低频电刺激海马通过阻断PKA-CREB通路在治疗耐药癫痫中的作用

IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Current neurovascular research Pub Date : 2023-01-01 DOI:10.2174/1567202620666230614140426
Yuanxin Huang, Dai Shi, Guofeng Wu, Likun Wang, Siying Ren
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引用次数: 1

摘要

目的:研究低频电刺激(LFS)通过调节γ氨基丁酸A (GABAA)受体上游的蛋白激酶A (PKA)-cAMP反应元件结合蛋白(CREB)信号通路,治疗耐药癫痫的机制。方法:提取培养胎鼠大脑海马原代神经元,随机分为正常对照组、PKA-CREB激动剂组和PKA-CREB抑制剂组。建立耐药癫痫大鼠,随机分为耐药组、LFS组、PKA-CREB激动剂联合海马LFS组、PKA-CREB抑制剂联合海马LFS组。正常大鼠为正常对照组,药敏大鼠为药敏组。采用视频监控方法测定癫痫大鼠的发作频率。采用逆转录定量聚合酶链反应(RT-qPCR)和western blotting检测各组PKA、CREB、p-CREB和GABAA受体亚基α1、β2的表达。结果:激动剂组体外PKA、CREB、p-CREB的表达水平显著高于正常对照组(NRC组),而GABAA受体亚基α1、β2的表达水平显著低于NRC组。抑制剂组PKA、CREB、p-CREB的表达水平显著低于NRC组,而GABAA受体亚基α1、β2的表达水平显著高于NRC组。LFS组体内癫痫发作频率明显低于耐药组(PRE组)。与LFS组相比,激动剂组大鼠海马中PKA、CREB、p-CREB的发作频率和表达水平显著升高,GABAA受体亚基α1、β2的表达水平显著降低。抑制剂组的结果与激动剂组完全相反。结论:PKA-CREB信号通路参与GABAA受体亚基α1和β2的调控。此外,LFS通过调节PKA-CREB信号通路,在增加GABAA受体表达方面发挥重要作用。
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Low-frequency Electrical Stimulation of the Hippocampus Plays a Role in the Treatment of Pharmacoresistant Epilepsy by Blocking the PKA-CREB Pathway.

Objective: The objective of this study is to study the mechanism of Low frequency electrical stimulation (LFS) in the treatment of drug-resistant epilepsy by regulating the protein kinase A (PKA)-cAMP response element-binding protein (CREB) signaling pathway upstream of gamma aminobutyric acid A (GABAA) receptor.

Methods: Primary hippocampal neurons were extracted and cultured from fetal rat brains and randomly divided into the normal control group, PKA-CREB agonist group, and PKA-CREB inhibitor group. Drug-resistant epileptic rats were established and randomly divided into the pharmacoresistant group, LFS group, PKA-CREB agonist combined with hippocampal LFS group, and PKA-CREB inhibitor combined with hippocampal LFS group. The normal rats were in the normal control group and drug-sensitive rats were in the pharmacosensitive group. The seizure frequency of epileptic rats was determined using video surveillance. The expression of PKA, CREB, p-CREB, and GABAA receptor subunits α1 and β2 of each group were detected using reverse transcription quantitative polymerase chain reaction (RT-qPCR) and western blotting assays.

Results: The in vitro expression levels of PKA, CREB, and p-CREB in the agonist group were significantly higher than those in the normal control group (NRC group), while the expression levels of GABAA receptor subunits α1 and β2 were significantly lower than those in the NRC group. The expression levels of PKA, CREB, and p-CREB in the inhibitor group were significantly lower, while the expression levels of GABAA receptor subunits α1 and β2 were significantly higher than those in the NRC group. The in vivo seizure frequency was significantly lower in the LFS group than in the pharmacoresistant group (PRE group). Compared to the LFS group, the seizure frequency and the expression levels of PKA, CREB, and p-CREB in the rat hippocampus were significantly higher, and the expression levels of GABAA receptor subunits α1 and β2 were significantly lower in the agonist group. The results in the inhibitor group were exactly the opposite of those in the agonist group.

Conclusion: The PKA-CREB signaling pathway is involved in the regulation of GABAA receptor subunits α1 and β2. In addition, LFS plays an important role in increasing GABAA receptor expression by regulating the PKA-CREB signaling pathway.

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来源期刊
Current neurovascular research
Current neurovascular research 医学-临床神经学
CiteScore
3.80
自引率
9.50%
发文量
54
审稿时长
3 months
期刊介绍: Current Neurovascular Research provides a cross platform for the publication of scientifically rigorous research that addresses disease mechanisms of both neuronal and vascular origins in neuroscience. The journal serves as an international forum publishing novel and original work as well as timely neuroscience research articles, full-length/mini reviews in the disciplines of cell developmental disorders, plasticity, and degeneration that bridges the gap between basic science research and clinical discovery. Current Neurovascular Research emphasizes the elucidation of disease mechanisms, both cellular and molecular, which can impact the development of unique therapeutic strategies for neuronal and vascular disorders.
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