Cassidy R M, Gale K
Interdisciplinary Program in Neuroscience and Department of Pharmacology, Georgetown University Medical Center, Washington, DC 20007, USA.
J Neurosci. 1998 Nov 1;18(21):9002-9. doi: 10.1523/JNEUROSCI.18-21-09002.1998.
Limbic motor seizures in animals, analogous to complex partial seizures in humans, result in a consistent activation of the mediodorsal thalamus (MD) and, with prolonged seizures, damage to MD. This study examined the functional role of MD in focally evoked limbic motor seizures in the rat. GABA- and glutamate (Glu)-mediated synaptic transmissions in MD were evaluated for an influence on seizures evoked from area tempestas (AT), a discrete epileptogenic site in the rostral piriform cortex. A GABAA receptor agonist, Glu receptor antagonists, or a GABA-elevating agent were focally microinfused into MD before evoking seizures by focal application of bicuculline methiodide into the ipsilateral AT. Focal pretreatment of MD with the GABAA agonist muscimol (190 pmol) protected against seizures evoked from AT. Seizure protection was also obtained with the focal application of 2, 3-dihydroxy-6-nitro-7-sulfamoyl-benzo(F)quinoxaline (NBQX) (500 pmol), an antagonist of the AMPA subtype of Glu receptors, into MD. In contrast, focal pretreatment of MD with a competitive antagonist of the NMDA receptor 2-amino-7-phosphonoheptanoic acid (500 pmol) did not attenuate seizures. The anticonvulsant effects achieved with intra-MD injections of muscimol and NBQX were site-specific, because no seizure protection was obtained with injections placed 2 mm ventral or lateral to MD. Prolonged seizure protection was obtained following GABA elevation in MD after the application of the GABA transaminase inhibitor vigabatrin (194 nmol). These results suggest the following: (1) MD is a critical participant in the generation of seizures elicited focally from piriform cortex; (2) transmission via AMPA receptors, but not NMDA receptors, in MD regulates limbic seizure propagation; and (3) a GABA-mediated system exists within MD, the enhancement of which protects against focally evoked limbic motor seizures.
动物中的边缘性运动性癫痫发作,类似于人类的复杂部分性癫痫发作,会导致内侧背侧丘脑(MD)持续激活,并且随着癫痫发作时间延长,MD会受到损伤。本研究探讨了MD在大鼠局灶性诱发边缘性运动性癫痫发作中的功能作用。评估了MD中γ-氨基丁酸(GABA)和谷氨酸(Glu)介导的突触传递对从颞叶区(AT)诱发的癫痫发作的影响,AT是喙状梨状皮质中一个离散的致痫位点。在通过向同侧AT局部应用甲磺酸荷包牡丹碱诱发癫痫发作之前,将一种GABAA受体激动剂、Glu受体拮抗剂或一种提高GABA水平的药物局部微量注入MD。用GABAA激动剂蝇蕈醇(190皮摩尔)对MD进行局部预处理可预防从AT诱发的癫痫发作。向MD局部应用2,3-二羟基-6-硝基-7-氨磺酰基苯并(F)喹喔啉(NBQX)(500皮摩尔),一种Glu受体AMPA亚型的拮抗剂,也可获得癫痫发作保护作用。相比之下,用NMDA受体竞争性拮抗剂2-氨基-7-膦酰基庚酸(500皮摩尔)对MD进行局部预处理并不能减轻癫痫发作。在MD内注射蝇蕈醇和NBQX所实现的抗惊厥作用具有位点特异性,因为在MD腹侧或外侧2毫米处注射未获得癫痫发作保护作用。在应用GABA转氨酶抑制剂氨己烯酸(194纳摩尔)后,MD中GABA水平升高可获得长期的癫痫发作保护作用。这些结果表明:(1)MD是梨状皮质局灶性诱发癫痫发作产生的关键参与者;(2)MD中通过AMPA受体而非NMDA受体的传递调节边缘性癫痫发作的传播;(3)MD内存在一个GABA介导的系统,增强该系统可预防局灶性诱发的边缘性运动性癫痫发作。