AI Article Synopsis

  • The study aims to identify brain circuits involved in neonatal hypoxic-ischemic seizures using EEG, behavioral analysis, and whole-brain activity mapping.
  • The researchers exposed mice to hypoxia and ischemia, recorded their brain activity, and tagged active neurons to image and analyze them later.
  • Results showed that the seizures displayed specific EEG patterns and activated various brain regions, suggesting that the observed activity may be linked to developmental differences in the neonatal brain, mirroring patterns seen in human neonates.

Article Abstract

Objective: To identify circuits active during neonatal hypoxic-ischemic (HI) seizures and seizure propagation using electroencephalography (EEG), behavior, and whole-brain neuronal activity mapping.

Methods: Mice were exposed to HI on postnatal day 10 using unilateral carotid ligation and global hypoxia. EEG and video were recorded for the duration of the experiment. Using immediate early gene reporter mice, active cells expressing cfos were permanently tagged with reporter protein tdTomato during a 90-minute window. After 1 week, allowing maximal expression of the reporter protein, whole brains were processed, lipid cleared, and imaged with confocal microscopy. Whole-brain reconstruction and analysis of active neurons (colocalized tdTomato/NeuN) were performed.

Results: HI resulted in seizure behaviors that were bilateral or unilateral tonic-clonic and nonconvulsive in this model. Mice exhibited characteristic EEG background patterns such as burst suppression and suppression. Neuronal activity mapping revealed bilateral motor cortex and unilateral, ischemic somatosensory cortex, lateral thalamus, and hippocampal circuit activation. Immunohistochemical analysis revealed regional differences in myelination, which coincide with these activity patterns. Astrocytes and blood vessel endothelial cells also expressed cfos during HI.

Interpretation: Using a combination of EEG, seizure semiology analysis, and whole-brain neuronal activity mapping, we suggest that this rodent model of neonatal HI results in EEG patterns similar to those observed in human neonates. Activation patterns revealed in this study help explain complex seizure behaviors and EEG patterns observed in neonatal HI injury. This pattern may be, in part, secondary to regional differences in development in the neonatal brain. ANN NEUROL 2019;86:927-938.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7025736PMC
http://dx.doi.org/10.1002/ana.25601DOI Listing

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