Bertram E H, Lothman E W
Department of Neurology, University of Virginia Health Sciences Center, Charlottesville 22908.
Brain Res. 1993 Feb 12;603(1):25-31. doi: 10.1016/0006-8993(93)91295-4.
The effect of recurrent seizures on the hippocampus has been controversial for many years. To determine the effect different seizure paradigms had on the structure of the dentate gyrus, we conducted histological studies on the dentate gyrus (DG) from three groups of rats: (1) those that had experienced 1500 intermittent kindled seizures; (2) those that had experienced a single episode of limbic status epilepticus (SE); and (3) control rats that had been implanted with electrodes. When compared to controls the DG of SE rats was overall slightly, but non-significantly, smaller, but the DG of rats with 1500 kindled seizures was significantly larger. The decrease of size following SE was attributable to a significant atrophy of the molecular layer. The increase in area associated with kindling was the result of an enlargement of the molecular layer and the hilus. Absolute neuronal counts showed a decrease in the hilus after SE but no change following kindling, but both groups had decreased neuronal densities in the hilus when compared to controls. The decreased density after SE was secondary to neuronal loss, but the decrease in neuronal density following kindling was the result of the expansion of the hilar neuropil without change in the number of neurons. This study extends our previous findings in Ammon's horn and indicates that SE induces significant neuronal loss, but numerous intermittent kindled seizures have no effect on neuronal numbers in the DG.
多年来,复发性癫痫发作对海马体的影响一直存在争议。为了确定不同癫痫发作模式对齿状回结构的影响,我们对三组大鼠的齿状回(DG)进行了组织学研究:(1)经历过1500次间歇性点燃发作的大鼠;(2)经历过单次边缘性癫痫持续状态(SE)的大鼠;(3)植入电极的对照大鼠。与对照组相比,SE大鼠的DG总体上略小,但无统计学意义,而经历过1500次点燃发作的大鼠的DG明显更大。SE后大小的减小归因于分子层的显著萎缩。与点燃相关的面积增加是分子层和门扩大的结果。绝对神经元计数显示,SE后门区神经元数量减少,但点燃后无变化,但与对照组相比,两组门区神经元密度均降低。SE后密度降低继发于神经元丢失,但点燃后神经元密度降低是门神经纤维网扩张而神经元数量无变化的结果。这项研究扩展了我们之前在海马角的发现,表明SE会导致显著的神经元丢失,但大量间歇性点燃发作对DG中的神经元数量没有影响。