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谷氨酸二乙酯和抗癫痫药物对喹啉酸诱发癫痫的抑制作用。

Inhibition of quisqualate-induced seizures by glutamic acid diethyl ester and anti-epileptic drugs.

作者信息

Schwarz S S, Freed W J

出版信息

J Neural Transm. 1986;67(3-4):191-203. doi: 10.1007/BF01243347.

Abstract

Glutamic acid diethyl ester (GDEE) is a glutamate antagonist which acts preferentially at the quisqualate-sensitive receptor and has been shown to be an effective anticonvulsant in alcohol withdrawal and homocysteine-induced seizures but ineffective in other seizure models. To better characterize the role of the quisqualate-sensitive receptor in the generation of seizures, quisqualate was administered to mice by intracerebroventricular (ICV) route and immediate onset generalized seizures were observed. The anticonvulsant properties of GDEE and commonly used antiepileptic drugs (AEDs) were investigated with this seizure model. GDEE given by intraperitoneal blocked quisqualate-induced seizures dose-dependently. Diphenyl-hydantoin (50 mg/kg IP), carbamazepine (50 mg/kg IP), diazepam (1; 4 mg/kg IP), phenobarbital (40; 80 mg/kg IP), and valproic acid (250; 340 mg/kg IP) were also administered prior to quisqualate-seizure induction. Only valproic acid blocked seizures at nonsedating doses. The GABA transaminase inhibitor aminooxyacetic acid (20 mg/kg IP) was ineffective, suggesting that here valproic acid is active at excitatory receptors rather than by potentiating GABA post-synaptic inhibition. These data are consistent with the hypothesis that the quisqualate-sensitive receptor is involved in some forms of clinically observed seizures, particularly those which are controlled by valproic acid.

摘要

谷氨酸二乙酯(GDEE)是一种谷氨酸拮抗剂,它优先作用于对喹啉酸敏感的受体,并且已被证明在酒精戒断和同型半胱氨酸诱导的癫痫发作中是一种有效的抗惊厥药物,但在其他癫痫模型中无效。为了更好地描述对喹啉酸敏感的受体在癫痫发作产生中的作用,通过脑室内(ICV)途径给小鼠注射喹啉酸,并观察到立即发作的全身性癫痫发作。用这种癫痫模型研究了GDEE和常用抗癫痫药物(AEDs)的抗惊厥特性。腹腔注射GDEE可剂量依赖性地阻断喹啉酸诱导的癫痫发作。在诱导喹啉酸癫痫发作之前,还给予了二苯乙内酰脲(50mg/kg腹腔注射)、卡马西平(50mg/kg腹腔注射)、地西泮(1;4mg/kg腹腔注射)、苯巴比妥(40;80mg/kg腹腔注射)和丙戊酸(250;340mg/kg腹腔注射)。只有丙戊酸在非镇静剂量下能阻断癫痫发作。GABA转氨酶抑制剂氨氧基乙酸(20mg/kg腹腔注射)无效,这表明在这里丙戊酸在兴奋性受体上起作用,而不是通过增强GABA突触后抑制作用。这些数据与以下假设一致,即对喹啉酸敏感的受体参与了某些临床观察到的癫痫发作形式,特别是那些由丙戊酸控制的癫痫发作。

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