Crabbe J C
Research Service, VA Medical Center, Portland, OR.
Eur J Pharmacol. 1992 Oct 6;221(1):85-90. doi: 10.1016/0014-2999(92)90775-y.
Abecarnil, a beta-carboline acting at benzodiazepine receptors, has been shown to have anxiolytic and anticonvulsant properties in a number of models. It has reduced muscle relaxant and incoordinating effects in comparison to diazepam. Given the wide clinical application of diazepam to prevent alcohol withdrawal seizures, a genetic animal model was employed to compare abecarnil with diazepam for its anti-withdrawal effects. Withdrawal Seizure Prone (WSP) mice, genetically selected to develop severe handling-induced convulsions after withdrawal from chronic ethanol treatment, were exposed to ethanol vapor for 24 h. WSP mice given doses of abecarnil or diazepam at the peak of withdrawal had significantly reduced handling-induced convulsion scores. While abecarnil was slightly more potent than diazepam, its effects were shorter-lasting. Similar results were seen in an experiment where withdrawal handling-induced convulsions were assessed after a single high-dose ethanol injection. Abecarnil and diazepam also reduced the smaller handling-induced convulsion scores seen in naive WSP mice. Single doses of abecarnil or diazepam did not lead to a rebound elevation of handling-induced convulsion scores suggestive of a withdrawal reaction.
阿贝卡尼是一种作用于苯二氮䓬受体的β-咔啉,在多种模型中已显示出抗焦虑和抗惊厥特性。与地西泮相比,它具有降低肌肉松弛和不协调作用。鉴于地西泮在预防酒精戒断性癫痫发作方面的广泛临床应用,采用了一种基因动物模型来比较阿贝卡尼和地西泮的抗戒断效果。从慢性乙醇治疗中戒断后易发生戒断性癫痫发作(WSP)的小鼠是经过基因筛选的,在从慢性乙醇治疗中戒断后会出现严重的处理诱导惊厥,将其暴露于乙醇蒸气中24小时。在戒断高峰期给予阿贝卡尼或地西泮剂量的WSP小鼠,处理诱导惊厥评分显著降低。虽然阿贝卡尼比地西泮稍有效,但它的作用持续时间较短。在一项实验中也观察到了类似的结果,该实验在单次高剂量乙醇注射后评估戒断处理诱导的惊厥。阿贝卡尼和地西泮还降低了未处理的WSP小鼠中较小的处理诱导惊厥评分。单剂量的阿贝卡尼或地西泮不会导致提示戒断反应的处理诱导惊厥评分的反弹升高。