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脑室内注射内皮素-1诱导的翻滚和眼球阵挛性惊厥的代谢及神经解剖学关联:视觉前庭和动眼神经调节中的一种新型肽能信号传导机制?

Metabolic and neuroanatomical correlates of barrel-rolling and oculoclonic convulsions induced by intraventricular endothelin-1: a novel peptidergic signaling mechanism in visuovestibular and oculomotor regulation?

作者信息

Gross P M, Beninger R J, Shaver S W, Wainman D S, Espinosa F J, Weaver D F

机构信息

Department of Surgery (Neurosurgery), Queen's University, Kingston, Ontario, Canada.

出版信息

Exp Brain Res. 1993;95(3):397-408. doi: 10.1007/BF00227132.

DOI:10.1007/BF00227132
PMID:8224065
Abstract

The neuroactive peptide endothelin-1 has receptors distributed abundantly among subdivisions and nuclei of the visuovestibular and oculomotor systems. In previous work, we and others described the convulsive manifestations resulting from central injection of this neuropeptide, including nystagmus, oculoclonus, exophthalmos, tonic hindlimb extension, and a generalized repetitive motor disturbance called barrel-rolling. We applied the quantitative, autoradiographic [14C]deoxyglucose method to examine the hypothesis that visuovestibular and oculomotor structures would become metabolically stimulated when endothelin was introduced into the brain via the ventricular system in conscious rats. Since previous work had demonstrated that hypermetabolic responses to endothelin in other neural systems were inhibited by an antagonist of neuronal calcium L-type channels, nimodipine, we further tested whether the increased function of vestibulooculomotor nuclei whose metabolic activity was sensitive to endothelin could be altered following nimodipine pretreatment via the ventricle. A single unilateral injection of endothelin (9 pmol in 3 microliters saline) into a lateral ventricle provoked significantly increased rates of glucose metabolism in 22 of 39 individual anatomical structures of the visuovestibular and oculomotor systems. Among those affected were the superficial stratum of the caudal superior colliculus (+25%), the optic tract bilaterally (+35 to 43%), the oculomotor cranial nerve nuclei (III, IV, VI; range of +21 to 47%), and the medial terminal nucleus of the accessory optic tract which harbors dense fields of endothelin binding sites (bilateral increase of +70 to 96%). Several other nuclei involved in the proprioceptive and visuovestibular disturbance caused by endothelin displayed increased metabolic activity, including the cuneate, gracile, sensory trigeminal, and prepositus hypoglossal nuclei, the vestibular subnuclear system, and the cerebellar flocculus. Identification of hypermetabolic responsivity to endothelin in these structures provides further information on the anatomical substrates mediating the behavioral phenomenology of endothelin-induced motor convulsions which involve the paroxysmal participation of the extraocular muscles and motor control systems producing barrel-rolling convulsions. Nimodipine pretreatment inhibited both the convulsive activity and the cerebral hypermetabolic responses to intraventricular endothelin. The results indicate that the neural systems sensitive to intraventricular endothelin become functionally active via a calcium-mediated process that may involve the neuropeptide as an intrinsic signaling molecule.

摘要

神经活性肽内皮素 -1的受体大量分布于视觉前庭和动眼系统的各个亚区和核团中。在先前的研究中,我们和其他研究人员描述了脑室内注射这种神经肽所导致的惊厥表现,包括眼球震颤、眼球阵挛、眼球突出、后肢强直性伸展以及一种称为翻滚的全身性重复性运动障碍。我们应用定量放射自显影[14C]脱氧葡萄糖法来检验这样一个假设:当通过脑室系统将内皮素引入清醒大鼠脑内时,视觉前庭和动眼结构的代谢会受到刺激。由于先前的研究已经表明,神经元L型钙通道拮抗剂尼莫地平可抑制其他神经系统对内皮素的高代谢反应,我们进一步测试了通过脑室给予尼莫地平预处理后,其代谢活性对内皮素敏感的前庭动眼核功能增强是否会发生改变。向一侧侧脑室单次注射内皮素(9皮摩尔溶于3微升生理盐水中)后,视觉前庭和动眼系统的39个个体解剖结构中有22个的葡萄糖代谢率显著增加。受影响的结构包括尾侧上丘浅层(增加25%)、双侧视束(增加35%至43%)、动眼神经核(III、IV、VI;增加范围为21%至47%)以及副视束内侧终核,该核含有密集的内皮素结合位点(双侧增加70%至96%)。其他一些与内皮素引起的本体感觉和视觉前庭障碍有关的核团也表现出代谢活性增加,包括楔束核、薄束核、感觉三叉神经核、舌下前置核、前庭亚核系统以及小脑绒球。确定这些结构对内皮素的高代谢反应性,为介导内皮素诱导的运动惊厥行为现象学的解剖学基础提供了进一步信息,这些惊厥涉及眼外肌的阵发性参与以及产生翻滚惊厥的运动控制系统。尼莫地平预处理可抑制惊厥活动以及对脑室内内皮素的脑高代谢反应。结果表明,对脑室内内皮素敏感的神经系统通过钙介导的过程变得功能活跃,该过程可能涉及神经肽作为一种内在信号分子。

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