Pilip S, Urbańska E M, Swiader M, Włodarczyk D, Kleinrok Z, Czuczwar S J, Turski W A
Department of Pharmacology and Toxicology, Medical University, Lublin, Poland.
Pol J Pharmacol. 2000 Jul-Aug;52(4):267-73.
The anticonvulsant action of chlormethiazole was evaluated with the use of subthreshold doses of convulsants affecting the purinergic, glycinergic and gamma-aminobutyric acid (GABA)-mediated transmission, i.e. aminophylline, strychnine, bicuculline and picrotoxin in the model of generalized tonic-clonic convulsions. Chlormethiazole protected mice against maximal electroshock-induced seizures with an ED50 of 130.8 mg/kg. Aminophylline (100 mg/kg) and strychnine (0.4 mg/kg) reversed the protective action of chlormethiazole against electroconvulsions raising the ED50 values of this drug to 218.6 and 208.6 mg/kg, respectively. In contrast, GABA antagonists, bicuculline and picrotoxin, neither affected the protection provided by chlormethiazole nor did they alter the protective activity of valproate, phenobarbital, diphenylhydantoin and carbamazepine against electroconvulsions. Our results indicate that (a) the anticonvulsant activity of chlormethiazole might be related to its interaction with strychnine-sensitive glycinergic as well as purinergic neurotransmission, (b) purinergic and strychnine-sensitive glycinergic events contribute more prominently than GABAergic ones to the anticonvulsant activity of the drugs providing protection against maximal electroshock-induced convulsions.
在全身性强直阵挛性惊厥模型中,使用阈下剂量的惊厥剂来评估氯美噻唑的抗惊厥作用,这些惊厥剂影响嘌呤能、甘氨酸能和γ-氨基丁酸(GABA)介导的传递,即氨茶碱、士的宁、荷包牡丹碱和印防己毒素。氯美噻唑对小鼠最大电休克诱导的惊厥具有保护作用,其半数有效剂量(ED50)为130.8mg/kg。氨茶碱(100mg/kg)和士的宁(0.4mg/kg)可逆转氯美噻唑对电惊厥的保护作用,使该药物的ED50值分别升至218.6和208.6mg/kg。相比之下,GABA拮抗剂荷包牡丹碱和印防己毒素既不影响氯美噻唑提供的保护作用,也不改变丙戊酸、苯巴比妥、苯妥英和卡马西平对电惊厥的保护活性。我们的结果表明:(a)氯美噻唑的抗惊厥活性可能与其与士的宁敏感的甘氨酸能以及嘌呤能神经传递的相互作用有关;(b)在对最大电休克诱导的惊厥具有保护作用的药物的抗惊厥活性中,嘌呤能和士的宁敏感的甘氨酸能事件比GABA能事件起更突出的作用。