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长期使用氨己烯酸治疗可改变戊四氮诱导的小鼠癫痫发作:重点关注 GABA 脑浓度。

Long-term vigabatrin treatment modifies pentylenetetrazole-induced seizures in mice: focused on GABA brain concentration.

机构信息

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.

出版信息

Pharmacol Rep. 2020 Apr;72(2):322-330. doi: 10.1007/s43440-019-00037-6. Epub 2019 Dec 20.

Abstract

BACKGROUND

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

背景

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。

方法

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。

结果

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。

结论

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。

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