Borowicz K K, Duda A M, Kleinrok Z, Czuczwar S J
Department of Pathophysiology, Medical University, Lublin, Poland.
Pol J Pharmacol. 2001 Mar-Apr;53(2):101-8.
GYKI 52466 [1,4-aminophenyl)-4-methyl-7,8-methylenedioxy-5H-2,3-benzodiazepine], a non-competitive AMPA/kainate receptor antagonist, administered i.p. at the dose of 5 mg/kg, exerted a significant anticonvulsant effect, as it decreased seizure and afterdischarge durations, being ineffective at 2 mg/kg. Subsequently, GYKI 52466 (2 mg/kg) was combined with antiepileptic drugs at doses ineffective in fully kindled rats. Co-administration of GYKI 52466 with clonazepam (0.003 mg/kg i.p.) resulted in a significant reduction of seizure severity (by 20%), seizure duration (by 31%) and afterdischarge duration (by 24%). Co-injection of GYKI 52466 with valproate (75 mg/kg i.p.) also resulted in the respective 8%, 16%, and 17% reductions of the three studied seizure parameters. No protection was observed when GYKI 52466 was co-administered with carbamazepine (20 mg/kg i.p.), phenobarbital (20 mg/kg i.p.), or diphenylhydantoin (40 mg/kg i.p.). Combinations of GYKI 524662 with antiepileptic drugs did not cause any significant motor (rotarod test) or long-term memory deficits (passive avoidance task). Only GYKI 52466 administered alone at 5 mg/kg, caused a significant impairment of retention in amygdala-kindled rats. The interaction at a pharmacokinetic level, at least in case of the combination of GYKI 52466 with valproate, can be excluded because GYKI 52466 did not interfere with the free plasma level of valproate. These results give further support to the idea of a potential clinical benefits of the combined treatment of AMPA/kainate receptor antagonists with some antiepileptic drugs.
GYKI 52466[(1,4 - 氨基苯基)- 4 - 甲基 - 7,8 - 亚甲基二氧基 - 5H - 2,3 - 苯并二氮杂卓],一种非竞争性的α - 氨基 - 3 - 羟基 - 5 - 甲基 - 4 - 异恶唑丙酸/海人藻酸受体拮抗剂,腹腔注射剂量为5毫克/千克时,具有显著的抗惊厥作用,因为它能缩短癫痫发作和放电后持续时间,而在2毫克/千克时无效。随后,将GYKI 52466(2毫克/千克)与对完全点燃大鼠无效剂量的抗癫痫药物联合使用。GYKI 52466与氯硝西泮(腹腔注射0.003毫克/千克)联合使用可使癫痫发作严重程度显著降低(降低20%)、癫痫发作持续时间(降低31%)和放电后持续时间(降低24%)。GYKI 52466与丙戊酸盐(腹腔注射75毫克/千克)联合注射也使所研究的三个癫痫参数分别降低了8%、16%和17%。当GYKI 52466与卡马西平(腹腔注射20毫克/千克)、苯巴比妥(腹腔注射20毫克/千克)或苯妥英(腹腔注射40毫克/千克)联合使用时,未观察到保护作用。GYKI 52466与抗癫痫药物的联合使用未引起任何显著的运动(转棒试验)或长期记忆缺陷(被动回避任务)。只有单独腹腔注射5毫克/千克的GYKI 52466会导致杏仁核点燃大鼠的记忆保持显著受损。可以排除药代动力学水平的相互作用,至少在GYKI 52466与丙戊酸盐联合使用的情况下是这样,因为GYKI 52466不会干扰丙戊酸盐的游离血浆水平。这些结果进一步支持了α - 氨基 - 3 - 羟基 - 5 - 甲基 - 4 - 异恶唑丙酸/海人藻酸受体拮抗剂与某些抗癫痫药物联合治疗可能具有临床益处的观点。