The Journal of Neuroscience, August 15, 2000, 20(16):6232-6240
Testing the Disinhibition Hypothesis of Epileptogenesis In
Vivo and during Spontaneous Seizures
Paul S.
Buckmaster1,
Ana L.
Jongen-Rêlo2,
Shahriar B.
Davari3, and
Emilia H.
Wong1
1 Departments of Comparative Medicine and
Neurology and Neurological Sciences, Stanford University School of
Medicine, Stanford, California 94305-5410, 2 Behavioral
Neurobiology Laboratory, Swiss Federal Institute of Technology, Zurich,
Schwerzenbach, CH-8603, Switzerland, and 3 School of
Medicine, University of California-Davis, Davis, California 95616
The "disinhibition" hypothesis contends that (1) seizures begin
when granule cells in the dentate gyrus of the dorsal hippocampus are disinhibited and (2) disinhibition occurs because GABAergic interneurons are excessively inhibited by other GABAergic interneurons. We tested the disinhibition hypothesis using the experimental model
that inspired it
naturally epileptic Mongolian gerbils. To determine
whether there is an excess of GABAergic interneurons in the dentate
gyrus of epileptic gerbils, as had been reported previously, GABA
immunocytochemistry, in situ hybridization of GAD67 mRNA, and the optical fractionator method were used. There were
no significant differences in the numbers of GABAergic interneurons. To
determine whether granule cells in epileptic gerbils were disinhibited during the interictal period, IPSPs were recorded in
vivo with hippocampal circuits intact in urethane-anesthetized
gerbils. The reversal potentials and conductances of IPSPs in granule
cells in epileptic versus control gerbils were similar. To determine whether the level of inhibitory control in the dentate gyrus
transiently decreases before seizure onset, field potential responses
to paired-pulse perforant path stimulation were obtained from the
dorsal hippocampus while epileptic gerbils experienced spontaneous
seizures. Evidence of reduced inhibition was found after, but not
before, seizure onset, indicating that seizures are not triggered by
disinhibition in this region. However, seizure-induced depression of
inhibition may amplify and promote the spread of seizure activity to
other brain regions. These findings do not support the disinhibition hypothesis and suggest that in this model of epilepsy seizures initiate
by another mechanism or at a different site.
Key words:
epilepsy; seizure; dentate gyrus; hippocampus; GABA; GAD; inhibition; gerbil; in vivo
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