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癫痫样活动通过点燃的齿状回增强传播。

Enhanced propagation of epileptiform activity through the kindled dentate gyrus.

作者信息

Behr J, Lyson K J, Mody I

机构信息

Department of Neurology, Reed Neurological Research Center, UCLA School of Medicine, Los Angeles, California 90095-1769, USA.

出版信息

J Neurophysiol. 1998 Apr;79(4):1726-32. doi: 10.1152/jn.1998.79.4.1726.

Abstract

Extracellular recordings were performed in combined hippocampal-entorhinal cortex (HC-EC) slices obtained from control and commissural kindled rats to investigate the propagation of epileptiform activity from the entorhinal cortex (EC) to the hippocampus (HC) after chronic epilepsy. Lowering extracellular Mg2+ concentration in control slices induced epileptiform activity consisting of spontaneous epileptiform bursts in area CA3 and of electrographic seizures in the EC. In contrast, the CA3 region of HC-EC slices obtained from kindled rats displayed significantly longer lasting epileptiform bursts and electrographic seizures. The electrographic seizures that were absent in controls propagated from the EC because disconnecting the HC from the EC stopped their occurrence in the CA3, whereas epileptiform bursts persisted with an unaltered pattern and frequency. Thus the area CA3 is affected by kindling and contributes to the spread of epileptiform activity within the EC-HC complex. We developed a method to induce focal epileptiform activity in the EC by locally perfusing the gamma-aminobutyric acid-A (GABA) antagonist bicuculline (50 mM) in 10 mM KCl containing artificial cerebrospinal fluid. This method enabled us to investigate the propagation of epileptiform discharges from the disinhibited EC to the DG without affecting the DG with the epileptogenic medium. We show here that kindling facilitates the propagation of epileptiform activity through the DG. These data are consistent with the normal function of the DG as a filter limiting the spread of epileptiform activity within the HC-EC complex. This gating mechanism breaks down after chronic epilepsy induced by kindling.

摘要

在从对照大鼠和联合点燃大鼠获得的海马-内嗅皮质(HC-EC)切片上进行细胞外记录,以研究慢性癫痫后癫痫样活动从内嗅皮质(EC)向海马(HC)的传播。降低对照切片中的细胞外镁离子浓度会诱发癫痫样活动,包括CA3区的自发性癫痫样爆发和EC中的脑电图发作。相比之下,从点燃大鼠获得的HC-EC切片的CA3区显示出持续时间明显更长的癫痫样爆发和脑电图发作。对照中不存在的脑电图发作从EC传播而来,因为将HC与EC断开连接会阻止其在CA3中发生,而癫痫样爆发则以不变的模式和频率持续存在。因此,CA3区受点燃影响,并有助于癫痫样活动在EC-HC复合体中的传播。我们开发了一种方法,通过在含10 mM氯化钾的人工脑脊液中局部灌注γ-氨基丁酸-A(GABA)拮抗剂荷包牡丹碱(50 mM)来诱导EC中的局灶性癫痫样活动。这种方法使我们能够研究癫痫样放电从去抑制的EC向齿状回(DG)的传播,而不会用致痫介质影响DG。我们在此表明,点燃促进癫痫样活动通过DG的传播。这些数据与DG作为限制癫痫样活动在HC-EC复合体中传播的过滤器的正常功能一致。这种门控机制在点燃诱导的慢性癫痫后会失效。

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