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常用抗惊厥药物对突然降温诱导的脊髓惊厥的作用。

Activity of common anticonvulsant drugs on spinal seizure-induced by sudden cooling.

作者信息

Piña-Crespo Juan C, Daló Nelson L

机构信息

Research Unit, Department of Basic Sciences, Faculty of Veterinary Medicine, Universidad Centroccidental Lisandro Alvarado, Barquisimeto, P.O. Box 722, Venezuela.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 2006 Sep 30;30(7):1202-8. doi: 10.1016/j.pnpbp.2006.02.016. Epub 2006 Apr 19.

Abstract

Although some of the clinical signs associated with epilepsy have their origin in supraspinal structures, it is the spinal cord in the end, which is responsible for generating the typical pattern of tonic-clonic contractions associated with a convulsion. Indeed, the spinal cord isolated from influence of the brain is capable of convulsive and paroxysmal activity that exhibits the same stereotyped motor pattern seen in the intact animal. This motor pattern can be reproduced experimentally by cooling the isolated spinal cord of amphibians. The isolated spinal cord-hindleg preparation of toad was used. Convulsive activity was induced by placing the isolated spinal cord into a Ringer's bath kept at 7 degrees C. The characteristic phases of the convulsion and their intensity were assessed by recording tonic-clonic contractions of hindleg muscles. Two main endpoints were used to assess the anticonvulsive activity of the drugs tested: first, their ability to block only the tonic hind-limb extension (THE) and second, their ability to block all tonic-clonic activity. The ED50 values and its 95% confidence interval estimated for abolition of THE for each drugs was (mg/kg): carbamazepine 8.6 (6.8-10.8), phenytoin 13 (7.1-23.6), diazepam 0.007 (0.004-0.01), MK-801 3.4 (2.0-5.7), valproate 120 (40-400), phenobarbital 17.1 (12.2-23.9), pentobarbital 10 (6-16.4), mephenesin 2-5 and acetazolamide >500. The ability of some of these drugs to inhibit this kind of seizure activity at doses within therapeutic range suggests a potential use of this isolated preparation as a model in the study and testing of new anticonvulsive drugs.

摘要

尽管一些与癫痫相关的临床体征起源于脊髓以上的结构,但最终是脊髓负责产生与惊厥相关的典型强直-阵挛收缩模式。实际上,与大脑影响隔绝的脊髓能够产生惊厥性和阵发性活动,呈现出与完整动物相同的刻板运动模式。这种运动模式可以通过冷却两栖动物的离体脊髓在实验中重现。使用了蟾蜍的离体脊髓-后肢制备物。通过将离体脊髓置于7摄氏度的林格氏液浴中来诱导惊厥活动。通过记录后肢肌肉的强直-阵挛收缩来评估惊厥的特征阶段及其强度。使用两个主要终点来评估受试药物的抗惊厥活性:第一,它们仅阻断强直后肢伸展(THE)的能力;第二,它们阻断所有强直-阵挛活动的能力。每种药物消除THE的半数有效剂量(ED50)值及其95%置信区间为(mg/kg):卡马西平8.6(6.8-10.8)、苯妥英13(7.1-23.6)、地西泮0.007(0.004-0.01)、MK-801 3.4(2.0-5.7)、丙戊酸盐120(40-400)、苯巴比妥17.1(12.2-23.9)、戊巴比妥10(6-16.4)、美芬新2-5以及乙酰唑胺>500。这些药物中的一些在治疗范围内的剂量能够抑制这种癫痫发作活动,这表明这种离体制备物作为新抗惊厥药物研究和测试模型具有潜在用途。

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