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破伤风毒素诱发癫痫发作后肺门生长抑素神经元的丧失。

Loss of hilar somatostatin neurons following tetanus toxin-induced seizures.

作者信息

Mitchell J, Gatherer M, Sundstrom L E

机构信息

University of Southampton, UK.

出版信息

Acta Neuropathol. 1995;89(5):425-30. doi: 10.1007/BF00307647.

Abstract

A loss of inhibitory interneurons has been reported in the hippocampus following seizure activity in various animal models of epilepsy and in human epileptic tissue. The question of whether particular populations of inhibitory neurons are similarly affected by the chronic block of inhibition that results after tetanus toxin injections directly into the brain has not previously been addressed. In the present study a unilateral intrahippocampal injection of tetanus toxin into the ventral hippocampus was used to produce a chronic epileptic syndrome characterised by brief seizures that recurred intermittently for 6-8 weeks. The results reveal, for the first time, the morphological changes in somatostatin interneurons following tetanus toxin-induced seizures in the rat. A bilateral short-term increase in immunoreactivity of somatostatin neurons is present 1 week after injection. This is accompanied by an increased intensity of somatostatin-immunoreactive axon terminals in the outer molecular layer of the dentate gyrus, which is more marked on the contralateral side. A chronic and significant loss of somatostatin-immunoreactive neurons was noted in the hilus of the dentate gyrus 2 months later. The significance of the chronic loss of the hilar somatostatin neurons in the control of excitatory activity in the dentate gyrus and whether the acute morphological changes are due to a direct action of the toxin on release mechanisms or as a result of seizure activity are discussed.

摘要

在各种癫痫动物模型及人类癫痫组织中,癫痫发作后海马体中抑制性中间神经元出现缺失已有报道。此前尚未探讨过,向脑内直接注射破伤风毒素后导致的抑制作用长期受阻,是否会对特定群体的抑制性神经元产生类似影响。在本研究中,通过向腹侧海马体单侧脑内注射破伤风毒素,诱发一种慢性癫痫综合征,其特征为短暂发作,间歇性复发6至8周。结果首次揭示了大鼠破伤风毒素诱发癫痫发作后生长抑素中间神经元的形态学变化。注射后1周,生长抑素神经元的免疫反应性出现双侧短期增加。同时,齿状回外分子层中生长抑素免疫反应性轴突终末的强度增加,对侧更为明显。2个月后,在齿状回门区观察到生长抑素免疫反应性神经元出现慢性且显著的缺失。本文讨论了齿状回门区生长抑素神经元慢性缺失在控制齿状回兴奋性活动中的意义,以及急性形态学变化是由于毒素对释放机制的直接作用还是癫痫发作活动所致。

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