戊四唑诱发癫痫发作时的呼吸活动

IF 1.9 4区 医学 Q3 PHYSIOLOGY Respiratory Physiology & Neurobiology Pub Date : 2024-02-01 DOI:10.1016/j.resp.2024.104229
Hanna L. Umezu , Paloma G. Bittencourt-Silva , Flávio A.G. Mourão , Fabrício A. Moreira , Márcio Flávio D. Moraes , Victor R. Santos , Glauber S.F. da Silva
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引用次数: 0

摘要

本研究调查了戊四唑(PTZ)诱导的不同行为发作严重程度的成年 Wistar 大鼠的呼吸活动。动物接受了电极植入手术,可同时记录脑电图和膈肌肌电图(DIAEMG),并测量呼吸频率和 DIAEMG 振幅。通过注射 PTZ 急性诱导癫痫发作,并根据预先确定的评分进行分类,失神样癫痫发作(脑电图上的尖波放电(SWD)事件)代表最低评分。呼吸活动被归入不同的发作严重程度。在失神样发作和肌阵挛性抽搐发作期间,呼吸频率与发作前和发作后相比明显下降(下降约 50%)。在更严重的癫痫发作(阵挛性和强直性)中,呼吸暂停期会发生明显变化,尤其是在强直性发作期间。强直性发作的呼吸暂停持续时间明显高于阵挛性发作。值得注意的是,在 PTZ 诱导的强直性发作期间,呼吸暂停事件以强直性 DIAEMG 收缩(强直期呼吸暂停)为标志。在大多数动物(7 只中的 5 只)中,这是一个致命的事件,即发作引起的呼吸停止先于肌抽搐。总之,我们对 PTZ 诱导的急性癫痫发作中的呼吸活动进行了评估,结果表明呼吸功能障碍在严重程度较高的癫痫发作中更为明显。
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Respiratory activity during seizures induced by pentylenetetrazole

This study investigated the respiratory activity in adult Wistar rats across different behavioral seizure severity induced by pentylenetetrazole (PTZ). Animals underwent surgery for electrodes implantation, allowing simultaneous EEG and diaphragm EMG (DIAEMG) recordings and the respiratory frequency and DIAEMG amplitude were measured. Seizures were acutely induced through PTZ injection and classified based on a pre-established score, with absence-like seizures (spike wave discharge (SWD) events on EEG) representing the lowest score. The respiratory activity was grouped into the different seizure severities. During absence-like and myoclonic jerk seizures, the breathing frequency decreased significantly (∼50% decrease) compared to pre- and post-ictal periods. Pronounced changes occurred with more severe seizures (clonic and tonic) with periods of apnea, especially during tonic seizures. Apnea duration was significantly higher in tonic compared to clonic seizures. Notably, during PTZ-induced tonic seizures the apnea events were marked by tonic DIAEMG contraction (tonic-phase apnea). In the majority of animals (5 out of 7) this was a fatal event in which the seizure-induced respiratory arrest preceded the asystole. In conclusion, we provide an assessment of the respiratory activity in the PTZ-induced acute seizures and showed that breathing dysfunction is more pronounced in seizures with higher severity.

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来源期刊
CiteScore
4.80
自引率
8.70%
发文量
104
审稿时长
54 days
期刊介绍: Respiratory Physiology & Neurobiology (RESPNB) publishes original articles and invited reviews concerning physiology and pathophysiology of respiration in its broadest sense. Although a special focus is on topics in neurobiology, high quality papers in respiratory molecular and cellular biology are also welcome, as are high-quality papers in traditional areas, such as: -Mechanics of breathing- Gas exchange and acid-base balance- Respiration at rest and exercise- Respiration in unusual conditions, like high or low pressure or changes of temperature, low ambient oxygen- Embryonic and adult respiration- Comparative respiratory physiology. Papers on clinical aspects, original methods, as well as theoretical papers are also considered as long as they foster the understanding of respiratory physiology and pathophysiology.
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