Gale K
Georgetown University Medical Center, Department of Pharmacology, Washington, DC, USA.
Ital J Neurol Sci. 1995 Feb-Mar;16(1-2):17-25. doi: 10.1007/BF02229070.
Studies of short and long-term changes in regional metabolism, blood flow, gene expression (including immediate early genes and genes for neurotrophic factors), sprouting and cell death following seizures are pivotal to an understanding of the neural networks responsible for the generation of seizures. At the same time, this information forms a basis for understanding the pathophysiology associated with chronic, recurrent seizures. Systemic chemoconvulsant seizure models, produced by systemically administered chemoconvulsant agents, although convenient, are plagued with difficulties which confound the interpretation of their effects on the nervous system. These difficulties include widespread direct cellular and physiological effects of the chemoconvulsant drugs, most of which are independent of seizures. In addition, numerous physiological changes occur as a secondary consequence of, or ancillary to, seizures, and it can be especially difficult to separate these effects from the direct effects of the propagated seizure discharge itself. Some of these difficulties can be overcome by the use of focally-evoked seizure models. Such models avoid the diffuse presence of drug throughout the CNS and thereby eliminate most of the direct cellular and physiologic actions of the drug apart from seizure-induction. Large regions of the brain distant from the focal site of drug application then can be examined for molecular, structural and physiologic changes uncomplicated by the presence of drug. Moreover, different focal sites of drug application can be compared to evaluate the specificity of the molecular changes to the neural network engaged in the seizure discharge. For example, limbic seizures, evoked by chemoconvulsant application into area tempestas, can be compared with brainstem convulsions evoked by chemoconvulsant application into inferior colliculus.(ABSTRACT TRUNCATED AT 250 WORDS)
研究癫痫发作后区域代谢、血流、基因表达(包括即刻早期基因和神经营养因子基因)、发芽和细胞死亡的短期和长期变化,对于理解负责癫痫发作产生的神经网络至关重要。同时,这些信息构成了理解与慢性复发性癫痫相关的病理生理学的基础。全身化学惊厥癫痫模型由全身给药的化学惊厥剂产生,虽然方便,但存在一些困难,这些困难混淆了对其对神经系统影响的解释。这些困难包括化学惊厥药物广泛的直接细胞和生理作用,其中大多数与癫痫发作无关。此外,癫痫发作会引发许多生理变化,这些变化是癫痫发作的次要后果或附属后果,尤其难以将这些影响与癫痫发作放电本身的直接影响区分开来。使用局灶性诱发癫痫模型可以克服其中一些困难。此类模型避免了药物在整个中枢神经系统中的弥漫性存在,从而消除了除癫痫诱发外药物的大多数直接细胞和生理作用。然后可以检查远离药物应用局灶部位的大脑大片区域,以观察未受药物存在影响的分子、结构和生理变化。此外,可以比较不同的药物应用局灶部位,以评估分子变化对参与癫痫发作放电的神经网络的特异性。例如,通过将化学惊厥剂应用于颞叶区域诱发的边缘性癫痫发作,可以与通过将化学惊厥剂应用于下丘诱发的脑干惊厥进行比较。(摘要截短为250字)