Mehta A K, Ticku M K
Department of Pharmacology, University of Texas Health Science Center, San Antonio 78284-7764.
Pharmacol Biochem Behav. 1988 Aug;30(4):995-1000. doi: 10.1016/0091-3057(88)90131-1.
Pentobarbital and phenobarbital exhibited anticonvulsant effects against picrotoxin (10 mg/kg, IP) as well as against strychnine (4 mg/kg, IP). Pentobarbital was also effective against bicuculline whereas only hypnotic doses of phenobarbital provided some protection against bicuculline- (8 mg/kg, IP) induced convulsions. Diazepam as well as THIP, but not baclofen, were also effective against all the three chemoconvulsants. Baclofen or subeffective doses of diazepam or THIP, when combined with subeffective dose of pentobarbital exhibited anticonvulsant activity against all the chemoconvulsants studied. On the other hand, a combination of subeffective doses of these agents with subeffective doses of phenobarbital provided protection only against picrotoxin and strychnine. These observations indicate that pentobarbital is quite effective against convulsions caused by agents acting at picrotoxin site, GABAA receptor or glycine receptor whereas phenobarbital is effective only against agents acting at picrotoxin site and glycine receptor, and is very weak anticonvulsant against agents causing blockade of GABAA receptors. Furthermore, activation of GABAA receptors or benzodiazepine receptors also provide protection against agents acting at GABAergic system or glycine receptors. On the contrary, activation of only GABAB receptors is inadequate to provide the protective effect. However, the activation of GABAA as well as GABAB receptors facilitate the anticonvulsant effect of both the barbiturates. Furthermore, pentobarbital, but not phenobarbital, facilitates the anticonvulsant effect of benzodiazepines against chemoconvulsants acting at GABAergic site or glycine receptors.
戊巴比妥和苯巴比妥对印防己毒素(10毫克/千克,腹腔注射)以及士的宁(4毫克/千克,腹腔注射)引起的惊厥均表现出抗惊厥作用。戊巴比妥对荷包牡丹碱也有效,而只有催眠剂量的苯巴比妥对荷包牡丹碱(8毫克/千克,腹腔注射)诱导的惊厥有一定保护作用。地西泮以及THIP(4,5,6,7-四氢异噁唑并[5,4-c]吡啶-3-醇)有效,但巴氯芬对这三种化学惊厥剂均无效。巴氯芬或亚有效剂量的地西泮或THIP与亚有效剂量的戊巴比妥联合使用时,对所有研究的化学惊厥剂均表现出抗惊厥活性。另一方面,这些药物的亚有效剂量与亚有效剂量的苯巴比妥联合使用时,仅对印防己毒素和士的宁有保护作用。这些观察结果表明,戊巴比妥对作用于印防己毒素位点、GABAA受体或甘氨酸受体的药物引起的惊厥非常有效,而苯巴比妥仅对作用于印防己毒素位点和甘氨酸受体的药物有效,对导致GABAA受体阻断的药物的抗惊厥作用非常弱。此外,GABAA受体或苯二氮䓬受体的激活也能对作用于GABA能系统或甘氨酸受体的药物提供保护。相反,仅激活GABAB受体不足以提供保护作用。然而,GABAA受体和GABAB受体的激活均能增强两种巴比妥类药物的抗惊厥作用。此外,戊巴比妥而非苯巴比妥能增强苯二氮䓬类药物对作用于GABA能位点或甘氨酸受体的化学惊厥剂的抗惊厥作用。