缺氧对大鼠海马脑片CA1区锥体神经元膜电位的影响

本文应用海马脑片细胞内记录技术，观察了ＣＡ１区锥体神经元膜的电学性质及缺氧对它的影响。发现缺氧可使锥体神经元膜电位呈现时相性变化，即缺氧早期（２－４ｍｉｎ）神经元膜电位出现超极化反应并伴随自发放电消失；缺氧４－７ｍｉｎ时膜呈现慢去极化，此时诱发电位逐渐消失；继续缺氧（８ｍｉｎ左右）膜出现快去极化直至膜电位的消失。用ＴＴＸ或无Ｃａ２＋人工脑脊液灌流脑片可显著地降低缺氧去极化幅度，延迟去极化的发生。结果提示，缺氧去极化的发生与Ｎａ＋、Ｃａ２＋跨膜内流有关。     

姜黄素对AMPA/KA受体介导大鼠海马神经元钙内流的影响

目的 探讨姜黄素对α-氨基-3-羧基-5-甲基异恶唑-4-丙酸(AMPA)/海人酸(KA)受体介导大鼠海马神经元钙内流的影响.方法 选用胚胎17dSD鼠分离海马,离体培养海马神经元,借助活体钙荧光染色和激光共聚焦钙成像技术观察100μmol/LKA刺激海马神经元内钙的变化,不同浓度(5、10、15、30、50 μmol/L)姜黄素预孵育海马神经元30min对100μmol/L KA刺激下细胞内钙变化的影响,15 μmol/L姜黄素对不同浓度(10、30、50、100、200、300 μmol/L)KA刺激海马神经元内钙变化的影响.应用钴染色技术观察(30、100 μmol/L KA)刺激后海马神经元钴阳性染色细胞变化.姜黄素预孵育30min对KA刺激导致钴阳性染色细胞变化的影响.结果 不同浓度姜黄素预孵育30 min均可以明显缓解100 μmol/L或30 μmol/L KA导致的细胞内钙升高程度.差异均有统计学意义(P<0.05),其中15 μmol/L姜黄素作用最为明显.30μmol/L或100 μmol/LKA刺激均可以引起海马神经元钴染色阳性细胞增加,15 μmol/L姜黄素预处理30 min后明显减少钴染色阳性细胞,差异有统计学意义(P<0.05),而其他浓度(5 μmol/L或30 μmol/L)姜黄素未见明显影响.结论 一定浓度的姜黄素可以影响AMPA/KA受体介导大鼠海马神经元钙内流.这可能是姜黄素抗癫痫作用的一个机制.     

同型半胱氨酸对海马神经元细胞HT22的毒性作用及其机制的探讨

目的 探讨同型半胱氨酸对海马神经元细胞系HT22细胞的毒性作用及其可能的相关机制. 方法 使用不同浓度的同型半胱氨酸(0、0.5、1.0、1.5、2.0、2.5 mmo/L)作用于分化培养后的HT22细胞,采用MTS分析检测细胞活力的变化.并同时使用N-甲基-D-天冬氨酸(NMDA)受体拮抗剂MK801和美金刚进行干预处理,进一步检测其对细胞活力的影响;使用Hoechst 33342和PI染色观察细胞死亡的形态学变化. 结果 同型半胱氨酸对分化培养后的HT22细胞具有剂量反应关系的毒性作用.半数有效浓度约在1.25 mmol/L.Hoechst33342和PI染色结果 显示低浓度同型半胱氨酸(1.0 mmol/L)主要引起细胞凋亡,而随着同型半胱氨酸浓度的增加(2.0 mmol/L),细胞则主要以坏死的形式存在.NMDA受体拮抗剂MK801和美金刚可有效的抑制同型半胱氨酸的神经细胞毒性.分别在10 μmol/L浓度时显示最为明显的抑制作用,同单纯同型半胱氨酸作用组相比差异具有统计学意义(P<0.05). 结论 同型半胱氨酸对海马神经元细胞系HT22细胞具有明显的毒性作用,主要导致细胞的凋亡和坏死;其产生的神经毒性在很大程度上是通过激活NMDA受体起作用的.对于同型半胱氨酸-NMDA受体之间的作用的进一步研究将会提供神经元坏死的一个重要的研究方向.     

GABA能去抑制水平的变化对海马CAl突触长时程增强的影响

目的 研究改变中间神经元GABA能抑制水平对海马CA1区突触长时程增强(LTP)的影响.同时获得不同浓度Bicuculline阻断GABAA受体介导抑制以及影响海马CA1区突触可塑性详细信息. 方法 应用膜片钳全细胞记录技术记录成年小鼠海马脑片上自发的微小的抑制性突触后电位(mIPSC)和诱发的前馈抑制性突触后电流(IPSC),使用细胞外电生理方法 记录刺激Schaffer侧枝诱发的CA1区辐射层场的兴奋性突触后电位(fEPSP],测量不同浓度Bicuculline对mIPSC、IPSC和fEPSP的作用,以及它们对小鼠海马脑片CA1区突触LTP的影响. 结果 10μmol/L、20μmol/L Bicuculline可以减弱mIPSC和IPSC抑制性突触电流,且20 μmol/L Bicuculline作用更明显;20μmol/L Bicuculline可以明显提高fEPSP的斜率,而5 μmol/L和10 μmol/LBicuculline没有明显作用;5 μmol/L、10 μmol/L、20μmol/L和50μmol/L Bicuculline组100赫兹强直刺激诱发后的fEPSP平均斜率均值都大于对照组,但仅10 μmol/L、20 μmol/L两组相比,差异有统计学意义(P<0.05). 结论 Bicuculline可以减弱GABAA受体介导的抑制以及增加场的fEPSP斜率,并且Bicuculline阻断GABA能抑制到一个关键水平才可以增强海马CA1区突触的LTP.     

ATP敏感性K^＋通道在海马缺氧损伤中的作用

目的研究ATP敏感性K 通道阻断剂glipizide（GLI）对缺氧后海马脑片损伤以及海马神经元[Ca(2 )]i变化的影响。方法以大鼠离体海马脑片和体外分散培养的海马神经元为标本，分别采用电生理微电极记录技术以及激光扫描共聚焦显微镜监测神经元[Ca(2 )]i的方法。结果预先用GLI（20μmol／L）灌流的海马脑片缺氧后PV持续时间较对照组显著缩短，提示其加重了海马不可逆缺氧损伤的发生；另外急性缺氧可诱导海马神经元[Ca(2 )]i迅速升高，而预先加入GLI（20μmol／L）能显著加剧[Ca(2 )]i的升高程度。结论ATP敏感性K 通道在缺氧过程中的开放对大鼠海马脑区具有重要的保护作用，它可显著降低缺氧所致神经元[Ca(2 )]i升高，提高海马脑片的抗缺氧能力。这可能是其对抗海马缺氧损伤的主要作用机制之一。     

N-乙酰半胱氨酸抗谷氨酸诱导海马神经元损伤的研究

目的　观察N-乙酰半胱氨酸(N- acetylcysteine,NAC)对不同浓度谷氨酸(Glutamte,Glu)诱导海马神经元损伤的影响,探讨其作用机制,评价毒性作用。方法　采用台盼蓝活细胞拒染与TUNEL法比较不同浓度NAC预处理3d给药与细胞毒性暴露后快速给药对10 0μmol/ L、5 0 0μm ol/ L Glu诱导体外培养海马神经元损伤的影响,并与MK- 80 1比较;利用激光扫描共聚焦显微镜(L SCM)观测细胞内Ca2 浓度变化;采用台盼蓝活细胞拒染、原子力显微镜(AFM)及细胞内酯酶活性判定方法评价NAC毒性。结果　NAC可降低10 0μmol/ L Glu诱导的海马神经元死亡率,以预处理组为佳,1m mol/ L NAC预处理保护效果类似于10μmol/ L MK - 80 1;NAC对5 0 0μm ol/ L Glu诱导的海马神经元损伤无保护作用。1mm ol/ L NAC预处理抑制Glu诱导的神经元Ca2 内流。经10 0 mmol/ L NAC作用的细胞虽然形态完整,但台盼蓝染色蓝染,失去对Glu毒性的反应性;AFM扫描见神经元细胞膜皱缩;培养基Ca2 经Fluo- 3(AM)标记后L SCM下无激发荧光。结论　NAC对轻度Glu细胞毒性损伤有保护作用,预防性用药效果更优越。认为抑制Glu诱导的神经元Ca2 内流为其保护机制之一。高浓度NAC具有固定作用     

牛磺酸对GABA引起的大鼠DRG神经元膜去极化的抑制作用（英文）

目前已普遍认为牛磺酸可能是中枢神经系统中的一种抑制性神经递质或神经调质。本实验的目的在于观察牛酸是否使背根神经节神经元膜产生电位变化及其是否对GABA引起的背根神经节神经元膜去极化有调制作用。应用细胞内记录技术观察，标本灌流液中滴加牛磺酸（0．1～100μmol／L）未记录到可检测的膜电位改变，但牛磺酸对GABA（0．3～1000μmol／L）引起的去极化有明显的抑制作用，并对GABAA受体特异性激动剂muscimol（10～100μmol／L）和isoguvacine（10～100μmol／L）引起的去极化有同样的抑制作用，此作用具有明显的浓度依赖性。如10μmol／L的牛磺酸可使100μmol／LGABA引起的去极化抑制47．2％±13．8％（n=8）。牛磺酸对GABA引起去极化的抑制作用随预加牛磺酸与外加GABA之间间隔时间的延长而逐渐减弱，约间隔8～10min，GABA引起的去极化完全恢复。结果提示，牛磺酸在脊髓背角信息传递中起重要的调制作用。     

化学预处理对大鼠海马脑片缺氧耐受性的影响及其与线粒体ATP敏感性钾通道的关系

目的:探讨3-硝基丙酸(3-NPA)预处理对海马脑片缺氧损伤的保护作用及线粒体内膜ATP敏感性钾(Mi-toK_(ATP))通道在预处理脑保护机制中的作用。方法:采用Nissl染色和透射电镜观察缺氧后大鼠海马CA_1区神经元密度、锥体细胞和亚细胞结构在预处理前后的变化,以及MitoK_(ATP)拮抗剂5-羟基癸酸盐(5-HD)孵育海马脑片对预处理效果的影响。结果:3-NPA组大鼠缺氧后海马CA_1区神经元密度(86.69±4.87)高于对照组(53.85±3.13,P<0.05),锥体细胞超微结构受损程度较对照组明显减轻。预处理大鼠海马脑片经100μmol/L 5-HD孵育后CA_1区神经元密度(57.31±7.89)较未孵育脑片降低(P<0.05),超微结构受损加重。结论:3-NPA预处理可提高海马脑片缺氧耐受能力,这种保护作用可能与MitoK_(ATP)通道开放有关。     

谷胱甘肽与N-乙酰半胱氨酸对谷氨酸诱导海马神经元损伤的影响

目的观察还原型谷胱甘肽(reducedglutathione,GSH)与N-乙酰半胱氨酸(N-Acetylcysteine,N-NAC)对不同浓度谷氨酸(glutamate,Glu)诱导的海马神经元损害的影响。方法选用新生Wistar大鼠原代培养海马神经元谷氨酸细胞毒性模型,采用台盼蓝活细胞拒染及TUNEL细胞凋亡原位检测等方法比较GSH与NAC对100μmol/L及500μmol/LGlu细胞毒性损伤的影响,并与MK-801比较。结果GSH与NAC能够降低100μmol/LGlu作用下神经元死亡率与凋亡率,NAC组细胞存活率高于同条件下GSH组,其中1mmol/LNAC组神经元存活率达到90.4%±5.2%,与10μmol/LMK-801组相比,差异无统计学意义;在500μmol/LGlu作用下,GSH与NAC则不能增加神经元的存活率,但1mmol/LNAC抗500μmol/LGlu诱导调亡的作用与MK-801相比无明显差异。结论GSH及NAC对轻度Glu细胞毒性神经损伤有保护作用。     

实验性癫痫时大鼠海马内兴奋性氨基酸受体对内阿片肽含量的影响

应用免疫组织化学方法观察了青霉素致痫及海马内微量注射NMDA受体拮抗剂MK801（5－methy1－10，11－dihydro－5H－dibenzo[a，d]cycloheptan－5，10－iminemaleate)和非NMDA受体拮抗剂DNQX（6，7－dinitroquinoxaline－2，3－dione）后，大鼠海马内强啡肽A1~17和亮啡肽的含量变化。结果发现：在青霉素致痫4h后，海马苔样纤维和门区强啡肽A1~17的含量明显减少，海马CA1区．苔样纤维和门区的亮啡肽含量明显增加。在青霉素致痫前分别在海马内微量注射MK801（6μg）和DNQX（4μg），则在癫痫发作减弱同时，海马内强啡肽A1~17含量较单纯青霉素致痫组增加，亮啡肽含量下降。结果提示：青霉素致痫引起大鼠脑内强啡肽A1~17和亮啡肽含量变化，可能和NMDA受体和非NMDA受体的参与有关。     

视频脑电图在小儿癫痫诊断中的应用

目的评价视频脑电图(video-EEG)在小儿癫诊断中的应用价值。方法对126例具有发作性症状的患儿进行连续8h的包括清醒、睡眠、诱发试验及必要的认知测验的视频脑电图监测。结果经发作期视频脑电图证实,39例初诊为癫性发作的患儿中14例(35%)为非癫性发作;15例其他症状发作中13例(86%)为非癫性发作。64例样放电患儿中51例(80%)确定发作类型,22例(34%)确定癫类型。视频脑电图可发现短暂轻微的癫发作及样放电引起的一过性认知损伤。结论视频脑电图在排除非癫性发作、确定癫性发作的类型、评价脑电-临床关系方面可提供准确可靠的证据,进一步提高癫的临床诊断水平。     

Neuroprotective properties of memantine in different in vitro and in vivo models of excitotoxicity

The pathogenesis of stroke, trauma and chronic degenerative diseases, such as Alzheimer's disease (AD), has been linked to excitotoxic processes due to inappropriate stimulation of the N-methyl-D-aspartate receptor (NMDA-R). Attempts to use potent competitive NMDA-R antagonists as neuroprotectants have shown serious side-effects in patients. As an alternative approach, we were interested in the anti-excitotoxic properties of memantine, a well-tolerated low affinity uncompetitive NMDA-R antagonist presently used as an anti-dementia agent. We explored in a series of models of increasing complexity, whether this voltage-dependent channel blocker had neuroprotective properties at clinically relevant concentrations. As expected, memantine protected neurons in organotypic hippocampal slices or dissociated cultures from direct NMDA-induced excitotoxicity. However, low concentrations of memantine were also effective in neuronal (cortical neurons and cerebellar granule cells) stress models dependent on endogenous glutamate stimulation and mitochondrial stress, i.e. exposure to hypoxia, the mitochondrial toxin 1-methyl-4-phenylpyridinium (MPP+) or a nitric oxide (NO) donor. Furthermore, memantine reduced lethality and brain damage in vivo in a model of neonatal hypoxia-ischemia (HI). Finally, we investigated functional rescue (neuronal capacity to migrate along radial glia) by memantine in cerebellar microexplant cultures exposed to the indirect excitotoxin 3-nitropropionic acid (3-NP). Potent NMDA-R antagonists, such as (+)MK-801, are known to block neuronal migration in microexplant cultures. Interestingly, memantine significantly restored the number of neurons able to migrate out of the stressed microexplants. These findings suggest that inhibition of the NMDA-R by memantine is sufficient to block excitotoxicity, while still allowing some degree of signalling.     

Storage of lipofuscin in neurons in mucopolysaccharidosis

Summary A histochemical and ultrastructural study was made on the brain of a 23-year-old man with Sanfilippo's syndrome. In accordance with previous reports the cortical nerve cells contained a PAS-positive lipid storage substance. This showed intense autofluorescence in UV-light and was positive with various stains for lipofuscin. The storage material appeared ultrastructurally as inclusion bodies composed of short lamellated membranes, granular material, and vacuoles. In addition, concentrically and transversely lamellated membranous cytoplasmic bodies were observed in the nerve cells. It is concluded that the PAS-positive lipid storage material in the neurons was composed partly of lipofuscin in addition to other lipids presumably glycosphingolipids.Supported by a grant from the Expressen Prenatal Research Foundation     

脑电图预测痫性发作研究进展

癫痫(epilepsy)是由脑部神经元高度同步化异常放电所致的临床综合征,系神经系统的常见病,困扰着全世界约1%的人群.每次神经元的阵发性放电或短暂的脑功能异常称为痫性发作(seizures).     

Role of vincristine in the inhibition of angiogenesis in glioblastoma

Objective: Vincristine, a microtubule-destabilizing drug, was found to exhibit anti-angiogenic effects and anti-tumoral activity. However, the precise mechanism by which vincristine inhibits angiogenesis in glioblastomas is not well understood. Our aim was to investigate whether vincristine affects vascular endothelial growth factor (VEGF) expression in glioblastoma cells and determine whether it is mediated by the downregulation of hypoxia-inducible factor-1α (HIF-1α).

Methods: We investigated the expression of HIF-1α in glioblastoma tissues resected from patients and in human glioblastoma cell lines using immunohistochemistry, Western blot analysis, and immunocytochemistry. In addition to an MTT assay assessing the effect of vincristine on cell proliferation and viability, the effects of vincristine on VEGF mRNA expression and HIF-1α protein were examined using real-time RT-PCR and Western blot analysis under 1% O₂ (hypoxia).

Results: HIF-1α was expressed in the majority of glioblastoma tissues and was detected mainly in the nucleus. Strong immunoreactivity for HIF- 1 α was found often in the hypercellular zones. Under hypoxic conditions, HIF-1α protein levels in the glioblastoma cell lines increased, primarily localizing into the nucleus similar to glioblastoma tissues. Exposure of glioblastoma cells to vincristine resulted in enrichment of the G₂-M fraction of the cell cycle, which suggests that vincristine-mediated growth inhibition of glioblastoma is correlated with mitotic inhibition. Using doses lower than those found to reduce the viability and proliferation of cells by 50% (IC₅₀), vincristine decreased both the expression of VEGF mRNA and the level of HIF-1α protein in hypoxic glioblastoma cells. In addition, following exposure to vincristine, the expression of VEGF mRNA was correlated with HIF-1α protein levels.

Conclusions: Our results suggest that the mechanism by which vincristine elicits an anti-angiogenic effect in glioblastomas under hypoxic conditions might be mediated, in part, by HIF-1α inhibition.     

Midazolam in treatment of various types of seizures in children

Midazolam is a recently developed water-soluble benzodiazepine that shares anxiolytic, muscle relaxant, hypnotic and anticonvulsant actions with other members of this class. There are limited studies that midazolam can be used successfully to treat seizures in adults and children. In this study, 0.2 mg/kg intramuscular (IM) midazolam was administered to 11 children (eight boys and three girls), aged 3 days to 4 years (mean age 1.8±1.4 years), with seizures of various types. In all but one child, seizures stopped in 15 s–5 min after injection. No side effects were observed. These results suggest that IM administration of midazolam may be useful in a variety of seizures during childhood, especially in case of intravenous (IV) line problem.     

The Burden of Agoraphobia in Worsening Quality of Life in a Community Survey in Italy

ObjectiveCurrent nosology redefined agoraphobia as an autonomous diagnosis distinct from panic disorder. We investigated the lifetime prevalence of agoraphobia, its association with other mental disorders, and its impact on the health-related quality of life (HR-QoL). MethodsCommunity survey in 2,338 randomly selected adult subjects. Participants were interviewed with the Advanced Neuropsychiatric Tools and Assessment Schedule (ANTAS), administered by clinicians. The diagnoses were based on the ICD-10 criteria. The Short-Form Health Survey (SF-12) was used to quantify HR-QoL. ResultsIn the sample, 35 subjects met the criteria for agoraphobia (1.5%), with greater prevalence among women (2.0%) than men (0.9%): odds ratio (OR) 2.23; 95% CI: 1.0-5–2. Agoraphobia was more often seen among those with (n=26; 1.1%) than without (n=9; 0.4%) panic disorder: OR=8.3; 2.9–24.4. Co-morbidity with other mental disorders was substantial. The mean score of SF-12 in people with agoraphobia was 35.2±7.8, with similar levels of HR-QoL in people with (35.3±7.9) or without (34.8±7.3) panic disorder: ANOVA: F(1;33)=0.0; p=1.00. ConclusionOne out of seventy people may suffer from agoraphobia in their lifetime. The attributable burden in terms of HR-QoL is substantial and comparable to the one observed for chronic mental disorders such as major depression, post-traumatic stress disorder, or obsessive-compulsive disorder.     

Characteristics of nociceptors in the periodontium--an in vitro study in rats

Recent studies have indicated that nociceptors can be classified into various types according to their physiological properties. These studies have clarified that the frequency distribution of various nociceptor types is different among body sites and animal species. In the present study, we investigated the physiological properties of rat's periodontal nociceptors in an in vitro jaw-nerve preparation. Responses were recorded from functional single filaments in the inferior alveolar nerve. To determine the nociceptor type, calibrated von Frey filaments, heat, and bradykinin (BK) stimuli were used. We found five subtypes of nociceptors in the periodontal ligaments of the lower incisor: Adelta-high threshold mechanonociceptors (Adelta-HTM, n=28), Adelta-mechanoheat nociceptors (Adelta-MH, n=6), Adelta-polymodal nociceptors (Adelta-POLY, n=26), C-high threshold mechanonociceptors (C-HTM, n=3) and C-polymodal nociceptors (C-POLY, n=4). Most nociceptors were Adelta-innervated, while only a small number of C-innervated nociceptors were found. The present results suggest that periodontal nociceptors transmit mainly fast pain, and may thus play a role in rapid detection of injure-related stimuli during mastication.     

自噬参与帕金森病发病的研究进展

近年来,蛋白质的降解障碍被认为是帕金森病（Parkinson’Sdisease,PD）发病过程中的重要因素,人们已经公认泛素一蛋白酶体系统（ubiquitin--pro—teasomesystem,UPS）功能异常或衰竭能够导致细胞内异常蛋白蓄积、细胞功能障碍,甚至细胞凋亡。与此同时,蛋白降解的另一条途径——自噬-溶酶体途径（autophagy—lysosomepathway,ALP）也已成为了生命科学领域的研究热点,自噬与神经变性疾病,尤其是PD的关系日益受到人们的重视。     

Developmental effects of in vivo and in vitro inhibition of nitric oxide synthase in neurons

The diffusible chemical messenger nitric oxide (NO) is involved in neuronal plasticity and it is, therefore, supposed to play a role in brain development. A shortage of NO during the critical period of brain maturation may theoretically have long-lasting consequences on the organization of the adult brain. We have performed in neonatal rats a chronic inhibition of the enzyme responsible for NO production, nitric oxide synthase (NOS), from postnatal day 3 to postnatal day 23, through administration of the competitive antagonist N-nitro-L-arginine methylester (L-NAME). The calcium-dependent catalytic activity resulted almost completely inhibited throughout the period of treatment and it took more than 4 days after its suspension to get a full recovery. The expression of the neuronal isoform of the enzyme (nNOS), revealed by immunoblotting, was unchanged during the treatment and after it. The histochemical reaction for NADPH diaphorase was reduced at the end of the treatment and recovered in concomitance with the recovery of the catalytic NOS activity. No gross structural alterations were detected in brain morphology. The levels of three neurotransmitter-related and one astrocytic marker were unchanged in the cerebellum, hippocampus and cortex of 60-day-old rats which had been neonatally treated. A similar lack of significant effects on neurochemical brain maturation was also noticed in a parallel series of experiments, in which a short pulse of NOS inhibition was performed at a critical prenatal time of brain development, from gestational day 14 to gestational day 19. In vitro, chronic exposure of cerebellar granule cells to L-NAME (500 microM) resulted in slight decrease of surviving neurons after 8 days in culture and in better resistance to the challenge of stressful culture conditions. The present results suggest that the basic plan of brain organization can be achieved despite an almost complete NOS inhibition during the maturation period. In vitro, NOS inhibition may bring to more pronounced consequences on neuronal viability and function.