Department of Anatomy and the CMBN, University of Oslo, Norway.
Neurosci Lett. 2012 Oct 11;527(2):100-4. doi: 10.1016/j.neulet.2012.08.042. Epub 2012 Aug 30.
Valproate is well established in the treatment of epilepsy and psychiatric disorders, yet the main mechanism of action remains to be determined. Here we show that valproate may reduce neurotransmission of the excitatory amino acid, aspartate. By electron microscopic immunogold cytochemistry we demonstrate a 63-68% reduction in the level of aspartate in excitatory nerve terminals at 30 min after an acute dose of valproate. The level of glutamate in the same terminals was unchanged by valproate treatment. In inhibitory terminals, valproate caused a 65% decrease in the aspartate level, whereas the GABA level was not significantly changed. In summary, the present study shows that valproate reduces the nerve terminal content of the excitatory neurotransmitter aspartate. This points to a new mechanism of action for valproate: reduced neuronal excitation through reduced aspartergic neurotransmission.
丙戊酸盐在治疗癫痫和精神疾病方面已有充分的应用,但主要的作用机制仍有待确定。在这里,我们发现丙戊酸盐可能会降低兴奋性氨基酸天冬氨酸的神经传递。通过电子显微镜免疫金细胞化学技术,我们在急性给予丙戊酸盐 30 分钟后,观察到兴奋性神经末梢中天冬氨酸的水平降低了 63-68%。而谷氨酸在相同的神经末梢中的水平没有因丙戊酸盐治疗而改变。在抑制性神经末梢中,丙戊酸盐引起天冬氨酸水平降低了 65%,而 GABA 水平没有显著变化。总之,本研究表明丙戊酸盐降低了兴奋性神经递质天冬氨酸在神经末梢中的含量。这表明丙戊酸盐的作用机制有了新的认识:通过减少天冬氨酸能神经传递,降低神经元兴奋。