Department of Experimental and Clinical Pharmacology, Collegium Pathologicum, Medical University of Lublin, ul. Jaczewskiego 8b, 20-090, Lublin, Poland.
Department of Applied Pharmacy, Medical University of Lublin, ul. Chodźki 1, 20-093, Lublin, Poland.
Pharmacol Rep. 2020 Apr;72(2):322-330. doi: 10.1007/s43440-019-00037-6. Epub 2019 Dec 20.
The goal of our study was to examine the long-term effect of vigabatrin (VGB), a γ-aminobutyric acid aminotransferase (GABA-AT) inhibitor on clonazepam (CLO), ethosuximide (ETX) and valproate (VPA) anticonvulsive activity against pentylenetetrazole (PTZ)-induced seizures in mice.
VGB was administered for 3 and 7 days. Convulsions were evoked by PTZ at its CD97 (99 mg/kg). The influence of CLO, ETX and VPA alone or in combination with VGB on motor performance and long-term memory was analyzed. γ-aminobutyric acid (GABA) concentration in mice brain and plasma as well as glutamate decarboxylase (GAD) activity was measured.
After 3 days of treatment, VGB in doses up to 500 mg/kg increased PTZ-induced seizure threshold, whereas after 7 days VGB (at the dose of 125 mg/kg) inhibited clonic seizures in experimental mice. 7 days of VGB administration did not change the protective effect of CLO, ETX and VPA against PTZ-induced seizures. 7 days of VGB treatment at a subthreshold dose of 75 mg/kg decreased TD50 of ETX and CLO in the chimney test, but did not affect TD50 value for VPA. 7 days of VGB administration in combination with AEDs did not affect long-term memory in mice. VGB after 3 days or 7 days of administration increased brain GABA concentration. GAD activity was decreased after 3 and 7 days of VGB administration.
The presented results confirm anticonvulsive activity of VGB through GABA metabolism alteration and suggest care when combining VGB with ETX or CLO in the therapy.
我们的研究目的是考察 γ-氨基丁酸转氨酶(GABA-AT)抑制剂氨己烯酸(VGB)对氯硝西泮(CLO)、乙琥胺(ETX)和丙戊酸钠(VPA)抗戊四氮(PTZ)诱导的小鼠惊厥的长期作用。
给予 VGB 治疗 3 天和 7 天。用 PTZ(99mg/kg)诱发惊厥。分析 CLO、ETX 和 VPA 单独或与 VGB 联合使用对运动表现和长期记忆的影响。测量小鼠大脑和血浆中的γ-氨基丁酸(GABA)浓度以及谷氨酸脱羧酶(GAD)活性。
治疗 3 天后,高达 500mg/kg 的 VGB 剂量增加了 PTZ 诱导的惊厥阈,而治疗 7 天后,VGB(125mg/kg 剂量)抑制了实验小鼠的阵挛性惊厥。7 天的 VGB 给药并未改变 CLO、ETX 和 VPA 对 PTZ 诱导的惊厥的保护作用。7 天的亚治疗剂量(75mg/kg)的 VGB 治疗降低了 ETX 和 CLO 在烟囱测试中的 TD50,但对 VPA 的 TD50 值没有影响。7 天的 VGB 给药与 AED 联合使用并未影响小鼠的长期记忆。3 天或 7 天的 VGB 给药后,大脑 GABA 浓度增加。GAD 活性在 VGB 给药 3 天和 7 天后降低。
这些结果证实了 VGB 通过改变 GABA 代谢发挥抗惊厥作用,并提示在治疗中与 ETX 或 CLO 联合使用 VGB 时需要谨慎。