Luszczki Jarogniew J, Kocharov Sergey L, Czuczwar Stanislaw J
Department of Pathophysiology, Medical University of Lublin, Lublin, Poland.
Neurosci Res. 2009 Jul;64(3):267-72. doi: 10.1016/j.neures.2009.03.010. Epub 2009 Mar 31.
The aim of this study was to determine the influence of N-(anilinomethyl)-p-isopropoxyphenylsuccinimide (AMIPPS) on the protective action of carbamazepine, phenobarbital, phenytoin, and valproate in the mouse maximal electroshock seizure model. Results indicate that AMIPPS administered separately (i.p., at doses of 75 and 150 mg/kg), significantly elevated the threshold for electroconvulsions in mice. Moreover, AMIPPS (37.5mg/kg) significantly enhanced the anticonvulsant activity of phenobarbital and valproate, but not that of carbamazepine or phenytoin in the maximal electroshock seizure test in mice. AMIPPS (18.75 mg/kg) had no impact on the antiseizure action of phenobarbital and valproate against maximal electroshock seizure-induced seizures in mice. Pharmacokinetic experiments revealed that AMIPPS significantly increased total brain valproate concentrations and it had no impact on total brain concentrations of phenobarbital in mice. In conclusion, the enhanced antielectroshock action of phenobarbital by AMIPPS and lack of pharmacokinetic interaction make the combination of AMIPPS with phenobarbital of pivotal importance for further experimental and clinical studies. Although AMIPPS potentiated the anticonvulsant action of valproate in the maximal electroshock seizure test, the caution is advised when combining these drugs due to the risk of pharmacokinetic interactions. The combinations of AMIPPS with carbamazepine and phenytoin are neutral from a preclinical viewpoint.
本研究的目的是确定N-(苯胺甲基)-对异丙氧基苯基琥珀酰亚胺(AMIPPS)对卡马西平、苯巴比妥、苯妥英和丙戊酸在小鼠最大电休克惊厥模型中的保护作用的影响。结果表明,单独给予AMIPPS(腹腔注射,剂量为75和150mg/kg)可显著提高小鼠电惊厥的阈值。此外,在小鼠最大电休克惊厥试验中,AMIPPS(37.5mg/kg)显著增强了苯巴比妥和丙戊酸的抗惊厥活性,但对卡马西平或苯妥英的抗惊厥活性没有影响。AMIPPS(18.75mg/kg)对苯巴比妥和丙戊酸对小鼠最大电休克惊厥诱发的惊厥的抗惊厥作用没有影响。药代动力学实验表明,AMIPPS显著提高了小鼠全脑丙戊酸浓度,对小鼠全脑苯巴比妥浓度没有影响。总之,AMIPPS增强苯巴比妥的抗电休克作用且缺乏药代动力学相互作用,使得AMIPPS与苯巴比妥的联合用药对进一步的实验和临床研究至关重要。尽管在最大电休克惊厥试验中AMIPPS增强了丙戊酸的抗惊厥作用,但由于存在药代动力学相互作用的风险,在联合使用这些药物时建议谨慎。从临床前的角度来看,AMIPPS与卡马西平和苯妥英的联合用药是中性的。