遗传性失神癫痫和急性诱发性失神癫痫的神经化学和行为特征。

ISRN Neurology Pub Date : 2013-05-07 Print Date: 2013-01-01 DOI:10.1155/2013/875834
A S Bazyan, G van Luijtelaar
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引用次数: 17

摘要

缺席癫痫典型的尖峰慢波(SWD)脑电图模式被认为是由于皮层的起始位点和丘脑的共振回路的相互作用。超极化激活的环状核苷酸门控阳离子Ih起搏器通道(HCN)在增强皮层兴奋性中起着重要作用。丘脑HCN在SWD发生中的作用尚不清楚。WAG/Rij菌株的缺席性癫痫伴有多巴胺能系统活性的缺乏,这会削弱情绪积极状态的形成,导致抑郁样症状,并抵消学习和记忆过程。它还增强了纹状体、苍白球和丘脑网状核中GABAA受体的活性,导致皮质-丘脑皮质网络中SWD活性的升高。出现缺失的原因之一是编码GABAA受体的几个基因发生了突变。问题来了:DA受体的作用是什么。提出了在这种遗传缺失癫痫模型中导致DA受体功能受损的两种机制。
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Neurochemical and behavioral features in genetic absence epilepsy and in acutely induced absence seizures.

The absence epilepsy typical electroencephalographic pattern of sharp spikes and slow waves (SWDs) is considered to be due to an interaction of an initiation site in the cortex and a resonant circuit in the thalamus. The hyperpolarization-activated cyclic nucleotide-gated cationic I h pacemaker channels (HCN) play an important role in the enhanced cortical excitability. The role of thalamic HCN in SWD occurrence is less clear. Absence epilepsy in the WAG/Rij strain is accompanied by deficiency of the activity of dopaminergic system, which weakens the formation of an emotional positive state, causes depression-like symptoms, and counteracts learning and memory processes. It also enhances GABAA receptor activity in the striatum, globus pallidus, and reticular thalamic nucleus, causing a rise of SWD activity in the cortico-thalamo-cortical networks. One of the reasons for the occurrence of absences is that several genes coding of GABAA receptors are mutated. The question arises: what the role of DA receptors is. Two mechanisms that cause an infringement of the function of DA receptors in this genetic absence epilepsy model are proposed.

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