经皮三叉神经电刺激减轻戊四氮诱导的大鼠癫痫发作并抑制海马内IL-1β和TNF-α的表达

 目的:探讨经皮三叉神经电刺激预处理对戊四氮（PTZ）诱发的急性癫痫大鼠的行为学及海马致痫细胞因子白细胞介素1β(IL-1β)及肿瘤坏死因子α(TNF-α)的影响。方法:动物随机分为对照组、致痫组（PTZ组）和经皮三叉神经电刺激组,分别给予7 d、14 d和28 d的假刺激和三叉神经电刺激预处理后，腹腔注射PTZ 建立急性癫痫动物模型,观察给药后大鼠癫痫行为学表现，并分别用免疫组织化学方法及ELISA方法对海马IL-1β、TNF-α进行检测。结果:经皮三叉神经电刺激可以明显减轻大鼠的痫性发作级别，减少癫痫发作持续的时间（P<0.05）， 且海马细胞因子IL-1β及TNF-α的表达明显少于PTZ组（P<0.05或P<0.01）。结论:经皮三叉神经电刺激预处理在PTZ 急性点燃癫痫大鼠模型中不仅具有抗惊厥作用, 还可以减少海马致痫细胞因子IL-1β及TNF-α的表达，可能为癫痫的防治带来新的策略。 

Pretreatment with external trigeminal nerve electrostimulation inhibits seizures and decreases expression of IL-1β and TNF-α in hippocampus with status epilepticus induced by pentylenetetrazol in rats

AIM:To observe the effect of pretreatment with external trigeminal nerve electrostimulation (eTNS) on behavioral changes and the expression of interleukin-1β (IL-1β) and 　tumor necrosis factor α (TNF-α) in hippocampus of pentylenetetrazol (PTZ)-treated rats. METHODS:The rats were randomly divided into control group, PTZ group and eTNS group, and kindled by PTZ after administered 7 d, 14 d and 28 d of consecutive fake electrostimulation or eTNS. Subsequently, the severity and duration of seizure were quantitatively evaluated. The concentrations of IL-1β and TNF-α in hippocampus were detected by the methods of ELISA and immunohistochemisty. RESULTS:Compared with PTZ group, treatment with eTNS significantly inhibited the severity and duration of seizure (P<0.05), and significantly reduced the content of IL-1β and TNF-α in the hippocampus after status epilepticus (P<0.05 or P<0.01). CONCLUSION:Pretreatment with eTNS may provide a new approach for prevention and treatment of epileptogenesis.