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癫痫持续状态是否改变ifenprodil 对未成熟大鼠皮质癫痫后放电的影响?

Does status epilepticus modify the effect of ifenprodil on cortical epileptic afterdischarges in immature rats?

机构信息

Department of Developmental Epileptology, Institute of Physiology, Academy of Sciences of the Czech Republic, Prague, Czech Republic; Faculty of Biology, Moscow State University, Moscow, Russia.

Department of Developmental Epileptology, Institute of Physiology, Academy of Sciences of the Czech Republic, Prague, Czech Republic.

出版信息

Pharmacol Rep. 2018 Feb;70(1):126-132. doi: 10.1016/j.pharep.2017.08.012. Epub 2017 Aug 26.

Abstract

BACKGROUND

Ifenprodil as a specific antagonist of NMDA receptors containing a dominant NR2B subunit exhibits age-dependent anticonvulsant action. Possible changes of this action due to status epilepticus (SE) elicited at early stage of development were studied using cortical epileptic afterdischarges (ADs) as a model.

METHODS

Lithium-pilocarpine SE was induced at postnatal day 12 and effects of ifenprodil were studied 3, 6, 9, and 13 days after SE in rat pups with implanted epidural electrodes. Controls (LiPAR) received saline instead of pilocarpine. ADs were elicited by low frequency stimulation of sensorimotor cortex. Intensity of stimulation current increased in 18 steps from 0.2 to 15 mA. Ifenprodil (20 mg/kg) was administered intraperitoneally (ip) after the stimulation with 3.5-mA current. Threshold for four different phenomena as well as duration of ADs were evaluated.

RESULTS

The threshold for the transition into the limbic type of ADs was higher in 15-day-old SE rats than in LiPAR controls. Opposite difference was found in 18-day-old animals, older rats did not exhibit any difference. Isolated significant changes in total duration of ADs were found after high stimulation intensities. These changes appeared in 18-day-old rats where ADs were shorter in SE than in control LiPAR rats.

CONCLUSIONS

Changes in ifenprodil action were found only in the first week after SE but not in the second week. Interpretation of the results is complicated by failure of significant differences between SE and LiPAR rats probably due to a high dose of paraldehyde.

摘要

背景

作为含有主导 NR2B 亚基的 NMDA 受体的特异性拮抗剂,异氟烷具有年龄依赖性的抗惊厥作用。使用皮质癫痫后放电(ADs)作为模型,研究了由于在发育早期引起的癫痫持续状态(SE)而导致这种作用可能发生的变化。

方法

在出生后第 12 天诱导锂-匹罗卡品 SE,并在 SE 后 3、6、9 和 13 天在植入硬膜外电极的大鼠幼仔中研究异氟烷的作用。对照组(LiPAR)接受生理盐水代替匹罗卡品。ADs 通过感觉运动皮层的低频刺激诱发。刺激电流强度从 0.2 到 15 mA 增加 18 个步骤。用 3.5 mA 电流刺激后,异氟烷(20 mg/kg)腹膜内(ip)给药。评估了四种不同现象的阈值以及 ADs 的持续时间。

结果

在 15 日龄 SE 大鼠中,进入边缘型 ADs 的阈值高于 LiPAR 对照组。在 18 日龄动物中发现了相反的差异,老年大鼠没有表现出任何差异。仅在高刺激强度后发现 ADs 总持续时间的孤立显著变化。这些变化出现在 SE 大鼠中,ADs 在 SE 大鼠中比在对照 LiPAR 大鼠中更短。

结论

仅在 SE 后第一周发现异氟烷作用的变化,而在第二周则没有。由于水合氯醛的高剂量,可能由于 SE 和 LiPAR 大鼠之间的显著差异而导致结果解释变得复杂。

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