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在慢性颞叶癫痫的电源性大鼠模型中,内嗅皮层深层的反应呈癫痫样。

Responses of deep entorhinal cortex are epileptiform in an electrogenic rat model of chronic temporal lobe epilepsy.

作者信息

Fountain N B, Bear J, Bertram E H, Lothman E W

机构信息

Department of Neurology, University of Virginia Health Sciences Center, Charlottesville, Virginia 22908, USA.

出版信息

J Neurophysiol. 1998 Jul;80(1):230-40. doi: 10.1152/jn.1998.80.1.230.

DOI:10.1152/jn.1998.80.1.230
PMID:9658044
Abstract

We investigated whether entorhinal cortex (EC) layer IV neurons are hyperexcitable in the post-selfsustaining limbic status epilepticus (post-SSLSE) animal model of temporal lobe epilepsy. We studied naive rats (n = 44), epileptic rats that had experienced SSLSE resulting in spontaneous seizures (n = 45), and electrode controls (n = 7). There were no differences between electrode control and naive groups, which were pooled into a single control group. Intracellular and extracellular recordings were made from deep layers of EC, targeting layer IV, which was activated by stimulation of the superficial layers of EC or the angular bundle. There were no differences between epileptic and control neurons in basic cellular characteristics, and all neurons were quiescent under resting conditions. In control tissue, 77% of evoked intracellular responses consisted of a short-duration [8.6 +/- 1.3 (SE) ms] excitatory postsynaptic potential and a single action potential followed by gamma-aminobutyric acid-A (GABAA) and GABAB inhibitory post synaptic potentials (IPSPs). Ten percent of controls did not contain IPSPs. In chronically epileptic tissue, evoked intracellular responses demonstrated prolonged depolarizing potentials (256 +/- 39 ms), multiple action potentials (13 +/- 4), and no IPSPs. Ten percent of epileptic responses were followed by rhythmic "clonic" depolarizations. Epileptic responses exhibited an all-or-none response to progressive increases in stimulus intensity and required less stimulation to elicit action potentials. In both epileptic and control animals, intracellular responses correlated precisely in morphology and duration with extracellular field potentials. Severing the hippocampus from the EC did not alter the responses. Duration of intracellular epileptic responses was reduced 22% by the N-methyl--aspartate (NMDA) antagonist (-)-2-amino-5-phosphonovaleric acid (APV), but they did not return to normal and IPSPs were not restored. Epileptic and control responses were abolished by the non-NMDA antagonist 6, 7-dinitroquinoxaline-2-3-dione (DNQX). A monosynaptic IPSP protocol was used to test connectivity of inhibitory interneurons to primary cells by direct activation of interneurons with a stimulating electrode placed near the recording electrode in the presence of APV and DNQX. Using this protocol, IPSPs similar to control (P > 0.05) were seen in epileptic cells. The findings demonstrate that deep layer EC cells are hyperexcitable or "epileptiform" in this model. Hyperexcitability is not due to interactions with the hippocampus. It is due partially to augmented NMDA-mediated excitation. The lack of IPSPs in epileptic neurons may suggest inhibition is impaired, but we found evidence that inhibitory interneurons are connected to their target cells and are capable of inducing IPSPs.

摘要

我们研究了在颞叶癫痫的自我持续边缘性癫痫状态(post-SSLSE)动物模型中,内嗅皮质(EC)第IV层神经元是否存在兴奋性过高的情况。我们研究了未发作过癫痫的大鼠(n = 44)、经历过SSLSE并导致自发性癫痫发作的癫痫大鼠(n = 45)以及电极对照组(n = 7)。电极对照组和未发作过癫痫的大鼠组之间没有差异,这两组被合并为一个单一的对照组。从EC深层进行细胞内和细胞外记录,以第IV层为目标,该层可通过刺激EC浅层或角束激活。癫痫神经元和对照神经元在基本细胞特征方面没有差异,并且所有神经元在静息条件下都是静止的。在对照组织中,77%的诱发细胞内反应包括一个短持续时间[8.6±1.3(SE)毫秒]的兴奋性突触后电位和一个单一动作电位,随后是γ-氨基丁酸-A(GABAA)和GABAB抑制性突触后电位(IPSPs)。10%的对照组没有IPSPs。在慢性癫痫组织中,诱发的细胞内反应表现为去极化电位延长(256±39毫秒)、多个动作电位(13±4个)且没有IPSPs。10%的癫痫反应之后是有节律的“阵挛性”去极化。癫痫反应对刺激强度的逐渐增加表现出全或无反应,并且引发动作电位所需的刺激较少。在癫痫动物和对照动物中,细胞内反应在形态和持续时间上与细胞外场电位精确相关。将海马从EC分离并没有改变反应。N-甲基-D-天冬氨酸(NMDA)拮抗剂(-)-2-氨基-5-磷酸戊酸(APV)使细胞内癫痫反应的持续时间缩短了22%,但它们并未恢复正常且IPSPs也未恢复。非NMDA拮抗剂6,7-二硝基喹喔啉-2,3-二酮(DNQX)消除了癫痫和对照反应。在存在APV和DNQX的情况下,使用单突触IPSP方案通过将刺激电极放置在记录电极附近直接激活中间神经元来测试抑制性中间神经元与初级细胞的连接性。使用该方案,在癫痫细胞中观察到与对照相似的IPSPs(P>0.05)。这些发现表明,在该模型中EC深层细胞兴奋性过高或呈“癫痫样”。兴奋性过高并非由于与海马的相互作用。部分原因是NMDA介导的兴奋增强。癫痫神经元中缺乏IPSPs可能表明抑制作用受损,但我们发现有证据表明抑制性中间神经元与其靶细胞相连并且能够诱导IPSPs。

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