Department of Pediatrics, Georgetown University Medical Center, Washington, DC, USA.
CNS Neurosci Ther. 2014 Sep;20(9):860-6. doi: 10.1111/cns.12296. Epub 2014 Jun 20.
We have recently reported that amiloride, a potent and nonselective blocker of acid-sensing ion channels, prevents the development of pilocarpine-induced seizures and status epilepticus. Amiloride is also known to suppress the activity of Na(+) /Ca(2+) and Na(+) /H(+) exchangers that have been implicated in the pathophysiology of seizures. Here, we evaluated the effects of amiloride, SN-6 (a potent blocker of Na(+) /Ca(2+) exchangers) and zoniporide (a potent blocker of Na(+) /H(+) exchangers) on acoustically evoked seizures (audiogenic seizures, AGS) in genetically epilepsy-prone rats (GEPR-3s), a model of inherited generalized epilepsy.
Male, six-week-old GEPR-3s were used. The GEPR-3s were tested for AGS susceptibility before and after treatment with various doses of amiloride, SN-6, and zoniporide (1, 3, 10, and 30 mg/kg; per os).
We found that pretreatment with amiloride and SN-6 markedly reduced the incidence and severity of AGS in the GEPR-3s. In contrast, administration of zoniporide only minimally reduced the incidence and severity of AGS in the GEPR-3s. A combination of noneffective doses of SN-6 and zoniporide also suppressed AGS susceptibility in the GEPR-3s.
These findings suggest acid-sensing ion channels and the Na(+) /Ca(2+) exchanger may play an important role in the pathophysiology of inherited AGS susceptibility in the GEPR-3s.
我们最近报道称,阿米洛利是一种强效且非选择性的酸感应离子通道阻断剂,可预防匹罗卡品诱导的癫痫发作和癫痫持续状态的发展。阿米洛利还被认为可以抑制钠离子/钙离子(Na(+) / Ca(2+))和钠离子/氢离子(Na(+) / H(+))交换器的活性,这些交换器与癫痫发作的病理生理学有关。在这里,我们评估了阿米洛利、SN-6(一种强效的 Na(+) / Ca(2+) 交换器阻断剂)和 zoniporide(一种强效的 Na(+) / H(+) 交换器阻断剂)对遗传性全身性癫痫模型(GEPR-3s)中听觉诱发癫痫发作(AGS)的影响。
使用雄性,六周龄的GEPR-3s。在使用各种剂量的阿米洛利、SN-6 和 zoniporide(1、3、10 和 30mg/kg;口服)治疗前后,对 GEPR-3s 进行 AGS 易感性测试。
我们发现,阿米洛利和 SN-6 的预处理显著降低了 GEPR-3s 中 AGS 的发生率和严重程度。相比之下,zoniporide 的给药仅轻微降低了 GEPR-3s 中 AGS 的发生率和严重程度。SN-6 和 zoniporide 的无效剂量组合也抑制了 GEPR-3s 中的 AGS 易感性。
这些发现表明酸感应离子通道和 Na(+) / Ca(2+) 交换器可能在 GEPR-3s 中遗传性 AGS 易感性的病理生理学中发挥重要作用。