Florek-Luszczki Magdalena, Wlaz Aleksandra, Kondrat-Wrobel Maria W, Tutka Piotr, Luszczki Jarogniew J
Department of Public Health, Institute of Rural Health, Jaczewskiego 2, 20-950, Lublin, Poland.
J Neural Transm (Vienna). 2014 Jul;121(7):707-15. doi: 10.1007/s00702-014-1173-7. Epub 2014 Feb 19.
The aim of this study was to characterize the influence of WIN 55,212-2 (WIN--a non-selective cannabinoid CB1 and CB2 receptor agonist) on the anticonvulsant effects of various classical antiepileptic drugs (clobazam, clonazepam, phenobarbital and valproate) in the mouse 6 Hz-induced psychomotor seizure model. Limbic (psychomotor) seizure activity was evoked in albino Swiss mice by a current (32 mA, 6 Hz, 3 s stimulus duration) delivered via ocular electrodes. Drug-related adverse effects were ascertained by use of the chimney test (evaluating motor performance), step-through passive avoidance task (assessing learning) and grip-strength test (evaluating skeletal muscular strength). Total brain concentrations of antiepileptic drugs were measured by fluorescence polarization immunoassay to ascertain any pharmacokinetic contribution to the observed antiseizure effect. Results indicate that WIN (5 mg/kg, administered intraperitoneally) significantly enhanced the anticonvulsant action of clonazepam (P < 0.001), phenobarbital (P < 0.05) and valproate (P < 0.05), but not that of clobazam in the mouse 6 Hz model. Moreover, WIN (2.5 mg/kg) significantly potentiated the anticonvulsant action of clonazepam (P < 0.01), but not that of clobazam, phenobarbital or valproate in the 6 Hz test in mice. None of the investigated combinations of WIN with antiepileptic drugs was associated with any concurrent adverse effects with regard to motor performance, learning or muscular strength. Pharmacokinetic experiments revealed that WIN had no impact on total brain concentrations of antiepileptic drugs in mice. These preclinical data would suggest that WIN in combination with clonazepam, phenobarbital and valproate is associated with beneficial anticonvulsant pharmacodynamic interactions in the mouse 6 Hz-induced psychomotor seizure test.
本研究的目的是在小鼠6 Hz诱导的精神运动性癫痫模型中,表征WIN 55,212-2(WIN——一种非选择性大麻素CB1和CB2受体激动剂)对各种经典抗癫痫药物(氯巴占、氯硝西泮、苯巴比妥和丙戊酸盐)抗惊厥作用的影响。通过经眼电极施加电流(32 mA,6 Hz,3 s刺激持续时间),在白化瑞士小鼠中诱发边缘系统(精神运动性)癫痫活动。通过使用烟囱试验(评估运动性能)、穿梭箱被动回避任务(评估学习能力)和握力试验(评估骨骼肌力量)来确定与药物相关的不良反应。通过荧光偏振免疫测定法测量抗癫痫药物的全脑浓度,以确定对观察到的抗癫痫作用的任何药代动力学贡献。结果表明,在小鼠6 Hz模型中,WIN(5 mg/kg,腹腔注射)显著增强了氯硝西泮(P < 0.001)、苯巴比妥(P < 0.05)和丙戊酸盐(P < 0.05)的抗惊厥作用,但未增强氯巴占的抗惊厥作用。此外,在小鼠6 Hz试验中,WIN(2.5 mg/kg)显著增强了氯硝西泮的抗惊厥作用(P < 0.01),但未增强氯巴占、苯巴比妥或丙戊酸盐的抗惊厥作用。所研究的WIN与抗癫痫药物的任何组合均未在运动性能、学习能力或肌肉力量方面产生任何并发不良反应。药代动力学实验表明,WIN对小鼠抗癫痫药物的全脑浓度没有影响。这些临床前数据表明,在小鼠6 Hz诱导的精神运动性癫痫试验中,WIN与氯硝西泮、苯巴比妥和丙戊酸盐联合使用具有有益的抗惊厥药效学相互作用。