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毛果芸香碱诱发大鼠边缘叶癫痫发作:行为学、脑电图及神经病理学研究

Limbic seizures produced by pilocarpine in rats: behavioural, electroencephalographic and neuropathological study.

作者信息

Turski W A, Cavalheiro E A, Schwarz M, Czuczwar S J, Kleinrok Z, Turski L

出版信息

Behav Brain Res. 1983 Sep;9(3):315-35. doi: 10.1016/0166-4328(83)90136-5.

Abstract

Behavioural, electroencephalographic and neuropathological responses to increasing doses of pilocarpine (100-400 mg/kg) administered intraperitoneally to rats were studied. At the dose of 400 mg/kg pilocarpine produced a sequence of behavioural alterations including staring spells, olfactory and gustatory automatisms and motor limbic seizures that developed over 1-2 h and built up progressively into limbic status epilepticus. Smaller doses showed different threshold for these behavioural phenomena but a similar time course of development. The earliest electrographic alterations occurred in the hippocampus and then epileptiform activity propagated to amygdala and cortex. Subsequently electrographic seizures appeared in both limbic and cortical leads. The ictal periods recurred each 5-15 min and were followed by variable periods of depression of the electrographic activity. The sequence of electrographic changes correlated well with the development of behavioural phenomena. Histological examination of frontal forebrain sections revealed disseminated, apparently seizure-mediated pattern of brain damage. Neuropathological alterations were observed in the olfactory cortex, amygdaloid complex, thalamus, neocortex, hippocampal formation and substantia nigra. Pretreatment of animals with scopolamine (20 mg/kg) and diazepam (10 mg/kg) prevented the development of convulsive activity and brain damage. These results show that systemic pilocarpine in rats selectively elaborates epileptiform activity in the limbic structures accompanied by motor limbic seizures, limbic status epilepticus and widespread brain damage. It is suggested that a causative relationship between excessive stimulation of cholinergic receptors in the brain and epileptic brain damage may exist.

摘要

研究了腹腔注射递增剂量匹鲁卡品(100 - 400mg/kg)对大鼠行为、脑电图及神经病理学的影响。在400mg/kg剂量时,匹鲁卡品引发了一系列行为改变,包括凝视发作、嗅觉和味觉自动症以及运动性边缘叶癫痫发作,这些发作在1 - 2小时内逐渐发展,并逐渐演变为边缘叶癫痫持续状态。较小剂量对这些行为现象表现出不同的阈值,但发展的时间进程相似。最早的脑电图改变出现在海马体,然后癫痫样活动扩散到杏仁核和皮层。随后,脑电图癫痫发作出现在边缘叶和皮层导联。发作期每5 - 15分钟复发一次,随后是脑电图活动的不同程度抑制期。脑电图变化的顺序与行为现象的发展密切相关。额叶前脑切片的组织学检查显示出散在的、明显由癫痫介导的脑损伤模式。在嗅觉皮层、杏仁复合体、丘脑、新皮层、海马结构和黑质中观察到神经病理学改变。用东莨菪碱(20mg/kg)和地西泮(10mg/kg)预处理动物可预防惊厥活动和脑损伤的发生。这些结果表明,大鼠体内全身性匹鲁卡品可在边缘结构中选择性地引发癫痫样活动,伴有运动性边缘叶癫痫发作、边缘叶癫痫持续状态和广泛的脑损伤。提示脑内胆碱能受体过度刺激与癫痫性脑损伤之间可能存在因果关系。

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