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新型益智药奈非西坦在小鼠和大鼠癫痫模型中的抗惊厥特性

Anticonvulsant properties of the novel nootropic agent nefiracetam in seizure models of mice and rats.

作者信息

Kitano Yutaka, Komiyama Chika, Makino Mitsuhiro, Takasuna Kiyoshi, Takazawa Akira, Sakurada Shinobu

机构信息

New Product Research Laboratories II, Daiichi Pharmaceutical Co., Ltd., Tokyo, Japan.

出版信息

Epilepsia. 2005 Jun;46(6):811-8. doi: 10.1111/j.1528-1167.2005.66504.x.

Abstract

PURPOSE

Nefiracetam (NEF) is a novel pyrrolidone-type nootropic agent, and it has been reported to possess various pharmacologic effects as well as cognition-enhancing effects. The present study focused on the anticonvulsant effect of NEF and its potential for antiepileptic therapy.

METHODS

The anticonvulsant properties of NEF were investigated in experimental seizure models of mice and rats, compared with levetiracetam (LEV) and other standard antiepileptic drugs [AEDs; zonisamide (ZNS), phenytoin (PHT), carbamazepine (CBZ), valproic acid (VPA), diazepam (DZP), and ethosuximide (ESM)]. With reference to standard programs for evaluating potential AEDs, the study included the traditional maximal electroshock seizure and subcutaneous chemoconvulsant (pentylenetetrazole, bicuculline, picrotoxin, strychnine, or N-methyl-D-aspartate) seizure tests and two threshold models (the increasing-current electroshock seizure test and intravenous pentylenetetrazole seizure threshold test). Neurotoxic activities were examined with the rotarod test and traction test.

RESULTS

NEF inhibited electroshock-induced seizures at nontoxic doses, whereas it had no effect on seizures chemically induced by pentylenetetrazole, bicuculline, picrotoxin, strychnine, or N-methyl-D-aspartate. The anticonvulsant spectrum of NEF paralleled that of ZNS, PHT, and CBZ. The anticonvulsant efficacy of NEF was comparable with that of ZNS and less potent than that of PHT, CBZ, and DZP. However, the safety margin of NEF was superior to that of ZNS, CBZ, VPA, and DZP. LEV showed only slight anticonvulsant effects in threshold models, and it was not effective in conventional screening models.

CONCLUSIONS

These results suggest that NEF has distinct anticonvulsant spectrum and mechanisms from those of LEV. NEF is an orally active and safe AED, and it possesses a potential for antiepileptic therapy.

摘要

目的

奈非西坦(NEF)是一种新型吡咯烷酮类促智药,据报道它具有多种药理作用以及认知增强作用。本研究聚焦于奈非西坦的抗惊厥作用及其抗癫痫治疗潜力。

方法

在小鼠和大鼠的实验性癫痫模型中研究奈非西坦的抗惊厥特性,并与左乙拉西坦(LEV)及其他标准抗癫痫药物[抗癫痫药(AEDs);唑尼沙胺(ZNS)、苯妥英(PHT)、卡马西平(CBZ)、丙戊酸(VPA)、地西泮(DZP)和乙琥胺(ESM)]进行比较。参照评估潜在抗癫痫药的标准方案,该研究包括传统的最大电休克惊厥和皮下化学惊厥(戊四氮、荷包牡丹碱、印防己毒素、士的宁或N-甲基-D-天冬氨酸)惊厥试验以及两种阈值模型(递增电流电休克惊厥试验和静脉注射戊四氮惊厥阈值试验)。通过转棒试验和牵引试验检测神经毒性活性。

结果

奈非西坦在无毒剂量下可抑制电休克诱发的惊厥,而对戊四氮、荷包牡丹碱、印防己毒素、士的宁或N-甲基-D-天冬氨酸化学诱导的惊厥无影响。奈非西坦的抗惊厥谱与唑尼沙胺、苯妥英和卡马西平的抗惊厥谱相似。奈非西坦的抗惊厥疗效与唑尼沙胺相当,且比苯妥英、卡马西平和地西泮的疗效弱。然而,奈非西坦的安全范围优于唑尼沙胺、卡马西平、丙戊酸和地西泮。左乙拉西坦在阈值模型中仅显示出轻微的抗惊厥作用,在传统筛选模型中无效。

结论

这些结果表明,奈非西坦具有与左乙拉西坦不同的抗惊厥谱和作用机制。奈非西坦是一种口服活性且安全的抗癫痫药,具有抗癫痫治疗潜力。

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