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布美他尼,一种NKCC1拮抗剂,不能阻止致痫灶的形成,但能阻断未成熟大鼠海马体中癫痫灶的发作。

Bumetanide, an NKCC1 antagonist, does not prevent formation of epileptogenic focus but blocks epileptic focus seizures in immature rat hippocampus.

作者信息

Nardou Romain, Ben-Ari Yehezkel, Khalilov Ilgam

机构信息

Institut de Neurobiologie de la Mediterranee, Institut National de la Santé et de la Recherche Médicale Unité 901, 13273 Marseille Cedex 09, France.

出版信息

J Neurophysiol. 2009 Jun;101(6):2878-88. doi: 10.1152/jn.90761.2008. Epub 2009 Mar 18.

Abstract

Excitatory GABA action induced by high Cl(-) is thought to contribute to seizure generation in neonatal neurons although the mechanism of this effect remains unclear. We report that bumetanide, a NKCC1 antagonist, reduces driving force of GABA-mediated currents (DF(GABA)) in neonatal hippocampal neurons and blocks the giant depolarizing potentials (GDPs), a spontaneous pattern of network activity. In the preparation composed of two intact interconnected hippocampi, bumetanide did not prevent generation of kainate-induced seizures, their propagation to the contralateral hippocampus, and formation of an epileptogenic mirror focus. However, in the isolated mirror focus, bumetanide effectively blocked spontaneous epileptiform activity transforming it to the GDP-like activity pattern. Bumetanide partially reduced DF(GABA) and therefore the excitatory action of GABA in epileptic neurons. Therefore bumetanide is a potent anticonvulsive agent although it cannot prevent formation of the epileptogenic mirror focus. We suggest that an additional mechanism other than NKCC1-mediated contributes to the persistent increase of DF(GABA) in epileptic neurons.

摘要

尽管这种效应的机制尚不清楚,但高细胞内氯离子浓度([Cl⁻]i)诱导的兴奋性γ-氨基丁酸(GABA)作用被认为与新生儿神经元癫痫发作的产生有关。我们报告称,布美他尼(一种NKCC1拮抗剂)可降低新生海马神经元中GABA介导电流的驱动力(DF(GABA)),并阻断巨大去极化电位(GDPs),这是一种网络活动的自发模式。在由两个完整相连的海马体组成的标本中,布美他尼并不能阻止海藻酸诱导的癫痫发作的产生、其向对侧海马体的传播以及致痫性镜像灶的形成。然而,在分离的镜像灶中,布美他尼有效地阻断了自发癫痫样活动,将其转变为GDP样活动模式。布美他尼部分降低了DF(GABA),从而降低了癫痫神经元中GABA的兴奋作用。因此,布美他尼是一种有效的抗惊厥药物,尽管它不能阻止致痫性镜像灶的形成。我们认为,除了NKCC1介导的机制外,还有其他机制导致癫痫神经元中DF(GABA)持续升高。

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