Wang C, Mishra P K, Dailey J W, Jobe P C, Browning R A
Department of Physiology, Southern Illinois University School of Medicine, Carbondale 62901.
Epilepsy Res. 1994 May;18(1):1-9. doi: 10.1016/0920-1211(94)90028-0.
The genetically epilepsy-prone rat (GEPR) and other mammals with genetically based epilepsy are characterized by an innate predisposition to seizures evoked by a wide variety of stimuli (including those of endogenous origin). The present investigation was undertaken to identify the anatomical location of the noradrenergic terminal fields responsible for regulation of seizure predisposition. In this study, audiogenic seizure severity was used as the index of seizure predisposition. The effect of widespread destruction of noradrenergic terminal fields was compared with the effect of destroying regionally distinct terminal fields. These lesions were produced by microinfusion of 6-hydroxydopamine (6-OHDA) into the locus ceruleus, the A1 noradrenergic area, the noradrenergic dorsal bundle, the cerebellar peduncles and spinal intrathecal space. Selective depletion of norepinephrine in the forebrain, the cerebellum, or the spinal cord failed to alter audiogenic seizure severity. An increase in seizure severity was always associated with marked depletion of norepinephrine in the midbrain excluding the inferior colliculus. Also a significant correlation existed between the seizure intensification and reduction of norepinephrine in this structure in all instances where a seizure intensification was observed. An association of seizure intensification also existed in all cases except one with depletion in the pons/medulla. The present findings support the hypothesis that the noradrenergic terminal fields of the midbrain excluding the inferior colliculus are determinants of seizure predisposition. Inasmuch as audiogenic seizures are a type of brainstem seizure, the present findings do not a priori pertain to the noradrenergic regulation of forebrain seizures.
遗传性癫痫易感大鼠(GEPR)和其他患有遗传性癫痫的哺乳动物的特点是,对多种刺激(包括内源性刺激)诱发的癫痫具有先天性易感性。本研究旨在确定负责调节癫痫易感性的去甲肾上腺素能终末场的解剖位置。在本研究中,将听源性癫痫严重程度用作癫痫易感性指标。比较了去甲肾上腺素能终末场广泛破坏的效果与区域特异性终末场破坏的效果。这些损伤是通过将6-羟基多巴胺(6-OHDA)微量注入蓝斑、A1去甲肾上腺素能区、去甲肾上腺素能背束、小脑脚和脊髓鞘内空间产生的。前脑、小脑或脊髓中去甲肾上腺素的选择性耗竭未能改变听源性癫痫严重程度。癫痫严重程度的增加总是与中脑(不包括下丘)中去甲肾上腺素的显著耗竭相关。在所有观察到癫痫加重的情况下,癫痫加重与该结构中去甲肾上腺素的减少之间也存在显著相关性。除一例外,在所有病例中,癫痫加重也与脑桥/延髓中的耗竭有关。本研究结果支持以下假设:中脑(不包括下丘)的去甲肾上腺素能终末场是癫痫易感性的决定因素。由于听源性癫痫是脑干癫痫的一种类型,本研究结果并不先验地适用于前脑癫痫的去甲肾上腺素能调节。