Schneiderman J H, Sterling C A, Luo R
Wellesley Hospital, Toronto, Ontario, Canada.
Neuroscience. 1994 Mar;59(2):259-73. doi: 10.1016/0306-4522(94)90594-0.
The effects of epileptiform bursts on hippocampal excitability were examined in the CA3 region of guinea-pig hippocampal slices. Partial blockade of gamma-aminobutyric acidA (GABAA)-mediated inhibition by 500 IU/ml penicillin produced low frequency (2-4 Hz) "pro-convulsant" field potential oscillations. Normal spontaneous activity recovered less than 30 min after the penicillin was rinsed out providing bursting was prevented. Synchronized bursting rarely began on its own even after 1 h in penicillin 500 IU/ml, but could be initiated in most slices after one to eight all-or-none bursts were evoked by low-intensity, low-frequency (0.2-0.25 Hz) stimuli. Spontaneous bursting, once initiated, persisted for at least 1 h without further stimulation suggesting that a small number of bursts produced a long-lasting increase in excitability. Bursts disappeared more slowly than anticipated after convulsants were rinsed out and were followed by "post-burst" oscillations with different frequency characteristics than proconvulsant oscillations which persisted for at least 4 h. Selective augmentation of evoked N-methyl-D-aspartate excitatory postsynaptic potentials appeared to be the critical first step in the initiation of bursting. The specific N-methyl-D-aspartate antagonist, 2-amino-5-phosphonovaleric acid (50-100 microM), only partially suppressed pro-convulsant oscillations in partially disinhibited slices but completely prevented stimulus-triggered spontaneous bursting and prolonged hyperexcitability. Although N-methyl-D-aspartate receptors were necessary for the induction of bursting in partially disinhibited slices, they were not required to initiate bursting after more complete disinhibition. However, when 2-amino-5-phosphonovaleric acid was applied prior to and during perfusion with 2000 IU/ml penicillin, spontaneous bursts occurred at long, irregular intervals and lacked afterdischarges. These bursts rapidly disappeared upon penicillin washout and were not followed by persistent post-burst oscillations. N-methyl-D-aspartate antagonists applied only after bursts already established in penicillin blocked the afterdischarges but did not reduce the burst frequency. These observations indicate that epileptiform bursts can produce long-lasting, hippocampal hyperexcitability. The induction of these plastic changes requires N-methyl-D-aspartate receptor activation which then enhances both N-methyl-D-aspartate and non-N-methyl-D-aspartate receptor mechanisms. Furthermore, N-methyl-D-aspartate excitatory postsynaptic potentials can participate in triggering spontaneous bursts but this role is masked once plasticity has occurred. Partial disinhibition produces a pro-convulsant state which does not induce long-lasting changes in hippocampal excitability but renders the neuronal network vulnerable to develop persistent epileptiform bursting with small additional excitatory inputs.(ABSTRACT TRUNCATED AT 400 WORDS)
在豚鼠海马切片的CA3区研究了癫痫样爆发对海马兴奋性的影响。500 IU/ml青霉素对γ-氨基丁酸A(GABAA)介导的抑制作用进行部分阻断,产生低频(2 - 4 Hz)“促惊厥”场电位振荡。冲洗掉青霉素后,若能防止爆发,正常的自发活动在不到30分钟内恢复。即使在500 IU/ml青霉素中孵育1小时后,同步爆发也很少自行开始,但在通过低强度、低频(0.2 - 0.25 Hz)刺激诱发一到八次全或无爆发后,大多数切片中都能引发同步爆发。一旦引发,自发爆发在没有进一步刺激的情况下持续至少1小时,这表明少量爆发会使兴奋性产生持久增加。惊厥剂冲洗掉后,爆发消失得比预期慢,随后是“爆发后”振荡,其频率特征与促惊厥振荡不同,且持续至少4小时。诱发的N - 甲基 - D - 天冬氨酸兴奋性突触后电位的选择性增强似乎是爆发起始的关键第一步。特异性N - 甲基 - D - 天冬氨酸拮抗剂2 - 氨基 - 5 - 磷酸戊酸(50 - 100 microM)仅部分抑制部分去抑制切片中的促惊厥振荡,但完全阻止刺激触发的自发爆发和延长的兴奋性过高。虽然N - 甲基 - D - 天冬氨酸受体对于部分去抑制切片中爆发的诱导是必需的,但在更完全去抑制后引发爆发则不需要。然而,当在灌注2000 IU/ml青霉素之前和期间应用2 - 氨基 - 5 - 磷酸戊酸时,自发爆发以长的、不规则的间隔出现且没有后放电。青霉素冲洗后这些爆发迅速消失,且之后没有持续的爆发后振荡。仅在青霉素中已建立爆发后应用N - 甲基 - D - 天冬氨酸拮抗剂可阻断后放电,但不降低爆发频率。这些观察结果表明癫痫样爆发可产生持久的海马兴奋性过高。这些可塑性变化的诱导需要N - 甲基 - D - 天冬氨酸受体激活,这随后增强了N - 甲基 - D - 天冬氨酸和非N - 甲基 - D - 天冬氨酸受体机制。此外,N -甲基 - D - 天冬氨酸兴奋性突触后电位可参与触发自发爆发,但一旦可塑性发生,这一作用就会被掩盖。部分去抑制产生一种促惊厥状态,其不会诱导海马兴奋性的持久变化,但使神经元网络易在少量额外兴奋性输入时发展为持续性癫痫样爆发。(摘要截断于400字)