Electrophysiology Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Department of Physiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
J Cell Biochem. 2019 Sep;120(9):15906-15914. doi: 10.1002/jcb.28864. Epub 2019 May 9.
Epileptic seizures occur as a consequence of a sudden imbalance between the stimuli and inhibitors within the network of cortical neurons in favor of the stimulus. One of the drugs that induce epilepsy is pilocarpine. Systemic injection of pilocarpine affects on muscarinic receptors. Increasing evidence has addressed the implication of KN-93 by blocking Ca /calmodulin-dependent protein kinase II (CaMKII), suppressing oxidative stress and inflammation, and also reducing neuron decay. So, we aimed to evaluate the potential preventive effects of KN-93 in systemic epilepsy disorders induced by pilocarpine.
In this animal study, male rats were divided into five groups including treatment group (KN-93 with the dose of 5 mM/10 µL dimethyl sulfoxide (DMSO) before inducing epilepsy by 380 mg/kg pilocarpine) KN-93 group (received 5 mM KN-93), control group, epilepsy group (received 380 mg/kg pilocarpine Intraperitoneal), and sham group (received 10 µL DMSO). Oxidative stress was assessed by measuring its indicators including the concentration of malondialdehyde (MDA), nitrite, glutathione (GSH), as well as the antioxidant activity of catalase. In addition, serum levels of proinflammatory mediators including tumor necrosis factor-α (TNF-α) and interleukin-1β (IL-1β) were determined.
Pretreatment with KN-93 significantly reduced oxidative stress index by reducing the concentration of MDA, nitrite, and increasing the level of GSH. In addition, low concentrations of TNF-α and IL-1β were observed in hippocampus supernatant of KN-93 pretreated rats in comparison with the pilocarpine groups. Moreover, administration of KN-93 improved neuronal density and attenuated the seizure activity and behavior.
Overall, our findings suggest that KN-93 can effectively suppress oxidative stress and inflammation. Furthermore, KN-93 is able to attenuate seizure behaviors by preventing its effects on neuron loss, so, it is valuable for the treatment of epileptic seizures.
癫痫发作是皮质神经元网络中刺激与抑制之间突然失衡的结果,有利于刺激。引起癫痫的药物之一是毛果芸香碱。毛果芸香碱的全身注射会影响毒蕈碱受体。越来越多的证据表明,KN-93 通过阻断钙/钙调蛋白依赖性蛋白激酶 II (CaMKII)、抑制氧化应激和炎症,以及减少神经元衰减,具有重要意义。因此,我们旨在评估 KN-93 对毛果芸香碱诱导的全身癫痫发作的潜在预防作用。
在这项动物研究中,雄性大鼠被分为五组,包括治疗组(在癫痫发作前用 380mg/kg 毛果芸香碱诱导癫痫发作前,用 5mM/10μL 二甲基亚砜(DMSO)给予 KN-93)、KN-93 组(给予 5mM KN-93)、对照组、癫痫组(给予 380mg/kg 毛果芸香碱腹腔内注射)和假手术组(给予 10μL DMSO)。通过测量丙二醛(MDA)、亚硝酸盐、谷胱甘肽(GSH)的浓度以及过氧化氢酶的抗氧化活性来评估氧化应激,氧化应激的浓度作为氧化应激的指标。此外,还测定了血清中促炎介质肿瘤坏死因子-α(TNF-α)和白细胞介素-1β(IL-1β)的水平。
KN-93 预处理可显著降低氧化应激指数,降低 MDA、亚硝酸盐浓度,增加 GSH 水平。此外,与毛果芸香碱组相比,KN-93 预处理大鼠海马上清液中 TNF-α和 IL-1β浓度较低。此外,KN-93 可改善神经元密度,减轻癫痫发作活动和行为。
总之,我们的研究结果表明,KN-93 能有效抑制氧化应激和炎症。此外,KN-93 通过防止其对神经元丢失的影响,能够减轻癫痫发作行为,因此对癫痫发作的治疗具有价值。