New York College of Osteopathic Medicine, Old Westbury, NY 11568, USA.
Pharmacol Biochem Behav. 2012 Jan;100(3):474-84. doi: 10.1016/j.pbb.2011.10.005. Epub 2011 Oct 12.
Cannabinoids have anti-convulsant effects in both in vivo and in vitro models of status epilepticus. Since the development of spontaneous seizures and neuronal vulnerability are age-dependent, we hypothesized that the anti-convulsant effects of cannabimimetics are also age-dependent. We administered a single injection of varied doses of (R+)WIN 55,212 (0.5, 1, 5 mg/kg) to postnatal (P) day 20 rats 90 min prior to induction of kainate (KA)-induced status epilepticus. The highest dose of (R+)WIN 55,212 (5 mg/kg) resulted in rapid onset of behavioral stupor, loss of balance, stiffening and immobility while standing on hind legs or laying flat in prone position; lower doses had minimal or no behavioral effect. After KA administration, seizure scores and electroencephalography (EEG) recordings were inversely related to (R+)WIN 55,212 dosage whereby higher doses were associated with high seizures scores and synchronous epileptiform activity and low doses with low seizure scores and diminished spiking in the EEG. Immunohistochemistry revealed a dose-dependent reduction in CB1 receptor expression with increasing concentrations of (R+)WIN 55,212 in presence or absence of KA seizures. Nissl and NeuN staining showed hippocampal injury was attenuated only when seizures were mild following low doses of WIN 55,212 (0.5, 1 mg/kg), consistent with the level of CB1 expression. Since low doses abolished seizures without psychotropic side-effects further study may facilitate a groundbreaking cannabamimetic therapeutic strategy to treat early-life seizures. Higher doses had adverse effects on behavior and failed to prevent seizures and protect CA1 neurons possibly due to inactivation or loss of CB1 receptors.
大麻素在癫痫持续状态的体内和体外模型中都具有抗惊厥作用。由于自发性癫痫发作的发展和神经元易感性是年龄依赖性的,我们假设大麻类似物的抗惊厥作用也是年龄依赖性的。我们在诱导红藻氨酸(KA)诱导的癫痫持续状态之前 90 分钟,向出生后(P)第 20 天的大鼠单次注射不同剂量的(R+)WIN 55,212(0.5、1、5mg/kg)。(R+)WIN 55,212 的最高剂量(5mg/kg)导致行为昏迷、失去平衡、僵硬和后腿站立或仰卧时无法移动;较低剂量的行为影响最小或没有。在 KA 给药后,癫痫发作评分和脑电图(EEG)记录与(R+)WIN 55,212 剂量呈反比,即较高剂量与高癫痫发作评分和同步癫痫样活动相关,较低剂量与低癫痫发作评分和 EEG 中的尖峰减少相关。免疫组织化学显示,随着(R+)WIN 55,212 浓度的增加,CB1 受体表达呈剂量依赖性降低,无论是否存在 KA 癫痫发作。尼氏和 NeuN 染色显示,只有在低剂量(R+)WIN 55,212(0.5、1mg/kg)后癫痫发作轻微时,海马损伤才会减轻,与 CB1 表达水平一致。由于低剂量消除了癫痫发作而没有精神副作用,因此进一步的研究可能会促进开创性的大麻类似物治疗策略来治疗生命早期的癫痫发作。高剂量会对行为产生不良影响,并且无法预防癫痫发作和保护 CA1 神经元,这可能是由于 CB1 受体失活或丢失所致。