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托吡酯对发育中大鼠运动性癫痫发作的抗惊厥作用。

Anticonvulsant action of topiramate against motor seizures in developing rats.

作者信息

Haugvicová R, Kubová H, Skutová M, Mares P

机构信息

Institute of Physiology, Academy of Sciences of the Czech Republic, Prague.

出版信息

Epilepsia. 2000 Oct;41(10):1235-40. doi: 10.1111/j.1528-1157.2000.tb04600.x.

Abstract

PURPOSE

To study the anticonvulsant action of topiramate (TPM) in developing rats.

METHODS

Motor seizures were elicited by administering pentylenetetrazol (100 mg/kg subcutaneously) in five age groups of Wistar rats (7, 12, 18, 25, and 90 days old). TPM was administered intraperitoneally in doses from 10 to 640 mg/kg 2 hours before pentylenetetrazol. The time course of TPM action was studied in 12- and 25-day-old rats up to 24 hours after the 160-mg/kg dose, and the incidence and pattern of seizures were evaluated.

RESULTS

TPM did not influence minimal seizures (clonus of forelimb and head muscles with preserved righting ability). Generalized tonic-clonic seizures, however, were reliably changed at all developmental stages studied. The tonic phase was suppressed so that the majority of animals exhibited generalized clonic seizures (with a loss of righting reflexes). In addition, the incidence of generalized seizures was decreased after the 20-, 40-, and 80-mg/kg doses in the 7-day-old rat pups. The specific suppression of the tonic phase of generalized seizures was observed up to 12 hours in the 12-day-old rat pups. The same result was obtained over 6 hours after TPM administration in the 25-day-old animals, and with longer intervals the incidence of generalized seizures decreased in this age group.

CONCLUSIONS

TPM exhibits stable anticonvulsant action against the tonic phase of generalized tonic-clonic seizures throughout development. In addition, it suppresses all phases of generalized seizures in 7-day-old rats. The anticonvulsant action of TPM lasted longer in 25-day-old than in 12-day-old rats. The two actions of TPM might be ascribed to two different mechanisms of action.

摘要

目的

研究托吡酯(TPM)对发育中大鼠的抗惊厥作用。

方法

对五个年龄组的Wistar大鼠(7、12、18、25和90日龄)皮下注射戊四氮(100mg/kg)诱发运动性癫痫发作。在注射戊四氮前2小时,腹腔注射剂量为10至640mg/kg的TPM。研究12日龄和25日龄大鼠在给予160mg/kg剂量后长达24小时的TPM作用时间过程,并评估癫痫发作的发生率和模式。

结果

TPM不影响轻微癫痫发作(前肢和头部肌肉阵挛,翻正能力保留)。然而,在所有研究的发育阶段,全身性强直阵挛性癫痫发作均有可靠变化。强直期受到抑制,因此大多数动物表现为全身性阵挛性癫痫发作(翻正反射丧失)。此外,在7日龄幼鼠中,给予20、40和80mg/kg剂量后,全身性癫痫发作的发生率降低。在12日龄幼鼠中,全身性癫痫发作强直期的特异性抑制可持续12小时。在25日龄动物中,TPM给药后6小时以上也得到相同结果,且随着时间间隔延长,该年龄组全身性癫痫发作的发生率降低。

结论

TPM在整个发育过程中对全身性强直阵挛性癫痫发作的强直期表现出稳定的抗惊厥作用。此外,它还可抑制7日龄大鼠全身性癫痫发作的所有阶段。TPM在25日龄大鼠中的抗惊厥作用持续时间比12日龄大鼠更长。TPM的这两种作用可能归因于两种不同的作用机制。

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