快速和慢速皮层振荡对扩张性去极化抑制作用的不同脆弱性:与偏头痛先兆发病机制潜在相关的状态依赖性特征

Tatiana M. Medvedeva, Maria P. Smirnova, Irina V. Pavlova, Lyudmila V. Vinogradova
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摘要

扩散性去极化(SD)是偏头痛先兆的基本机制,也是疼痛通路的潜在激活剂,它可引起短暂的局部皮层沉默活动。横扫整个皮层的皮层电图抑制被认为是偏头痛先兆的扩散性阴性症状的基础。有关 SD 对大脑皮层振荡的抑制作用的主要信息是在麻醉动物身上获得的,而在有意识的患者身上进行的发作性记录未能检测到偏头痛先兆期间的脑电图抑制。在此,我们研究了 SD 对清醒动物自发皮层活动的抑制作用,并探讨了麻醉是否会改变 SD 的作用。我们分析了清醒的自由行为大鼠在杏仁核针刺引起单侧自发SD后以及在诱导氨基甲酸乙酯麻醉后的自发皮层活动的频谱和时空特征。在清醒状态下,SD 短暂抑制了除 delta 外所有频段的皮层振荡。慢速δ活动的功率在自毁期间没有下降,甚至在自毁后还有所上升;高频γ振荡在清醒状态下表现出最强烈和最持久的抑制。意想不到的是,γ功率不仅在SD侵入记录皮层部位时下降,而且在SD占据远处皮层下/皮层区域时也下降。在清醒状态下,未被SD侵袭的对侧皮层也出现了短暂的伽马活动抑制。全身麻醉改变了SD诱导的抑制模式:SD诱发的慢三角活动停止得最厉害,对快速振荡的抑制较轻,而对伽玛活动的抑制则没有远处的变化。慢速和快速皮层振荡在易受自毁影响方面有所不同,尤其是在清醒状态下。在有意识的大脑中,自毁对快速皮层振荡的抑制作用比对慢速皮层振荡的抑制作用更强、空间范围更广。自毁对清醒大脑皮层活动的频率特异性影响可能是偏头痛先兆的一些以前无法解释的临床特征的原因。
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Different vulnerability of fast and slow cortical oscillations to suppressive effect of spreading depolarization: state-dependent features potentially relevant to pathogenesis of migraine aura
Spreading depolarization (SD), underlying mechanism of migraine aura and potential activator of pain pathways, is known to elicit transient local silencing cortical activity. Sweeping across the cortex, the electrocorticographic depression is supposed to underlie spreading negative symptoms of migraine aura. Main information about the suppressive effect of SD on cortical oscillations was obtained in anesthetized animals while ictal recordings in conscious patients failed to detect EEG depression during migraine aura. Here, we investigate the suppressive effect of SD on spontaneous cortical activity in awake animals and examine whether the anesthesia modifies the SD effect. Spectral and spatiotemporal characteristics of spontaneous cortical activity following a single unilateral SD elicited by amygdala pinprick were analyzed in awake freely behaving rats and after induction of urethane anesthesia. In wakefulness, SD transiently suppressed cortical oscillations in all frequency bands except delta. Slow delta activity did not decline its power during SD and even increased it afterwards; high-frequency gamma oscillations showed the strongest and longest depression under awake conditions. Unexpectedly, gamma power reduced not only during SD invasion the recording cortical sites but also when SD occupied distant subcortical/cortical areas. Contralateral cortex not invaded by SD also showed transient depression of gamma activity in awake animals. Introduction of general anesthesia modified the pattern of SD-induced depression: SD evoked the strongest cessation of slow delta activity, milder suppression of fast oscillations and no distant changes in gamma activity. Slow and fast cortical oscillations differ in their vulnerability to SD influence, especially in wakefulness. In the conscious brain, SD produces stronger and spatially broader depression of fast cortical oscillations than slow ones. The frequency-specific effects of SD on cortical activity of awake brain may underlie some previously unexplained clinical features of migraine aura.
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