Duchowny M S, Burchfiel J L
Electroencephalogr Clin Neurophysiol. 1981 Apr;51(4):403-16. doi: 10.1016/0013-4694(81)90104-8.
To study the relative contribution of positive and negative transfer during the kindling of motor seizures, we electrically stimulated the septal area and entorhinal cortex in rats according to two different stimulation paradigms. The first consisted of the usual transfer paradigm in which one site was consecutively stimulated until generalized convulsion were elicited and then the other, secondary site was consecutively stimulated ('transfer kindling'). The second paradigm differed only in that both sites were kindled concurrently by alternating stimulation--one site on one trial, the other on the next trial, etc. ('alternate kindling'). In agreement with results from other laboratories, transfer kindling produced positive transfer of seizure susceptibility in either direction between the septum and entorhinal cortex: primary kindling of one site facilitated secondary site kindling of the other. In marked contrast, alternate kindling was characterized by a striking antagonism of seizure development. Thirteen of 14 animals exhibited generalized convulsions from one site only. Motor seizure development at the alternately stimulated site was suppressed despite electrographic and behavioral evidence of limbic activation and despite stimulation for a number of trials more than sufficient for primary kindling. Which site became dominant during kindling appeared to be random and variable degrees of suppression were observed. Besides antagonizing motor seizure development at the suppressed site, alternate kindling facilitated dominant site kindling, particularly during the pre-motor phases. These results suggest that transsynaptic neural reorganization induced by kindling involves positive and negative effects upon seizure susceptibility. Positive effects are expressed as facilitation of inter-limbic connections whereas negative effects are expressed as antagonism of limbic motor connections which lead to motor convulsive behaviors.
为研究运动性癫痫发作点燃过程中正性和负性转移的相对作用,我们根据两种不同的刺激模式对大鼠的隔区和内嗅皮质进行电刺激。第一种模式为常规转移模式,即先连续刺激一个部位直至引发全身性惊厥,然后再连续刺激另一个次要部位(“转移点燃”)。第二种模式的不同之处仅在于两个部位通过交替刺激同时点燃——一次刺激一个部位,下一次刺激另一个部位,依此类推(“交替点燃”)。与其他实验室的结果一致,转移点燃在隔区和内嗅皮质之间的任何方向上均产生癫痫易感性的正性转移:一个部位的初级点燃促进另一个部位的次级点燃。与之形成鲜明对比的是,交替点燃的特征是癫痫发作发展明显受到拮抗。14只动物中有13只仅从一个部位出现全身性惊厥。尽管有脑电图和行为学证据表明边缘系统被激活,且刺激次数超过了足以引发初级点燃的次数,但交替刺激部位的运动性癫痫发作发展仍受到抑制。在点燃过程中哪个部位占主导似乎是随机的,并且观察到了不同程度的抑制。除了拮抗受抑制部位的运动性癫痫发作发展外,交替点燃还促进了主导部位的点燃,尤其是在运动前阶段。这些结果表明,点燃诱导的跨突触神经重组对癫痫易感性具有正性和负性影响。正性影响表现为促进边缘系统内连接,而负性影响表现为拮抗导致运动性惊厥行为的边缘系统运动连接。