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体外梨状皮质重复强直刺激:癫痫发生与药理学

Repeated tetanic stimulation in piriform cortex in vitro: epileptogenesis and pharmacology.

作者信息

Pelletier M R, Carlen P L

机构信息

Playfair Neuroscience Unit, Toronto Hospital Research Institute, Department of Medicine (Neurology), University of Toronto, Ontario, Canada.

出版信息

J Neurophysiol. 1996 Dec;76(6):4069-79. doi: 10.1152/jn.1996.76.6.4069.

Abstract
  1. Focal cortical epilepsy was investigated by applying tetanic stimulation repeatedly (100 Hz. 2 s in duration, once every 10 min, 10 episodes) to layer III association fibers in rat piriform cortex slices and recording both extracellular and intracellular responses from the endopiriform nucleus. To promote excitability, piriform slices were incubated in artificial cerebrospinal fluid (ACSF) containing 0.9 mM Mg2+ and 5 mM K+, at an initial temperature of 10-12 degrees C, which was allowed to warm passively to room temperature. 2. Responses recorded extracellularly in the endopiriform nucleus consisted of two types: weak stimulation evoked an early-occurring, small-amplitude, negatively deflecting potential; strong stimulation evoked a more complex response comprising both an early potential of maximal amplitude and a later-occurring epileptiform potential of greater amplitude and longer duration. Late-occurring epileptiform potentials were not observed in slices incubated in ACSF at room temperature. 3. Both the early potential and the late-occurring epileptiform responses were abolished by the non-N-methyl-D-aspartic acid (non-NMDA) subtype of glutamate receptor blocker, 6-cyano-7-nitroquinoxaline-2,3-dione (CNQX; 10 microM). Application of D(-)-2-amino-5-phosphonopentanoic acid (APV; 50 microM) to block NMDA receptors was without effect on the early potential but diminished the late-occurring epileptiform potential. The late-occurring potential was unable to follow stimulation delivered at a frequency of 1 Hz. These results suggest that the early potential was generated monosynaptically and dependent solely on the activation of non-NMDA receptors, whereas the late-occurring epileptiform potential was polysynaptic in origin and possessed both a CNQX- and an APV-sensitive component. 4. Responses increased progressively in both amplitude and duration after tetanic stimulation. The threshold intensity required to evoke the complex dual-component potential was reduced by tetanic stimulation. An increase in multiunit spiking activity, indicating an increase in synchronous discharges, was also observed. A residual potential could be evoked in the presence of CNQX (10 microM) after the tetanic stimulation procedure. 5. Spontaneous discharges occurred as early as after the first episode of tetanic stimulation and persisted for the duration of the experiment. Spontaneous discharges were abolished by either CNQX or by a fourfold increase in extracellular Mg2+ concentration, the latter reversibly. APV reduced the frequency of spontaneous discharges by 38.6 +/- 9.3% (mean +/- SE). The conventional anticonvulsant drug 5,5-diphenylhydantoin, the benzodiazepine receptor agonist midazolam, and the benzodiazepine receptor antagonist flumazenil were without effect on the frequency of spontaneous discharges. Evoked responses were also unaffected by either 5,5-diphenylhydantoin or midazolam. Slices not exposed to cold ACSF, although demonstrating potentiation of evoked responses after tetanization did not produce spontaneous epileptiform discharges. 6. Intracellular recordings from endopiriform neurons revealed the cellular correlates of the extracellular responses. Weak stimulation evoked a small-amplitude depolarizing potential. Increasing the intensity of stimulation increased the amplitude of this response and also evoked a second depolarizing potential of greater amplitude occurring at variable latencies. Maximal stimulation evoked an action potential. After tetanic stimuli, responses resembling a paroxysmal depolarizing shift consisting of a depolarizing potential with superimposed multiple action potentials were evoked reliably. Passive membrane properties after repeated tetanic stimulation were not different when compared with control. 7. This novel model of in vitro focal cortical epilepsy has many features characteristic of conventional kindling including 1) progressive nature; 2) reduced threshold to evoke discharges; and 3) persist
摘要
  1. 通过对大鼠梨状皮层切片的III层联合纤维反复施加强直刺激(100Hz,持续2秒,每10分钟一次,共10次),并记录梨状体内核的细胞外和细胞内反应,对局灶性皮质癫痫进行了研究。为了提高兴奋性,将梨状切片置于含有0.9mM Mg2+和5mM K+的人工脑脊液(ACSF)中,初始温度为10-12摄氏度,然后被动升温至室温。2. 在梨状体内核记录到的细胞外反应有两种类型:弱刺激诱发一个早期出现的、小幅度的负向偏转电位;强刺激诱发一个更复杂的反应,包括一个最大幅度的早期电位和一个后期出现的、幅度更大、持续时间更长的癫痫样电位。在室温下于ACSF中孵育的切片中未观察到后期出现的癫痫样电位。3. 谷氨酸受体阻断剂6-氰基-7-硝基喹喔啉-2,3-二酮(CNQX;10μM),一种非N-甲基-D-天冬氨酸(非NMDA)亚型的阻断剂,可消除早期电位和后期出现的癫痫样反应。应用D(-)-2-氨基-5-膦酰戊酸(APV;50μM)阻断NMDA受体对早期电位无影响,但可减弱后期出现的癫痫样电位。后期出现的电位无法跟随1Hz频率的刺激。这些结果表明,早期电位是单突触产生的,仅依赖于非NMDA受体的激活,而后期出现的癫痫样电位起源于多突触,具有对CNQX和APV敏感的成分。4. 强直刺激后,反应的幅度和持续时间均逐渐增加。诱发复合双成分电位所需的阈值强度因强直刺激而降低。还观察到多单位放电活动增加,表明同步放电增加。在强直刺激程序后,在存在CNQX(10μM)的情况下可诱发残余电位。5. 自发放电最早在第一次强直刺激发作后就出现,并在实验过程中持续存在。CNQX或细胞外Mg2+浓度增加四倍均可消除自发放电,后者是可逆的。APV使自发放电频率降低38.6±9.3%(平均值±标准误)。传统抗惊厥药物5,5-二苯基乙内酰脲、苯二氮䓬受体激动剂咪达唑仑和苯二氮䓬受体拮抗剂氟马西尼对自发放电频率均无影响。诱发反应也不受5,5-二苯基乙内酰脲或咪达唑仑的影响。未暴露于冷ACSF的切片,尽管在强直刺激后显示诱发反应增强,但未产生自发癫痫样放电。6. 对梨状体内神经元的细胞内记录揭示了细胞外反应的细胞相关性。弱刺激诱发一个小幅度的去极化电位。增加刺激强度可增加该反应的幅度,并还诱发一个在可变潜伏期出现的幅度更大的第二个去极化电位。最大刺激诱发一个动作电位。强直刺激后,可靠地诱发了类似于阵发性去极化移位的反应,包括一个去极化电位叠加多个动作电位。与对照相比,反复强直刺激后的被动膜特性没有差异。7. 这种新型的体外局灶性皮质癫痫模型具有许多传统点燃模型的特征,包括1)渐进性;2)诱发放电的阈值降低;3)持续……

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