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Advanced Neurology                                           Exercise modulated Vitamin D and HDL in epilepsy



               through PTZ injections using the same protocol as the   regions 1.8–3.3 mm posterior to the bregma. Each section,
               sham group                                      with a thickness of 8 μm, was meticulously prepared using
            (iii) Exercise (EX): Rats underwent exercise 5 days/week   a microtome (DS920, Did Sabz, Iran). Ten pairs of sections
               for 4 weeks without any injections              were selected from each animal and stained with toluidine
            (iv)  PTZ + EX: Rats received PTZ injections on the same   blue. The hippocampal regions and the somatosensory
               schedule as the PTZ group and exercised 5 days/week   cortex were assessed under light microscopic (C-P8,
               for 4 weeks.                                    OPTIKA, Italy). The images were taken using a 40×
                                                                                                         2
              Chemical kindling through intermittent injection of   objective lens. The number of dark cells per 1 mm  was
            PTZ is a well-established experimental model of epilepsy.    counted using the Infinity software (Infinity1, Lumenera,
                                                         18
            Repeated sub-convulsive injection of PTZ over a month   Canada).
            induces tonic-clonic seizures resembling those in epileptic   2.5. Statistical analysis
            subjects.  Accordingly, the PTZ kindling model  was
                   18
            employed for this study. PTZ (35  mg/kg) was injected   Data were expressed as mean ± standard error of the
            every other day for 4 weeks to induce generalized seizures   mean (SEM) and analyzed using the one-way analysis
            in the rats.                                       of variance and Tukey’s post hoc test. Statistical analyses
                                                               were conducted using the Statistical Package for the Social
            2.2. Exercise protocol                             Sciences (SPSS version  23, IBM, United States), with a
            In the exercise groups, after acclimation to the treadmill,   significance level set at p<0.05.
            rats underwent the following protocol: 5  min at    3. Results
            10 m/min, 5 min at 15 m/min, 5 min at 20 m/min, and
            9  min at 25  m/min. All exercises were performed at 0°   3.1. The serum level of HDL
            inclination to maintain moderate intensity. The first and   The statistical analysis revealed a significant increase in
            the last 3 min of the session served as warm-up and cool-  serum level of HDL in the PTZ + EX group compared to
            down periods, respectively, at 8 m/min. 19,20      the PTZ and EX groups (Figure 1, p<0.05). The mean ±

            2.3. Blood sample collection and biochemical       SEM (mg/dL) was 52 ± 0.8 in the sham, 50 ± 0.55 in the
            analysis                                           PTZ, 51 ± 0.36 in the EX, and 55 ± 0.7 in the PTZ + EX
                                                               groups. There was no significant difference between the EX
            Rats were anesthetized through intraperitoneal injection   and sham groups.
            of a mixture comprising xylazine (5  mg/kg) and
            ketamine hydrochloride (50 mg/kg). Blood samples were   3.2. The serum level of LDL
            subsequently  obtained  from  the  left  ventricle  using  the   The statistical analysis indicated no significant differences
            cardiac puncture protocol (Paulose and Dakshinamurti,   in the level of LDL across all experimental groups. The
            1987). The blood samples (2 – 3 mL) were collected and   mean ± SEM (mg/dL) was 81.3 ± 0.82, 79.8 ± 0.48, 80.3 ±
            centrifuged at 1,500 × g for 10 min at 4°C. The clear serum   0.55, and 81.5 ± 0.63 in the sham, PTZ, EX, and PTZ + EX
            was stored at −20°C for the measurement of HDL, LDL,   groups, respectively (Figure 2).
            and Vitamin D levels. The total serum levels of HDL and
            LDL were determined using an enzymatic colorimetric   3.3. The serum level of Vitamin D
            method with the commercial DiaSys Kit (Diagnostic   The statistical analysis showed that the serum level of
            System GmbH, Germany), according to manufacturer’s   Vitamin D significantly increased in the EX and PTZ + EX
            instruction.                                       groups compared to the PTZ group (Figure 3, p<0.05). The
              Total serum level of 25-hydroxy Vitamin D was    mean ± SEM (ng/mL) of the sham, PTZ, EX, and PTZ + EX
            measured using the Enzyme-Linked Immunosorbent     groups were 18.1 ± 0.1, 17.2 ± 0.43, 19.1 ± 0.31, and 19.2
            Assay kit (CAT. NO. MBS261766, MyBioSource, United   ± 0.18, respectively. There was no significant difference in
            States) following the manufacturer’s instructions.  the EX and PTZ + EX groups compared to the sham group.

            2.4. Tissue preparation and cell counting          3.4. Dark neurons assessment
            Saline,  followed  by  4% paraformaldehyde  (PFA),  was   We calculated the number of damaged neurons in the
            perfused transcardially. Subsequently, the brains were   hippocampal and cortical areas (Figure  4). The mean
            carefully dissected and stored in a solution of 4% PFA   number of dark neurons increased significantly in the PTZ
            for a week at 4°C. Paraffin-embedded tissue blocks were   group compared to the sham group in the cornu ammonis
            prepared, and serial coronal sections were obtained from   (CA)1, CA3, and cortex areas. Furthermore, the mean


            Volume 4 Issue 3 (2025)                         80                               doi: 10.36922/an.8347
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