Barone P, Parashos S A, Palma V, Marin C, Campanella G, Chase T N
Experimental Therapeutics Branch, National Institute of Neurological and Communicative Disorders and Stroke, Bethesda, MD 20892.
Neuroscience. 1990;34(1):209-17. doi: 10.1016/0306-4522(90)90314-t.
The contribution of dopaminergic mechanisms to the generalization of epileptic activity was studied in rats given pilocarpine after pretreatment with selective dopamine agonists. At the dose of 200 mg/kg, pilocarpine produced limbic stereotypes but not convulsions or seizure-related brain damage. Pilocarpine, 200 mg/kg, following pretreatment with the D1 agonist (RS)-2,3,4,5-tetrahydro-7,8-dihydroxy-1-phenyl-1H-3 benzazepine, but not its (S)-enantiomer, induced convulsive activity as revealed by behavioral, electroencephalographic alterations and widespread brain damage. These features were identical to those produced by a higher, convulsant dose of pilocarpine (400 mg/kg). On the other hand, pretreatment with the D2 agonist 4,4a,5,6,7,8,8a,9-octahydro-5-n-propyl-2H-pyrazolo-3,4-g-quinoline failed to induce convulsions. Furthermore, the D1 receptor antagonist (R)-(+)-8-chloro-2,3,4,5-n-tetrahydro-3-methyl-5-phenyl-1H-3-benzazepine -7-ol prevented the convulsive activity induced by both 2,3,4,5-tetrahydro-7,8-dihydroxy-1-phenyl-1H-3 benzazepine plus pilocarpine (200 mg/kg) and pilocarpine (400 mg/kg), given alone. However, neither dopamine agonists nor antagonists altered the limbic stereotypes induced by pilocarpine, suggesting a dopamine system involvement primarily in the mechanisms of epilepsy generalization. The results suggest that pharmacological manipulation of dopaminergic transmission may provide an alternative approach to therapy of secondarily generalized epilepsy.
在给予选择性多巴胺激动剂预处理后的大鼠中,研究了多巴胺能机制对癫痫活动泛化的作用。毛果芸香碱剂量为200mg/kg时,可产生边缘系统刻板行为,但不会引起惊厥或与癫痫发作相关的脑损伤。在给予D1激动剂(RS)-2,3,4,5-四氢-7,8-二羟基-1-苯基-1H-3-苯并氮杂卓预处理后,而非其(S)-对映体,200mg/kg的毛果芸香碱可诱发惊厥活动,行为学、脑电图改变及广泛脑损伤均证实了这一点。这些特征与高剂量致惊厥毛果芸香碱(400mg/kg)所产生的特征相同。另一方面,给予D2激动剂4,4a,5,6,7,8,8a,9-八氢-5-正丙基-2H-吡唑并[3,4-g]喹啉预处理未能诱发惊厥。此外,D1受体拮抗剂(R)-(+)-8-氯-2,3,4,5-四氢-3-甲基-5-苯基-1H-3-苯并氮杂卓-7-醇可预防由2,3,4,5-四氢-7,8-二羟基-1-苯基-1H-3-苯并氮杂卓加毛果芸香碱(200mg/kg)以及单独给予毛果芸香碱(400mg/kg)所诱发的惊厥活动。然而,多巴胺激动剂和拮抗剂均未改变毛果芸香碱所诱发的边缘系统刻板行为,提示多巴胺系统主要参与癫痫泛化机制。结果表明,对多巴胺能传递进行药理学调控可能为继发性全身性癫痫的治疗提供一种替代方法。