CAJ | 학술논문

目的：探讨左乙拉西坦（ levetiracetam ， LEV）、丙戊酸钠（ sodium valproate ， VPA）和蝎毒耐热蛋白（ scorpi-on venom heat resistant protein ， SVHRP ）对幼年癫痫大鼠海马胶质原纤维酸性蛋白（ glia fibrillary acidic protein ， GFAP）的影响。方法生后2周SD大鼠共40只，分为（1）正常对照组：正常大鼠1次/d腹腔注射生理盐水1周；（2）癫痫模型组：应用匹罗卡品制作颞叶癫痫模型，癫痫造模后，1次/d腹腔注射生理盐水1周；（3）LEV治疗组：癫痫造模后1次/d LEV灌胃（150 mg/kg）1周；（4）VPA治疗组：癫痫造模后1次/d VPA（250 mg/kg）灌胃1周；（5）SVHRP治疗组：癫痫造模后腹腔注射SVHRP（0．01 mg/kg），连续1周。用药后行免疫组化检测GFAP。结果癫痫模型组海马齿状回GFAP免疫阳性的星形胶质细胞分别与LEV治疗组、VPA治疗组和SVHRP治疗组相比明显增生（ P＜0．05）。尼氏染色结果显示LEV治疗组、VPA治疗组和SVHRP治疗组与癫痫模型组比较，海马CA3区神经元损伤较小。结论幼年大鼠癫痫发作可能与海马星形胶质细胞增生有关， LEV、VPA 、SVHRP的抗癫痫作用可能与抑制海马星形胶质细胞增生有关，但其具体作用及机制仍需进一步探讨。
목적：탐토좌을랍서탄（ levetiracetam ， LEV）、병무산납（ sodium valproate ， VPA）화갈독내열단백（ scorpi-on venom heat resistant protein ， SVHRP ）대유년전간대서해마효질원섬유산성단백（ glia fibrillary acidic protein ， GFAP）적영향。방법생후2주SD대서공40지，분위（1）정상대조조：정상대서1차/d복강주사생리염수1주；（2）전간모형조：응용필라잡품제작섭협전간모형，전간조모후，1차/d복강주사생리염수1주；（3）LEV치료조：전간조모후1차/d LEV관위（150 mg/kg）1주；（4）VPA치료조：전간조모후1차/d VPA（250 mg/kg）관위1주；（5）SVHRP치료조：전간조모후복강주사SVHRP（0．01 mg/kg），련속1주。용약후행면역조화검측GFAP。결과전간모형조해마치상회GFAP면역양성적성형효질세포분별여LEV치료조、VPA치료조화SVHRP치료조상비명현증생（ P＜0．05）。니씨염색결과현시LEV치료조、VPA치료조화SVHRP치료조여전간모형조비교，해마CA3구신경원손상교소。결론유년대서전간발작가능여해마성형효질세포증생유관， LEV、VPA 、SVHRP적항전간작용가능여억제해마성형효질세포증생유관，단기구체작용급궤제잉수진일보탐토。
Objective To explore the effects of levetiracetam(LEV), sodium valproate (VPA) and scorpion venom heat resistant protein ( SVHRP) on GFAP expression in immature rat hippocampus with temporal epilepsy ( TE) .Methods SD rats (n=40) aged two weeks were randomly into five groups which were normal group , EP group, LEV group, VPA group and SVHRP group .Rats were injected with 10%pilocarpine to construct TE model .Assigned to receive intraperitoneal in-jection with either normal saline (EP group afer TE and normal group ),LEV (LEV group) or VPA(VPA group) with in-tragastric given LEV(150 mg/Kg)or VPA(250 mg/kg)for one week.Rats were given SVHRP(0.01 mg /kg)by intraper-itoneal injection in SVHRP group daily for one week .GFAP in hippocampus was studied by immunohistochemistry .Result Examination of Nissl-stained slides revealed that severe neuronal damage in the neurons of hippocampas CA 3 subfield. However, SVHRP group, as well as LEV group and VPA group showed less damage in the CA 3 subfield.The expression of GFAP in EP group was stronger than in SVHRP group ,LEV group and VPA group respectively in the DG of hippocampus (P<0.05).Conclusions Immature rats with TE is possibly related to the proliferation of astrocytes .The proliferation of rat hippocampal astrocytes could be inhibited by VPA ,LEV and SVHRP ,whose antiepileptic effect is probably mediated by inhibition of hippocampal astrocyte proliferation ,but theirs mechanisms are still further studied .