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N-甲基-D-天冬氨酸(NMDA)受体拮抗剂MK-801可抑制边缘叶癫痫发作的点燃及已点燃的癫痫发作。

The NMDA-receptor antagonist, MK-801, suppresses limbic kindling and kindled seizures.

作者信息

Gilbert M E

机构信息

Northrop Services Inc., Environmental Sciences, Research Triangle Park, NC 27709.

出版信息

Brain Res. 1988 Oct 25;463(1):90-9. doi: 10.1016/0006-8993(88)90530-6.

Abstract

Excitatory amino acid receptors in the mammalian central nervous system (CNS) are divided into 3 receptor subtypes: kainate, quisqualate, and N-methyl-D-aspartate (NMDA). MK-801 is a selective, non-competitive antagonist of excitatory amino acid transmitters at the NMDA receptor site. The role of excitatory amino acid neurotransmission in electrical kindling was examined in animals stimulated daily in the amygdala following i.p. administration of low dosages of MK-801 (0.1 and 0.5 mg/kg). A second experiment evaluated the anticonvulsant properties of MK-801 in rats kindled in the hippocampus and amygdala, and contrasted its efficacy with the antiepileptic agents, diazepam, phenobarbital and phenytoin, and the dissociative anesthetics phencyclidine and ketamine. MK-801 (0.5 mg/kg) retarded the development of amygdala kindling and reduced mean AD duration over the first 10 stimulation sessions. The low dosage reduced total AD accrued during each kindling stage but failed to alter kindling rate. MK-801 blocked motor seizures induced by stimulation of hippocampal or amygdala kindled foci, but was more effective in reducing seizure severity and AD duration resulting from stimulation of the hippocampal focus. All other drugs tested, with the exception of phenytoin, protected against amygdaloid kindled seizures. It was concluded that excitatory amino acid transmission contributes in an important, but non-critical way to amygdala kindling.

摘要

哺乳动物中枢神经系统(CNS)中的兴奋性氨基酸受体可分为3种受体亚型:海人藻酸、quisqualate和N-甲基-D-天冬氨酸(NMDA)。MK-801是NMDA受体部位兴奋性氨基酸递质的选择性、非竞争性拮抗剂。在腹腔注射低剂量MK-801(0.1和0.5mg/kg)后,对每日在杏仁核接受刺激的动物,研究兴奋性氨基酸神经传递在电点燃中的作用。第二个实验评估了MK-801对海马体和杏仁核点燃大鼠的抗惊厥特性,并将其疗效与抗癫痫药物地西泮、苯巴比妥和苯妥英,以及分离麻醉剂苯环利定和氯胺酮进行对比。MK-801(0.5mg/kg)延缓了杏仁核点燃的发展,并在最初10次刺激过程中缩短了平均发作持续时间。低剂量减少了每个点燃阶段累积的总发作持续时间,但未能改变点燃率。MK-801阻断了由海马体或杏仁核点燃灶刺激诱发的运动性癫痫发作,但在减轻由海马体灶刺激引起的癫痫发作严重程度和发作持续时间方面更有效。除苯妥英外,所有其他测试药物均能预防杏仁核点燃性癫痫发作。得出的结论是,兴奋性氨基酸传递以一种重要但非关键的方式促成杏仁核点燃。

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