Nakamura M, Wada Y, Hasegawa H, Yamaguchi N
Department of Neuropsychiatry, Kanazawa University School of Medicine, Japan.
No To Shinkei. 1992 Nov;44(11):989-93.
Serotonin (5-HT) has been considered to possess an inhibitory action against the kindling development, but the role of 5-HT in kindled seizures is unclear. Furthermore, most previous studies have dealt with amygdaloid kindling. To clarify the role of the 5-HT system in epilepsy, we examined the effects of 5-hydroxytryptophan (5-HTP), a precursor which elevates brain 5-HT, and 8-hydroxy-2-(di-n-propylamino) tetralin (8-OH-DPAT), a 5-HT 1 a receptor agonist, on seizures kindled from the feline hippocampus (HIP). Following the completion of HIP kindling, five cats received 0.9% saline, 5-HTP (20 or 40 mg/kg, i.p.) or 8-OH-DPAT (0.1 or 1.0 mg/kg, i.v.). Drugs were administered 15 min (8-OH-DPAT) or 1 hr (5-HTP) prior to electrical stimulation at the generalized seizure triggering threshold, and the anticonvulsant effects were assessed by the behavioral seizure stage and afterdischarge (AD) duration. Both 5-HTP and 8-OH-DPAT suppressed dose-dependently HIP-kindled seizures. The administration of 5-HTP at 40 mg/kg and of 8-OH-DPAT at 1.0 mg/kg produced a marked or complete suppression of HIP-kindled seizures in most of the cats tested, and was found to significantly reduce the seizure stage when compared with the saline control. Both drugs tended to shorten the AD duration, but this effect did not reach statistically significant levels. The present data suggest that the 5-HT system plays an important role in HIP-kindled seizures, and that the 5-HT 1 a receptors have an inhibitory effect on the kindled focal epileptic activity of the HIP.
血清素(5-羟色胺,5-HT)被认为对点燃发展具有抑制作用,但5-HT在点燃性癫痫发作中的作用尚不清楚。此外,以往大多数研究都涉及杏仁核点燃。为了阐明5-HT系统在癫痫中的作用,我们研究了5-羟色氨酸(5-HTP,一种可提高脑内5-HT的前体物质)和8-羟基-2-(二正丙基氨基)四氢萘(8-OH-DPAT,一种5-HT1a受体激动剂)对猫海马体(HIP)点燃性癫痫发作的影响。在完成HIP点燃后,五只猫分别接受0.9%生理盐水、5-HTP(20或40mg/kg,腹腔注射)或8-OH-DPAT(0.1或1.0mg/kg,静脉注射)。在达到全身性癫痫发作触发阈值进行电刺激前15分钟(8-OH-DPAT)或1小时(5-HTP)给药,通过行为癫痫发作阶段和放电后(AD)持续时间评估抗惊厥作用。5-HTP和8-OH-DPAT均剂量依赖性地抑制HIP点燃性癫痫发作。在大多数受试猫中,40mg/kg的5-HTP和1.0mg/kg的8-OH-DPAT给药可显著或完全抑制HIP点燃性癫痫发作,且与生理盐水对照组相比,癫痫发作阶段显著降低。两种药物均倾向于缩短AD持续时间,但该效应未达到统计学显著水平。目前的数据表明,5-HT系统在HIP点燃性癫痫发作中起重要作用,且5-HT1a受体对HIP点燃性局灶性癫痫活动具有抑制作用。