Palencia G, Calvillo M, Sotelo J
Department of Neuroimmunology, National Institute of Neurology and Neurosurgery of Mexico, Mexico City, Mexico.
Epilepsia. 1996 Jun;37(6):583-6. doi: 10.1111/j.1528-1157.1996.tb00613.x.
The incidence of epilepsy is high in developing countries where malnutrition is prevalent. Although malnutrition is not a direct cause of seizures, chronic malnutrition may predispose the brain to seizures. In large undernourished human groups from Latin America, the most common sources of food are corn and corn derivatives. We used a rat model of chronic malnutrition, in which corn tortillas were the only solid food intake, to study the possible influence of malnutrition at late stages of brain development on the dynamics of experimental seizures induced by pentylenetetrazole (PTZ). The threshold and does of PTZ required to produce seizures were greatly reduced in malnourished rats. The model of malnutrition used in the study imitates a form of malnutrition common among large numbers of humans. Our results suggest that chronic malnutrition early in life induces changes that lower the seizure threshold and leave the brain more susceptible to seizures. Whether this observation relates to the high incidence of epilepsy in underdeveloped countries remains to be determined.
在营养不良普遍存在的发展中国家,癫痫的发病率很高。虽然营养不良不是癫痫发作的直接原因,但慢性营养不良可能使大脑易患癫痫。在拉丁美洲大量营养不良的人群中,最常见的食物来源是玉米和玉米衍生物。我们使用了一种慢性营养不良的大鼠模型,其中玉米饼是唯一的固体食物摄入量,以研究大脑发育后期营养不良对戊四氮(PTZ)诱导的实验性癫痫发作动态的可能影响。营养不良的大鼠产生癫痫发作所需的PTZ阈值和剂量大大降低。该研究中使用的营养不良模型模仿了大量人类中常见的一种营养不良形式。我们的结果表明,生命早期的慢性营养不良会引起变化,降低癫痫发作阈值,并使大脑更容易发生癫痫。这一观察结果是否与欠发达国家癫痫的高发病率有关仍有待确定。