Transcranial photobiomodulation attenuates pentylenetetrazole-induced status epilepticus in peripubertal rats

Chung-Min Tsai1, Shwu-Fen Chang1, Hsi Chang2,3

  • 1Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei, Taiwan.

Insights

Transcranial photobiomodulation (tPBM) reduced seizure severity and mortality in rats. This non-invasive therapy also protected against neuronal injury and preserved critical brain networks following induced seizures.

Area of Science:

  • Neuroscience
  • Neurology
  • Biomedical Engineering

Background:

  • Convulsive status epilepticus (SE) is a critical pediatric neurological emergency.
  • Transcranial photobiomodulation (tPBM) has shown potential in reversing neurotransmitter imbalances post-SE in rodents.
  • The efficacy of tPBM in attenuating seizure behaviors and associated neuropathology remains largely unexplored.

Purpose of the Study:

  • To investigate the neuroprotective effects of tPBM on seizure behaviors and neuronal damage.
  • To evaluate tPBM's impact on apoptosis of parvalbumin-positive interneurons (PV-INs) and the hippocampal inhibitory network.

Main Methods:

  • Peripubertal Sprague-Dawley rats were treated with near-infrared laser (808 nm) prior to pentylenetetrazole (PTZ) injection.
  • Behavioral seizure scoring, mortality assessment, and histological analyses including Hematoxylin-eosin, immunofluorescence (IF) for parvalbumin (PV), and TUNEL assay were performed.
  • Specific focus on neuronal injury, PV-IN apoptosis, and the perisomatic inhibitory network in the hippocampus.

Main Results:

  • tPBM significantly attenuated seizure scores, reduced SE incidence, and decreased mortality rates.
  • Histological examination revealed reduced dark neurons in multiple brain regions (cortex, hippocampus, thalamus, hypothalamus).
  • tPBM lessened the apoptotic ratio of PV-INs and mitigated aberrant changes in the perisomatic inhibitory network of the hippocampus.

Conclusions:

  • tPBM effectively attenuates PTZ-induced seizures, SE, and mortality in peripubertal rats.
  • The therapy demonstrates neuroprotective effects by reducing neuronal injury and apoptosis of PV-INs.
  • tPBM preserves the hippocampal perisomatic inhibitory network, suggesting a promising therapeutic strategy for SE.

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