Li Fei Ran, Lévesque Maxime, Wang Siyan, Gemayel Mia, Avoli Massimo
Departments of Neurology & Neurosurgery, and Physiology, Montreal Neurological Institute-Hospital, McGill University, 3801 University Street, Montréal, Québec, H3A 2B4, Canada.
Department of Psychology, McGill University, 2001 McGill College, Montreal, Quebec, H3A 1G1, Canada.
Curr Neuropharmacol. 2025;23(7):862-871. doi: 10.2174/011570159X326861241129093354.
Catamenial epilepsy, which is defined as a periodicity of seizure exacerbation occurring during the menstrual cycle, has been reported in up to 70% of epileptic women. These seizures are often non-responsive to medication and our understanding of the relation between menstrual cycle and seizure generation (i.e. ictogenesis) remains limited.
Here, we employed the 4-aminopyridine model of epileptiform synchronization, to analyze the effects induced by optogenetic activation of parvalbumin (PV)-positive interneurons at 8 Hz during estrous and non-estrous phases in female PV-ChR2 mice.
We found that: (i) optogenetic stimulation of PV-positive interneurons induced an initial interictal spike followed by field oscillations occurring more often in estrous (59%) than in non-estrous slices (17%); (ii) these oscillations showed significantly higher power in estrous compared to nonestrous slices (p < 0.001); (iii) significantly higher rates of interictal spikes and ictal discharges were identified in both estrous and non-estrous slices during optogenetic stimulation of PV-positive interneurons compared to periods of no stimulation (p < 0.05); and (iv) ictal events appeared to occur more frequently during optogenetic stimulation in estrous compared to non-estrous slices.
Our findings show that optogenetic activation of PV-interneurons leads to more powerful network oscillations and more frequent ictal discharges in estrous than in non-estrous slices. We conclude that during the rodent estrous cycle, PV-interneuron hyperexcitability may play a role in epileptiform synchronization and thus in catamenial seizures.
月经性癫痫被定义为在月经周期中发作加剧的周期性现象,据报道,高达70%的癫痫女性存在这种情况。这些发作通常对药物治疗无反应,而我们对月经周期与癫痫发作产生(即发作发生机制)之间关系的理解仍然有限。
在此,我们采用癫痫样同步化的4-氨基吡啶模型,分析在雌性PV-ChR2小鼠的动情期和非动情期,以8赫兹光遗传学激活小白蛋白(PV)阳性中间神经元所诱导的效应。
我们发现:(i)对PV阳性中间神经元的光遗传学刺激诱发了最初的发作间期棘波,随后是场振荡,其在动情期切片(59%)中出现的频率高于非动情期切片(17%);(ii)与非动情期切片相比,这些振荡在动情期显示出显著更高的功率(p < 0.001);(iii)与无刺激期相比,在对PV阳性中间神经元进行光遗传学刺激期间,动情期和非动情期切片中的发作间期棘波和发作期放电率均显著更高(p < 0.05);以及(iv)与非动情期切片相比,在动情期光遗传学刺激期间发作期事件似乎更频繁发生。
我们的研究结果表明,与非动情期切片相比,PV中间神经元的光遗传学激活在动情期导致更强大的网络振荡和更频繁的发作期放电。我们得出结论,在啮齿动物的动情周期中,PV中间神经元的过度兴奋可能在癫痫样同步化中起作用,从而在月经性癫痫发作中起作用。