Carletti Fabio, Gambino Giuditta, Rizzo Valerio, Ferraro Giuseppe, Sardo Pierangelo
Department of "Biomedicina Sperimentale e Neuroscienze Cliniche" (Bio.Ne.C.), "Sezione di Fisiologia umana G. Pagano", University of Palermo, Corso Tukory 129-90134 Palermo, Italy.
Epilepsy Res. 2016 May;122:56-65. doi: 10.1016/j.eplepsyres.2016.02.005.
The exogenous cannabinoid agonist WIN 55,212-2, (R)-(+)-[2,3-dihydro-5-methyl-3-(4-morpholinylmethyl) pyrrolo[1,2,3-de]-1,4-benzoxazin-6-Yl]-1-naphthalenylmethanone (WIN), has revealed to play a role on modulating the hyperexcitability phenomena in the hippocampus. Cannabinoid-mediated mechanisms of neuroprotection have recently been found to imply the modulation of transient receptor potential vanilloid 1 (TRPV1), a cationic channel subfamily that regulate synaptic excitation. In our study, we assessed the influence of pharmacological manipulation of TRPV1 function, alone and on WIN antiepileptic activity, in the Maximal Dentate Activation (MDA) acute model of temporal lobe epilepsy. Our results showed that the TRPV1 agonist, capsaicin, increased epileptic outcomes; whilst antagonizing TRPV1 with capsazepine exerts a protective role on paroxysmal discharge. When capsaicin is co-administered with WIN effective dose of 10mg/kg is able to reduce its antiepileptic strength, especially on the triggering of MDA response. Accordingly, capsazepine at the protective dose of 2mg/kg managed to potentiate WIN antiepileptic effects, when co-treated. Moreover, WIN subeffective dose of 5mg/kg was turned into effective when capsazepine comes into play. This evidence suggests that systemic administration of TRPV1-active drugs influences electrically induced epilepsy, with a noticeable protective activity for capsazepine. Furthermore, results from the pharmacological interaction with WIN support an interplay between cannabinoid and TRPV1 signaling that could represent a promising approach for a future pharmacological strategy to challenge hyperexcitability-based diseases.
外源性大麻素激动剂WIN 55,212-2,(R)-(+)-[2,3-二氢-5-甲基-3-(4-吗啉基甲基)吡咯并[1,2,3-de]-1,4-苯并恶嗪-6-基]-1-萘基甲酮(WIN),已被发现对调节海马体中的过度兴奋现象起作用。最近发现,大麻素介导的神经保护机制意味着对瞬时受体电位香草酸受体1(TRPV1)的调节,TRPV1是一个调节突触兴奋的阳离子通道亚家族。在我们的研究中,我们在颞叶癫痫的最大齿状激活(MDA)急性模型中评估了TRPV1功能的药理学操作对WIN抗癫痫活性的单独影响和联合影响。我们的结果表明,TRPV1激动剂辣椒素会增加癫痫发作结果;而用辣椒平拮抗TRPV1对阵发性放电起保护作用。当辣椒素与10mg/kg的WIN有效剂量联合使用时,能够降低其抗癫痫强度,尤其是对MDA反应的触发。相应地,2mg/kg保护剂量的辣椒平在联合治疗时能够增强WIN的抗癫痫作用。此外,当辣椒平发挥作用时,5mg/kg的WIN亚有效剂量变成了有效剂量。这一证据表明,全身给予TRPV1活性药物会影响电诱导的癫痫,辣椒平具有显著的保护活性。此外,与WIN的药物相互作用结果支持大麻素和TRPV1信号之间的相互作用,这可能代表了一种未来药理学策略的有前途的方法,以挑战基于过度兴奋的疾病。