Mao C C, Guidotti A, Costa E
Naunyn Schmiedebergs Arch Pharmacol. 1975;289(4):369-78. doi: 10.1007/BF00508411.
Subcutaneous injections of isoniazid or picrotoxin increase the cerebellar content of 3',5'-cyclic guanosine monophosphate (cGMP) without changing the 3',5'-cyclic adenosine monophosphate cAMP. This increase was dose dependent and the threshold for the cGMP increase was lower than that for convulsions. In cerebellum the increase of cGMP content elicited by isoniazid but not that caused by picrotoxin was paralleled by a decrease of GABA content. Diazepam doses starting from 1.74 mumol/kg intraperitoneally produced a dose dependent decrease of cerebellar cGMP concentration without changing cAMP or GABA content. Smaller doses of diazepam (0.5 mumol/kg i.p.)failed to decrease the basal cerebellar content of cGMP. However, this dose of diazepam antagonized the increase of cGMP produced by isoniazid but not that produced by picrotoxin. Higher doses of diazepam were necessary to block the increase of cerebellar cGMP elicited by picrotoxin. Low doses of diazepam (0.14 mumol/kg) antagonized the convulsions in 50% of the rats injected with 3.3 mmol/kg of isoniazid. The doses of diazepam required to block picrotoxin, pentylenetetrazol or strychnine convulsions were 7, 25 and 40 times higher than those required to block isoniazid convulsions, respectively. Desmethyldiazepam, chloridiazepoxide, oxazepam were also several times more potent in antagonizing isoniazid than picrotoxin, pentylenetetrazol, or strychnine convulsions. In contrast, barbiturates were equipotent against all the convulsants studied. These experiments suggest that diazepam may act in the CNS either by altering the disposition of endogenous GABA or by mimicking the action of GABA at specific synaptic receptors.
皮下注射异烟肼或印防己毒素可增加小脑3',5'-环鸟苷单磷酸(cGMP)的含量,而不改变3',5'-环腺苷单磷酸(cAMP)的含量。这种增加呈剂量依赖性,且cGMP增加的阈值低于惊厥阈值。在小脑中,异烟肼引起的cGMP含量增加与GABA含量降低平行,但印防己毒素引起的cGMP含量增加则不然。腹腔注射地西泮剂量从1.74 μmol/kg开始,可使小脑cGMP浓度呈剂量依赖性降低,而不改变cAMP或GABA含量。较小剂量的地西泮(0.5 μmol/kg腹腔注射)未能降低小脑cGMP的基础含量。然而,该剂量的地西泮可拮抗异烟肼引起的cGMP增加,但不能拮抗印防己毒素引起的cGMP增加。需要更高剂量的地西泮才能阻断印防己毒素引起的小脑cGMP增加。低剂量的地西泮(0.14 μmol/kg)可使50%注射3.3 mmol/kg异烟肼的大鼠惊厥得到拮抗。阻断印防己毒素、戊四氮或士的宁惊厥所需的地西泮剂量分别比阻断异烟肼惊厥所需剂量高7、25和40倍。去甲西泮、氯氮卓、奥沙西泮拮抗异烟肼惊厥的效力也比拮抗印防己毒素、戊四氮或士的宁惊厥强几倍。相比之下,巴比妥类药物对所有研究的惊厥剂的效力相同。这些实验表明,地西泮可能通过改变内源性GABA的分布或在特定突触受体上模拟GABA的作用而在中枢神经系统中发挥作用。