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评价Δ-四氢大麻酚酸在小鼠癫痫模型中的可能抗惊厥作用。

Evaluation of the Possible Anticonvulsant Effect of Δ-Tetrahydrocannabinolic Acid in Murine Seizure Models.

机构信息

Brain and Mind Centre, The University of Sydney, Sydney, New South Wales, Australia.

Lambert Initiative for Cannabinoid Therapeutics, The University of Sydney, Sydney, New South Wales, Australia.

出版信息

Cannabis Cannabinoid Res. 2022 Feb;7(1):46-57. doi: 10.1089/can.2020.0073. Epub 2020 Sep 9.

Abstract

The cannabinoid Δ-tetrahydrocannabinolic acid (Δ-THCA) has long been suggested in review articles and anecdotal reports to be anticonvulsant; yet, there is scant evidence supporting this notion. The objective of this study was to interrogate the anticonvulsant potential of Δ-THCA in various seizure models-the mouse model of Dravet syndrome, the 6-Hz model of psychomotor seizures and the maximal electroshock (MES) model of generalized tonic-clonic seizures. We examined the effect of acute Δ-THCA treatment against hyperthermia-induced seizures, and subchronic treatment on spontaneous seizures and survival in the mice. We also studied the effect of acute Δ-THCA treatment on the critical current thresholds in the 6-Hz and MES tests using outbred Swiss mice. Highly purified Δ-THCA was used in the studies or a mixture of Δ-THCA and Δ-THC. We observed mixed anticonvulsant and proconvulsant effects of Δ-THCA across the seizure models. Highly pure Δ-THCA did not affect hyperthermia-induced seizures in mice. A Δ-THCA/Δ-THC mixture was anticonvulsant in the 6-Hz threshold test, but purified Δ-THCA and Δ-THC had no effect. Conversely, both Δ-THCA and Δ-THC administered individually were proconvulsant in the MES threshold test but had no effect when administered as a Δ-THCA/Δ-THC mixture. The Δ-THCA/Δ-THC mixture, however, increased spontaneous seizure severity and increased mortality of mice. The anticonvulsant profile of Δ-THCA was variable depending on the seizure model used and presence of Δ-THC. Because of the unstable nature of Δ-THCA, further exploration of Δ-THCA through formal anticonvulsant drug development is problematic without stabilization. Future studies may better focus on determining the mechanisms by which combined Δ-THCA and Δ-THC alters seizure thresholds, as this may uncover novel targets for the control of refractory partial seizures.

摘要

大麻素 Δ-四氢大麻酸(Δ-THCA)在综述文章和传闻报告中长期以来被认为具有抗惊厥作用;然而,支持这一观点的证据很少。本研究的目的是在各种癫痫模型中探究 Δ-THCA 的抗惊厥潜力-德拉维特综合征的小鼠模型、精神运动性癫痫的 6-Hz 模型和全面强直阵挛性癫痫的最大电休克(MES)模型。我们研究了急性 Δ-THCA 治疗对高热诱导性癫痫发作的影响,以及亚慢性治疗对 小鼠自发性癫痫发作和生存的影响。我们还研究了急性 Δ-THCA 治疗对 6-Hz 和 MES 测试中临界电流阈值的影响,使用了近交系瑞士小鼠。在研究中使用了高度纯化的 Δ-THCA 或 Δ-THCA 和 Δ-THC 的混合物。我们观察到 Δ-THCA 在各种癫痫模型中表现出混合的抗惊厥和致惊厥作用。高度纯化的 Δ-THCA 对 小鼠的高热诱导性癫痫发作没有影响。Δ-THCA/Δ-THC 混合物在 6-Hz 阈值测试中具有抗惊厥作用,但纯化的 Δ-THCA 和 Δ-THC 没有作用。相反,单独给予 Δ-THCA 和 Δ-THC 都在 MES 阈值测试中具有致惊厥作用,但作为 Δ-THCA/Δ-THC 混合物给予时没有作用。然而,Δ-THCA/Δ-THC 混合物增加了 小鼠的自发性癫痫发作严重程度和死亡率。Δ-THCA 的抗惊厥谱取决于所使用的癫痫模型和 Δ-THC 的存在而变化。由于 Δ-THCA 的不稳定性质,如果不进行稳定化,通过正式的抗惊厥药物开发进一步探索 Δ-THCA 是有问题的。未来的研究可能会更好地专注于确定联合使用 Δ-THCA 和 Δ-THC 改变癫痫发作阈值的机制,因为这可能揭示控制难治性部分性癫痫发作的新靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43eb/8864425/f3d8336a722c/can.2020.0073_figure1.jpg

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