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3,3-二甲基丁酰脲的抗惊厥特性及致畸性:作为丙戊酸第二代药物的潜力

Anticonvulsant profile and teratogenicity of 3,3-dimethylbutanoylurea: a potential for a second generation drug to valproic acid.

作者信息

Shimshoni Jakob Avi, Yagen Boris, Pessah Neta, Wlodarczyk Bogdan, Finnell Richard H, Bialer Meir

机构信息

Department of Pharmaceutics, School of Pharmacy, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.

出版信息

Epilepsia. 2008 Jul;49(7):1202-12. doi: 10.1111/j.1528-1167.2008.01624.x.

Abstract

PURPOSE

The purpose of this study was to evaluate the anticonvulsant activity and teratogenic potential of branched aliphatic acylureas represented by isovaleroylurea (IVU), pivaloylurea (PVU) and 3,3-dimethylbutanoylurea (DBU), as potential second-generation drugs to valproic acid (VPA).

METHODS

The anticonvulsant activity of IVU, PVU, and DBU was determined in mice and rats utilizing the maximal electroshock seizure (MES) and the pentylenetetrazole (scMet) tests. The ability of DBU to block electrical-, or chemical-induced seizures was further examined in three acute seizure models: the psychomotor 6 Hz model, the bicuculline and picrotoxin models and one model of chronic epilepsy (i.e., the hippocampal kindled rat model). The induction of neural tube defects (NTDs) by IVU, PVU, and DBU was evaluated after i.p. administration at day 8.5 of gestation to a mouse strain highly susceptible to VPA-induced teratogenicity. The pharmacokinetics of DBU was studied following i.v. administration to rats.

RESULTS

DBU emerged as the most potent compound having an MES-ED(50)of 186 mg/kg (mice) and 64 mg/kg (rats) and an scMet-ED(50)of 66 mg/kg (mice) and 26 mg/kg (rats). DBU underwent further evaluation in the hippocampal kindled rat (ED(50)= 35 mg/kg), the psychomotor 6 Hz mouse model (ED(50)= 80 mg/kg at 32 mA and ED(50)= 133 mg/kg at 44 mA), the bicuculline- and picrotoxin-induced seizure mouse model (ED(50)= 205 mg/kg and 167 mg/kg, respectively). In contrast to VPA, DBU, IVU, and PVU did not induce a significant increase in NTDs as compared to control. DBU was eliminated by metabolism with a half-life of 4.5 h.

CONCLUSIONS

DBU's broad spectrum and potent anticonvulsant activity, along with its high safety margin and favorable pharmacokinetic profile, make it an attractive candidate to become a new, potent, and safe AED.

摘要

目的

本研究旨在评估异戊酰脲(IVU)、特戊酰脲(PVU)和3,3 - 二甲基丁酰脲(DBU)所代表的支链脂肪族酰脲类化合物作为丙戊酸(VPA)潜在第二代药物的抗惊厥活性和致畸潜力。

方法

利用最大电休克惊厥(MES)和戊四氮(scMet)试验在小鼠和大鼠中测定IVU、PVU和DBU的抗惊厥活性。在三种急性惊厥模型中进一步研究DBU阻断电诱导或化学诱导惊厥的能力:精神运动性6Hz模型、荷包牡丹碱和印防己毒素模型以及一种慢性癫痫模型(即海马点燃大鼠模型)。在妊娠第8.5天对高度易受VPA诱导致畸作用的小鼠品系腹腔注射IVU、PVU和DBU后,评估其对神经管缺陷(NTDs)的诱导作用。对大鼠静脉注射DBU后研究其药代动力学。

结果

DBU是最有效的化合物,其MES - ED(50)为186mg/kg(小鼠)和64mg/kg(大鼠),scMet - ED(50)为66mg/kg(小鼠)和26mg/kg(大鼠)。在海马点燃大鼠(ED(50)= 35mg/kg)、精神运动性6Hz小鼠模型(32mA时ED(50)= 80mg/kg,44mA时ED(50)= 133mg/kg)、荷包牡丹碱和印防己毒素诱导惊厥小鼠模型(ED(50)分别为205mg/kg和167mg/kg)中对DBU进行了进一步评估。与VPA相反,与对照组相比,DBU、IVU和PVU并未显著增加NTDs的发生率。DBU通过代谢消除,半衰期为4.5小时。

结论

DBU的广谱强效抗惊厥活性,连同其高安全系数和良好的药代动力学特征,使其成为一种有吸引力的新型、强效且安全的抗癫痫药物候选物。

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