Cell loss in the hippocampal formation is a common event in patients with t
emporal lobe epilepsy. The belief that dentate granule neurons are relative
ly resistant to excitotoxic injury has recently been challenged both, in ep
ileptic patients and in animal models of temporal lobe epilepsy. The nature
of dentate granule cell damage in epilepsy has been reported as either apo
ptotic, necrotic or both. The lack of a consensus on this topic stems from
use of different animal models and different experimental techniques for ch
aracterizing the apoptotic/necrotic process. Using electron microscopy for
defining the, nature of cell loss and one of the main animal models of stat
us epilepticus (SE) we have focussed on the nature of the degenerative proc
ess in dentate granule cells. Ultrastructural morphological changes of thes
e cells were evaluated 2.5-48 h after pilocarpine-induced status epilepticu
s. A variety of morphologies ranging from apoptosis to necrosis, could be s
een at 2.5 h after SE onset and continued at least over the following 48 h.
Some cells displayed coalescence of chromatin against nuclear membranes. I
n such cases however, chromatin did not have well-defined edges las it shou
ld, if it were apoptosis). Condensation of cytoplasm. present in both proce
sses was also frequently found. Neither obvious apoptotic budding-off of cy
toplasm nor typical membrane-bound apoptotic bodies were found. Our results
indicate that in the dentate granule cell layer pilocarpine-induced SE pro
motes a degenerative process in which apoptotic and necrotic features overl
ap. (C) 2000 Elsevier Science B.V. All rights reserved.