Holm E, Staedt U, Heep J, Kortsik C, Behne F, Kaske A, Mennicke I
Abteilung für Pathophysiologie, I. Medizinische Klinik Mannheim, Universität Heidelberg, Mannheim.
Arzneimittelforschung. 1991 Jul;41(7):673-83.
To investigate neurophysiological effects of D,L-kavain, two studies were conducted on unrestrained cats with chronically implanted electrodes. In group A animals (n = 26) we recorded the blood pressure, the EEG of cortical and subcortical areas, the electromyogram, EEG arousal reactions, and subcortical evoked potentials elicited by central stimulation. This was done before and after injection of D,L-kavain (10-50 mg/kg i.p.) or--for comparison--of a kava extract in Ol. arachidis (50-100 mg pyrones/kg i.p.). Group B cats (n = 9) served for polygraphic, 10-h analyses of the sleep-wakefulness rhythm; they received--in a random sequence--0.9% NaCl (3 ml i.p.), D,L-kavain (28 mg/kg p.o.), pentobarbital (1 mg/kg i.m.), or the combination D,L-kavain plus pentobarbital. With both D,L-kavain and the extract, muscle tone was seen to be diminished in about 50% of the experiments. It was only the extract which exerted marked effects on the EEG; it induced high amplitude delta waves, spindle-like formations, and a continuous alpha- or beta-synchronization in the amygdalar recordings (p less than 0.001). Neither D,L-kavain nor the kava extract changed the threshold of the EEG arousal reaction. As to the evoked potentials, the hippocampal response following stimulation of the amygdalar nucleus showed an increase in amplitude in the animals given D,L-kavain (50 mg/kg; p less than 0.05) and in those given the extract (100 mg pyrones/kg; p less than 0.01). In addition, after injection of the extract, further projections arising from the amygdala as well as the connection from the caudate nucleus to the amygdala proved to be activated. The percentage duration of active wakefulness was significantly shortened by both D,L-kavain and pentobarbital, as compared to placebo. There was a likewise significant prolongation of synchronized sleep with D,L-kavain, pentobarbital, and the combination of both these agents. However, a potentiation of drug effects failed to occur. It is concluded from the findings that limbic structures and, in particular, the amygdalar complex represent the preferential site of action for both D,L-kavain and the kava extract. The participation of these structures in modulating emotional processes may explain the promotion of sleep, even in the absence of sedation. There is no congruity of D,L-kavain with either the tricyclic thymoleptics or the benzodiazepines regarding the profile of neurophysiological effects.
为研究消旋卡瓦因的神经生理效应,对两只长期植入电极的无束缚猫进行了两项研究。在A组动物(n = 26)中,我们记录了血压、皮质和皮质下区域的脑电图、肌电图、脑电图觉醒反应以及中枢刺激引发的皮质下诱发电位。这些记录在注射消旋卡瓦因(10 - 50毫克/千克腹腔注射)或(作为对照)花生油中的卡瓦提取物(50 - 100毫克吡喃酮/千克腹腔注射)之前和之后进行。B组猫(n = 9)用于对睡眠 - 觉醒节律进行10小时的多导记录分析;它们以随机顺序接受0.9%氯化钠(3毫升腹腔注射)、消旋卡瓦因(28毫克/千克口服)、戊巴比妥(1毫克/千克肌肉注射)或消旋卡瓦因加戊巴比妥的组合。使用消旋卡瓦因和提取物时,约50%的实验中可见肌张力降低。只有提取物对脑电图有显著影响;它在杏仁核记录中诱发高幅δ波、纺锤样波形以及持续的α或β同步化(p < 0.001)。消旋卡瓦因和卡瓦提取物均未改变脑电图觉醒反应的阈值。关于诱发电位,刺激杏仁核后海马的反应在给予消旋卡瓦因(50毫克/千克;p < 0.05)和给予提取物(100毫克吡喃酮/千克;p < 0.01)的动物中振幅增加。此外,注射提取物后,杏仁核发出的其他投射以及从尾状核到杏仁核的连接被证明被激活。与安慰剂相比,消旋卡瓦因和戊巴比妥均显著缩短了主动觉醒的持续时间百分比。消旋卡瓦因、戊巴比妥以及这两种药物的组合同样显著延长了同步睡眠。然而,未出现药物效应的增强。从这些发现得出结论,边缘结构,特别是杏仁复合体是消旋卡瓦因和卡瓦提取物的优先作用部位。即使在没有镇静作用的情况下,这些结构参与调节情绪过程可能解释了对睡眠的促进作用。消旋卡瓦因在神经生理效应方面与三环类抗抑郁药或苯二氮䓬类药物均不一致。