Jurgens Chris W D, Boese Sarah J, King Jacob D, Pyle Sally J, Porter James E, Doze Van A
Department of Pharmacology, Physiology and Therapeutics, University of North Dakota School of Medicine and Health Sciences, 501 N. Columbia Road, Grand Forks, ND 58203, USA.
Epilepsy Res. 2005 Aug-Sep;66(1-3):117-28. doi: 10.1016/j.eplepsyres.2005.07.007.
Norepinephrine (NE) has demonstrated proconvulsant and antiepileptic properties; however, the specific pharmacology of these actions has not been clearly established. To address this, we studied the effect of NE on hippocampal CA3 epileptiform activity. Frequency changes of burst discharges in response to NE were biphasic; low concentrations increased the number of bursts, while higher concentrations reduced their frequency, suggesting the involvement of multiple adrenergic receptor (AR) types. This hypothesis was confirmed when, in the presence of betaAR blockade, increasing concentrations of NE caused a monophasic decrease in epileptiform activity. Antagonists selective for alpha1 or alpha2ARs were then used to determine which alphaAR type was involved. While discriminating concentrations of the alpha1AR antagonists prazosin and terazosin had no effect, selective amounts of the alpha2AR antagonists RS79948 and RX821002 significantly reduced the potency of NE in decreasing epileptiform activity. Furthermore, this antiepileptic action of NE persisted when all GABA-mediated inhibition was blocked. This data suggests that, under conditions of impaired GABAergic inhibition, the excitatory and inhibitory effects of NE on hippocampal CA3 epileptiform activity are mediated primarily via beta and alpha2ARs, respectively. Moreover, our results imply that the antiepileptic effect of alpha2AR activation in CA3 is not dependent on the GABAergic system.
去甲肾上腺素(NE)已显示出促惊厥和抗癫痫特性;然而,这些作用的具体药理学尚未明确确立。为解决这一问题,我们研究了NE对海马CA3区癫痫样活动的影响。NE作用下爆发性放电的频率变化呈双相性;低浓度增加爆发次数,而高浓度降低其频率,提示涉及多种肾上腺素能受体(AR)类型。当存在βAR阻断时,NE浓度增加导致癫痫样活动单相性降低,这一假设得到证实。然后使用对α1或α2AR具有选择性的拮抗剂来确定涉及哪种αAR类型。虽然区分浓度的α1AR拮抗剂哌唑嗪和特拉唑嗪没有作用,但选择性剂量的α2AR拮抗剂RS79948和RX821002显著降低了NE降低癫痫样活动的效力。此外,当所有GABA介导的抑制作用被阻断时,NE的这种抗癫痫作用仍然存在。这些数据表明,在GABA能抑制受损的情况下,NE对海马CA3区癫痫样活动的兴奋和抑制作用分别主要通过β和α2AR介导。此外,我们的结果表明,CA3区α2AR激活的抗癫痫作用不依赖于GABA能系统。