Anuradha K, Hota D, Pandhi P
Department of Pharmacology, Postgraduate Institute of Medical, Education & Research, Chandigarh 160 012, India.
Indian J Exp Biol. 2004 Apr;42(4):368-72.
Insulin produces seizures in healthy and diabetic animals. Amongst suggested mechanisms, the role of neuromodulators and neurotransmitters is not clear. The present study explores the mechanisms involved in insulin-induced convulsions. Convulsions were induced in Swiss male albino mice with graded doses of insulin. Blood sugar levels were measured prior to and after the first convulsion. Drugs like 5-HTP (5-HT precursor), pCPA (5-HT depletor), ondansetron (5-HT3 antagonist), ketanserin (5-HT, antagonist), ketamine (NMDA antagonist), 1-dopa (dopamine precursor) and reserpine (amine depletor) were studied for interaction with convulsive behaviour induced by insulin. Insulin in 2 IU/kg dose did not produce convulsions while 4 and 8 IU/kg doses produced convulsions in 50% and 100% of animals respectively. 5-HTP, ondansetron, ketanserin, ketamine and l-dopa significantly protected/inhibited animals from convulsions at all studied doses of insulin. On the contrary, pCPA and reserpine potentiated insulin induced convulsions. Insulin caused mortality in 40 and 100% animals with 4 and 8 IU/kg doses respectively. pCPA and reserpine treatments caused mortality at all doses of insulin, while other drugs did not influence insulin induced mortality. Blood sugar levels were reduced in all groups irrespective of the presence or absence of convulsions. A definitive link of serotonergic, dopaminergic and excitatory amino acid pathways in mediating insulin-induced hypoglycemic convulsions is suggested.
胰岛素会在健康动物和糖尿病动物中引发癫痫发作。在已提出的机制中,神经调质和神经递质的作用尚不清楚。本研究探讨了胰岛素诱导惊厥的相关机制。用不同剂量的胰岛素诱导瑞士雄性白化小鼠惊厥发作。在首次惊厥发作前后测量血糖水平。研究了5-羟色氨酸(5-HT前体)、对氯苯丙氨酸(5-HT耗竭剂)、昂丹司琼(5-HT3拮抗剂)、酮色林(5-HT拮抗剂)、氯胺酮(NMDA拮抗剂)、左旋多巴(多巴胺前体)和利血平(胺耗竭剂)等药物与胰岛素诱导的惊厥行为之间的相互作用。2 IU/kg剂量的胰岛素未引发惊厥,而4 IU/kg和8 IU/kg剂量的胰岛素分别在50%和100%的动物中引发了惊厥。在所有研究的胰岛素剂量下,5-羟色氨酸、昂丹司琼、酮色林、氯胺酮和左旋多巴均能显著保护/抑制动物惊厥发作。相反,对氯苯丙氨酸和利血平增强了胰岛素诱导的惊厥发作。4 IU/kg和8 IU/kg剂量的胰岛素分别导致40%和100%的动物死亡。对氯苯丙氨酸和利血平处理在所有胰岛素剂量下均导致动物死亡,而其他药物不影响胰岛素诱导的死亡率。无论是否发生惊厥,所有组的血糖水平均降低。提示了血清素能、多巴胺能和兴奋性氨基酸途径在介导胰岛素诱导的低血糖惊厥中的明确联系。