Seizure-induced neuronal damage may involve both excitotoxic and apopt
otic (programmed cell death) mechanisms. In the present study, we used
an amygdala kindled seizure model to study whether apoptotic cell dea
th occurs. To evaluate apoptosis, we counted the numbers of cells that
had DNA fragments labeled at the 3' end with digoxigenin using termin
al transferase (ApopTag, Oncor). Additionally, the expression of Bar a
nd Bcl-2, two genes associated with apoptotic cell death, was also mea
sured following kindled seizures. We found that the number of ApopTag-
positive cells in the hippocampus increased 30.4% after one kindled se
izure and 82.5% after 20 seizures compared to sham controls. The ApopT
ag-labeled cells could be mainly interneurons of the hippocampal forma
tion, although additional studies are required. Preferential vulnerabi
lity of inhibitory interneurons is consistent with previous studies on
seizure-induced cell, loss. These results, coupled with our findings
that the ratio of Bax/Bcl-2 expression is increased in the hippocampus
by seizures, suggest that apoptosis of hippocampal interneurons may l
ead to dysinhibition in the hippocampus and increased seizure suscepti
bility. (C) 1998 Elsevier Science B.V.