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紧密间隔的复发性海马体癫痫发作引发两种类型的增强型癫痫发生:一种是快速发展的短暂点燃,另一种是缓慢发展的持久点燃。

Closely spaced recurrent hippocampal seizures elicit two types of heightened epileptogenesis: a rapidly developing, transient kindling and a slowly developing, enduring kindling.

作者信息

Lothman E W, Williamson J M

机构信息

Department of Neurology, University of Virginia Health Sciences Center, Charlottesville 22908.

出版信息

Brain Res. 1994 Jun 27;649(1-2):71-84. doi: 10.1016/0006-8993(94)91050-2.

DOI:10.1016/0006-8993(94)91050-2
PMID:7953657
Abstract

Kindling is widely accepted as a model of chronic epilepsy as well as a model of plasticity in the nervous system. Conventional kindling studies have used infrequent stimuli (separated by many hours) to establish a fully kindled state in which enhanced responses (kindled motor seizures and protracted afterdischarges) are consistently triggered by stimuli that initially did not elicit such responses. The enhanced responses occur even after a prolonged stimulus-free interval. Whereas the establishment of a kindled state with traditional stimulus protocols takes several weeks, our previous work showed that kindling could take place much more quickly when the interstimulus interval was set at 30 min (rapid kindling). In this report we tested whether rapid kindling protocols share with traditional kindling protocols the ability to establish a fully kindled state. Using different stimulus protocols involving recurrent hippocampal seizures, we characterized two types of kindling. 'Rapid kindling' developed over hours, but was transient, with a decay rate of a few days so that a fully kindled state did not persist. In contrast, 'slow kindling' developed over several weeks and was enduring, apparently permanent, being associated with a fully kindled state. These findings suggest that, while having certain similarities, the two types of kindling arise from dissimilar mechanisms. The existence of these two types of kindling has implications for epileptogenesis in humans. Moreover, the protocols developed in this work provide a useful means to control for the effects of seizures that are not related to mechanisms underlying a fully kindled state.

摘要

点燃效应被广泛认为是慢性癫痫的一种模型,也是神经系统可塑性的一种模型。传统的点燃效应研究使用不频繁的刺激(间隔数小时)来建立完全点燃状态,在这种状态下,最初不会引发此类反应的刺激会持续触发增强反应(点燃性运动性癫痫发作和延长的后放电)。即使在长时间无刺激间隔后,增强反应仍会出现。虽然用传统刺激方案建立点燃状态需要数周时间,但我们之前的研究表明,当刺激间隔设定为30分钟时(快速点燃),点燃效应可以更快发生。在本报告中,我们测试了快速点燃方案与传统点燃方案是否具有建立完全点燃状态的能力。使用涉及复发性海马癫痫发作的不同刺激方案,我们对两种类型的点燃效应进行了表征。“快速点燃”在数小时内发展,但具有短暂性,衰减率为几天,因此完全点燃状态不会持续。相比之下,“缓慢点燃”在数周内发展且具有持久性,显然是永久性的,与完全点燃状态相关。这些发现表明,虽然两种类型的点燃效应有一定相似性,但它们源于不同的机制。这两种类型点燃效应的存在对人类癫痫发生具有重要意义。此外,本研究中开发的方案为控制与完全点燃状态潜在机制无关的癫痫发作影响提供了一种有用的方法。

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Closely spaced recurrent hippocampal seizures elicit two types of heightened epileptogenesis: a rapidly developing, transient kindling and a slowly developing, enduring kindling.紧密间隔的复发性海马体癫痫发作引发两种类型的增强型癫痫发生:一种是快速发展的短暂点燃,另一种是缓慢发展的持久点燃。
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Neurosci Lett. 2005 Nov 4;388(1):33-8. doi: 10.1016/j.neulet.2005.06.028.

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