Koch M, Ebert U
Universität Tübingen, Germany.
Biol Psychiatry. 1998 Aug 15;44(4):290-7. doi: 10.1016/s0006-3223(97)00397-1.
Human patients with limbic epilepsy may develop a psychosis. We combined animal models for epileptogenesis and schizophrenia to investigate possible mechanisms underlying the occurrence of psychoses in epileptics. Since the dysfunction of sensorimotor gating is the basis of some psychotic symptoms, we tested if epileptogenesis or acute seizures influence sensorimotor gating in rats, measured as prepulse inhibition (PPI) of the acoustic startle response (ASR). PPI is the reduction of the ASR that is observed when a startling pulse is preceded by a nonstartling prepulse. Reduced PPI was found in schizophrenics and in rats under certain conditions.
We investigated the effects on PPI of different models of limbic epileptogenesis (repeated stimulation of the basolateral amygdala, treatment with pentylenetetrazole, injection of kainate).
PPI was normal in chronic epileptic rats 1 week after the last generalized seizure. Impaired PPI was found in amygdala-kindled rats 10 min after seizures. The ASR amplitude in the absence of prepulses was increased in kainate-treated rats, but not in the other groups.
Chemical epileptogenesis or repeated stimulation of the amygdala per se did not disrupt sensorimotor gating, but the recent occurrence of seizures in amygdala-kindled rats compromised sensorimotor gating in a way compatible with psychotic states in humans.
患有边缘叶癫痫的人类患者可能会出现精神病。我们将癫痫发生和精神分裂症的动物模型相结合,以研究癫痫患者出现精神病的潜在机制。由于感觉运动门控功能障碍是某些精神病症状的基础,我们测试了癫痫发生或急性癫痫发作是否会影响大鼠的感觉运动门控,以听觉惊吓反应(ASR)的前脉冲抑制(PPI)来衡量。PPI是指在惊吓脉冲之前出现非惊吓性前脉冲时观察到的ASR降低。在精神分裂症患者和某些条件下的大鼠中发现PPI降低。
我们研究了不同边缘叶癫痫发生模型(反复刺激基底外侧杏仁核、用戊四氮治疗、注射海藻酸)对PPI的影响。
在最后一次全身性癫痫发作1周后的慢性癫痫大鼠中,PPI正常。在癫痫发作10分钟后的杏仁核点燃大鼠中发现PPI受损。海藻酸处理的大鼠在没有前脉冲时的ASR幅度增加,但其他组没有。
化学性癫痫发生或杏仁核的反复刺激本身并未破坏感觉运动门控,但杏仁核点燃大鼠近期发生的癫痫发作以一种与人类精神病状态相符的方式损害了感觉运动门控。