Edwards Heather E, Vimal Sutha, Burnham W McIntyre
Bloorview Epilepsy Research Program, Department of Pharmacology, University of Toronto, Faculty of Medicine, Canada.
Exp Neurol. 2002 Aug;176(2):364-70. doi: 10.1006/exnr.2002.7931.
Recently, we have shown that a single high dose of the adrenal steroid precursor hormone deoxycorticosterone (DOC) has potent anticonvulsant effects in 15-day-old rats. To better define the actions of DOC, the present study established dose-, time-, age-, and sex-response curves for the anticonvulsant actions of DOC. Methods. Dose- and time-response studies were done using two different seizure models: (1) maximal pentylenetetrazol seizures (MMT) and (2) maximal electroconvulsive shock (MES) seizures. Subsequently, age- and sex-response studies were done using MMT seizures and two different DOC doses, one low (nonsedating) and one high (sedating). Results. In dose-response studies, DOC suppressed MMT seizures with an ED(50) of about 5 mg/kg (sc). Higher doses were necessary to suppress MES seizures, where the ED(50) was about 20 mg/kg. In time-response studies, DOC's effects were rapid in onset. Complete suppression of seizures was seen by 5 min in the MES model and by 15 min in the MMT model. In developmental studies, both a low nonsedating and a high sedating dose of DOC suppressed MMT seizures in neonatal, infant, weanling, and juvenile rats of either sex. The suppressive effects of low-dose DOC were lost after puberty, however. The suppressive effects of high-dose DOC also declined after puberty, especially in males. Conclusion. DOC has significant anticonvulsant actions that occur in prepubertal, but not postpubertal subjects. DOC might have clinical importance in the future treatment of childhood seizure disorders.
最近,我们已经表明,单次高剂量的肾上腺类固醇前体激素脱氧皮质酮(DOC)对15日龄大鼠具有强大的抗惊厥作用。为了更好地界定DOC的作用,本研究建立了DOC抗惊厥作用的剂量、时间、年龄和性别反应曲线。方法。剂量和时间反应研究使用两种不同的癫痫模型进行:(1)最大戊四氮惊厥(MMT)和(2)最大电休克(MES)惊厥。随后,使用MMT惊厥和两种不同的DOC剂量进行年龄和性别反应研究,一种低剂量(无镇静作用)和一种高剂量(有镇静作用)。结果。在剂量反应研究中,DOC抑制MMT惊厥的半数有效剂量(ED50)约为5毫克/千克(皮下注射)。抑制MES惊厥需要更高的剂量,其ED50约为20毫克/千克。在时间反应研究中,DOC的作用起效迅速。在MES模型中5分钟时可见惊厥完全被抑制,在MMT模型中15分钟时可见惊厥完全被抑制。在发育研究中,低剂量无镇静作用和高剂量有镇静作用的DOC均可抑制新生、婴儿、断奶和幼年大鼠(无论雌雄)的MMT惊厥。然而,低剂量DOC的抑制作用在青春期后消失。高剂量DOC的抑制作用在青春期后也下降,尤其是在雄性大鼠中。结论。DOC具有显著的抗惊厥作用,发生在青春期前而非青春期后个体中。DOC可能在未来儿童癫痫疾病的治疗中具有临床重要性。