Specific imbalance of excitatory/inhibitory signaling establishes seizure onset pattern in temporal lobe epilepsy

被引:122
作者
Avoli, Massimo [1 ,2 ,3 ,4 ]
de Curtis, Marco [5 ]
Gnatkovsky, Vadym [5 ]
Gotman, Jean [1 ,2 ,3 ]
Koehling, Rudiger [6 ]
Levesque, Maxime [1 ,2 ,3 ]
Manseau, Frederic [7 ]
Shiri, Zahra [1 ,2 ,3 ]
Williams, Sylvain [7 ]
机构
[1] McGill Univ, Montreal Neurol Inst, Montreal, PQ, Canada
[2] McGill Univ, Dept Neurol & Neurosurg, Montreal, PQ, Canada
[3] McGill Univ, Dept Physiol, Montreal, PQ, Canada
[4] Sapienza Univ Roma, Fac Med & Odontoiatria, Rome, Italy
[5] Fdn Ist Neurol Carlo Besta, Epilepsy Unit, Milan, Italy
[6] Univ Rostock, Med Ctr, Oscar Langendorff Inst Physiol, Rostock, Germany
[7] McGill Univ, Douglas Mental Hlth Univ Inst, Montreal, PQ, Canada
基金
加拿大健康研究院;
关键词
high-frequency oscillations; hypersynchronous onset; low voltage fast onset; seizures; HIGH-FREQUENCY OSCILLATIONS; GUINEA-PIG BRAIN; RAT HIPPOCAMPAL SLICES; CORTEX IN-VITRO; ENTORHINAL CORTEX; EPILEPTIFORM ACTIVITY; INTRACRANIAL EEG; DENTATE GYRUS; ELECTROGRAPHIC SEIZURES; PERIRHINAL CORTEX;
D O I
10.1152/jn.01128.2015
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Lowvoltage fast (LVF) and hypersynchronous (HYP) patterns are the seizure-onset patterns most frequently observed in intracranial EEG recordings from mesial temporal lobe epilepsy (MTLE) patients. Both patterns also occur in models of MTLE in vivo and in vitro, and these studies have highlighted the predominant involvement of distinct neuronal network/neurotransmitter receptor signaling in each of them. First, LVF-onset seizures in epileptic rodents can originate from several limbic structures, frequently spread, and are associated with high-frequency oscillations in the ripple band (80-200 Hz), whereas HYP onset seizures initiate in the hippocampus and tend to remain focal with predominant fast ripples (250-500 Hz). Second, in vitro intracellular recordings from principal cells in limbic areas indicate that pharmacologically induced seizure-like discharges with LVF onset are initiated by a synchronous inhibitory event or by a hyperpolarizing inhibitory postsynaptic potential barrage; in contrast, HYP onset is associated with a progressive impairment of inhibition and concomitant unrestrained enhancement of excitation. Finally, in vitro optogenetic experiments show that, under comparable experimental conditions (i.e., 4-aminopyridine application), the initiation of LVF-or HYP-onset seizures depends on the preponderant involvement of interneuronal or principal cell networks, respectively. Overall, these data may provide insight to delineate better therapeutic targets in the treatment of patients presenting with MTLE and, perhaps, with other epileptic disorders as well.
引用
收藏
页码:3229 / 3237
页数:9
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