Clinica Neurologica, Università degli Studi di Perugia, Ospedale S. Maria della Misericordia, Perugia, Italy.
Exp Neurol. 2010 Jan;221(1):217-24. doi: 10.1016/j.expneurol.2009.11.002. Epub 2009 Nov 11.
Since the anti-epileptic drug Zonisamide (ZNS) seems to exert beneficial effects in Parkinson's (PD) disease, we have investigated the electrophysiological effects of ZNS in a rat corticostriatal slice preparation. ZNS affected neither the resting membrane potential nor the input resistance of the putative striatal spiny neurons. In contrast, this drug depressed in a dose-dependent manner the current-evoked repetitive firing discharge with a EC(50) value of 16.38 microM. ZNS also reduced the amplitude of glutamatergic excitatory postsynaptic potentials (EPSPs) with a EC(50) value of 32.5 microM. Reduced activity of the mitochondrial respiratory chain, particularly complex I and II, is implicated in the pathophysiology of PD and Huntington's (HD) diseases, respectively. Thus, ZNS was also tested in two different in vitro neurotoxic models obtained by acutely exposing corticostriatal slices either to rotenone, a selective inhibitor of mitochondrial complex I, or to 3-nitropropionic acid (3-NP), an inhibitor of complex II. Additionally, we also investigated the effect of ZNS in an in vitro model of brain ischemia. Interestingly, low concentrations of ZNS (0.3, 1, 3 and 10 microM) significantly reduced the rotenone-induced toxicity protecting striatal slices from the irreversible loss of corticostriatal field potential (FP) amplitude via a GABA-mediated mechanism. Conversely, this drug showed no protection against 3-NP and ischemia-induced toxicity. Our data indicate that relatively high doses of ZNS are required to decrease striatal neuronal excitability while low concentrations of this drug are sufficient to protect striatum against mitochondrial impairment suggesting its possible use in the therapy of basal ganglia neurodegenerative diseases.
由于抗癫痫药物佐尼沙胺(Zonisamide,ZNS)似乎对帕金森病(Parkinson's disease,PD)有有益作用,我们研究了 ZNS 在大鼠皮质纹状体切片制备中的电生理效应。ZNS 既不影响假定纹状体棘神经元的静息膜电位,也不影响其输入电阻。相反,该药物以剂量依赖性方式抑制电流诱发的重复放电,EC50 值为 16.38 μM。ZNS 还降低谷氨酸能兴奋性突触后电位(Excitatory Postsynaptic Potentials,EPSPs)的幅度,EC50 值为 32.5 μM。线粒体呼吸链活性的降低,特别是复合物 I 和 II,分别与 PD 和亨廷顿病(Huntington's disease,HD)的病理生理学有关。因此,我们还在两种不同的体外神经毒性模型中测试了 ZNS,这两种模型是通过急性暴露于鱼藤酮(一种线粒体复合物 I 的选择性抑制剂)或 3-硝基丙酸(3-Nitropropionic acid,3-NP,一种复合物 II 的抑制剂)来获得的皮质纹状体切片。此外,我们还研究了 ZNS 在体外脑缺血模型中的作用。有趣的是,低浓度的 ZNS(0.3、1、3 和 10 μM)可通过 GABA 介导的机制显著降低鱼藤酮诱导的毒性,从而保护纹状体切片免受皮质纹状体场电位(Field Potential,FP)幅度的不可逆丧失。相反,该药物对 3-NP 和缺血诱导的毒性没有保护作用。我们的数据表明,需要相对高剂量的 ZNS 来降低纹状体神经元的兴奋性,而这种药物的低浓度足以保护纹状体免受线粒体损伤,这表明其在治疗基底神经节神经退行性疾病方面可能有一定的应用前景。