Vezzani A, Stasi M A, Wu H Q, Castiglioni M, Weckermann B, Samanin R
Istituto di Ricerche Farmacologiche Mario Negri, Milano, Italy.
Exp Neurol. 1989 Oct;106(1):90-8. doi: 10.1016/0014-4886(89)90149-0.
Intravenous injection of 450 mg/kg quinolinic acid (Quin), an endogenous kynurenine metabolite with excitotoxic properties, induced only minor electroencephalographic (EEG) modifications and no neurotoxicity in rats with a mature blood-brain barrier (BBB). BBB permeability was altered in rats by focal unilateral irradiation of the cortex (7 mm in diameter and 5 mm in depth) with protons (60 Gy, 9 Gy/min). Three days after irradiation, Evans blue dye staining showed BBB breakdown in the dorsal hippocampus of the irradiated hemisphere. No neurotoxic or convulsant effects were observed as a consequence of the radiation itself. When BBB-lesioned rats were challenged with 225 mg/kg Quin iv, epileptiform activity was observed on EEG analysis. Tonic-clonic seizures were induced by 225-450 mg/kg Quin. Light microscopic analysis showed a dose-related excitotoxic type of lesion restricted to the hippocampus ipsilateral to the irradiated side. Neuro-degeneration was prevented by local injection of 120 nmol D(-)2-amino-7-phosphonoheptanoic acid, a selective N-methyl-D-aspartate receptor antagonist. No lesions or EEG or behavioral modifications occurred after 450 mg/kg nicotinic acid, an inactive analog of Quin. The potential neurotoxic and convulsant effects of increased blood levels of Quin under conditions of altered BBB permeability are discussed.
静脉注射450毫克/千克喹啉酸(Quin),一种具有兴奋性毒性的内源性犬尿氨酸代谢产物,在具有成熟血脑屏障(BBB)的大鼠中仅引起轻微的脑电图(EEG)改变,且无神经毒性。通过用质子(60 Gy,9 Gy/分钟)对大鼠皮层进行局灶性单侧照射(直径7毫米,深度5毫米)来改变其血脑屏障通透性。照射后三天,伊文思蓝染料染色显示受照射半球背侧海马区血脑屏障破坏。未观察到辐射本身导致的神经毒性或惊厥作用。当对血脑屏障受损的大鼠静脉注射225毫克/千克Quin时,脑电图分析观察到癫痫样活动。225 - 450毫克/千克Quin可诱发强直阵挛性惊厥。光学显微镜分析显示,与剂量相关的兴奋性毒性损伤类型仅限于受照射侧同侧的海马区。通过局部注射120纳摩尔D(-)2 - 氨基 - 7 - 膦酰庚酸(一种选择性N - 甲基 - D - 天冬氨酸受体拮抗剂)可预防神经变性。450毫克/千克烟酸(Quin的无活性类似物)注射后未出现损伤、脑电图或行为改变。本文讨论了血脑屏障通透性改变情况下Quin血药浓度升高的潜在神经毒性和惊厥作用。