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Hyper-excitability and epilepsy generated by chronic early-life stress

机译:慢性生命早期应激引起的过度兴奋和癫痫

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Epilepsy is more prevalent in populations with high measures of stress, but the neurobiological mechanisms are unclear. Stress is a common precipitant of seizures in individuals with epilepsy, and may provoke seizures by several mechanisms including changes in neurotransmitter and hormone levels within the brain. Importantly, stress during sensitive periods early in life contributes to ‘brain programming’, influencing neuronal function and brain networks. However, it is unclear if early-life stress influences limbic excitability and promotes epilepsy. Here we used an established, naturalistic model of chronic early-life stress (CES), and employed chronic cortical and limbic video-EEGs combined with molecular and cellular techniques to probe the contributions of stress to age-specific epilepsies and network hyperexcitability and identify the underlying mechanisms. In control male rats, EEGs obtained throughout development were normal and no seizures were observed. EEGs demonstrated epileptic spikes and spike series in the majority of rats experiencing CES, and 57% of CES rats developed seizures: Behavioral events resembling the human age-specific epilepsy infantile spasms occurred in 11/23 (48%), accompanied by EEG spikes and/or electrodecrements, and two additional rats (9%) developed limbic seizures that involved the amygdala. Probing for stress-dependent, endogenous convulsant molecules within amygdala, we examined the expression of the pro-convulsant neuropeptide corticotropin-releasing hormone (CRH), and found a significant increase of amygdalar--but not cortical--CRH expression in adolescent CES rats. In conclusion, CES of limited duration has long-lasting effects on brain excitability and may promote age-specific seizures and epilepsy. Whereas the mechanisms involved require further study, these findings provide important insights into environmental contributions to early-life seizures.
机译:癫痫在压力较大的人群中更为普遍,但神经生物学机制尚不清楚。压力是癫痫患者癫痫发作的常见诱因,它可能通过多种机制引起癫痫发作,包括改变大脑神经递质和激素水平。重要的是,生命早期敏感时期的压力会导致“大脑编程”,从而影响神经元功能和大脑网络。然而,尚不清楚生命早期压力是否影响边缘兴奋性并促进癫痫发作。在这里,我们使用已建立的,自然的慢性早期应激(CES)模型,并结合分子和细胞技术将慢性皮层和边缘视频EEG与分子和细胞技术相结合,以探索应激对特定年龄癫痫和网络过度兴奋性的贡献,并确定潜在机制。在对照雄性大鼠中,整个发育过程中获得的脑电图正常,未观察到癫痫发作。 EEGs在大多数经历CES的大鼠中均表现出癫痫高峰和高峰系列,其中57%的CES大鼠出现癫痫发作:类似于人的特定年龄癫痫婴儿痉挛的行为事件发生在11/23(48%),并伴有EEG高峰和/或电沉积,另外两只大鼠(9%)发生了杏仁核累及的边缘性癫痫发作。探索杏仁核内的压力依赖性内源性惊厥分子后,我们检查了惊厥前神经肽促肾上腺皮质激素释放激素(CRH)的表达,发现青春期CES大鼠杏仁核-而非皮质CRH表达显着增加。总之,持续时间有限的CES对脑部兴奋性具有长期影响,并且可能促进特定年龄的癫痫发作和癫痫发作。尽管所涉及的机制需要进一步研究,但这些发现为了解环境对早期发作的贡献提供了重要的见识。

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