Turkish Medicines and Medical Devices Agency, Ankara, Turkey.
Eur Rev Med Pharmacol Sci. 2013 May;17(9):1149-54.
Epilepsy is one of the most important central nervous system disorder and 1% of the total world population suffers from this disorder which require a chronic drug treatment. Most of the researchers suggested that excessive calcium entry into neurons is the main triggering event in the initiation of epileptic discharges but the role of L type calcium channels has not been clarified in absence epilepsy.
In this study, it is aimed to investigate the antiepileptic effects of nifedipine, an L type calcium channel blocker and BAY K8644, an L type calcium channel opener in a genetic model of absence epilepsy in WAG/Rij rats.
Thirty two WAG/Rij rats were allocated into four groups; sham (only saline injected), only nifedipine (an L type calcium channel blocker) injected group (40 µg/2 µl; 60 µg/2 µl; 80 µg/2 µl), only BAY K8644 (1,4 Dihydro-2,6-dimethyl-5-nitro-4-trifluoromethyl- phenyl-3-pyridine carboxylic acid methyl ester) (L-type Ca2+-channel activator) injected group (40 µg/2 µl; 60 µg/2 µl; 80 µg/2 µl) and combination of their most effective doses BAY K8644 (60 µg/2 µl) after nifedipine (60 µg/2 µl) injected group. All agents were given by intracerebroventricular injection. The beta, alpha, theta and delta wave ratios of electroencephalogram recordings and the frequency and duration of SWDs (spike and wave discharges) were analyzed and compared between four groups.
Nifedipine increased the number and duration of spike wave discharges whereas BAY K8644 decreased both of them. When BAY K8644 was given after nifedipine, there was no significant difference with control group.
L type calcium channels play an activator role on spike wave discharges and have positive effects on the duration and frequency.
癫痫是最重要的中枢神经系统疾病之一,全球有 1%的人口患有这种疾病,需要长期药物治疗。大多数研究人员认为,过多的钙进入神经元是癫痫发作起始的主要触发事件,但 L 型钙通道在失神性癫痫中的作用尚未阐明。
本研究旨在探讨 L 型钙通道阻滞剂硝苯地平(nifedipine)和 L 型钙通道激动剂 BAY K8644 在 WAG/Rij 大鼠失神性癫痫遗传模型中的抗癫痫作用。
将 32 只 WAG/Rij 大鼠分为四组:假手术组(仅注射生理盐水)、仅硝苯地平(L 型钙通道阻滞剂)注射组(40μg/2μl;60μg/2μl;80μg/2μl)、仅 BAY K8644(1,4 二氢-2,6-二甲基-5-硝基-4-三氟甲基-苯基-3-吡啶羧酸甲酯)(L 型 Ca2+-通道激活剂)注射组(40μg/2μl;60μg/2μl;80μg/2μl)和硝苯地平(60μg/2μl)注射后给予其最有效剂量的 BAY K8644(60μg/2μl)联合注射组。所有药物均通过侧脑室注射给药。分析比较四组脑电图记录的β、α、θ和δ波比值以及 SWD(棘波和尖波放电)的频率和持续时间。
硝苯地平增加了棘波和尖波放电的数量和持续时间,而 BAY K8644 则降低了这两者。当 BAY K8644 在硝苯地平后给予时,与对照组无显著差异。
L 型钙通道对棘波和尖波放电起激活作用,对其持续时间和频率有积极影响。