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The role of the entorhinal cortex in epileptiform activities of the hippocampus

机译:内嗅皮质在海马癫痫样活动中的作用

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Background Temporal lobe epilepsy (TLE) is the commonest type of epilepsy in adults, and the hippocampus is indicated to have a close relationship with TLE. Recent researches also indicate that the entorhinal cortex (EC) is involved in epilepsy. To explore the essential role that the EC may play in epilepsy, a computational model of the hippocampal CA3 region was built, which consisted of pyramidal cells and two types of interneurons. By changing the input signals from the EC, the effects of EC on epileptiform activities of the hippocampus were investigated. Additionally, recent studies have found that the antiepileptic drug valproate (VPA) can block ictal discharges but cannot block interictal discharges in vitro, and the mechanism under this phenomenon is still confusing. In our model, the effects of VPA on epileptiform activities were simulated and some mechanisms were explored. Results Interictal discharges were induced in the model without the input signals from the EC, whereas the model with the EC input produced ictal discharges when the EC input contained ictal discharges. The GABA-ergic connection strength was enhanced and the NMDA-ergic connection strength was reduced to simulate the effects of VPA, and the simulation results showed that the disappearance of ictal discharges in the model mainly due to the disappearance of ictal discharges in the input signals from the EC. Conclusions Simulation results showed that ictal discharges in the EC were necessary for the hippocampus to generate ictal discharges, and VPA might block the ictal discharges in the EC, which led to the disappearance of ictal discharges in the hippocampus.
机译:背景技术颞叶癫痫(TLE)是成年人中最常见的癫痫类型,海马表明与TLE密切相关。最近的研究还表明,内嗅皮层(EC)与癫痫有关。为了探索EC在癫痫中可能发挥的重要作用,建立了海马CA3区的计算模型,该模型由锥体细胞和两种类型的中间神经元组成。通过改变来自EC的输入信号,研究了EC对海马癫痫样活动的影响。此外,最近的研究发现,抗癫痫药丙戊酸盐(VPA)可以在体外阻断小肠放电,但不能阻断小肠放电,并且这种现象下的机制仍然令人困惑。在我们的模型中,模拟了VPA对癫痫样活动的影响,并探讨了一些机制。结果在没有EC输入信号的模型中诱发了室间放电,而带有EC输入的模型在EC输入包含室壁放电时产生室壁放电。模拟了VPA的效果,增强了GABA的能量连接强度,降低了NMDA的能量连接强度,仿真结果表明,模型中的金属放电消失主要是由于输入信号中的金属放电消失所致。来自EC。结论仿真结果表明,海马区的电离放电是海马产生电离放电所必需的,VPA可能会阻断海马的电离放电,从而导致海马的电离放电消失。

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