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硝苯地平对易发生听觉性惊厥大鼠的抗惊厥和抗心律失常作用。

Anticonvulsant and antiarrhythmic effects of nifedipine in rats prone to audiogenic seizures.

机构信息

Departamento de Desenvolvimento Educacional, Instituto Federal de Educação, Ciência e Tecnologia do Sudeste de Minas Gerais, Barbacena, MG, Brasil.

出版信息

Braz J Med Biol Res. 2012 Nov;45(11):1060-5. doi: 10.1590/s0100-879x2012007500119. Epub 2012 Jul 19.

DOI:10.1590/s0100-879x2012007500119
PMID:22801414
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3854160/
Abstract

Calcium ion participates in the regulation of neural transmission and the presynaptic release of neurotransmitters. It is also involved in epileptic events, cardiac arrhythmias and abnormal conduction of stimuli. The purpose of the present study was to evaluate the effects of nifedipine, a calcium channel blocker, on epileptic seizures and on reperfusion arrhythmias in rats prone to audiogenic epileptic seizures (Wistar audiogenic rats, WAR) and in normal Wistar rats (N = 6/group). The seizure severity index was applied after an intraperitoneal injection of 20 or 40 mg/kg nifedipine (N20 and N40 groups, respectively). The Langendorff technique was used to analyze cardiac function, as well as the incidence and severity of the reperfusion arrhythmias after ligature and release of the left coronary artery in rats treated or not with nifedipine. We found that nifedipine treatment decreased seizure severity (0.94 ± 0.02 for WAR; 0.70 ± 0.10 for WAR + N20; 0.47 ± 0.08 for WAR + N40) and increased the latent period (13 ± 2 s for WAR; 35 ± 10 s for WAR + N20; 48 ± 7 s for WAR + N40) for the development of seizures in WAR. Furthermore, the incidence and severity of the reperfusion arrhythmias were lower in WAR and normal Wistar rats injected with nifedipine. In WAR, these effects were mediated, at least in part, by a decrease in heart rate. Thus, our results indicate that nifedipine may be considered to be a potential adjuvant drug for epilepsy treatment, especially in those cases associated with cardiac rhythm abnormalities.

摘要

钙离子参与神经传递和神经递质的突触前释放的调节。它也参与癫痫事件、心律失常和刺激的异常传导。本研究的目的是评估硝苯地平(一种钙通道阻滞剂)对易发生听觉性癫痫发作的大鼠(听觉性癫痫发作大鼠,WAR)和正常 Wistar 大鼠的癫痫发作和再灌注心律失常的影响(N = 6/组)。在腹腔注射 20 或 40 mg/kg 硝苯地平(N20 和 N40 组)后,应用癫痫发作严重程度指数。采用 Langendorff 技术分析心功能,以及在结扎和释放左冠状动脉后,用或不用硝苯地平处理的大鼠再灌注心律失常的发生率和严重程度。我们发现,硝苯地平治疗降低了癫痫发作的严重程度(WAR 为 0.94 ± 0.02;WAR + N20 为 0.70 ± 0.10;WAR + N40 为 0.47 ± 0.08),并延长了潜伏期(WAR 为 13 ± 2 s;WAR + N20 为 35 ± 10 s;WAR + N40 为 48 ± 7 s)。此外,注射硝苯地平的 WAR 和正常 Wistar 大鼠的再灌注心律失常的发生率和严重程度较低。在 WAR 中,这些作用至少部分是通过降低心率介导的。因此,我们的结果表明,硝苯地平可能被认为是治疗癫痫的潜在辅助药物,特别是在那些与心律失常相关的病例中。

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