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海马内注射 kainic 酸、癫痫发作与局部神经元变性:在未麻醉大鼠中评估的关系

Intrahippocampal kainic acid, seizures and local neuronal degeneration: relationships assessed in unanesthetized rats.

作者信息

French E D, Aldinio C, Schwarcz R

出版信息

Neuroscience. 1982 Oct;7(10):2525-36. doi: 10.1016/0306-4522(82)90212-3.

Abstract

Intrahippocampal infusion of nanogram amounts of the neurotoxin kainic acid were used to investigate possible relationships between the convulsive and the local neurodegenerative properties of the amino acid. Bilateral hippocampal depth electrodes and cortical leads were employed to provide simultaneous and continuous electroencephalographic records following kainate injection in unanesthetized freely-behaving rats. In every animal, morphological analysis was performed 3-5 days after administration of kainic acid and attempts were made to correlate neuronal destruction with electroencephalographic patterns. Doses as low as 500 pg kainate led to behavioral sequelae consisting of grooming, scratching and enhanced locomotor activity. In a roughly dose-dependent fashion (range 500 gp-250 ng), these behaviors increased in frequency and at the highest doses the rats also displayed wet-dog shakes, stereotype mouth movements and occasional facial myoclonus. Apart from these automatisms, generalized motor seizures were never seen. Following kainic acid, a spectrum of electroencephalographic changes could occur consisting of one or more of the following: high voltage fast activity, slow and fast high voltage spiking, paroxysmal bursts, spindle bursts or postictal depression periods. The combination of any two of these changes were defined as an ictal episode if they occurred in all four leads simultaneously. Upon morphological examination, only the highest dose used (250 ng) resulted reliably in the degeneration of CA3, CA4 and, partly, CA1 pyramidal cells on the injected side. While the duration of electroencephalographic changes at this dose was significantly higher than at any of the lower doses, the number of seizures or the total time spent in seizures was not different at 250 ng from that at 50 ng. At the latter dose, however, only marginal cell damage could be found. Our data indicate that very low doses of kainic acid directly applied to hippocampal CA3 neurons, can elicit bilateral changes in the electroencephalogram indicative of repetitive limbic seizures which are not necessarily accompanied by neuronal degeneration. At higher doses (250 ng), kainic acid treatment results in both seizure activity and nerve cell death but the two effects appear mechanistically unrelated. While there is no clear-cut dose-response relationship between neuronal damage and seizures, extended electroencephalographic changes of a 15-30 Hz fast activity or simple spiking phenomena may be instrumental for the degenerative process. This dissociation between convulsive and neurodegenerative properties of kainic acid, however, does not argue against a role of an endogenous substance related to kainic acid in the etiology of temporal lobe seizure disorders.

摘要

向海马体内注射纳克量的神经毒素 kainic 酸,以研究该氨基酸的惊厥特性与局部神经退行性特性之间的可能关系。在未麻醉的自由活动大鼠注射 kainate 后,使用双侧海马深度电极和皮层导联来提供同步且连续的脑电图记录。在每只动物中,在给予 kainic 酸后 3 - 5 天进行形态学分析,并尝试将神经元破坏与脑电图模式相关联。低至 500 皮克的 kainate 剂量会导致包括梳理毛发、抓挠和增强的运动活动等行为后遗症。这些行为以大致剂量依赖性方式(范围为 500 皮克 - 250 纳克)增加频率,在最高剂量时,大鼠还表现出湿狗样抖动、刻板的口部运动和偶尔的面部肌阵挛。除了这些自动症外,从未观察到全身性运动性癫痫发作。注射 kainic 酸后,脑电图可能会出现一系列变化,包括以下一种或多种:高电压快速活动、慢和快的高电压尖峰、阵发性爆发、纺锤体爆发或发作后抑郁期。如果这两种变化同时出现在所有四个导联中,则将它们的组合定义为一次发作事件。经形态学检查,仅使用的最高剂量(250 纳克)可靠地导致注射侧 CA3、CA4 以及部分 CA1 锥体细胞的退化。虽然该剂量下脑电图变化的持续时间明显高于任何较低剂量,但 250 纳克时的癫痫发作次数或癫痫发作总时长与 50 纳克时并无差异。然而,在后者剂量下,仅能发现轻微的细胞损伤。我们的数据表明,直接应用于海马 CA3 神经元的极低剂量 kainic 酸可引发脑电图的双侧变化,表明存在重复性边缘性癫痫发作,而不一定伴有神经元退化。在较高剂量(250 纳克)时,kainic 酸治疗会导致癫痫发作活动和神经细胞死亡,但这两种效应在机制上似乎无关。虽然神经元损伤与癫痫发作之间没有明确的剂量反应关系,但 15 - 30Hz 的快速活动或简单尖峰现象等延长的脑电图变化可能对退化过程有影响。然而,kainic 酸的惊厥特性与神经退行性特性之间的这种分离并不排除与 kainic 酸相关的内源性物质在颞叶癫痫障碍病因学中的作用。

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