Department of Pharmacology, School of Medicine, Medical Sciences/University of Tehran, P.O. Box 13145-784, Tehran, Iran.
Epilepsy Res. 2010 May;89(2-3):295-302. doi: 10.1016/j.eplepsyres.2010.02.001. Epub 2010 Mar 20.
Lithium is still the mainstay in the treatment of affective disorders as a mood stabilizer. Lithium also shows some anticonvulsant properties. While the underlying mechanisms of action of lithium are not yet exactly understood, we used a model of clonic seizure induced by pentylenetetrazole (PTZ) in male NMRI mice to investigate whether the anticonvulsant effect of lithium is mediated via NO-cGMP pathway. Injection of a single effective dose of lithium chloride (25 mg/kg) intraperitoneally (i.p.) increased significantly the seizure threshold (P<0.01). The anticonvulsant properties of the effective dose of lithium were prevented by pre-treatment with the per se non-effective doses of L-ARG [the substrate for nitric oxide synthase; NOS] (30 and 50 mg/kg) or sildenafil [a phosphodiesterase 5 inhibitor] (10 and 20 mg/kg). L-NAME [a non-specific NOS inhibitor] (5, 15 and 30 mg/kg), 7-NI [a specific neural NOS inhibitor] (30 and 60 mg/kg) or MB [a guanylyl cyclase inhibitor] (0.5 and 1 mg/kg) augmented the anticonvulsant effect of a sub-effective dose of lithium (10 mg/kg, i.p.). Whereas several doses of aminoguanidine [an inducible NOS inhibitor] (20, 50 and 100 mg/kg) failed to alter the anticonvulsant effect of lithium. Our findings demonstrated that nitric oxide-cyclic GMP pathway could be involved in the anticonvulsant properties of the lithium chloride. In addition, the role of constitutive NOS versus inducible NOS is prominent in this phenomenon.
锂仍是治疗情感障碍的主要药物,作为一种心境稳定剂。锂也显示出一些抗惊厥特性。虽然锂的作用机制尚未完全明确,但我们使用戊四氮(PTZ)诱导的男性 NMRI 小鼠阵挛性癫痫发作模型,研究锂的抗惊厥作用是否通过 NO-cGMP 途径介导。腹腔注射单次有效剂量的氯化锂(25mg/kg)可显著提高癫痫发作阈值(P<0.01)。预先给予非有效剂量的 L-精氨酸[一氧化氮合酶的底物;NOS](30 和 50mg/kg)或西地那非[磷酸二酯酶 5 抑制剂](10 和 20mg/kg)可预防有效剂量的锂的抗惊厥作用。L-NAME[非特异性 NOS 抑制剂](5、15 和 30mg/kg)、7-NI[一种特异性神经 NOS 抑制剂](30 和 60mg/kg)或 MB[鸟苷酸环化酶抑制剂](0.5 和 1mg/kg)增强了亚有效剂量锂(10mg/kg,腹腔注射)的抗惊厥作用。然而,几种剂量的氨基胍[诱导型 NOS 抑制剂](20、50 和 100mg/kg)未能改变锂的抗惊厥作用。我们的发现表明,一氧化氮-cGMP 途径可能参与了氯化锂的抗惊厥特性。此外,组成型 NOS 与诱导型 NOS 的作用在这一现象中很突出。