Velísek L, Kubová H, Velísková J, Mares P, Ortová M
Institute of Physiology, Czechoslovak Academy of Sciences, Prague.
Epilepsia. 1992 Nov-Dec;33(6):987-93. doi: 10.1111/j.1528-1157.1992.tb01748.x.
Kainic acid (KA 4-14 mg/kg) administered intraperitoneally (i.p.) produces automatisms (scratching until third postnatal week, "wet dog" shakes thereafter), and clonic and tonic-clonic seizures in rats aged 7, 12, 18, 25, and 90 days. Administration of carbamazepine (CBZ) i.p. (25 or 50 mg/kg), phenobarbital (PB 20-80 mg/kg), clonazepam (CZP 0.2 or 1 mg/kg), or valproate (VPA 200 mg/kg) influenced neither incidence nor latency of automatisms. Clonic seizures that are regularly observed after the third postnatal week in controls were either abolished or substantially suppressed by any of the aforementioned antiepileptic drugs (AEDs). Tonic-clonic seizures observed in the first 3 postnatal weeks were suppressed only by solvent [including propyleneglycol (PEG), ethanol, and water]; the effect of AEDs on tonic-clonic seizures was proconvulsant instead. The automatisms were most resistant to AED therapy. These results induce some doubts about the adequacy of the KA model for identifying AEDs effective against complex partial seizures, but forthcoming AEDs that suppress automatisms in the KA rat model might also be active against human complex partial seizures.
腹腔注射(i.p.)给予大鼠 kainic 酸(KA,4 - 14 毫克/千克)会产生自动症(出生后第三周前为抓挠,此后为“湿狗”样抖动),并在 7、12、18、25 和 90 日龄的大鼠中引发阵挛性和强直 - 阵挛性癫痫发作。腹腔注射卡马西平(CBZ,25 或 50 毫克/千克)、苯巴比妥(PB,20 - 80 毫克/千克)、氯硝西泮(CZP,0.2 或 1 毫克/千克)或丙戊酸盐(VPA,200 毫克/千克)对自动症的发生率和潜伏期均无影响。在对照组出生后第三周后经常观察到的阵挛性癫痫发作,被上述任何一种抗癫痫药物(AEDs)消除或显著抑制。出生后前三周观察到的强直 - 阵挛性癫痫发作仅被溶剂[包括丙二醇(PEG)、乙醇和水]抑制;AEDs 对强直 - 阵挛性癫痫发作的作用反而为促惊厥作用。自动症对 AED 治疗最具抗性。这些结果引发了一些关于 KA 模型用于识别对复杂部分性癫痫有效的 AEDs 的充分性的疑问,但在 KA 大鼠模型中抑制自动症的未来 AEDs 可能也对人类复杂部分性癫痫有效。