Kitano Yutaka, Komiyama Chika, Makino Mitsuhiro, Kasai Yoshio, Takasuna Kiyoshi, Kinoshita Masakazu, Yamazaki Osamu, Takazawa Akira, Yamauchi Toshio, Sakurada Shinobu
New Product Research Laboratories II, Daiichi Pharmaceutical Co., Ltd., Edogawa-ku, Tokyo.
Epilepsia. 2005 Oct;46(10):1561-8. doi: 10.1111/j.1528-1167.2005.00261.x.
Nefiracetam (NEF) is a novel pyrrolidonetype nootropic agent, and it has been reported to possess various pharmacologic effects as well as cognition-enhancing effects. The present study focused on the effects of NEF in amygdala-kindled seizures and its potential for antiepileptic therapy.
Effects of NEF on fully amygdala-kindled seizures and development of amygdala-kindled seizures were investigated in rats and compared with those of levetiracetam (LEV), a pyrrolidone-type antiepileptic drug (AED).
In fully amygdala-kindled rats, NEF (25, 50, and 100 mg/kg, p.o.) decreased afterdischarge induction, afterdischarge duration, seizure stage, and motor seizure duration in a dose-dependent manner. LEV (25, 50, and 100 mg/kg, p.o.) had no effects on afterdischarge induction and slightly decreased afterdischarge duration, whereas it markedly decreased seizure stage and motor seizure duration. In contrast to the results in fully amygdala-kindled rats, NEF (25 and 50 mg/kg/day, p.o.) had few or no effects on the development of amygdala-kindled seizures. As well as fully amygdala-kindled seizures, LEV (50 mg/kg/day, p.o.) markedly inhibited the development of behavioral seizures without reducing daily afterdischarge duration.
Although NEF possesses potent anticonvulsant effects on fully amygdala-kindled seizures, it has few or no effects on the development of amygdala-kindled seizures. LEV shows marked anticonvulsant effects on both phases of kindling. In fully amygdala-kindled rats, NEF inhibits both electroencephalographic and behavioral seizures, whereas LEV inhibits only behavioral seizures. This double dissociation suggests that NEF has a distinct anticonvulsant spectrum and mechanisms from those of LEV.
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对杏仁核点燃癫痫发作的影响及其抗癫痫治疗潜力。
在大鼠中研究了奈非西坦对完全杏仁核点燃癫痫发作以及杏仁核点燃癫痫发作发展的影响,并与吡咯烷酮类抗癫痫药物(AED)左乙拉西坦(LEV)的影响进行比较。
在完全杏仁核点燃的大鼠中,奈非西坦(25、50和100毫克/千克,口服)以剂量依赖方式降低了放电后诱导、放电后持续时间、癫痫发作阶段和运动性癫痫发作持续时间。左乙拉西坦(25、50和100毫克/千克,口服)对放电后诱导无影响,对放电后持续时间略有降低,而它显著降低了癫痫发作阶段和运动性癫痫发作持续时间。与完全杏仁核点燃大鼠的结果相反,奈非西坦(25和50毫克/千克/天,口服)对杏仁核点燃癫痫发作的发展几乎没有影响或没有影响。与完全杏仁核点燃癫痫发作一样,左乙拉西坦(50毫克/千克/天,口服)显著抑制行为性癫痫发作的发展,而不降低每日放电后持续时间。
尽管奈非西坦对完全杏仁核点燃癫痫发作具有强大的抗惊厥作用,但它对杏仁核点燃癫痫发作的发展几乎没有影响或没有影响。左乙拉西坦在点燃的两个阶段均显示出显著的抗惊厥作用。在完全杏仁核点燃的大鼠中,奈非西坦抑制脑电图和行为性癫痫发作,而左乙拉西坦仅抑制行为性癫痫发作。这种双重分离表明,奈非西坦具有与左乙拉西坦不同的抗惊厥谱和机制。