UCL Institute of Neurology, University College London, London, UK.
Epilepsia. 2010 Aug;51(8):1533-42. doi: 10.1111/j.1528-1167.2009.02412.x. Epub 2009 Dec 1.
Valproic acid (VPA) is widely used clinically in epilepsy, bipolar disorder, and migraine. In experimental models, it has also been shown to have neuroprotective and antiepileptogenic effects. Its mechanisms of action in these diverse conditions are, however, unclear, but there is some evidence indicating an effect of VPA upon protein kinase A (PKA) activity. We, therefore, asked whether VPA modulates cyclic adenosine monophosphate (cAMP)/PKA-dependent synaptic plasticity and whether this mode of action could explain its anticonvulsant effect.
We first tested the effects of VPA on PKA-dependent synaptic plasticity at mossy fiber to CA3 synapses in rat hippocampus slices following very high-frequency stimulation or application of the adenylyl cyclase activator forskolin. Using biochemical assays, we then tested whether VPA had a direct effect on PKA activity or an indirect effect through modulating cAMP production. Lastly, VPA and inhibitors of adenylyl cyclase (SQ22536) and PKA (H89) were tested in in vitro models of epileptiform activity induced in hippocampal-entorhinal cortex slices using either pentylenetetrazol (2 mM) or low magnesium.
VPA (1 mm) inhibited PKA-dependent long-term potentiation of mossy fiber to CA3 pyramidal cell transmission. However, VPA did not directly modulate PKA activity but rather inhibited the accumulation of cAMP. In acute in vitro seizure models, the anticonvulsant activity of VPA is not mediated through modulation of adenylyl cyclase or PKA.
These results indicate that VPA through an action on cAMP accumulation can inhibit synaptic plasticity, but this cannot fully explain its anticonvulsant effect.
丙戊酸(VPA)在癫痫、双相情感障碍和偏头痛的临床治疗中被广泛应用。在实验模型中,它也表现出神经保护和抗癫痫发生的作用。然而,其在这些不同病症中的作用机制尚不清楚,但有一些证据表明 VPA 对蛋白激酶 A(PKA)活性有影响。因此,我们想知道 VPA 是否调节环腺苷酸(cAMP)/PKA 依赖性突触可塑性,以及这种作用模式是否可以解释其抗惊厥作用。
我们首先在大鼠海马切片中,通过检测高频刺激或应用腺苷酸环化酶激活剂 forskolin 后,VPA 对 CA3 锥体神经元树突棘上的 PKA 依赖性突触可塑性的影响。然后,我们通过生化检测,研究 VPA 是否对 PKA 活性有直接影响,或者是否通过调节 cAMP 产生而产生间接影响。最后,我们在海马-内嗅皮层切片中使用戊四氮(2 mM)或低镁建立体外癫痫样活动模型,检测 VPA 以及腺苷酸环化酶抑制剂(SQ22536)和 PKA 抑制剂(H89)的作用。
VPA(1 mM)抑制了 CA3 锥体神经元树突棘上由 PKA 依赖性长时程增强(LTP)引起的苔藓纤维向 CA3 锥体神经元的传递。然而,VPA 并没有直接调节 PKA 活性,而是抑制了 cAMP 的积累。在急性体外癫痫模型中,VPA 的抗惊厥活性不是通过调节腺苷酸环化酶或 PKA 来介导的。
这些结果表明,VPA 通过作用于 cAMP 积累可以抑制突触可塑性,但这不能完全解释其抗惊厥作用。