Cellular physiology of epileptogenic phenomena and its application to therapy against intractable epilepsy.

E Sugaya, A Sugaya
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Abstract

1. During pentylenetetrazol-induced bursting activity which is characteristic intracellular potential change of seizure discharge, intracellular stored calcium is released and moved toward the inner surface of the cell membrane. Calcium is released from lysosome-like granules with morphological changes. During bursting activity, the intracellular free calcium level was higher than the normal state. During bursting activity, intracellular protein of 5 kDa and 15 kDa was changed qualitatively and quantitatively. 2. Primary cultured cerebral cortical neurons of rats and mice showed spontaneous regular firing, and by PTZ application, showed bursting activity. A single potassium channel showed the random open-close state in the normal state and showed burst type open-close state after PTZ application. 3. Primary cultured cerebral cortical neurons of the E1 mouse, the epilepsy animal model, showed developmental defects in neurite extension and content of gangliosides, in addition to their very high susceptibility to convulsions. 4. A new antiepileptic drug, TJ-960, which originates from a mixture of nine herbal drugs, normalized the above-mentioned seizure-related, calcium-related intracellular pathological phenomena. TJ-960 normalized cytochalasin-B-induced looping phenomena and protected the neuron damage induced by cytochalasin B in addition to anticonvulsant action. TJ-960 also completely normalized the cobalt-induced EEG changes and also protected against neuron damage in the hippocampus induced by cobalt application to the cerebral cortex. TJ-960 normalized the developmental defects of the E1 mouse neuron. 5. For better therapy of epilepsy, it is probably necessary to normalize the developmental defects and to protect against neuron damage in addition to inhibition of seizure activity.

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致痫现象的细胞生理学及其在治疗顽固性癫痫中的应用。
1. 戊四唑诱导的破裂活动是癫痫发作放电的典型细胞内电位变化,在此过程中,细胞内储存的钙被释放并向细胞膜内表面移动。钙从形态改变的溶酶体样颗粒中释放出来。在破裂活动期间,细胞内游离钙水平高于正常状态。在爆发活动期间,细胞内5kda和15kda蛋白发生定性和定量变化。2. 原代培养的大鼠和小鼠大脑皮层神经元表现出自发的规律性放电,经PTZ作用后,神经元表现出爆裂活动。单钾通道在正常状态下表现为随机开合状态,施加PTZ后表现为突发性开合状态。3.原代培养的癫痫动物模型E1小鼠的大脑皮质神经元,除对惊厥有很高的易感性外,在神经突延伸和神经节苷脂含量方面存在发育缺陷。4. 一种由九种中草药混合而成的新型抗癫痫药物TJ-960,使上述与癫痫发作相关的、钙相关的细胞内病理现象正常化。TJ-960除抗惊厥作用外,还能使细胞松弛素B诱导的神经环现象正常化,保护细胞松弛素B诱导的神经元损伤。TJ-960还能使钴致脑电改变完全正常化,并对钴作用于大脑皮层引起的海马神经元损伤具有保护作用。TJ-960使小鼠E1神经元发育缺陷归一化。5. 为了更好地治疗癫痫,除了抑制癫痫发作活动外,可能还需要使发育缺陷正常化并防止神经元损伤。
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