Transient loss of inhibition precedes spontaneous seizures after experimental status epilepticus

The pathophysiological mechanisms that cause spontaneous seizures following status epilepticus are largely unknown. Erosion of inhibition is regarded as an important pathophysiological hallmark of ongoing status epilepticus. Therefore, we investigated if loss of inhibitory functions also plays an im...

Full description

Bibliographic Details
Main Authors: M. Holtkamp, J. Matzen, F. van Landeghem, K. Buchheim, H. Meierkord
Format: Article
Language:English
Published: Elsevier 2005-06-01
Series:Neurobiology of Disease
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S096999610400289X
_version_ 1819119436357959680
author M. Holtkamp
J. Matzen
F. van Landeghem
K. Buchheim
H. Meierkord
author_facet M. Holtkamp
J. Matzen
F. van Landeghem
K. Buchheim
H. Meierkord
author_sort M. Holtkamp
collection DOAJ
description The pathophysiological mechanisms that cause spontaneous seizures following status epilepticus are largely unknown. Erosion of inhibition is regarded as an important pathophysiological hallmark of ongoing status epilepticus. Therefore, we investigated if loss of inhibitory functions also plays an important role in the development of spontaneous seizures after status epilepticus. Furthermore, we analyzed possible changes in excitation that might contribute to epileptogenesis. Finally, neuronal cell loss in the dentate gyrus granule cell layer was analyzed. In rats, inhibition and excitation in the dentate gyrus were monitored 1, 4, and 8 weeks after electrically induced self-sustaining status epilepticus (SSSE). Control animals had electrodes implanted either without subsequent stimulation or with stimulation but under barbiturate anesthesia, neither of which resulted in subsequent spontaneous seizures or impairment of inhibition. Following SSSE 80% of animals developed seizures after 8 weeks. A pronounced impairment of inhibition 1 week after SSSE was followed by gradual recovery over 8 weeks. In the dentate gyrus, cell damage was highly variable most likely explaining the heterogeneity of changes in excitatory parameters. Loss of GABAergic inhibition in the dentate gyrus may facilitate initiation of epileptogenesis but impaired inhibition is not required for the process of epileptogenesis to be maintained.
first_indexed 2024-12-22T06:04:44Z
format Article
id doaj.art-98a253171bec4b18839d55af077bd33b
institution Directory Open Access Journal
issn 1095-953X
language English
last_indexed 2024-12-22T06:04:44Z
publishDate 2005-06-01
publisher Elsevier
record_format Article
series Neurobiology of Disease
spelling doaj.art-98a253171bec4b18839d55af077bd33b2022-12-21T18:36:26ZengElsevierNeurobiology of Disease1095-953X2005-06-01191162170Transient loss of inhibition precedes spontaneous seizures after experimental status epilepticusM. Holtkamp0J. Matzen1F. van Landeghem2K. Buchheim3H. Meierkord4Department of Neurology, Charité-Universitätsmedizin Berlin (Campus Mitte), Schumannstr. 20/21, 10117 Berlin, Germany; Corresponding author. Fax: +49 30 450 56 09 32.Department of Neurology, Charité-Universitätsmedizin Berlin (Campus Mitte), Schumannstr. 20/21, 10117 Berlin, GermanyInstitute of Neuropathology, Charité-Universitätsmedizin Berlin (Campus Virchow-Klinikum), Augustenburger Platz 1, 13353 Berlin, GermanyDepartment of Neurology, Charité-Universitätsmedizin Berlin (Campus Mitte), Schumannstr. 20/21, 10117 Berlin, GermanyDepartment of Neurology, Charité-Universitätsmedizin Berlin (Campus Mitte), Schumannstr. 20/21, 10117 Berlin, GermanyThe pathophysiological mechanisms that cause spontaneous seizures following status epilepticus are largely unknown. Erosion of inhibition is regarded as an important pathophysiological hallmark of ongoing status epilepticus. Therefore, we investigated if loss of inhibitory functions also plays an important role in the development of spontaneous seizures after status epilepticus. Furthermore, we analyzed possible changes in excitation that might contribute to epileptogenesis. Finally, neuronal cell loss in the dentate gyrus granule cell layer was analyzed. In rats, inhibition and excitation in the dentate gyrus were monitored 1, 4, and 8 weeks after electrically induced self-sustaining status epilepticus (SSSE). Control animals had electrodes implanted either without subsequent stimulation or with stimulation but under barbiturate anesthesia, neither of which resulted in subsequent spontaneous seizures or impairment of inhibition. Following SSSE 80% of animals developed seizures after 8 weeks. A pronounced impairment of inhibition 1 week after SSSE was followed by gradual recovery over 8 weeks. In the dentate gyrus, cell damage was highly variable most likely explaining the heterogeneity of changes in excitatory parameters. Loss of GABAergic inhibition in the dentate gyrus may facilitate initiation of epileptogenesis but impaired inhibition is not required for the process of epileptogenesis to be maintained.http://www.sciencedirect.com/science/article/pii/S096999610400289XSelf-sustaining status epilepticusDentate gyrusGABAergic inhibitionSpontaneous seizures
spellingShingle M. Holtkamp
J. Matzen
F. van Landeghem
K. Buchheim
H. Meierkord
Transient loss of inhibition precedes spontaneous seizures after experimental status epilepticus
Neurobiology of Disease
Self-sustaining status epilepticus
Dentate gyrus
GABAergic inhibition
Spontaneous seizures
title Transient loss of inhibition precedes spontaneous seizures after experimental status epilepticus
title_full Transient loss of inhibition precedes spontaneous seizures after experimental status epilepticus
title_fullStr Transient loss of inhibition precedes spontaneous seizures after experimental status epilepticus
title_full_unstemmed Transient loss of inhibition precedes spontaneous seizures after experimental status epilepticus
title_short Transient loss of inhibition precedes spontaneous seizures after experimental status epilepticus
title_sort transient loss of inhibition precedes spontaneous seizures after experimental status epilepticus
topic Self-sustaining status epilepticus
Dentate gyrus
GABAergic inhibition
Spontaneous seizures
url http://www.sciencedirect.com/science/article/pii/S096999610400289X
work_keys_str_mv AT mholtkamp transientlossofinhibitionprecedesspontaneousseizuresafterexperimentalstatusepilepticus
AT jmatzen transientlossofinhibitionprecedesspontaneousseizuresafterexperimentalstatusepilepticus
AT fvanlandeghem transientlossofinhibitionprecedesspontaneousseizuresafterexperimentalstatusepilepticus
AT kbuchheim transientlossofinhibitionprecedesspontaneousseizuresafterexperimentalstatusepilepticus
AT hmeierkord transientlossofinhibitionprecedesspontaneousseizuresafterexperimentalstatusepilepticus