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梨状肌后部和嗅周皮质传递来自颞叶癫痫区诱发的癫痫发作:兴奋性和抑制性氨基酸受体的作用。

Posterior piriform and perirhinal cortex relay seizures evoked from the area tempestas: role of excitatory and inhibitory amino acid receptors.

作者信息

Halonen T, Tortorella A, Zrebeet H, Gale K

机构信息

Department of Pharmacology, Georgetown University Medical Center, Washington, DC 20007.

出版信息

Brain Res. 1994 Jul 25;652(1):145-8. doi: 10.1016/0006-8993(94)90328-x.

Abstract

The functional relationship between the area tempestas (AT), an epileptogenic site within the deep prepiriform cortex, and the regions in the posterior piriform cortex which are innervated by AT, were studied in the rat. The GABAA receptor agonist, muscimol (390 pmol) was microinjected unilaterally into the posterior piriform cortex and adjacent regions in the same hemisphere from which seizures were evoked by focal application of bicuculline into AT. Pretreatment with muscimol into either the ventral posterior piriform cortex or perirhinal cortex, protected against the bilateral clonic seizures evoked from the ipsilateral AT. No seizure protection was obtained when muscimol was placed into adjacent areas of amygdala, entorhinal cortex, neocortex and ventral hippocampus. Seizure protection was also obtained when kynurenic acid, but not 2-amino-7-phosphonoheptanoic acid, was microinjected into the ventral posterior piriform cortex, suggesting that glutamate transmission mediated via non-N-methyl-D-aspartate (non-NMDA) receptors is required for the relay of seizure discharge through this region. Our data indicate that a specific region of the temporal cortex, the posterior piriform and perirhinal area, functions as a critical link in the propagation of limbic seizures evoked from AT.

摘要

在大鼠中研究了深部梨状前皮质内的致痫部位——风暴区(AT)与接受AT支配的梨状后皮质区域之间的功能关系。将GABAA受体激动剂蝇蕈醇(390皮摩尔)单侧微量注射到梨状后皮质及同一半球的相邻区域,这些区域通过向AT局部应用荷包牡丹碱诱发癫痫发作。向腹侧梨状后皮质或嗅周皮质预先注射蝇蕈醇,可预防同侧AT诱发的双侧阵挛性癫痫发作。当将蝇蕈醇注入杏仁核、内嗅皮质、新皮质和腹侧海马体的相邻区域时,未获得癫痫发作保护作用。当将犬尿氨酸而非2-氨基-7-磷酸庚酸微量注射到腹侧梨状后皮质时,也获得了癫痫发作保护作用,这表明通过非N-甲基-D-天冬氨酸(非NMDA)受体介导的谷氨酸传递是癫痫放电通过该区域中继所必需的。我们的数据表明,颞叶皮质的一个特定区域,即梨状后和嗅周区域,在AT诱发的边缘性癫痫发作传播中起关键作用。

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