Patrylo P R, Dudek F E
Department of Anatomy and Neurobiology, Colorado State University, Fort Collins, Colorado 80523, USA.
J Neurophysiol. 1998 Jan;79(1):418-29. doi: 10.1152/jn.1998.79.1.418.
In humans with temporal lobe epilepsy and kainate-treated rats, the mossy fibers of the dentate granule cells send collateral axons into the inner molecular layer. Prior investigations on kainate-treated rats demonstrated that abnormal hilar-evoked events can occasionally be observed in slices with mossy fiber sprouting when gamma-aminobutyric acid-A (GABAA)-mediated inhibition is blocked with bicuculline. However, these abnormalities were observed infrequently, and it was unknown whether these rats were epileptic. Wuarin and Dudek reported that in slices from kainate-induced epileptic rats (3-13 mo after treatment), hilar stimulation evoked abnormal events in most slices with mossy fiber sprouting exposed simultaneously to bicuculline and elevated extracellular potassium concentration [K+]o. Using the same rats, extracellular recordings were obtained from granule cells in hippocampal slices to determine whether 1) hilar stimulation could evoke abnormal events in slices with sprouting in normal artificial cerebrospinal fluid (ACSF), 2) adding only bicuculline could unmask hilar-evoked abnormalities and glutamate-receptor antagonists could block these events, and 3) increasing only [K+]o could unmask these abnormalities. In normal ACSF, hilar stimulation evoked abnormal field potentials in 27% of slices with sprouting versus controls without sprouting (i.e., saline-treated or only 2-4 days after kainate treatment). In bicuculline (10 microM) alone, hilar stimulation triggered prolonged field potentials in 84% of slices with sprouting, but not in slices from the two control groups. Addition of the N-methyl-D-aspartate (NMDA) receptor antagonist, DL-2-amino-5-phosphonopentanoic acid (AP5), either blocked the bursts or reduced their probability of occurrence. The alpha-amino-3-hydroxy-5-methyl-4-isoxazole propionate (AMPA)/kainate receptor antagonist, 6,7-dinitroquinoxaline-2,3-dione (DNQX), always eliminated the epileptiform bursts. In kainate-treated rats with sprouting, but not in saline-treated controls, abnormal hilar-evoked responses were also revealed in 6-9 mM [K+]o. Additionally, 63% of slices with sprouting generated spontaneous bursts lasting 1-40 s in ACSF containing 9 mm [K+]o; similar bursts were not observed in controls. These results indicate that 1) mossy fiber sprouting is associated with new glutamatergic pathways, and although NMDA receptors are important for propagation through these circuits, AMPA receptor activation is crucial, 2) modest elevations of [K+]o, in a range that would have relatively little effect on granule cells, can unmask these new excitatory circuits and generate epileptiform bursts, and 3) this new circuitry underlies an increased electrographic seizure susceptibility when inhibition is depressed or membrane excitability is increased.
在患有颞叶癫痫的人类以及经红藻氨酸处理的大鼠中,齿状颗粒细胞的苔藓纤维会发出侧支轴突进入内分子层。先前对经红藻氨酸处理的大鼠的研究表明,当用荷包牡丹碱阻断γ-氨基丁酸-A(GABAA)介导的抑制作用时,在出现苔藓纤维出芽的切片中偶尔可观察到异常的海马门区诱发事件。然而,这些异常情况很少被观察到,并且这些大鼠是否患有癫痫尚不清楚。沃林和杜德克报告称,在来自红藻氨酸诱导的癫痫大鼠(处理后3 - 13个月)的切片中,海马门区刺激在大多数同时暴露于荷包牡丹碱和细胞外钾离子浓度升高([K+]o)的出现苔藓纤维出芽的切片中诱发了异常事件。使用相同的大鼠,从海马切片中的颗粒细胞进行细胞外记录,以确定:1)在正常人工脑脊液(ACSF)中,海马门区刺激能否在出现出芽的切片中诱发异常事件;2)仅添加荷包牡丹碱是否能揭示出海马门区诱发的异常情况,以及谷氨酸受体拮抗剂是否能阻断这些事件;3)仅增加[K+]o是否能揭示出这些异常情况。在正常ACSF中,海马门区刺激在27%出现出芽的切片中诱发了异常场电位,而未出芽的对照组(即生理盐水处理组或仅在红藻氨酸处理后2 - 4天的组)则未出现。单独使用荷包牡丹碱(10微摩尔)时,海马门区刺激在84%出现出芽的切片中引发了延长的场电位,但在两个对照组的切片中未出现。添加N-甲基-D-天冬氨酸(NMDA)受体拮抗剂DL-2-氨基-5-磷酸戊酸(AP5),要么阻断爆发,要么降低其发生概率。α-氨基-3-羟基-5-甲基-4-异恶唑丙酸(AMPA)/红藻氨酸受体拮抗剂6,7-二硝基喹喔啉-2,3-二酮(DNQX)总能消除癫痫样爆发。在经红藻氨酸处理且出现出芽的大鼠中,而非生理盐水处理的对照组中,在6 - 9毫摩尔[K+]o时也揭示出了异常的海马门区诱发反应。此外,在含有9毫摩尔[K+]o的ACSF中,63%出现出芽的切片产生了持续1 - 40秒的自发爆发;对照组中未观察到类似的爆发。这些结果表明:1)苔藓纤维出芽与新的谷氨酸能通路相关,虽然NMDA受体对于通过这些回路的传播很重要,但AMPA受体的激活至关重要;2)[K+]o的适度升高,在对颗粒细胞影响相对较小的范围内,能够揭示出这些新的兴奋性回路并产生癫痫样爆发;3)当抑制作用减弱或膜兴奋性增加时,这种新的神经回路是脑电图癫痫易感性增加的基础。