Akaike Nobuhide, Himori Norio
Department of Pharmacology, Nippon Roche Research Center, Kamakura, Japan.
Pharmacology. 2002 Nov;66(3):136-43. doi: 10.1159/000063795.
Intravenously administered nimodipine (an L-type Ca(2+) antagonist) as well as dizocilpine (an N-methyl-D-aspartate--NMDA--antagonist) showed a wide spectrum of anticonvulsant activity in intracerebroventricular mouse models for excessive activation of excitatory amino acid receptors. The duration of Bay k-8644 (L-type Ca(2+) agonist; intracerebroventricular administration) caused seizures was significantly reduced by intravenously administered nimodipine. Intracisternal administration of Bay k-8644 lowered the convulsion threshold of an intracerebroventricular injection of NMDA. Intracisternal administration of omega-conotoxin GVIA (N-type Ca(2+) antagonist) only tended to inhibit the NMDA-induced tonic convulsions. Intracisternal administration of staurosporine (a protein kinase C inhibitor) or calmidazolium (a calmodulin antagonist) was effective in inhibiting the NMDA-induced tonic convulsions. Calmidazolium, unlike staurosporine, produced side effects at a dose showing its anticonvulsant activity. From these results, it is suggested that excessive activation of excitatory amino acid receptors results in tonic convulsions by virtue of a massive increase of Ca(2+) influx mainly through NMDA receptor channels, and at least in part through L-type Ca(2+) channels, and in subsequent activation of protein kinase C and possibly calmodulin.
静脉注射尼莫地平(一种L型钙拮抗剂)以及地佐环平(一种N-甲基-D-天冬氨酸——NMDA——拮抗剂)在兴奋性氨基酸受体过度激活的脑室内小鼠模型中显示出广泛的抗惊厥活性。静脉注射尼莫地平可显著缩短Bay k-8644(L型钙激动剂;脑室内给药)引起癫痫发作的持续时间。脑池内注射Bay k-8644可降低脑室内注射NMDA的惊厥阈值。脑池内注射ω-芋螺毒素GVIA(N型钙拮抗剂)仅倾向于抑制NMDA诱导的强直性惊厥。脑池内注射星形孢菌素(一种蛋白激酶C抑制剂)或氯米达唑(一种钙调蛋白拮抗剂)可有效抑制NMDA诱导的强直性惊厥。与星形孢菌素不同,氯米达唑在显示其抗惊厥活性的剂量下会产生副作用。从这些结果表明,兴奋性氨基酸受体的过度激活通过主要通过NMDA受体通道以及至少部分通过L型钙通道大量增加钙内流,以及随后激活蛋白激酶C和可能的钙调蛋白,从而导致强直性惊厥。