Yamashita Hiroshi, Ohno Kazushige, Amada Yoko, Hattori Hanae, Ozawa-Funatsu Yukiko, Toya Takashi, Inami Hiroshi, Shishikura Jun-Ichi, Sakamoto Shuichi, Okada Masamichi, Yamaguchi Tokio
Institute for Drug Discovery Research, Yamanouchi Pharmaceutical Co., Ltd, Tsukuba, Ibaraki, Japan.
J Pharmacol Exp Ther. 2004 Jan;308(1):127-33. doi: 10.1124/jpet.103.058495. Epub 2003 Oct 20.
The anticonvulsant activity of 2-[N-(4-chlorophenyl)-N-methylamino]-4H-pyrido[3.2-e]-1,3-thiazin-4-one (YM928), a novel alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptor antagonist, was studied in animal models of generalized seizure. YM928 exerted significant anticonvulsant effects in the maximal electroshock (MES) seizure test (ED50 = 7.4 mg/kg p.o.), pentylenetetrazol (PTZ)-induced seizure test (ED50 = 9.6 mg/kg p.o.), AMPA-induced seizure test (ED50 = 5.5 mg/kg p.o.), and strychnine-induced seizure test (ED50 = 14.0 mg/kg p.o.) in mice. Effects in rats were detected in the MES seizure test (ED50 = 4.0 mg/kg p.o.) and PTZ-induced seizure test (ED50 = 6.2 mg/kg p.o.). The profile of YM928 was compared with that of established antiepileptics. Valproate showed beneficial effects in all tests used. In contrast, carbamazepine, phenytoin, lamotrigine, phenobarbital, diazepam, ethosuximide, and gabapentin were not active against seizures induced by at least one stimulant. In the rotarod test, YM928 impaired motor coordination (TD50 = 22.5 mg/kg p.o.). The protective index (TD50 value of the rotarod test/ED50 value of MES seizure) was 3.0, suggesting that YM928 can exert antiepileptic effects with only minor motor disturbances. YM928 at doses of 2, 4, and 8 mg/kg p.o. did not significantly affect the threshold of electroshock seizure in rats after 16 days of repeated administration. These data indicate that YM928 does not induce tolerance after subchronic administration. These results indicate that YM928 is a broad-spectrum anticonvulsant that would prove useful for the treatment of generalized seizure in human epileptic patients.
新型α-氨基-3-羟基-5-甲基-4-异恶唑丙酸(AMPA)受体拮抗剂2-[N-(4-氯苯基)-N-甲基氨基]-4H-吡啶并[3.2-e]-1,3-噻嗪-4-酮(YM928)的抗惊厥活性在全身性癫痫动物模型中进行了研究。YM928在小鼠最大电休克(MES)惊厥试验(口服半数有效剂量[ED50]=7.4毫克/千克)、戊四氮(PTZ)诱导的惊厥试验(ED50=9.6毫克/千克口服)、AMPA诱导的惊厥试验(ED50=5.5毫克/千克口服)和士的宁诱导的惊厥试验(ED50=14.0毫克/千克口服)中发挥了显著的抗惊厥作用。在大鼠中,在MES惊厥试验(ED50=4.0毫克/千克口服)和PTZ诱导的惊厥试验(ED50=6.2毫克/千克口服)中检测到了其作用。将YM928的情况与已有的抗癫痫药物进行了比较。丙戊酸盐在所有使用的试验中均显示出有益作用。相比之下,卡马西平、苯妥英、拉莫三嗪、苯巴比妥、地西泮、乙琥胺和加巴喷丁对至少一种刺激物诱导的惊厥无活性。在转棒试验中,YM928损害运动协调性(口服半数中毒剂量[TD50]=22.5毫克/千克)。保护指数(转棒试验的TD50值/MES惊厥试验的ED50值)为3.0,表明YM928仅伴有轻微运动障碍即可发挥抗癫痫作用。口服剂量为2、4和8毫克/千克的YM928在重复给药16天后对大鼠电休克惊厥阈值无显著影响。这些数据表明,亚慢性给药后YM928不会诱导耐受性。这些结果表明,YM928是一种广谱抗惊厥药,对治疗人类癫痫患者的全身性癫痫可能有用。