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Advanced Neurology                                                Non-invasive electroencephalography in rats



            •   Childhood absence epilepsy is characterized by the   rats, 12-15  as well as in relatively healthy rat strains, such as
               occurrence of 3-Hz (range = 2.5 – 4 Hz) generalized   Sprague Dawley, Long Evans and Wistar rats. 12,16-20  WAG/
               SWDs. If no generalized SWDs are elicited following   Rij and GAERS strains, which are derived from Wistar
               3  min of hyperventilation in an untreated patient,   rats, have been recognized as valid, reliable, and predictive
               childhood absence epilepsy can be excluded      models of human absence epilepsy. Here, we used the WAG/
            •   Juvenile  absence  epilepsy  is  characterized  by the   Rij rat genetic model of absence epilepsy, 8-11  in which SWDs
               occurrence of regular 3 – 5.5-Hz generalized    appear spontaneously and are associated with absence-like
               SWDs. If no SWDs are observed after performing   behavior. The WAG/Rij genetic model provides several
               hyperventilation for 3  min in an untreated patient,   advantages over chemical models of epilepsy in rodents
               juvenile absence epilepsy can be ruled out      (The Discussion section for more details). Two technical
            •   Juvenile myoclonic epilepsy is characterized by the   approaches were employed to execute our study in vivo: (1)
               occurrence of irregular, generalized 3 – 5.5-Hz SWDs   traditional electrocorticographic (ECoG) examination in
               and polyspike-wave discharges.                  free behavior using implanted epidural electrodes and (2)
              Animal models are frequently employed in basic   a newly devised non-invasive EEG technique for the rapid
            and preclinical studies of absence epilepsy because of   diagnosis of absence epilepsy in rats.
            ethical concerns associated with research engaging   Epidural ECoG is a valuable tool for analyzing brain
            human participants. Absence epilepsy can be studied in   activity and is recommended for preclinical investigation
            various animal models, including electrical stimulation   in genetic rat models.  In patients with refractory epilepsy,
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            models, pharmacological treatment models, and genetic   ECoG serves as the primary standard for precisely
            models (References in Jafarian  et al. ). The following   identifying the exact seizure onset zones that require
                                            6
            pharmacological compounds can induce typical absence   surgical removal.  ECoG generates exceptionally high-
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            seizures in rodents and cats: penicillin at high doses   quality and more stable signals with exceedingly high-
            (250,000 – 6,000,000 U/kg), pentylenetetrazole (PTZ) at   precision spatial resolution than the non-invasive EEG
            low doses (20 – 30 mg/kg intraperitoneally), and gamma-  method. Although minimally invasive, the ECoG method
            hydroxybutyrate at a dose of 200 mg/kg intravenously.    offers numerous advantages. First, it generates high-
                                                         6,7
            Pharmacological animal models of absence epilepsy can be   resolution ECoG signals, capturing complex neural activity
            classified into two categories: acute and chronic.  across the brain’s surface. Second, it facilitates prolonged
            •   In acute models, a pharmacological agent is    recordings, enabling the monitoring of brain activity
               administered to induce absence seizures  for a brief   over extended periods. Finally, ECoG is compatible with
               period. These models are valuable for examining the   neuroimaging techniques, such as functional magnetic
               immediate effects of drugs on absence seizures and for   resonance imaging and magnetoencephalography, thereby
               discovering novel treatments                    enhancing the results’ interpretive power.
            •   In chronic models, absence seizures are induced by
               administering a pharmacological agent over a long   Considering that absence-like seizures can manifest
                                                                                         12,16-20
               period. These models are beneficial for studying the   in relatively healthy rat strains.   and the correlation
               long-term effects of drugs on absence seizures and for   of absence epilepsy in rats with neurobehavioral
               identifying potential adverse effects.          comorbidities, 22-24  there is a need for non-invasive EEG-
                                                               based diagnostic tools in rats. EEG-based techniques can
              As idiopathic generalized epilepsies, including   provide a rapid and reliable diagnosis of epilepsy while
            childhood absence epilepsy, have a multifactorial genetic   safeguarding the rats. In this study, we used the principle of
            cause, genetic animal models are considered more   pharmacological induction of SWDs, as previously described
            suitable than chemical models. In contrast to externally   by our research group, 25,26  to diagnose the absence epilepsy
            induced SWDs in chemical or electrical epilepsy models,   in rats. In particular, the systemic administration of low
            genetic animal models demonstrate spontaneous SWDs   doses of alpha2-adrenoreceptor agonists (such as xylazine,
            due to their genetic predisposition. Notably, the EEG   dexmedetomidine, and medetomidine) is known to induce
            characteristics of SWDs and the associated behavioral signs   recurrent, long-lasting SWDs in WAG/Rij rats. However, it
            in the genetic animal models closely resemble the EEG and   did not elicit de novo SWDs in non-epileptic subjects.  The
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            clinical manifestations observed in human patients.  intraperitoneal injection of low-dose dexmedetomidine
              SWDs occur spontaneously during absence-like seizures   (dose  range,  0.0035  –  0.0307  mg/kg)  in  symptomatic
            in genetic rat models of absence epilepsy, including the   WAG/Rij rats induced an absence-like behavioral state
            Wistar Albino Glaxo from Rijswijk (WAG/Rij rats) 8-11  and   and elevated SWDs shortly after injection (with durations
            Genetic Absence Epilepsy Rats from Strasburg (GAERS)   ranging from 68 s to 6.6 min).  In 1990, Buzsáki et al. revealed
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            Volume 3 Issue 4 (2024)                         2                                doi: 10.36922/an.4464
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