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源于两种去抑制来源的新皮质创伤后的癫痫发生。

Epileptogenesis following neocortical trauma from two sources of disinhibition.

作者信息

Yang L, Benardo L S

机构信息

Departments of Pharmacology and Neurology, State University of New York, Health Science Center, Brooklyn, New York 11203, USA.

出版信息

J Neurophysiol. 1997 Nov;78(5):2804-10. doi: 10.1152/jn.1997.78.5.2804.

Abstract

Epileptogenesis following neocortical trauma from two sources of disinhibition. J. Neurophysiol. 78: 2804-2810, 1997. Intracellular and field potential recordings were obtained from superficial and deep neurons from both intact coronal rat somatosensory slices, and from slices which had been acutely divided into a superficial strip of cortex ( approximately 450 micron from the pia) and a deep segment. Membrane properties for cells in the traumatized slices were similar to those of their counterparts in intact slices. However, synaptic hyperexcitability developed in the deep segments in which a majority of cells likely underwent dendrotomy. This hyperexcitability was manifested by epileptiform activity in 54% of traumatized slices. Measurements of fastGABAergic inhibitory strength showed these slices were disinhibited. Superficial delivery of tetrodotoxin to the upper 450 micron of intact slices led to disinhibition of fast GABAergic transmission as well as an attendant increase in excitatory postsynaptic potential strength but not epileptogenesis. Pharmacological maneuvers aimed at preventing glutamate-triggered increases in intracellular calcium [glutamate ionotropic antagonists, dantrolene, and bis-(o-aminophenoxy)-N,N,N', N'-tetraacetic acid (BAPTA)-AM] showed that a 1 h treatment in these agents conferred protection against epileptogenesis. These results demonstrate that the seizure-like activity developing in deep dendrotomized cortical segments resulted from two sources of GABAergic disinhibition: the physical removal of important superficial inhibitory circuits and glutamate-triggered increases in intracellular calcium.

摘要

源于两种去抑制源的新皮质损伤后的癫痫发生。《神经生理学杂志》78: 2804 - 2810, 1997年。从完整的冠状大鼠体感切片的浅层和深层神经元,以及急性分割为浅层皮质条带(距软脑膜约450微米)和深层部分的切片中获取细胞内和场电位记录。创伤切片中细胞的膜特性与其在完整切片中的对应细胞相似。然而,在深层部分出现了突触性过度兴奋,其中大多数细胞可能经历了树突切断术。这种过度兴奋在54%的创伤切片中表现为癫痫样活动。快速GABA能抑制强度的测量表明这些切片存在去抑制现象。向完整切片的上部450微米浅层施加河豚毒素导致快速GABA能传递的去抑制以及伴随的兴奋性突触后电位强度增加,但未引发癫痫发生。旨在防止谷氨酸触发细胞内钙增加的药理学操作[谷氨酸离子型拮抗剂、丹曲林和双(邻氨基苯氧基)-N,N,N',N'-四乙酸(BAPTA)-AM]表明,在这些药物中进行1小时的处理可提供抗癫痫发生的保护作用。这些结果表明,在深层树突切断的皮质部分中出现的癫痫样活动源于两种GABA能去抑制源:重要浅层抑制回路的物理去除以及谷氨酸触发的细胞内钙增加。

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