- Kindling model
Kindling is a widely used
model for the development ofseizure s andepilepsy in which the duration and behavioral involvement of induced seizures increases after seizures are induced repeatedly.cite journal |author=Bertram E |title=The relevance of kindling for human epilepsy |journal=Epilepsia |volume=48 |issue=Supplement 2 |pages=65–74 |year=2007 |pmid=17571354 |doi=10.1111/j.1528-1167.2007.01068.x] It is used by scientists to study the effects of repeated seizures on the brain. A seizure may increase the likelihood that more seizures will occur; an old saying in epilepsy research is "seizures beget seizures". Repeated stimulation "lowers the threshold" for more seizures to occur.cite journal|title=The pathophysiology of post traumatic epilepsy|author=PK Sahoo, KI Mathai, GV Ramdas, MN Swamy |journal=Indian Journal of Neurotrauma|volume=4| issue=1 |page=11–14|date=2007 |url=http://www.ijntonline.com/June07/abstracts/03.PDF] In the kindling model, seizures begin to occur spontaneously after repeated subconvulsive stimul.cite journal |author=Temkin NR, Jarell AD, Anderson GD |title=Antiepileptogenic agents: how close are we? |journal=Drugs |volume=61 |issue=8 |pages=1045–55 |year=2001 |pmid=11465868 ]The brains of experimental animals are repeatedly stimulated, usually with electricity, to induce the seizures. Chemicals may also be used to induce seizures. The seizure that occurs after the first such electrical stimulation lasts a short time and is accompanied by a small amount of behavioral effects compared with seizures that result from repeated stimulations. With further seizures, the accompanying behavior intensifies, for example progressing from freezing in early stimulations to convulsions in later ones.cite journal |author=Morimoto K, Fahnestock M, Racine RJ |title=Kindling and status epilepticus models of epilepsy: Rewiring the brain |journal=Prog. Neurobiol. |volume=73 |issue=1 |pages=1–60 |year=2004 |month=May |pmid=15193778 |doi=10.1016/j.pneurobio.2004.03.009] The lengthening of duration and intensification of behavioral accompaniment eventually reaches a plateau after repeated stimulation. Even if animals are left unstimulated for as long as 12 weeks, the effect remains; the response to stimulation remains higher than it had been before.
It has been reported that repeated seizure stimulation can result in spontaneous seizures, but studies have had conflicting findings on this question. In humans, some seizure disorders come to an end by themselves even after large numbers of seizures. However, in both human epilepsy and in some animal models, evidence suggests that a process like that found in kindling does occur.
The kindling model was first proposed in the late 1960s by Goddard and colleagues.cite journal |author= Sato M|title=Kindling: An experimental model of epilepsy |journal=Psychiatry and Clinical Neurosciences |volume=36 |issue=4 |pages=440–441 |year=2008 |pmid= |doi=10.1111/j.1440-1819.1982.tb03123.x |url=http://www3.interscience.wiley.com/cgi-bin/fulltext/120156204/PDFSTART |format=PDF] Although kindling is widely a widely used model, its applicability to human epilepsy is controversial.
The word "kindling" is a metaphor: the increase in response to small stimuli is similar to the way small burning twigs can produce a large fire.cite book |chapter=The kindling model of epilepsy |author=Abel MS, McCandless DW |editor=Adams RN, Baker GB, Baker JM, Bateson AN, Boisvert DPJ, Boulton AA, "et al." |title=Neuromethods: Animal Models of Neurological Disease |publisher=Humana Press |location=Totowa, NJ |year=1992 |pages=153–155 |isbn=0-89603-211-6 ]
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Epileptogenesis References
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