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难治性癫痫患儿新皮质切片中荷包牡丹碱诱导的癫痫样爆发的特性及突触机制

Properties and synaptic mechanisms of bicuculline-induced epileptiform bursts in neocortical slices from children with intractable epilepsy.

作者信息

Kim Y I, Peacock W J, Dudek F E

机构信息

Mental Retardation Research Center, UCLA School of Medicine 90024.

出版信息

J Neurophysiol. 1993 Nov;70(5):1759-66. doi: 10.1152/jn.1993.70.5.1759.

DOI:10.1152/jn.1993.70.5.1759
PMID:7905030
Abstract
  1. Bicuculline-induced epileptiform bursts in slices of neocortical tissue resected from children (3 mo to 14 yr) undergoing neurosurgical treatment for intractable epilepsy were studied with conventional intracellular recording techniques. The purposes of this study were to characterize the bursts evoked in immature human neocortical slices, to gain further insight to how N-methyl-D-aspartate (NMDA) and non-NMDA receptors contribute to the genesis of the bursts, and to determine whether the characteristics of the bursts were related to patient age or clinically defined abnormality of the tissue. 2. Epileptiform bursts evoked by focal stimulation of the underlying white or gray matter in bicuculline (10 microM) were all-or-none events. Once evoked, the bursts in a given neuron appeared very similar to one another, regardless of stimulus intensity. Stronger stimuli only decreased the onset latency of the bursts. The bursts evoked with relatively weak stimuli (< 2-3 times the threshold), particularly those from stimulation of a distant site (4-5 mm), were variable in onset latency. The bursts from stimulation of a close site (0.5-2 mm) with stronger stimuli (> 3 times the threshold) were invariable in onset latency. 3. Across different cells, particularly across the cells in different slices, the bursts were quite variable in terms of their morphology and duration. When measured at one-half of the amplitude of the underlying depolarization (approximately 20-50 mV), the duration of the bursts ranged from 20 to 775 ms (n = 80 cells). In 23% of the cases (18 of 80 cells), afterdischarges lasting for tens of milliseconds to a few seconds followed the bursts.(ABSTRACT TRUNCATED AT 250 WORDS)
摘要
  1. 采用传统的细胞内记录技术,研究了从3个月至14岁接受顽固性癫痫神经外科治疗的儿童切除的新皮质组织切片中荷包牡丹碱诱导的癫痫样爆发。本研究的目的是表征未成熟人类新皮质切片中诱发的爆发,进一步了解N-甲基-D-天冬氨酸(NMDA)和非NMDA受体如何促成爆发的发生,并确定爆发的特征是否与患者年龄或临床上定义的组织异常有关。2. 在荷包牡丹碱(10微摩尔)中,对下层白质或灰质进行局部刺激诱发的癫痫样爆发是全或无事件。一旦诱发,给定神经元中的爆发彼此看起来非常相似,与刺激强度无关。更强的刺激只会缩短爆发的起始潜伏期。用相对较弱的刺激(<阈值的2 - 3倍)诱发的爆发,特别是来自远处部位(4 - 5毫米)刺激的爆发,起始潜伏期是可变的。用较强刺激(>阈值的3倍)对近处部位(0.5 - 2毫米)进行刺激诱发的爆发,起始潜伏期是不变的。3. 在不同细胞之间,特别是在不同切片中的细胞之间,爆发在形态和持续时间方面有很大差异。当在基础去极化幅度的一半(约20 - 50毫伏)处测量时,爆发的持续时间为20至775毫秒(n = 80个细胞)。在23%的病例中(80个细胞中的18个),爆发后有持续数十毫秒至几秒的后放电。(摘要截断于250字)

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