Neuroimmunology Unit, National Institute of Neurology and Neurosurgery of Mexico, Insurgentes Sur 3877, Mexico City 14269, Mexico.
Epilepsy Res. 2011 Aug;95(3):263-9. doi: 10.1016/j.eplepsyres.2011.04.008. Epub 2011 May 17.
Thalidomide was synthesized more than 50 years ago as hypnotic sedative with unique pharmacologic properties. Recently, we have described a notorious anticonvulsant effect of thalidomide on pentylenetetrazole-induced seizures. Here, we report the results of thalidomide administration on amygdaloid kindling. A total of 100 male Wistar rats were implanted with brain electrodes in the basolateral amygdaloid nucleus and the sensory motor cortex. After surgery the animals received a daily electric stimulus through the amygdaline electrode (500 μA intensity, 60 Hz frequency, 1 ms duration) until seizures appeared. The following treatment groups were made: (a) controls; (b) rats treated daily with thalidomide (10 mg/kg) or with topiramate (80 mg/kg); (c) rats treated with different doses of thalidomide. Significant reduction in the after-discharge and retard of behavioral stages were observed in rats treated with thalidomide or with topiramate as compared with controls (p<0.01): Also, a similar anticonvulsant outcome of thalidomide therapy was obtained with doses of either 2.5, 5, 10 or 50 mg/kg; at 100 mg/kg all epileptic activity was suppressed. Anticonvulsant efficacy of thalidomide was superior in most parameters than that obtained with topiramate. In amygdaloid kindling, which simulates human epilepsy characterized by focal seizures secondarily generalized, low doses of thalidomide display strong anticonvulsant properties.
沙利度胺在 50 多年前被合成,作为一种具有独特药理特性的催眠镇静剂。最近,我们描述了沙利度胺对戊四氮诱导的癫痫发作的一种臭名昭著的抗惊厥作用。在这里,我们报告沙利度胺给药对杏仁核点燃的结果。总共 100 只雄性 Wistar 大鼠被植入大脑电极,分别在基底外侧杏仁核和感觉运动皮层。手术后,动物通过杏仁核电极接受每日电刺激(500 μA 强度,60 Hz 频率,1 ms 持续时间),直到出现癫痫发作。设立了以下治疗组:(a)对照组;(b)每日用沙利度胺(10 mg/kg)或托吡酯(80 mg/kg)治疗的大鼠;(c)用不同剂量沙利度胺治疗的大鼠。与对照组相比,用沙利度胺或托吡酯治疗的大鼠观察到后放电和行为阶段延迟的显著减少(p<0.01):此外,用 2.5、5、10 或 50 mg/kg 剂量的沙利度胺也获得了类似的抗惊厥治疗结果;在 100 mg/kg 时,所有癫痫活动都被抑制。沙利度胺的抗惊厥疗效在大多数参数上优于托吡酯。在模拟以局灶性癫痫继发全身性发作为特征的人类癫痫的杏仁核点燃中,低剂量的沙利度胺表现出强烈的抗惊厥特性。