu Yapeng, Sun Yuqing, Mah Bryan, Bai Yang, Zhang Liang
Departments of Neurosurgery and Neuro-Oncology, The First Hospital of Jilin University, Changchun, Jilin, China.
Krembil Research Institute, University Health Network, Toronto, Ontario, Canada.
Heliyon. 2024 Nov 14;10(22):e40294. doi: 10.1016/j.heliyon.2024.e40294. eCollection 2024 Nov 30.
Epilepsy is a chronic neurological disorder, and its prevalence presents a bimodal distribution with high incidences in children and older adults. The incidence of epilepsy does not generally differ between men and women; however, whether this holds true for new-onset epilepsy in older adults is unclear. While studies in animal models of epilepsy may help explore the biological mechanisms relevant to the influences of sex on epileptogenesis, relatively little information is available regarding sex differences in the genesis of epileptic seizures in middle-aged animals. In this study, we addressed this knowledge gap using a mouse model of extended hippocampal kindling. C57 black mice aged between the ages of 12 and 13 months underwent hippocampal kindling as this age roughly corresponds to middle age in humans (∼50 years). Relative to male mice, female mice showed faster-progressing and more severe evoked seizures, a higher tendency to experience spontaneous seizures in the early stage of extended kindling, less frequent expression of hippocampal interictal spikes, and insignificant decreases in hippocampal theta rhythm. Collectively, these results demonstrated the existence of sex-specific differences in hippocampal kindling-induced seizures and suggested that middle-aged female mice have greater but variable susceptibility to hippocampal kindling-induced epileptogenesis compared with male mice of similar age.
癫痫是一种慢性神经系统疾病,其患病率呈双峰分布,在儿童和老年人中发病率较高。癫痫的发病率在男性和女性之间通常没有差异;然而,在老年人中新发癫痫是否也是如此尚不清楚。虽然在癫痫动物模型中的研究可能有助于探索与性别对癫痫发生影响相关的生物学机制,但关于中年动物癫痫发作发生过程中的性别差异,可获得的信息相对较少。在本研究中,我们使用扩展海马点燃小鼠模型填补了这一知识空白。12至13月龄的C57黑小鼠接受海马点燃,因为这个年龄大致相当于人类的中年(约50岁)。相对于雄性小鼠,雌性小鼠表现出进展更快、更严重的诱发性癫痫发作,在扩展点燃早期出现自发性癫痫发作的倾向更高,海马发作间期棘波的表达频率更低,海马θ节律的降低不显著。总体而言,这些结果证明了海马点燃诱导的癫痫发作中存在性别特异性差异,并表明中年雌性小鼠与同龄雄性小鼠相比,对海马点燃诱导的癫痫发生具有更高但可变的易感性。