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海人酸诱发的癫痫发作以及海马体中易损神经元钙负荷的可逆性

Kainic acid seizures and the reversibility of calcium loading in vulnerable neurons in the hippocampus.

作者信息

Evans M C, Griffiths T, Meldrum B S

出版信息

Neuropathol Appl Neurobiol. 1984 Jul-Aug;10(4):285-302. doi: 10.1111/j.1365-2990.1984.tb00360.x.

Abstract

The threshold pathological changes in the rat hippocampus following systemic administration of kainic acid (12-15 mg/kg) have been studied in relation to i the duration of EEG seizure activity and ii calcium accumulation in post-synaptic neurons, using the oxalate-pyroantimonate method. The reversibility of the pathological changes and calcium loading has been studied from 40 min to 48 h after the termination of seizure activity. Little or no changes were visible 2-3 h after 12 mg kainic acid per kg, but changes were obvious in most hippocampi directly after 2-3.5 h of seizure activity induced by 15 mg kainic acid per kg. These consisted of generalized swelling of perineuronal and perivascular astrocytic processes, neuronal hyperchromasia and microvacuolation, and swelling of CA1 basal dendrites. 'Ischaemic cell change' occurred in a small number of pyramidal neurons. Calcium accumulated in mitochondria of basal dendrites and in the soma of pyramidal neurons in CA1 and CA3. Astrocytic and dendritic swelling and mitochondrial calcium accumulation were rapidly reversed during 40 min of seizure suppression with diazepam. Calcium accumulation in astrocytic processes recovered more slowly (greater than or equal to 4 h). After a recovery period of 24-48 h, ischaemic cell changes were seen only in very occasional pyramidal neurons. The pattern of pathological changes is very similar to that seen after L-allylglycine or bicuculline-induced seizures. If the dendritic and other changes are a direct consequence of agonist actions at excitatory amino acid receptors (pre- or post-synaptic) then similar actions must be occurring in seizures induced by agents acting primarily on GABAergic inhibition.

摘要

采用草酸焦锑酸盐法,研究了全身注射海藻酸(12 - 15毫克/千克)后大鼠海马体的阈值病理变化与以下两方面的关系:i)脑电图癫痫活动的持续时间;ii)突触后神经元中的钙积累。在癫痫活动终止后40分钟至48小时内,研究了病理变化和钙负荷的可逆性。每千克注射12毫克海藻酸后2 - 3小时几乎未见或未见变化,但每千克注射15毫克海藻酸诱导癫痫活动2 - 3.5小时后,大多数海马体中的变化明显。这些变化包括神经元周围和血管周围星形胶质细胞突起的普遍肿胀、神经元染色质增多和微空泡形成,以及CA1基底树突的肿胀。少数锥体细胞出现“缺血性细胞变化”。钙在基底树突的线粒体以及CA1和CA3区锥体细胞的胞体中积累。用安定抑制癫痫发作40分钟期间,星形胶质细胞和树突肿胀以及线粒体钙积累迅速逆转。星形胶质细胞突起中的钙积累恢复较慢(大于或等于4小时)。经过24 - 48小时的恢复期后,仅在极少数锥体细胞中可见缺血性细胞变化。病理变化模式与L -烯丙基甘氨酸或荷包牡丹碱诱导的癫痫发作后所见模式非常相似。如果树突和其他变化是激动剂作用于兴奋性氨基酸受体(突触前或突触后)的直接后果,那么在主要作用于GABA能抑制的药物诱导的癫痫发作中必然也会发生类似作用。

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