Khan G M, Smolders I, Lindekens H, Manil J, Ebinger G, Michotte Y
Department of Pharmaceutical Chemistry and Drug Analysis, Vrije Universiteit Brussel, Brussels, Belgium.
Eur J Pharmacol. 1999 Jun 4;373(2-3):153-61. doi: 10.1016/s0014-2999(99)00209-5.
The present study was undertaken to gain insights into the mechanism of action of diazepam in focally-evoked pilocarpine-induced seizures by concomitantly assessing the changes produced in the extracellular levels of glutamate, GABA (gamma-aminobutyric acid) and dopamine. In vivo microdialysis, coupled to continuous monitoring of electrocorticographic (ECoG) recordings, was performed in freely moving rats. Intrahippocampal perfusion with 10 mM pilocarpine (40 min, 2 microl/min) produced limbic seizures. A single dose of intraperitoneal diazepam (5 mg/kg) was administered 2 h after pilocarpine perfusion was started. Dialysates were sampled both from hippocampus and cerebellum and analysed by microbore liquid chromatography. Diazepam produced instant inhibition of behavioural and ECoG seizure activity. Pilocarpine-induced increases in the extracellular levels of glutamate and dopamine in hippocampus were promptly reduced by diazepam. No concurrent alterations in pilocarpine-induced increases in the extracellular levels of GABA in either hippocampus or cerebellum were seen. Pilocarpine enhanced cerebellar glutamate levels only transiently and levels returned to baseline before diazepam administration. No further changes in cerebellar glutamate levels were observed with diazepam. Our findings suggest that the anti-convulsant action of diazepam against pilocarpine-induced seizures is associated with a prompt attenuation of extracellular hippocampal glutamate overflow without concurrent alteration of pilocarpine-induced increases in endogenous GABA levels. Diazepam also significantly decreased pilocarpine-induced increases in extracellular dopamine levels within the hippocampus. No immediate alterations of the basal levels of the neurotransmitters monitored were observed with diazepam.
本研究旨在通过同时评估谷氨酸、γ-氨基丁酸(GABA)和多巴胺细胞外水平的变化,深入了解地西泮在局灶性诱发的毛果芸香碱诱导癫痫发作中的作用机制。在自由活动的大鼠中进行体内微透析,并同时连续监测脑电皮质图(ECoG)记录。向海马内灌注10 mM毛果芸香碱(40分钟,2微升/分钟)可引发边缘性癫痫发作。在开始灌注毛果芸香碱2小时后,腹腔注射单剂量地西泮(5毫克/千克)。从海马和小脑中采集透析液样本,并通过微径液相色谱法进行分析。地西泮可立即抑制行为和ECoG癫痫活动。地西泮可迅速降低毛果芸香碱诱导的海马中谷氨酸和多巴胺细胞外水平的升高。在海马或小脑中,未观察到地西泮对毛果芸香碱诱导的GABA细胞外水平升高有同时性改变。毛果芸香碱仅短暂提高小脑谷氨酸水平,且在给予地西泮之前水平已恢复至基线。给予地西泮后,未观察到小脑谷氨酸水平有进一步变化。我们的研究结果表明,地西泮对毛果芸香碱诱导癫痫发作的抗惊厥作用与细胞外海马谷氨酸溢出的迅速减弱有关,同时内源性GABA水平的升高未发生改变。地西泮还显著降低了毛果芸香碱诱导的海马细胞外多巴胺水平的升高。给予地西泮后,未观察到所监测神经递质基础水平的立即改变。