Role of adenosine in the antiepileptic effects of deep brain stimulation.
Role of adenosine in the antiepileptic effects of deep brain stimulation.
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DOI:
10.3389/fncel.2014.00312
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发表时间:
2014
影响因子:
5.3
通讯作者:
Covolan L
中科院分区:
文献类型:
--
作者:
Miranda MF;Hamani C;de Almeida AC;Amorim BO;Macedo CE;Fernandes MJ;Nobrega JN;Aarão MC;Madureira AP;Rodrigues AM;Andersen ML;Tufik S;Mello LE;Covolan L
Despite the effectiveness of anterior thalamic nucleus (AN) deep brain stimulation (DBS) for the treatment of epilepsy, mechanisms responsible for the antiepileptic effects of this therapy remain elusive. As adenosine modulates neuronal excitability and seizure activity in animal models, we hypothesized that this nucleoside could be one of the substrates involved in the effects of AN DBS. We applied 5 days of stimulation to rats rendered chronically epileptic by pilocarpine injections and recorded epileptiform activity in hippocampal slices. We found that slices from animals given DBS had reduced hippocampal excitability and were less susceptible to develop ictal activity. In live animals, AN DBS significantly increased adenosine levels in the hippocampus as measured by microdialysis. The reduced excitability of DBS in vitro was completely abolished in animals pre-treated with A1 receptor antagonists and was strongly potentiated by A1 receptor agonists. We conclude that some of the antiepileptic effects of DBS may be mediated by adenosine.
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