Samoriski G M, Piekut D T, Applegate C D
Program in Neuroscience, University of Rochester School of Medicine and Dentistry, Rochester, New York, 14642, USA.
Exp Neurol. 1997 Feb;143(2):255-68. doi: 10.1006/exnr.1996.6368.
The expression of generalized clonic and generalized tonic seizures has been suggested to result from the activation of different and independent neuronal circuits. Using the induction of the c-fos protein (Fos) as a marker of neuronal activity, we identified brain structures that are differentially associated with the expression of electroconvulsive shock-induced generalized clonic and generalized tonic seizures. Expression of either seizure phenotype resulted in a similar bilaterally symmetrical increase in Fos immunoreactivity in many forebrain structures, including the bed nucleus of the stria terminalis, hippocampal dentate gyrus, amygdala, and piriform cortex, compared to controls. However, following tonic hindlimb extension (THE), the degree of labeling in specific thalamic, hypothalamic, and brain stem areas was significantly greater than that of either controls or animals exhibiting clonic seizures. While a greater number of neurons in the hypothalamus (e.g., ventromedial nucleus), subparafascicular thalamic nucleus, peripeduncular area, deep medial superior colliculus, dorsal and lateral central gray, and paralemniscal nuclei were robustly labeled following THE, noticeably fewer cells were immunoreactive following face and forelimb clonic seizure behaviors. These differences were also found to be independent of the stimulus magnitude. In animals stimulated with the same current intensity but expressing either of the two seizure phenotypes, the pattern of Fos induction was consistent with the seizure phenotype expressed. These results demonstrate that specific subsets of neurons are differentially activated following the expression of different generalized seizure behaviors and that activity in discrete mesencephalic and diencephalic structures is more frequently associated with the expression of generalized tonic seizures than with the expression of generalized clonic seizures.
普遍认为,全身性阵挛性发作和全身性强直性发作的表现是由不同且独立的神经元回路激活所致。我们以c-fos蛋白(Fos)的诱导作为神经元活动的标志物,确定了与电惊厥休克诱导的全身性阵挛性发作和全身性强直性发作表现存在差异关联的脑结构。与对照组相比,两种癫痫发作表型的表达均导致许多前脑结构中Fos免疫反应性出现类似的双侧对称增加,这些结构包括终纹床核、海马齿状回、杏仁核和梨状皮质。然而,在强直性后肢伸展(THE)后,特定丘脑、下丘脑和脑干区域的标记程度明显高于对照组或表现为阵挛性发作的动物。虽然下丘脑(如腹内侧核)、束旁丘脑核、脚周区、中脑内侧深核、背侧和外侧中央灰质以及旁臂核中的大量神经元在THE后被强烈标记,但在面部和前肢阵挛性发作行为后免疫反应性细胞明显较少。这些差异也与刺激强度无关。在用相同电流强度刺激但表现出两种癫痫发作表型之一的动物中,Fos诱导模式与所表达的癫痫发作表型一致。这些结果表明,在不同的全身性癫痫发作行为表达后,特定的神经元亚群被差异激活,并且离散的中脑和间脑结构中的活动与全身性强直性发作的表达比与全身性阵挛性发作的表达更频繁相关。