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失神性抗惊厥药和惊厥药对丘脑神经元的不同作用:钙电流减少。

Differential effects of petit mal anticonvulsants and convulsants on thalamic neurones: calcium current reduction.

作者信息

Coulter D A, Huguenard J R, Prince D A

机构信息

Department of Neurology and Neurological Sciences, Stanford University Medical Center, CA 94305.

出版信息

Br J Pharmacol. 1990 Aug;100(4):800-6. doi: 10.1111/j.1476-5381.1990.tb14095.x.

DOI:10.1111/j.1476-5381.1990.tb14095.x
PMID:2169941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1917607/
Abstract
  1. Succinimide derivatives can be either convulsant (tetramethylsuccinimide (TMS)), or anticonvulsant (ethosuximide (ES); alpha-methyl-alpha-phenylsuccinimide (MPS)). ES, an anticonvulsant succinimide, has previously been shown to block calcium currents of thalamic neurones, while the convulsant succinimide TMS blocks gamma-aminobutyric acid (GABA) responses in a similar fashion to the convulsant pentylenetetrazol (PTZ). 2. Using voltage-clamp techniques, we analysed the effects of the anticonvulsant succinimides ES and MPS and the convulsants TMS and PTZ on calcium currents of acutely isolated thalamic relay neurones of the rat. 3. MPS and ES reduced low-threshold calcium current (LTCC) in a voltage-dependent manner, without affecting steady-state inactivation. MPS was less potent than ES (IC50 of 1100 vs 200 microM) but greater in efficacy (100% maximal reduction vs 40% for ES). 4. PTZ had no effect on calcium currents, and TMS only reduced LTCC at very high concentrations, and did not occlude MPS effects when applied concurrently. 5. These results, which demonstrate that anticonvulsant, but not convulsant, succinimides block LTCC, provide additional support for the hypothesis that LTCC reduction is a mechanism of action of the anticonvulsant succinimides related to their effects in petit mal epilepsy.
摘要
  1. 琥珀酰亚胺衍生物可以是惊厥剂(四甲基琥珀酰亚胺(TMS)),也可以是抗惊厥剂(乙琥胺(ES);α-甲基-α-苯基琥珀酰亚胺(MPS))。ES是一种抗惊厥琥珀酰亚胺,此前已被证明可阻断丘脑神经元的钙电流,而惊厥性琥珀酰亚胺TMS以类似于惊厥剂戊四氮(PTZ)的方式阻断γ-氨基丁酸(GABA)反应。2. 使用电压钳技术,我们分析了抗惊厥琥珀酰亚胺ES和MPS以及惊厥剂TMS和PTZ对大鼠急性分离的丘脑中继神经元钙电流的影响。3. MPS和ES以电压依赖性方式降低低阈值钙电流(LTCC),而不影响稳态失活。MPS的效力低于ES(IC50为1100对200 microM),但效能更高(最大降低100%对ES的40%)。4. PTZ对钙电流无影响,TMS仅在非常高的浓度下降低LTCC,并且在同时应用时不阻断MPS的作用。5. 这些结果表明抗惊厥而非惊厥性琥珀酰亚胺可阻断LTCC,为LTCC降低是抗惊厥琥珀酰亚胺在失神癫痫中的作用机制这一假说提供了额外支持。

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Anticonvulsant activity and toxicity of phensuximide, methsuximide and ethosuximide.苯琥胺、甲琥胺和乙琥胺的抗惊厥活性与毒性
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