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脑内注射磷酸吡哆醛诱导的癫痫发作:γ-氨基丁酸能药物和谷氨酸受体拮抗剂的作用

Seizures induced by intracerebral administration of pyridoxal-5'-phosphate: effect of GABAergic drugs and glutamate receptor antagonists.

作者信息

Salazar P, Tapia R

机构信息

Departamento de Neurociencias, Instituto de Fisiología Celular, Universidad Nacional Autónoma de México, AP 70-253, 04510, Mexico, DF, Mexico.

出版信息

Neuropharmacology. 2001 Oct;41(5):546-53. doi: 10.1016/s0028-3908(01)00110-1.

Abstract

Pyridoxal-5'-phosphate (PLP), the cofactor of glutamate decarboxylase, paradoxically induces convulsions when injected intracranially in adult mammals. We have tested the effect of some GABAergic and antiglutamatergic drugs on the behavioral and electroencephalographic (EEG) seizures produced by intracerebroventricular (i.c.v.) microinjection of 1 micromol PLP in the rat. PLP induced barrel turning, running fits and tonic-clonic convulsions, which started 5-10 min after recovery from the anesthesia (halothane), peaked at 20 min and disappeared at about 50 min. These symptoms were accompanied by frequent high amplitude EEG spike burst discharges. Pyridoxal, pyridoxamine-5'-phosphate or deoxypyridoxine were ineffective. The i.c.v. microinjection of the GABAergic compounds muscimol, isoguvacine, aminooxyacetic acid or GABA itself, significantly protected against PLP effects. In contrast, the NMDA receptor antagonists MK-801 and the non-NMDA receptor antagonist NBQX, failed to protect and induced motor alterations and mortality. We conclude that a temporary decrease of the GABA(A) receptor function is involved in the convulsant effect of PLP. This decrease might be due to the formation of a Schiff base between the carbonyl group of PLP and the epsilon-amino group of a functionally crucial lysine residue located in one extracellular loop of the GABA(A) receptor.

摘要

磷酸吡哆醛(PLP)是谷氨酸脱羧酶的辅因子,然而在成年哺乳动物颅内注射时却会引发惊厥。我们测试了一些GABA能和抗谷氨酸能药物对大鼠脑室内(i.c.v.)微量注射1微摩尔PLP所产生的行为和脑电图(EEG)癫痫发作的影响。PLP会引发身体旋转、奔跑发作和强直阵挛性惊厥,这些症状在从麻醉(氟烷)中恢复后5 - 10分钟开始出现,20分钟时达到峰值,约50分钟时消失。这些症状伴随着频繁的高振幅EEG棘波爆发放电。吡哆醛、磷酸吡哆胺或脱氧吡哆醇无效。脑室内微量注射GABA能化合物蝇蕈醇、异鹅膏蕈氨酸、氨氧基乙酸或GABA本身,可显著预防PLP的作用。相反,NMDA受体拮抗剂MK - 801和非NMDA受体拮抗剂NBQX未能起到保护作用,反而引发了运动改变和死亡。我们得出结论,PLP的惊厥作用涉及GABA(A)受体功能的暂时下降。这种下降可能是由于PLP的羰基与位于GABA(A)受体一个细胞外环中功能关键的赖氨酸残基的ε - 氨基之间形成了席夫碱。

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