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托吡酯对两种实验性癫痫模型中传统抗癫痫药物抗惊厥活性的影响。

Effect of topiramate on the anticonvulsant activity of conventional antiepileptic drugs in two models of experimental epilepsy.

作者信息

Borowicz Kinga K, Luszczki Jarogniew J, Duda Andrzej M, Czuczwar Stanislaw J

机构信息

Department of Pathophysiology, Medical University, Jaczewskiego 8, PL 20-090 Lublin, Poland.

出版信息

Epilepsia. 2003 May;44(5):640-6. doi: 10.1046/j.1528-1157.2003.45202.x.


DOI:10.1046/j.1528-1157.2003.45202.x
PMID:12752462
Abstract

PURPOSE: The objective of this study was to evaluate the interaction of the novel antiepileptic drug (AED), topiramate (TPM), with conventional AEDs against amygdala-kindled seizures in rats and pentylenetetrazol-induced convulsions in mice. METHODS: Experiments were performed on mice and fully kindled rats. In pentylenetetrazol test, the chemoconvulsant was used at its CD97 dose of 105 mg/kg, producing clonic seizures in 97% of mice. Adverse effects were evaluated with the chimney test and passive avoidance task. Plasma levels of AEDs were measured with immunofluorescence. RESULTS: TPM at 20 mg/kg exerted a significant anticonvulsant effect as regards seizure and afterdischarge durations in amygdala-kindled seizures in rats, being ineffective at lower doses. Coadministration of TPM (10 mg/kg) with valproate (VPA; at a subtherapeutic dose of 50 mg/kg) resulted in essential reductions of seizure and afterdischarge durations. TPM (10 mg/kg) combined with carbamazepine (CBZ; at a subtherapeutic dose of 15 mg/kg) significantly increased afterdischarge threshold, simultaneously decreasing the remaining seizure parameters (duration or severity of seizures and afterdischarge duration). TPM (10 mg/kg) given with phenobarbital (PB; 15 mg/kg) markedly shortened seizure severity and seizure and afterdischarge durations. Combinations of TPM with diphenylhydantoin (PHT) were ineffective against kindled seizures in rats. TPM combined with VPA and PB did not alter their plasma levels, but its combination with CBZ resulted in an increased free plasma CBZ concentration. TPM (10 and 20 mg/kg) alone and its combinations with conventional AEDs affected neither motor coordination nor long-term memory, evaluated in the chimney and passive avoidance tests, respectively, in rats. In pentylenetetrazol-evoked convulsions in mice, TPM (175 and 200 mg/kg) showed anticonvulsant effects per se. Moreover, TPM (at its subtherapeutic dose of 150 mg/kg), significantly potentiated the anticonvulsant action of ethosuximide (ESM), but not that of VPA, PB, or clonazepam (CZP) against pentylenetetrazol-induced seizures. Either TPM alone (150 mg/kg) or its combination with ESM did not result in significant undesired effects. CONCLUSIONS: The experimental data indicate that except for PHT, the combinations of TPM with conventional AEDs are beneficial against amygdala-kindled seizures in rats. In the pentylenetetrazol test, this novel AED potentiated only the protection offered by ESM.

摘要

目的:本研究的目的是评估新型抗癫痫药物(AED)托吡酯(TPM)与传统AEDs联合应用对大鼠杏仁核点燃癫痫发作及小鼠戊四氮诱导惊厥的相互作用。 方法:在小鼠和完全点燃的大鼠上进行实验。在戊四氮试验中,化学惊厥剂以其CD97剂量105mg/kg使用,可使97%的小鼠发生阵挛性惊厥。通过烟囱试验和被动回避任务评估不良反应。用免疫荧光法测定AEDs的血浆水平。 结果:20mg/kg的TPM对大鼠杏仁核点燃癫痫发作的发作期和放电后持续时间具有显著的抗惊厥作用,较低剂量时无效。TPM(10mg/kg)与丙戊酸(VPA;亚治疗剂量50mg/kg)联合使用可显著缩短发作期和放电后持续时间。TPM(10mg/kg)与卡马西平(CBZ;亚治疗剂量15mg/kg)联合使用可显著提高放电后阈值,同时降低其余癫痫发作参数(癫痫发作的持续时间或严重程度以及放电后持续时间)。TPM(10mg/kg)与苯巴比妥(PB;15mg/kg)联合使用可显著缩短癫痫发作严重程度、发作期和放电后持续时间。TPM与苯妥英(PHT)联合使用对大鼠点燃癫痫发作无效。TPM与VPA和PB联合使用不会改变它们的血浆水平,但与CBZ联合使用会导致血浆中游离CBZ浓度升高。单独使用TPM(10和20mg/kg)及其与传统AEDs的联合使用,在分别通过烟囱试验和被动回避试验评估时,对大鼠的运动协调性和长期记忆均无影响。在小鼠戊四氮诱发的惊厥中,TPM(175和200mg/kg)本身具有抗惊厥作用。此外,TPM(亚治疗剂量150mg/kg)可显著增强乙琥胺(ESM)对戊四氮诱导癫痫发作的抗惊厥作用,但对VPA、PB或氯硝西泮(CZP)无此作用。单独使用TPM(150mg/kg)或其与ESM联合使用均未产生明显的不良影响。 结论:实验数据表明,除PHT外,TPM与传统AEDs联合应用对大鼠杏仁核点燃癫痫发作有益。在戊四氮试验中,这种新型AED仅增强了ESM的保护作用。

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引用本文的文献

[1]
Pharmacokinetic, pharmacodynamic, and neurochemical investigations of lamotrigine-pentylenetetrazole kindled mice to ascertain it as a reliable model for clinical drug-resistant epilepsy.

Animal Model Exp Med. 2020-8-3

[2]
Evaluation of antiseizure drug efficacy and tolerability in the rat lamotrigine-resistant amygdala kindling model.

Epilepsia Open. 2019-8-12

[3]
Influence of neuropathology on convection-enhanced delivery in the rat hippocampus.

PLoS One. 2013-11-8

[4]
Spotlight on topiramate in epilepsy.

CNS Drugs. 2008

[5]
Topiramate: a review of its use in the treatment of epilepsy.

Drugs. 2007

[6]
Novel seizure phenotype and sleep disruptions in knock-in mice with hypersensitive alpha 4* nicotinic receptors.

J Neurosci. 2005-12-7

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