Yum Mi-Sun, Ko Tae-Sung, Kim Dong Wook
Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Brain Dev. 2012 Mar;34(3):181-4. doi: 10.1016/j.braindev.2011.05.012. Epub 2011 Jul 1.
This study was designed to investigate the effects of β-hydroxybutyrate (BHB) on pilocarpine-induced seizures in young mice. Eighty-five male, postnatal day 21, ICR mice were used. All mice were pretreated with scopolamine methylbromide (1 mg/kg) 30 min prior to pilocarpine administration. Experimental mice (n=46) were injected intraperitoneally with BHB (20 mmol/kg), 15 min prior to pilocarpine administration; control animals (n=39) were administered normal saline. Pilocarpine (300 mg/kg) was then administered intraperitoneally to induce seizures. Mice were monitored for 2 h after pilocarpine injection, and seizure behavior grades were evaluated according to Racine's scale. All mice developed typical seizure behaviors of grade 3 or higher. Although the severity in terms of seizure behavior grade was not significantly different between groups, the mean (±SD) latency to the onset of seizure was significantly prolonged in BHB-treated mice (5.15±2.19 min) compared with controls (2.95±1.06 min; p<0.001). This study demonstrates that treatment with BHB significantly prolongs the latency to the onset of seizures induced by pilocarpine in mice and suggests that BHB, one of the ketone bodies, may be direct anticonvulsant.
本研究旨在探讨β-羟基丁酸(BHB)对幼鼠毛果芸香碱诱导癫痫发作的影响。选用85只出生后第21天的雄性ICR小鼠。所有小鼠在给予毛果芸香碱前30分钟腹腔注射甲基溴化东莨菪碱(1mg/kg)。实验小鼠(n=46)在给予毛果芸香碱前15分钟腹腔注射BHB(20mmol/kg);对照动物(n=39)给予生理盐水。然后腹腔注射毛果芸香碱(300mg/kg)诱导癫痫发作。在注射毛果芸香碱后对小鼠监测2小时,并根据拉辛量表评估癫痫发作行为等级。所有小鼠均出现3级或更高等级的典型癫痫发作行为。虽然两组间癫痫发作行为等级的严重程度无显著差异,但与对照组(2.95±1.06分钟;p<0.001)相比,BHB处理组小鼠癫痫发作开始的平均(±标准差)潜伏期显著延长(5.15±2.19分钟)。本研究表明,BHB治疗可显著延长小鼠毛果芸香碱诱导癫痫发作的潜伏期,并提示酮体之一的BHB可能具有直接抗惊厥作用。