Post-ictal Generalized EEG Suppression is reduced by Enhancing Dorsal Raphe Serotonergic Neurotransmission.
Neuroscience
; 453: 206-221, 2021 01 15.
Article
en En
| MEDLINE
| ID: mdl-33242541
ABSTRACT
Sudden unexpected death in epilepsy (SUDEP) is the leading cause of death in patients with refractory epilepsy. A proposed risk marker for SUDEP is the duration of post-ictal generalized EEG suppression (PGES). The mechanisms underlying PGES are unknown. Serotonin (5-HT) has been implicated in SUDEP pathophysiology. Seizures suppress activity of 5-HT neurons in the dorsal raphe nucleus (DRN). We hypothesized that suppression of DRN 5-HT neuron activity contributes to PGES and increasing 5-HT neurotransmission or stimulating the DRN before a seizure would decrease PGES duration. Adult C57BL/6J and Pet1-Cre mice received EEG/EMG electrodes, a bipolar stimulating/recording electrode in the right basolateral amygdala, and either a microdialysis guide cannula or an injection of adeno-associated virus (AAV) allowing expression of channelrhodopsin2 plus an optic fiber into the DRN. Systemic application of the selective 5-HT reuptake inhibitor citalopram (20â¯mg/kg) decreased PGES duration from seizures induced during wake (nâ¯=â¯23) and non-rapid eye movement (NREM) sleep (nâ¯=â¯13) whereas fluoxetine (10â¯mg/kg) pretreatment decreased PGES duration following seizures induced from wake (nâ¯=â¯11), but not NREM sleep (nâ¯=â¯9). Focal chemical (nâ¯=â¯6) or optogenetic (nâ¯=â¯8) stimulation of the DRN reduced PGES duration following seizures in kindled mice induced during wake. During PGES, animals exhibited immobility and suppression of EEG activity that was reduced by citalopram pretreatment. These results suggest 5-HT and the DRN may regulate PGES.
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Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Electroencefalografía
/
Núcleo Dorsal del Rafe
Límite:
Adult
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Animals
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Humans
Idioma:
En
Revista:
Neuroscience
Año:
2021
Tipo del documento:
Article