Huang Chin-Wei, Hsieh Yi-Jung, Tsai Jing-Jane, Huang Chao-Ching
Department of Neurology, National Cheng-Kung University Medical Center, Tainan, Taiwan.
J Neurosci Res. 2006 May 1;83(6):1141-50. doi: 10.1002/jnr.20797.
Lamotrigine (LTG) is an anti-epileptic drug that is widely used clinically in various neuropsychiatric disorders. Although consensus is found on the general mode of action by LTG on voltage-gated sodium current, its effect on field potential, neuropropagation, and long-term potentiation, especially in prefrontal cortex (PFC), is still not understood completely. We investigated LTG effects on synaptic response in rat prefrontal cortical slice with the aid of a novel multi-electrode dish (MED64) system. The amplitude and propagation of field excitatory postsynaptic potentials (fEPSP), presynaptic fiber volleys (PrV) were expressed dimensionally in the MED64 system. Lamotrigine (3-100 microM) inhibited the amplitude and propagation of fEPSP and PrV in a concentration dependent manner. It exerted a predominant presynaptic action, as indicated by the increment in paired-pulse facilitation. Stimulating dependency with reduction fEPSP was seen in the presence of LTG at clinically relevant concentrations as well as with PrV, both in amplitude and propagation. In addition, the depression of PrV amplitudes in the presence of LTG showed a use-dependent fashion. As to LTP in PFC, it was not fEPSP amplitude but propagation reduced by LTG. In PFC, LTG exerts its use- and concentration-dependent inhibitory effect on presynaptic action and depresses fEPSP amplitude and propagation in a clinically relevant concentration. LTP was preserved in its fEPSP amplitude but not propagation in PFC in the presence of LTG.
拉莫三嗪(LTG)是一种抗癫痫药物,在临床上广泛用于各种神经精神疾病。尽管对于LTG对电压门控钠电流的一般作用方式已达成共识,但其对场电位、神经传导和长时程增强的影响,尤其是在额叶前皮质(PFC)中的影响,仍未完全明确。我们借助新型多电极培养皿(MED64)系统研究了LTG对大鼠额叶前皮质切片突触反应的影响。在MED64系统中,场兴奋性突触后电位(fEPSP)、突触前纤维群峰电位(PrV)的幅度和传导以量纲形式表示。拉莫三嗪(3 - 100微摩尔)以浓度依赖性方式抑制fEPSP和PrV的幅度及传导。如双脉冲易化增强所示,它主要发挥突触前作用。在临床相关浓度的LTG存在下,以及在PrV的幅度和传导方面,均观察到fEPSP随刺激依赖性降低。此外,LTG存在时PrV幅度的降低呈使用依赖性方式。至于PFC中的长时程增强(LTP),被LTG降低的不是fEPSP幅度而是其传导。在PFC中,LTG对突触前作用发挥其使用和浓度依赖性抑制作用,并在临床相关浓度下抑制fEPSP幅度和传导。在LTG存在的情况下,PFC中的LTP在其fEPSP幅度方面得以保留,但在传导方面未保留。