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在全身性海人酸癫痫发作期间,脑血管对蛋白质的通透性增加。

Increased cerebrovascular permeability to protein during systemic kainic acid seizures.

作者信息

Ruth R E

出版信息

Epilepsia. 1984 Apr;25(2):259-68. doi: 10.1111/j.1528-1157.1984.tb04185.x.

Abstract

Cerebrovascular permeability to protein (CVP-p) was assessed during limbic seizures by injecting unrestrained rats intraperitoneally with kainic acid followed by intravenous horseradish peroxidase (HRP); animals survived approximately 1 h after seizure onset. Brains were processed for the blue HRP reaction product followed by light microscopic examination of sequential sagittal sections. In all cases kainate-induced seizures caused increased CVP-p within the thalamus, temporal hippocampal formation, and neocortex. Somewhat less frequently other limbic structures and the striatum were HRP-positive. A lamina-specific extravasation occurred in the dorsal hippocampus; reaction product occupied the mossy fiber zone of field CA3, a likely focus of kainate action. Extravasation of HRP also occurred within, or juxtaposed to, certain myelinated fiber bundles. Brains from animals treated as blanks (kainate but no HRP) were devoid of peroxidase activity, and in nonseizing animals HRP gained access only to circumventricular organs. Although regions of increased CVP-p partially covary with areas of increased electrical activity and glucose metabolism, neuronal activation occurs over a much greater volume of brain tissue than does CVP-p. A close relationship may exist between these circumscribed areas of protein extravasation and seizure foci. Both vasogenic and cytotoxic edema appear to be simultaneously present during kainate seizures.

摘要

通过给未受束缚的大鼠腹腔注射海藻酸,随后静脉注射辣根过氧化物酶(HRP),在边缘叶癫痫发作期间评估脑血管对蛋白质的通透性(CVP-p);动物在癫痫发作开始后存活约1小时。对大脑进行处理以检测蓝色HRP反应产物,随后对连续的矢状切片进行光学显微镜检查。在所有情况下,海藻酸盐诱导的癫痫发作导致丘脑、颞叶海马结构和新皮质内的CVP-p增加。其他边缘叶结构和纹状体HRP阳性的频率略低。在背侧海马区发生了层特异性渗出;反应产物占据了CA3区的苔藓纤维带,这可能是海藻酸盐作用的一个可能靶点。HRP渗出也发生在某些有髓纤维束内或与之相邻。作为空白对照处理的动物(注射海藻酸但未注射HRP)的大脑没有过氧化物酶活性,并且在未发作癫痫的动物中,HRP仅进入室周器官。虽然CVP-p增加的区域部分与电活动和葡萄糖代谢增加的区域共变,但神经元激活发生的脑组织体积比CVP-p增加的体积大得多。这些蛋白质渗出的局限区域与癫痫病灶之间可能存在密切关系。在海藻酸盐癫痫发作期间,血管源性水肿和细胞毒性水肿似乎同时存在。

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