Rapacz Anna, Głuch-Lutwin Monika, Mordyl Barbara, Filipek Barbara, Abram Michał, Kamiński Krzysztof
Department of Pharmacodynamics, Faculty of Pharmacy, Jagiellonian University Medical College, 9 Medyczna Street, 30-688 Krakow, Poland.
Department of Pharmacobiology, Faculty of Pharmacy, Jagiellonian University Medical College, 9 Medyczna Street, 30-688 Krakow, Poland.
Epilepsy Res. 2018 Jul;143:11-19. doi: 10.1016/j.eplepsyres.2018.03.024. Epub 2018 Mar 30.
Epilepsy is a chronic neurological disorder that is associated with various types of recurrent seizures, which are drug-resistant in about one third of patients. Moreover, anticonvulsant drugs are used to treat a wide range of non-epileptic conditions, including chronic pain. Here, we investigated the anticonvulsant activity of six new hybrid compounds based on the pyrrolidine-2,5-dione scaffold in the 6 Hz corneal stimulation test with 44 mA stimulus intensity in mice, which is the model of pharmacoresistant seizures. We demonstrated that two molecules, DK-10 (11) and DK-14 (14) show higher anticonvulsant activity and similar safety profile in comparison with valproic acid and much higher in comparison with levetiracetam in the aforementioned test. The second aim of this study was to examine analgesic activity of these compounds. For this purpose, the hot plate test, the formalin test, and the oxaliplatin-induced peripheral neuropathy model were performed. Among tested agents DK-11 (12) revealed prominent antinociceptive activity at non-sedative doses in the second (inflammatory) phase of the formalin test, which is the model of tonic pain and antiallodynic activity in the oxaliplatin-induced neuropathic pain, the model of painful chemotherapy-induced peripheral neuropathy. No cytotoxic effect on hepatoma cells was observed. Compound DK-10 (11) had high affinity for voltage-gated sodium channels, whereas compound DK-11 (12) showed weak binding toward sodium and calcium voltage-gated channels and the NMDA receptor. As a result, hybrid compounds reported herein seem to be very promising broad spectrum anticonvulsant molecules with collateral analgesic activity.
癫痫是一种慢性神经系统疾病,与各种类型的反复发作性癫痫有关,约三分之一的患者对药物耐药。此外,抗惊厥药物还用于治疗包括慢性疼痛在内的多种非癫痫性疾病。在此,我们在小鼠6Hz角膜刺激试验中,以44mA刺激强度研究了基于吡咯烷-2,5-二酮支架的六种新型杂合化合物的抗惊厥活性,该试验是药物难治性癫痫的模型。我们证明,在上述试验中,与丙戊酸相比,两种分子DK-10(11)和DK-14(14)表现出更高的抗惊厥活性和相似的安全性,与左乙拉西坦相比则高得多。本研究的第二个目的是检测这些化合物的镇痛活性。为此,进行了热板试验、福尔马林试验和奥沙利铂诱导的周围神经病变模型试验。在受试药物中,DK-11(12)在福尔马林试验的第二(炎症)阶段,即在强直性疼痛模型中,在非镇静剂量下显示出显著的抗伤害感受活性,在奥沙利铂诱导的神经性疼痛模型(即化疗引起的周围神经病变疼痛模型)中显示出抗痛觉过敏活性。未观察到对肝癌细胞的细胞毒性作用。化合物DK-10(11)对电压门控钠通道具有高亲和力,而化合物DK-11(12)对钠和钙电压门控通道以及NMDA受体显示出弱结合。因此,本文报道的杂合化合物似乎是非常有前途的具有附带镇痛活性的广谱抗惊厥分子。