Differences in Evolution of Epileptic Seizures and Topographical Distribution of Tissue Damage in Selected Limbic Structures Between Male and Female Rats Submitted to the Pilocarpine Model
Abstract:Epidemiological evidence shows that clinical features and comorbidities in temporal lobe epilepsy (TLE) may have different manifestations depending on the sex of patients. However, little is known about how sex-related mechanisms can interfere with the processes underlying the epileptic phenomenon. The findings of this study show that male rats with epilepsy in the pilocarpine model have longer-lasting and more severe epileptic seizures, while female rats have a higher frequency of epileptic seizures and a gre… Show more
“…Because we were using Sprague–Dawley rats from Envigo Laboratories, we had to monitor the time of onset of spontaneous recurrent seizures (SRSs) in our experiments. To determine whether rats were in the chronic phase of epilepsy, they were manipulated daily between 09:00 and 11:00 a.m. to define the onset of handling-induced seizures (HIS), which was induced by restraining rats at the level of the chest with gentle pressure for 10 s 9 , 52 . HIS were used in our study to help experimenters to define the time to start detecting the first behavioural spontaneous recurrent seizures (SRSs).…”
Section: Methodsmentioning
confidence: 99%
“…Epilepsy following pilocarpine-induced status epilepticus (Pilo-SE) in rats is one of the most studied models of TLE. Like patients with TLE, rats that became epileptic after Pilo-SE are notably characterized by chronic, spontaneous, and drug-resistant seizures 7 – 9 . Respiratory function of such rats has been studied previously after the onset of epilepsy and independent of seizure activity.…”
Patients with drug-resistant epilepsy can experience respiratory alterations, notably during seizures. The mechanisms underlying long-term alterations in respiratory function remain unclear. As the brainstem 5-HT system is a prominent modulator of respiratory function, this study aimed at determining whether epilepsy is associated with alterations in both the respiratory function and brainstem serotonin (5-HT) system in rats. Epilepsy was triggered by pilocarpine-induced status epilepticus in rats. Our results showed that 30–50% of epileptic (EPI) rats exhibited a sharp decrease in oxygen consumption (SDOC), low metabolic rate of oxygen, and slow regular ventilation (EPI/SDOC + rats). These alterations were detected only in rats with chronic epilepsy, independent of behavioral seizures, were persistent over time, and not associated with death. In these rats, 5-HT fiber density in the nucleus tractus solitarius was lower than that in the control and EPI/SDOC− rats. Both EPI/SDOC + rats and DBA/2 mice that present with audiogenic-induced seizure followed by fatal respiratory arrest—a model of sudden and expected death in epilepsy—had increased transcript levels of tryptophan hydroxylase 2 and 5-HT presynaptic transporter. Thus, our data support that 5-HT alterations are associated with chronic and acute epilepsy-related respiratory dysfunction.
“…Because we were using Sprague–Dawley rats from Envigo Laboratories, we had to monitor the time of onset of spontaneous recurrent seizures (SRSs) in our experiments. To determine whether rats were in the chronic phase of epilepsy, they were manipulated daily between 09:00 and 11:00 a.m. to define the onset of handling-induced seizures (HIS), which was induced by restraining rats at the level of the chest with gentle pressure for 10 s 9 , 52 . HIS were used in our study to help experimenters to define the time to start detecting the first behavioural spontaneous recurrent seizures (SRSs).…”
Section: Methodsmentioning
confidence: 99%
“…Epilepsy following pilocarpine-induced status epilepticus (Pilo-SE) in rats is one of the most studied models of TLE. Like patients with TLE, rats that became epileptic after Pilo-SE are notably characterized by chronic, spontaneous, and drug-resistant seizures 7 – 9 . Respiratory function of such rats has been studied previously after the onset of epilepsy and independent of seizure activity.…”
Patients with drug-resistant epilepsy can experience respiratory alterations, notably during seizures. The mechanisms underlying long-term alterations in respiratory function remain unclear. As the brainstem 5-HT system is a prominent modulator of respiratory function, this study aimed at determining whether epilepsy is associated with alterations in both the respiratory function and brainstem serotonin (5-HT) system in rats. Epilepsy was triggered by pilocarpine-induced status epilepticus in rats. Our results showed that 30–50% of epileptic (EPI) rats exhibited a sharp decrease in oxygen consumption (SDOC), low metabolic rate of oxygen, and slow regular ventilation (EPI/SDOC + rats). These alterations were detected only in rats with chronic epilepsy, independent of behavioral seizures, were persistent over time, and not associated with death. In these rats, 5-HT fiber density in the nucleus tractus solitarius was lower than that in the control and EPI/SDOC− rats. Both EPI/SDOC + rats and DBA/2 mice that present with audiogenic-induced seizure followed by fatal respiratory arrest—a model of sudden and expected death in epilepsy—had increased transcript levels of tryptophan hydroxylase 2 and 5-HT presynaptic transporter. Thus, our data support that 5-HT alterations are associated with chronic and acute epilepsy-related respiratory dysfunction.
“…28 In another study, male rats treated systemically with pilocarpine developed longer lasting seizures over a period of several months, whereas female rats tended to have higher frequency of seizures. 29 In a systemic kainic acid injection model of TLE, male rats had greater susceptibility to seizures than their female counterparts. 28 In mice, however, the results regarding systemic KA injection have been mixed, with one study reporting higher mortality rates, more severe seizures, and increased neurodegeneration in females, 30 but another study describing higher mortality, seizure severity, cognitive impairment, hippocampal neuron loss, and reactive gliosis in males.…”
Lateralization of hippocampal function is indicated by varied outcomes of patients with neurological disorders that selectively affect one hemisphere of this structure, such as temporal lobe epilepsy (TLE). The intrahippocampal kainic acid (IHKA) injection model of TLE allows for targeted damage to the left or right hippocampus, enabling systematic comparison of effects of left-right asymmetry on seizure and non-seizure outcomes. Although varying non-seizure phenotypic outcomes based on injection side in dorsal hippocampus were recently evaluated in this model, differences in chronic seizure patterns in left- (IHKA-L) vs. right-injected (IHKA-R) IHKA animals have yet to be evaluated. Here, we evaluated hippocampal seizure incidence in male and female IHKA-L and IHKA-R mice. Females displayed increased electrographic seizure activity compared to males at both 2 months and 4 months post-injection (mpi). In addition, IHKA-L females showed higher seizure frequency than IHKA-R on diestrus and estrus at 2 mpi, but seizure duration and time in seizures were only higher in IHKA-L females on diestrus. These cycle stage-associated changes, however, did not persist to 4 mpi. Furthermore, this lateralized difference in seizure burden was not observed in males. These results indicate for the first time that the side of IHKA injection can shape chronic electrographic seizure burden. Overall, these results demonstrate a female-specific left-right asymmetry in hippocampal function can interact with estrous cycle stage to shape chronic seizures in mice with epilepsy, with implications for neural activity and behavior in both normal and disease states.
“…In addition, this study did not perform histological analysis of other brain regions, which would be particularly interesting in epileptic rats with general damage. Moreover, there were significant differences in the patterns of SRS and hippocampal neuronal damage between male and female rats in the TLE model (Matovu & Cavalheiro, 2022). Female rats with TLE showed increased estradiol release and reduced progesterone withdrawal, and the hormonal environment played a significant role in sex‐linked differences and related brain damage (Amado & Cavalheiro, 1998).…”
Deep brain stimulation (DBS) of the anterior nucleus of the thalamus (ANT) appears to be effective against seizures in animals and humans however, its therapeutic mechanisms remain elusive. This study aimed to combine 9.4T multimodal magnetic resonance imaging (MRI) with histology to investigate the longitudinal effects of long-term ANT-DBS in pilocarpine-induced epileptic rats. Status epilepsy (SE) was induced by
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