Reddy Doodipala Samba, Yoshimura Ryan F, Ramanathan Gunasekaran, Carver Chase, Johnstone Timothy B, Hogenkamp Derk J, Gee Kelvin W
Department of Neuroscience and Experimental Therapeutics, College of Medicine, Texas A&M University Health Science Center, Bryan, TX, United States.
Department of Pharmacology, School of Medicine, University of California, Irvine, California, United States.
Epilepsy Behav. 2018 May;82:57-63. doi: 10.1016/j.yebeh.2018.02.020. Epub 2018 Mar 26.
Subunit-specific positive allosteric modulators (PAMs) of gamma-aminobutyric acid-A (GABA-A) receptors are commonly used to uncover the role of GABA-A receptor isoforms in brain function. Recently, we have designed novel PAMs selective for β-subunit containing GABA-A receptors (β-selective PAMs) that are nonbenzodiazepine site-mediated and do not show an α-subunit isoform selectivity, yet exhibit anxiolytic efficacy with reduced potential for sedation, cognitive impairment, and tolerance. In this study, we used three novel β-selective PAMs (2-261, 2-262, and 10029) with differential β-subunit potency to identify the role of β-selective receptor isoforms in limbic epileptogenesis.
Experimental epileptogenesis was induced in mice by daily hippocampus stimulations until each mouse showed generalized (stage 5) seizures. Patch-clamp electrophysiology was used to record GABA-gated currents. Brain levels of β-selective PAMs were determined for mechanistic correlations.
Treatment with the β-selective PAMs 2-261 (30mg/kg), 2-262 (10mg/kg), and 10029 (30mg/kg), 30min prior to stimulations, significantly suppressed the rate of development of kindled seizure activity without affecting the afterdischarge (AD) signal, indicating their disease-modifying activity. The β-selective agents suppressed chemical epileptogenesis in the pentylenetetrazol model. Test doses of these agents were devoid of acute antiseizure activity in the kindling model.
These findings demonstrate that β-selective PAMs can moderately retard experimental epileptogenesis, indicating the protective role of β-subunit GABA-A receptor isoforms in the development of epilepsy.
γ-氨基丁酸A(GABA-A)受体的亚基特异性正变构调节剂(PAMs)常用于揭示GABA-A受体亚型在脑功能中的作用。最近,我们设计了新型的对含β亚基的GABA-A受体具有选择性的PAMs(β选择性PAMs),它们是非苯二氮䓬位点介导的,不表现出α亚基亚型选择性,但具有抗焦虑功效,同时降低了镇静、认知障碍和耐受性的可能性。在本研究中,我们使用了三种具有不同β亚基效力的新型β选择性PAMs(2-261、2-262和10029)来确定β选择性受体亚型在边缘叶癫痫发生中的作用。
通过每日海马刺激在小鼠中诱导实验性癫痫发生,直到每只小鼠出现全身性(5期)癫痫发作。使用膜片钳电生理学记录GABA门控电流。测定脑内β选择性PAMs的水平以进行机制相关性研究。
在刺激前30分钟用β选择性PAMs 2-261(30mg/kg)、2-262(10mg/kg)和10029(30mg/kg)进行治疗,可显著抑制点燃癫痫活动的发展速度,而不影响后放电(AD)信号,表明它们具有疾病修饰活性。β选择性药物在戊四氮模型中抑制化学性癫痫发生。这些药物的测试剂量在点燃模型中没有急性抗癫痫活性。
这些发现表明,β选择性PAMs可适度延缓实验性癫痫发生,表明β亚基GABA-A受体亚型在癫痫发展中具有保护作用。