Metcalf Cameron S, West Peter J, Thomson Kyle E, Edwards Sharon F, Smith Misty D, White H Steve, Wilcox Karen S
Anticonvulsant Drug Development Program, Department of Pharmacology and Toxicology, University of Utah, Salt Lake City, Utah, U.S.A.
School of Dentistry, University of Utah, Salt Lake City, Utah, U.S.A.
Epilepsia. 2017 Jun;58(6):1073-1084. doi: 10.1111/epi.13764. Epub 2017 Apr 27.
The mouse 6 Hz model of psychomotor seizures is a well-established and commonly used preclinical model for antiseizure drug (ASD) discovery. Despite its widespread use both in the identification and differentiation of novel ASDs in mice, a corresponding assay in rats has not been developed. We established a method for 6 Hz seizure induction in rats, with seizure behaviors similar to those observed in mice including head nod, jaw clonus, and forelimb clonus.
A convulsive current that elicits these seizure behaviors in 97% of rats (CC ) was determined using a Probit analysis. Numerous prototype ASDs were evaluated in this model using stimulus intensities of 1.5× and 2× the CC , which is comparable to the approach used in the mouse 6 Hz seizure model (e.g., 32 and 44 mA stimulus intensities). The ASDs evaluated include carbamazepine, clobazam, clonazepam, eslicarbazepine, ethosuximide, ezogabine, gabapentin, lacosamide, lamotrigine, levetiracetam, phenobarbital, phenytoin, rufinamide, tiagabine, topiramate, and sodium valproate. Median effective dose (ED ) and median toxic (motor impairment) dose (TD ) values were obtained for each compound.
Compounds that were effective at the 1.5 × CC stimulus intensity at protective index (PI) values >1 included clobazam, ethosuximide, ezogabine, levetiracetam, phenobarbital, and sodium valproate. Compounds that were effective at the 2 × CC stimulus intensity at PI values >1 included ezogabine, phenobarbital, and sodium valproate.
In a manner similar to the use of the mouse 6 Hz model, development of a rat 6 Hz test will aid in the differentiation of ASDs, as well as in study design and dose selection for chronic rat models of pharmacoresistant epilepsy. The limited number of established ASDs with demonstrable efficacy at the higher stimulus intensity suggests that, like the mouse 6 Hz 44 mA model, the rat 6 Hz seizure model may be a useful screening tool for pharmacoresistant seizures.
小鼠精神运动性癫痫的6Hz模型是一种成熟且常用的抗癫痫药物(ASD)发现的临床前模型。尽管它在小鼠新型ASD的鉴定和区分中广泛应用,但尚未开发出相应的大鼠实验方法。我们建立了一种在大鼠中诱导6Hz癫痫发作的方法,其癫痫发作行为与在小鼠中观察到的相似,包括点头、下颌阵挛和前肢阵挛。
使用概率分析确定在97%的大鼠中引发这些癫痫发作行为的惊厥电流(CC)。在该模型中使用1.5倍和2倍CC的刺激强度对多种ASD原型进行评估,这与小鼠6Hz癫痫模型中使用的方法相当(例如,32和44mA刺激强度)。评估的ASD包括卡马西平、氯巴占、氯硝西泮、艾司利卡西平、乙琥胺、依佐加平、加巴喷丁、拉科酰胺、拉莫三嗪、左乙拉西坦、苯巴比妥、苯妥英、卢非酰胺、噻加宾、托吡酯和丙戊酸钠。获得了每种化合物的半数有效剂量(ED)和半数中毒(运动障碍)剂量(TD)值。
在保护指数(PI)值>1时,在1.5倍CC刺激强度下有效的化合物包括氯巴占、乙琥胺、依佐加平、左乙拉西坦、苯巴比妥和丙戊酸钠。在PI值>1时,在2倍CC刺激强度下有效的化合物包括依佐加平、苯巴比妥和丙戊酸钠。
与小鼠6Hz模型的使用方式类似,大鼠6Hz试验的开发将有助于ASD的区分,以及药物难治性癫痫慢性大鼠模型的研究设计和剂量选择。在较高刺激强度下具有可证明疗效的既定ASD数量有限,这表明,与小鼠6Hz 44mA模型一样,大鼠6Hz癫痫模型可能是药物难治性癫痫的一种有用筛选工具。