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质疑癫痫发作活动与细胞外谷氨酸水平升高之间联系的证据。

Evidence disputing the link between seizure activity and high extracellular glutamate.

作者信息

Obrenovitch T P, Urenjak J, Zilkha E

机构信息

Gough-Cooper Department of Neurological Surgery, Institute of Neurology, London, UK.

出版信息

J Neurochem. 1996 Jun;66(6):2446-54. doi: 10.1046/j.1471-4159.1996.66062446.x.

Abstract

As seizures in experimental models can be induced by the activation and suppressed by the inhibition of glutamate receptors, it is often proposed that a high extracellular glutamate level subsequent to excessive presynaptic release and/or altered glutamate uptake is epileptogenic. The purpose of this study was to ascertain the link between seizure activity and high extracellular glutamate. To assist the detection of any putative rise in extracellular glutamate during seizures, microdialysis was coupled to enzyme-amperometric detection of glutamate, which provides maximal sensitivity and time resolution. Electrical activity and field potential were also recorded through the dialysis membrane to confirm that epileptic activity was present at the sampling site. No increase in dialysate glutamate content was detected during picrotoxin-induced seizures, even when the K+ concentration in the perfusion medium was raised to 50% above that measured previously during paroxysmal activity. In addition, sustained inhibition of glutamate uptake by L-trans-pyrrolidine-2,4-dicarboxylate increased the extracellular glutamate level > 20-fold but did not produce electrophysiological changes indicative of excessive excitation. These findings indicate that seizures are not necessarily accompanied by an increased extracellular glutamate level and that increased glutamatergic excitation in epilepsy may result from other abnormalities such as increased density of glutamate receptors, enhanced activation subsequent to reduced modulation, or sprouting of glutamatergic synapses.

摘要

由于在实验模型中,癫痫发作可由谷氨酸受体的激活所诱发,并可因谷氨酸受体的抑制而受到抑制,因此人们常提出,突触前过度释放和/或谷氨酸摄取改变后导致的细胞外谷氨酸水平升高具有致痫性。本研究的目的是确定癫痫活动与细胞外谷氨酸水平升高之间的联系。为了协助检测癫痫发作期间细胞外谷氨酸可能出现的升高,采用微透析与谷氨酸的酶安培检测相结合的方法,该方法具有最大的灵敏度和时间分辨率。还通过透析膜记录电活动和场电位,以确认采样部位存在癫痫活动。在匹鲁卡品诱导的癫痫发作期间,即使将灌注介质中的钾离子浓度提高到高于先前阵发性活动期间测得浓度的50%,也未检测到透析液中谷氨酸含量增加。此外,L-反式吡咯烷-2,4-二羧酸对谷氨酸摄取的持续抑制使细胞外谷氨酸水平升高了20倍以上,但并未产生表明过度兴奋的电生理变化。这些发现表明,癫痫发作不一定伴随着细胞外谷氨酸水平的升高,癫痫中谷氨酸能兴奋的增加可能源于其他异常情况,如谷氨酸受体密度增加、调节减少后激活增强或谷氨酸能突触的发芽。

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