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N-甲基-D-天冬氨酸受体介导的毛果芸香碱诱发的癫痫发作:通过微透析对自由活动大鼠的特征研究

NMDA receptor-mediated pilocarpine-induced seizures: characterization in freely moving rats by microdialysis.

作者信息

Smolders I, Khan G M, Manil J, Ebinger G, Michotte Y

机构信息

Department of Physiology and Physiopathology, Vrije Universiteit Brussel, Brussels, Belgium.

出版信息

Br J Pharmacol. 1997 Jul;121(6):1171-9. doi: 10.1038/sj.bjp.0701231.

Abstract
  1. Pilocarpine administration has been used as an animal model for temporal lobe epilepsy since it produces several morphological and synaptic features in common with human complex partial seizures. Little is known about changes in extracellular neurotransmitter concentrations during the seizures provoked by pilocarpine, a non-selective muscarinic agonist. 2. Focally evoked pilocarpine-induced seizures in freely moving rats were provoked by intrahippocampal pilocarpine (10 mM for 40 min at a flow rate of 2 microl min(-1)) administration via a microdialysis probe. Concomitant changes in extracellular hippocampal glutamate, gamma-aminobutyric acid (GABA) and dopamine levels were monitored and simultaneous electrocorticography was performed. The animal model was characterized by intrahippocampal perfusion with the muscarinic receptor antagonist atropine (20 mM), the sodium channel blocker tetrodotoxin (1 microM) and the N-methyl-D-aspartate (NMDA) receptor antagonist MK-801 (dizocilpine maleate, 100 microM). The effectiveness of locally (600 microM) or systemically (10 mg kg(-1) day(-1)) applied lamotrigine against the pilocarpine-induced convulsions was evaluated. 3. Pilocarpine initially decreased extracellular hippocampal glutamate and GABA levels. During the subsequent pilocarpine-induced limbic convulsions extracellular glutamate, GABA and dopamine concentrations in hippocampus were significantly increased. Atropine blocked all changes in extracellular transmitter levels during and after co-administration of pilocarpine. All pilocarpine-induced increases were completely prevented by simultaneous tetrodotoxin perfusion. Intrahippocampal administration of MK-801 and lamotrigine resulted in an elevation of hippocampal dopamine levels and protected the rats from the pilocarpine-induced seizures. Pilocarpine-induced convulsions developed in the rats which received lamotrigine perorally. 4. Pilocarpine-induced seizures are initiated via muscarinic receptors and further mediated via NMDA receptors. Sustained increases in extracellular glutamate levels after pilocarpine perfusion are related to the limbic seizures. These are arguments in favour of earlier described NMDA receptor-mediated excitotoxicity. Hippocampal dopamine release may be functionally important in epileptogenesis and may participate in the anticonvulsant effects of MK-801 and lamotrigine. The pilocarpine-stimulated hippocampal GABA, glutamate and dopamine levels reflect neuronal vesicular release.
摘要
  1. 毛果芸香碱给药已被用作颞叶癫痫的动物模型,因为它会产生一些与人类复杂部分性发作相同的形态学和突触特征。对于非选择性毒蕈碱激动剂毛果芸香碱诱发癫痫发作期间细胞外神经递质浓度的变化,人们了解甚少。2. 通过微透析探针向自由活动的大鼠海马内注射毛果芸香碱(10 mM,以2微升/分钟的流速注射40分钟),诱发局灶性毛果芸香碱诱发的癫痫发作。监测海马细胞外谷氨酸、γ-氨基丁酸(GABA)和多巴胺水平的伴随变化,并同时进行皮层脑电图检查。该动物模型的特征是海马内灌注毒蕈碱受体拮抗剂阿托品(20 mM)、钠通道阻滞剂河豚毒素(1 microM)和N-甲基-D-天冬氨酸(NMDA)受体拮抗剂MK-801(马来酸氯氮平,100 microM)。评估局部(600 microM)或全身(10毫克/千克/天)应用拉莫三嗪对毛果芸香碱诱发惊厥的有效性。3. 毛果芸香碱最初会降低海马细胞外谷氨酸和GABA水平。在随后的毛果芸香碱诱发的边缘性惊厥期间,海马细胞外谷氨酸、GABA和多巴胺浓度显著增加。阿托品可阻断毛果芸香碱共同给药期间及之后细胞外递质水平的所有变化。同时灌注河豚毒素可完全阻止毛果芸香碱诱发的所有增加。海马内注射MK-801和拉莫三嗪可导致海马多巴胺水平升高,并保护大鼠免受毛果芸香碱诱发的癫痫发作。口服拉莫三嗪的大鼠出现了毛果芸香碱诱发的惊厥。4. 毛果芸香碱诱发的癫痫发作通过毒蕈碱受体启动,并进一步通过NMDA受体介导。毛果芸香碱灌注后细胞外谷氨酸水平的持续升高与边缘性癫痫发作有关。这些支持了先前描述过的NMDA受体介导的兴奋性毒性。海马多巴胺释放可能在癫痫发生中具有功能重要性,并可能参与MK-801和拉莫三嗪的抗惊厥作用。毛果芸香碱刺激的海马GABA、谷氨酸和多巴胺水平反映了神经元囊泡释放。

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