Członkowska A I, Krzaścik P, Sienkiewicz-Jarosz H, Siemiatkowski M, Szyndler J, Bidziński A, Płaźnik A
Department of Experimental and Clinical Pharmacology, Medical Academy, Krakowskie Przedmieście 26/28, 00-927, Warsaw, Poland.
Pharmacol Biochem Behav. 2000 Oct;67(2):345-53. doi: 10.1016/s0091-3057(00)00369-5.
The effects of intraperitoneally (IP) or intracerebroventricularly (ICV) administered neurosteroids [allopregnanolone (AP); 5beta-tetrahydrodeoxycorticosterone (5beta-THDOC); dehydroepiandrosterone sulfate (DHEAS); pregnenolone sulfate (PS)] and their precursors [progesterone (PROG), pregnanedione (PREG)] on N-methyl-D-aspartic acid (NMDA)-, picrotoxin (PTX)- and bicuculline (BIC)-induced seizures and ethanol-induced sleep were studied in mice. It was found that IP injections of (+)MK-801 most potently antagonized NMDA-, PTX- and BIC-induced seizures, as compared to diazepam (DZP), PROG and PREG. Both precursors of neurosteroids appeared only marginally active in the applied models of convulsions. ICV injections of AP selectively blocked PTX- and BIC-induced seizures, whereas 5beta-THDOC and (+)MK-801 also antagonized NMDA-induced convulsions. ICV administered DHEAS induced seizures in a dose-dependent way. ICV injections of AP and midazolam shortened the latency and prolonged the duration of sleep induced by IP injections of ethanol (5.0 g/kg). On the contrary, DHEAS and PS significantly reduced the hypnotic-like effect of ethanol. The obtained results suggest that neurosteroids may modulate in an agonistic (AP, 5beta-THDOC), or antagonistic way (PS, DHEAS), the GABA(A) receptor complex functions. Some of them (5beta-THDOC) also interact with NMDA receptors. AP appeared to be the most selectively acting compound, with its profile of action fully comparable to that of midazolam. AP also enhanced the hypnotic effect of ethanol, pointing out to the propensity to interact with centrally depressant agents. These findings, together with the possibility of conversion of some neurosteroids in the brain to other steroid hormones (testosterone, estradiol and aldosterone), indicate the limitations of their use for the treatment of neurological and psychiatric disorders.
研究了腹腔内(IP)或脑室内(ICV)注射神经甾体[别孕烯醇酮(AP);5β-四氢脱氧皮质酮(5β-THDOC);硫酸脱氢表雄酮(DHEAS);硫酸孕烯醇酮(PS)]及其前体[孕酮(PROG)、孕烷二酮(PREG)]对N-甲基-D-天冬氨酸(NMDA)、印防己毒素(PTX)和荷包牡丹碱(BIC)诱导的癫痫发作以及乙醇诱导的睡眠的影响。结果发现,与地西泮(DZP)、PROG和PREG相比,腹腔注射(+)MK-801对NMDA、PTX和BIC诱导的癫痫发作具有最强的拮抗作用。神经甾体的两种前体在所应用的惊厥模型中仅表现出微弱的活性。脑室内注射AP可选择性阻断PTX和BIC诱导的癫痫发作,而5β-THDOC和(+)MK-801也可拮抗NMDA诱导的惊厥。脑室内注射DHEAS可剂量依赖性地诱发癫痫发作。脑室内注射AP和咪达唑仑可缩短腹腔注射乙醇(5.0 g/kg)诱导的睡眠潜伏期并延长睡眠时间。相反,DHEAS和PS显著降低了乙醇的催眠样作用。所得结果表明,神经甾体可能以激动(AP、5β-THDOC)或拮抗(PS、DHEAS)的方式调节GABA(A)受体复合物的功能。其中一些(5β-THDOC)还与NMDA受体相互作用。AP似乎是作用最具选择性的化合物,其作用谱与咪达唑仑完全相当。AP还增强了乙醇的催眠作用,表明其有与中枢抑制剂相互作用的倾向。这些发现,连同一些神经甾体在脑内转化为其他甾体激素(睾酮、雌二醇和醛固酮)的可能性,表明了它们在治疗神经和精神疾病方面应用的局限性。